Brocherts crush step 3 pdf download

Step 3 has the same level of difficulty as Steps 1 and 2, but the questions are more relevant to the day-to-day management of patients in inpatient and outpatient settings. Step 3 stresses the things that a general practitioner should know.

Knowing how to diagnose, manage, and treat common diseases is stressed. In addition, common emergencies must be recognized. Knowing how to manage exotic or rare conditions is low yield. Usually, when the examiners ask about a rare disease, they simply want you to recognize it from a classic presentation.

The topics in Step 3 are broad based and cover all subspecialties. Most of the exam contains standard multiple-choice questions MCQs related to variable-length passages.

Wben oxytocin is given to augment ineffective uterine contractions, watch out for uterine hyperstimwa9. General anesthesia involves a higher risk of aspiration and resulting pneumonia, because the gastroesophageal sphincter is relaxed in pregnancy and most patients have not been put on NPO nothing-by-mouth status for very Ion. There are also concerns that general anesthetic a ents rna cross the lacenta and affect the ferus.

Signs of placental separation: fresh blood appears from the vagina, the umbilical cord lengthens, and the fundus rises and becomes firm and globular. The McRobert maneuver. Have the mother sharply flex her thighs against her abdomen, which may free the impacted shoulder.

If this maneuver does not work, your optiOns are limited. An extended episiotomy or other more complex maneuvers are generally needed. Descent, flexion, internal rotation, extension, external rotation, and expulsion. Fetal malpresentations. Although under specific guidelines some frank and complete breeches may be vaginally, it is acceptable to do a cesarean section for any breech presentation.

With shoulder presentation or incompletelfootling breech, cesarean section is mandatory. If they do not convert, do a cesarean section. Obstetrics and Gynecology.. Amniotic fluid pulmonary embolism. Uterine atony is often caused by overdisrenrion of the uterus multiple gest":!

On, polyhydrat! JPi0s, mata placental tissue grows into or through me myometrium , a hysterectomy is usually necessary to stop the bleeding.

Postpartum fever. Order a CT ec:tscan which wi. Give heparin for an easy ewe and diagnosis in retrospect. Breastfeeding is generally encouraged, because it is good for mother-child bonding and may protect the baby from infections.

Breasts are. Staphylococcus aureus is the usual cause. Treat with analgesics e. If a fluctuant mass develops or there is no response to antibiotics within a few days, an abscess is likely present and must be drained.

Incomplete abortion: passage of some products of conception through the cervix. Complete abortion: expulsion of all products ofconception from the uterus.

X Missed abortion: fetal death without expulsion of fetus. Iasma spp. Cervical incompeltnct. Future pregnanCies can be ueated with cervical cerclage suture to keep cervical os closed at weeks.

Other anatomic abnormalities also should be considered. Classic symptoms of ectopic pregnancy which usually presents between 4- and 10 weeks and ends in spontaneous or therapeutic abortion, sometimes with catastrophic tubal rupture are atDJPOrrhea.

When you are in doubt and the patient is crashing e. Medical abortion e. A previous history of ptlvic infJarnmcltory disfase I o-fold increased risk. Other risk factors include previous ectopic pregnancy. Ild pregnancy that occurs with an intn. Third-trimester Bleeding Alwa. The differential diagnosis includes:.

Predisposing factors include multiparity, increasing age, multiple gestation, and prior previa. This condition is why you do an ultrasound before a pelvic exam.

Bleeding is painlw and may be profuse. Note The patient can have this condition without visible blet. Watch for t! Abruptio placentae also may cause disseminated inltravascular coagulation if fetal products enter me maternal circulation.

Treat wilh rapid delivery vaginal preferred. Look for sudden onset of severe pain, often accompanied by maternal hypotensioo. Treat with irrunediate laparotomy and usually hysterectomy after deliyery. Treat with immediate cesarean section. Cervical or vaginal lesions: IU;! This Review will help you to know about every aspect like preventive medicine and biostatistics, psychiatric and ethics, and many more and prepare you for the exams.

With its focused review of common cases, high-yield content, and test prep strategies, Dr. Mayur K. Introduction 1. Autores: Mayur K. Introduction 1. Autores: Mayur K. Movalia, Theodore X. Download File.