B. General Measure, Mgso4 Antihipertensi, C Section

1.
A 21 year old pregnant women was brought to maternity ward because was
found to have generalized convulsion at home. Positive findings: unconscious,
BP 170/110 mmHg, urine dipstick for protein +2, fundal height 35 cm, FHR
150 bpm, no contraction, singleton head presentation. Vaginal examination:
cervix effaced, 1 cm dilatation head on station -1. How do you manage this
patient?
A. General measure, profilaksis antibiotic, immediate C section
B. General measure, MgSO4 antihipertensi, C section
C. General measure, antihypertensive, MgSO4, induction of labor
D. General measure, antihypertensive, anticonvulsant, conservative management
E. General measure, direct C-section
Pada pasien dengan riwayat eklampsia, terminasi harus segera dilakukan. Dalam
kasus ini, terminasi melalui SC lebih dipilih karena pasien ga sadar, kontraksi yang
tidak ada, kepala masih di station -1 dan bukaan baru 1 cm. Sebelum dilakukan SC,
dilakukan pemberian antihipertensi seperti nifedipin dan MgSO4 untuk mencegah
kejang berulang.
2. A 21 year old G1 at 9 weeks gestation complain of nausea and vomiting over

the past week occurring on a daily basis. Nausea and emesis are a common
symptom in early pregnancy. What is the indication of hospitalization of these
symptoms?
A. frequency of vomiting > 10 times a day
B. the woman feels thirsty all the time
C. weight loss more than 30%
D. nausea persist after 12 weeks of gestation
E. there is sign of dehydration in this patient
Pasien dengan hiperemesis gravidarum (electrolyte imbalance, dehidrasi, penurunan
bb, ketosis) rawat
3. What is the definition of IUGR?

A. discrepancy of estimated fetal weight of more than 2 weeks for its gestational
age
B. fetal weight is less than 2500 g at term
C. Estimated fetal weight is below 10th percentile for its gestational age
D. Estimated fetal weight is below 5th percentile for its gestational age
E. No fetal growth after two weeks observation
Kalau yang C itu definisi dari small for gestational age yaa. SGA belum tentu IUGR,
pokonya kalo IUGR harus minimal 2x pemeriksaan dulu.
4. A patient complains of white, curdy discharge and vaginal burning and

itching; on examination, the copious discharge is confirmed. Vaginal pH is
3.0. What is the cause of the condition above?
A. Candida vaginal infections
B. Trichomonas
C. BV
D. Atrophic vaginitis
E. Mucopurulen cervicitis
Keputihan dari candida warnanya putih kayak susu yg ngegumpal dan gatal
5. You are examining a 34 year old woman G3P2 at 38 weeks of gestation in the
outpatient clinic. She is not in labor. There are no palpable fetal parts in the
pelvis. You diagnose the baby to be in transverse lie. What should you
recommend to the patient?
A. Ask her to ambulate frequently
B. Refer for ultrasound examination
C. Refer for immediate cesarean section
D. Offer external version in your office right away
E. Comfort her and tell her to wait for the baby to rotate by itself
Untuk cari faktor risiko kenapa bisa lintang seperti plasenta previa dll karena biasanya
99% bayi aterm udah memanjang posisinya.
6. A 19 year old primigravida with unsure LMP presents to initiare prenatal care.
You attempt to estimate gestational age. Uterine fundus is palpable at the level
of pubic symphysis and fetal heart tones are audible by electronic Doppler.
Based on this information, approximately how many weeks is the gestational
age?
A. 8 weeks
B. 12 weeks
C. 16 weeks
D. 20 weeks
E. 24 weeks
Kalau udah di simfisis pubis 12 minggu
DJJ kedengeran pake Doppler minimal 10 minggu udah bisa kedengeran
7. Engagement is?
A. When the presenting part goes through the pelvic inlet
B. When the presenting part is level with the ischial spines
C. When the greatest BPD of the fetal head passess the pelvic inlet
D. When the greatest biparietal of the head is level with the ischial spines
E. When the greatest diameter of the fetal presenting part passess through the
narrowest and lowest part of the maternal pelvis
Udah pada khatam lah ya pasti
8. A 25 year old women G1 8 weeks of gestational age come to emergency ward

with complaint of vaginal bleeding with red bright color since 1 day before
admission. The bleeding was heavy with blood clot, she has to change pads 4
times a day. She also complaining of lower abdominal cramp; On
examinations revealed the vital sign was normal, no sign of acute abdomen.
From speculum examination the cervical ostium was closed, minimal fluxus.
Vaginal examination revealed the uterus size is normal, the ostium is closed
no adnexal masses and no cervical motion tenderness. The most likely
diagnosis is:
A. Threatened abortion / abortus imminens
B. Complete abortion
C. Incomplete abortion
D. Incipient abortion
E. Ectopic pregnancy
Jadi karena pada pasien ada perdarahan pervaginam, ada gumpalan abortus.
Saat PF, ostium masih tertutup, fluksus minimal, ukuran uterus normal ancaman
abortus.
9. C. Usg buat menegakkan dia emg threatened abortion bukan complete abortion.
Krn threatened sm complete ostium uteri sama2 tertutup, bedanya yg 1 msh ada
bayinya yg 1 ga
10. A. HipoK. Kl hyperemesis gravidarum parah bs menyebabkan electolyte

imbalance
11. C Rehidrasi dgn elektrolit
12. B. (Belum pasti. Gatau jg sumbernya cari dmn :")
13. Helep
14. C. Plasenta masih ada yg tertinggal. Kalau atonia uteri dari awal sdh berdarah
terus bukan baru muncul q jam kemudian
15. Eksplorasi plasenta
16. Sudah jelas trichomonas

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1.

2. A 21 year old G1 at 9 weeks gestation complain of nausea and vomiting over

3. What is the definition of IUGR?

4. A patient complains of white, curdy discharge and vaginal burning and

8. A 25 year old women G1 8 weeks of gestational age come to emergency ward

10. A. HipoK. Kl hyperemesis gravidarum parah bs menyebabkan electolyte

11. C Rehidrasi dgn elektrolit

12. B. (Belum pasti. Gatau jg sumbernya cari dmn :")

15. Eksplorasi plasenta

16. Sudah jelas trichomonas

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