Gynae 8 feb morning Moa of diazepam Enhance gaba a receptor Sodium voltage gated channel T type channel inhibition Leptin works via enzyme ligand Hepten is the drug reaction interact with Pcos androgen inc bcz of Lh n insulin Lh Female with hysterectomy now with 3 degree cervical vault prolapse uterosacral ligament attach to Post pelvic wall Ant bladder Women with pph normal healthy placenta pass out approprite management Bimannual compression Rub up uterus Empty clot of uterus n vagina Women with hypotension and tachycardia had 10 unit transfusiom 2 hr ago cause is Obstructive type shock Refractory to fluid resuscitation Women with hemorrhage during vaginal delivery hb 6.5 appt 35 appropriate management Ffp Cryopercipitate Rbc concentrate Whole blood Fresh whole blood Women with s sometimes of dic HB 9 APTET 35 appropriate management whole blood RBC concentrate ffps fresh whole blood Women with bloody discharge from nipple no pruritis mass not any other significant finding no prolactin raised ductal ectasia inverted papilloma Fibrocystic disease of breast 26 yr old female normal past menstural hx now husband notice deeping of voice acne hirstism irregular periods right ovarian compact and cystic mass palpable cz is Granulosa cell tumor Steroli leydig cell tumor Pituitary adenoma Serous adenoxcarcinoma 13 yr girl with menarche at 10 yr regular cycle now oligomenorrhea palpable mass compact and in right ovary cz is Graulosa cell tumor Steroli leydig cell tumor Pituitary adenoma Youg girl with primary amenorrhea normal sec sexual characters normal hymen ring seen dx is Cervical atresia Female with thyroidectomy present with deeping of voice vocal cord medial position what is damaged Posterior cricothyroid lateral cricohyroid thyroarytenoid Hx with high testosterone and prolactin 3:1 fsh and lh dx Pcos Prolactinoma Rate of chromosomal abnormality in live birth Less than 1% 1-5% Fetal movements start at 8 week 12 week Anterior neuropore close at 5 day 10 day 20 day 25 day Type of pelvis in male Android and platyploid Android and anthropoid Case control?some weird options Pharmacokinectic of drugs help Frequency of dose Therapeutic index therapeutic window adverse effects Sickle cell base A to t T to A Lactating mother drug contraindicated Codeine Cephalexin Paracetamol Hypothyroid case tx? Ptu Leotgyroxin Inc rate of fertility in pak to control this more specfic is Net fertility rate Gross fertiliity rate Gross reproductive rate Distribution of drugs Less than 10 lit ? Female in labour ceevix 7cm dilated amniotomy done with hand cz vaginal bleeding fetal hr drops to 100bpm Immediate c section Simpson forcep delivery Ventouse cup delivery Wait until hr return to 110bpm Female in labour exhausted need instrument delivery which is specfic factor for choice of instrument Indication training experience Maternal consent indication and experience material written consent training and experience Enzyme of maple syrup diseas? Alpha ketoacid Max bioavailability of drug Im Lingual Oral (no option of iv)