INI-CET May 2026 OBG Recall | High-Yield Discussion | Dr. Raina Chawla

Añadido: 2026-05-26

[00:00:00]exact same question came. So there's a 24 year old woman being evaluated for aminora and these are different causes of secondary aminora and then asked the hormonal profile. So it's quite straightforward. Premature ovarian failure we know the problem is in the ovary. If the problem is in the ovary the estrogen levels are going to go down and what's going to go up the FSHL levels are going to go up. Asherman syndrome the problem is in the uterus right? It's a it's intrauterine snee. So it's not a hormonal problem at all and here everything is going to be normal.

[00:00:30]PCOS what you find you find in PCOS remember LH goes up FSH remains normal in fact the LH FSH ratio is is altered normally the ratio is 1 is to3 in PCOS it becomes 3 is to1 shehan syndrome is a pituitary problem where the problem is the pitary hormone that is FSH LH are low and as a result the estradiol levels are also going to be low so that's the correct match the following for this question the Next question was also quite straightforward. This is a very favorite part. They always ask something related to the types of twins. The question was they given an image where most likely it was the lambda sign seen.

[00:01:11]Even if it wasn't even it was if it was a reverse D sign. Basically it was a die amniotic twin whether monocorionic or dicorionic depending on whether lambda sign or twin peak sign but they were two there two features is in separate amniotic sacks and the question is asked which of the following is not seen in the image shown. So we know fetal growth restriction is common to twin pregnancies. All type of twin pregnancies anomalies are common to all type of twin pregnancies. First trimester abortions are common to all type twin pregnancies. What is not common or which is seen only in monoamnotic twins that is monoionic monoamnotic twins when both the twins are in the same amniotic cavity is called entanglement. Next question again I always say this this is one of the the most in things right now in obsen is prevention of preeacclampsia. Prevention of preeacclampsia and women who are at high risk. She had a previous history of preeacclampsia. When she comes to us now the best time before 16 weeks is to start her on low dose aspirin before 16 weeks 75 to 150 mg per day and this reduces the incidence of early onset preeacclampsia. The next question was again favorite topic shoulder dystocia.

[00:02:20]We all know the helper maneuver and they had given a scenario where it was very obviously shoulder dystocia. The head retracts back against the perennium turtle sin is seen. What's the next best step? You're going to do the mac robbert's maneuver. Remember in the helper pneummonic we have call for help episotomy. L is then legs. Legs is macro robberts and P is supraubic pressure.

[00:02:42]Wood wood screw and gaskkins are second line maneuvers and zanelli is a third line maneuver. The next question again this is exact