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9089 Gynaecology & Obstetrics

Fetal pulmonary maturity can be evaluated by phospholipid activity in amniotic fluid. In which of the following pregnancies does the fetus have the least chance of developing respiratory distress syndrome (RDS)?

ANormal pregnancy; amniotic fluid L/S is 1.8:1, phosphatidyl glycerol (PG) is absent
BHypeensive pregnancy; amniotic fluid L/S is 1.8:1, PG is absent
CHypeensive pregnancy; amniotic fluid L/S is 2:1, PG is absent
DDiabetic pregnancy; amniotic fluid L/S is 2:1, PG is present
Gynaecology & Obstetrics
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9090 Gynaecology & Obstetrics

25 year old female patient is referred from a PHC with history of expanding vulvar mass, during first hour post partum. She delivered normally and without perineal laceration. She complains of severe pain. On examination her BP is 90/40 mmHg, pulse = 130bpm and no fever. what is your approach in treatment of patient

AIce packs placed and plan observation.
BAngiographic embolization of supra levator hematoma.
CIncise the point of maximum expansion, evacuate clots, and ligate bleeding points.
DLaparotomy to evacuate retroperitoneal hematoma as it is connected to ischioanal fossa.
Gynaecology & Obstetrics
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