‫بسم هللا الرحمن الرحيم‬

‫جامعة شندي‬
‫كلية الطب والعلوم الصحية‬

‫م‬2010-2009 ‫اإلمتحانات النهائية للطب وجراحة للعام الدراسي‬

‫ الثاني عشر (طب‬:‫الفصل الدراسي‬ "‫ أمراض النساء والتوليد "الورقة الثانية‬: ‫المـادة‬
)‫وجراحة‬
‫م‬12/5/2010 ‫األربعاء‬: ‫التاريخ‬ ‫ ساعتان‬: ‫الـزمن‬

Answer All Questions

Question (1)
35 years old lady in her second pregnancy at 24 week gestation present to
the casualty with nausea, vomiting, abdominal pain and diarrhea. On
examination looks ill dehydrated, her blood pressure was100\60. pulse rate
100\min urine analysis show sugar +++ Acetone ++ .her random blood glucose
310mg\dl

1. What is your diagnosis?

2. Outline Your initial management?
3. Mention 4 complications of this condition with pregnancy
4. When and how you are going to deliver her?

Question (2)
A35 years old lady G5 Para4 all her deliveries by caesarean section
brought to the casualty with history of amenorrhea for 2months and severe
agonizing abdominal pain followed by slight vaginal bleeding while being seen
by the doctor she collapsed with blood pressure of 80\50 pulse 110\min
1. Mention four (4) differential diagnosis for this condition?
2. What is the most likely cause for her collapse?
3. What investigations can help you for confirming the diagnosis?
4. Outline the immediate steps to manage this leady?

Question (3)
Short note:
1. Write briefly about complications of caesarean section
2. Write about the presenting symptoms and signs of deep vein thrombosis
3. Write briefly about IUCD (intra uterine contraceptive device) types,
efficacy, uses and complications.
4. Write about management of first stage of labour

With Best Wishes