Orris

From this pdf, Group questions according to topics

Reading File
The PDF is a scanned document, so I'll extract the text using OCR first.
Running Command

cd /home/daytona/workspace && python3 -c " import pdfplumber pdf_path = '/home/daytona/workspace/attachments/3e0e9d35-2e29-4d7c-8788-670c49de3590/CamScanner 07-09-2026 09.05.pdf' with pdfplumber.open(pdf_path) as pdf: print(f'Total pages: {len(pdf.pages)}') for i, page in enumerate(pdf.pages): text = page.extract_text() print(f'--- PAGE {i+1} ---') print(text) print() "

The PDF is image-based (scanned). I'll use OCR to extract the text.
Running Command

python3 -c " import pytesseract from pdf2image import convert_from_path pdf_path = '/home/daytona/workspace/attachments/3e0e9d35-2e29-4d7c-8788-670c49de3590/CamScanner 07-09-2026 09.05.pdf' pages = convert_from_path(pdf_path, dpi=200) print(f'Converted {len(pages)} pages') for i, page in enumerate(pages): text = pytesseract.image_to_string(page) print(f'--- PAGE {i+1} ---') print(text) print() " 2>/dev/null

I have all the text. Now I'll analyze all questions from all 19 cards and group them by topic. Several pages are printed upside-down (OCR reversed text), but I can reconstruct the content. Let me now compile and group all questions by topic.

Obstetric Questions - Grouped by Topic

Here are all the questions from the 19 cards, organized by topic:

1. Normal Labour

  • What are the criteria of normal labour? (Card 1)
  • What are the stages of normal labour? (Cards 3, 4)
  • What are the stages of normal labour with duration? (Cards 2, 4, 15, 16, 18, 19)
  • What is the criteria of normal labour? (Cards 8, 10, 16, 18)
  • What are the signs of true labour pain? (Cards 8, 18)
  • What are the complications that may occur during the 1st stage of labour? (Card 3)
  • What is the clinical importance of the lower uterine segment? (Cards 10, 16)
  • What is the lower uterine segment? (Cards 10, 16)
  • What is engagement? (Cards 8, 18)
  • What are the conditions for which SFH is large for date? (Cards 8, 18)
  • What do you mean by crowning? (Cards 8, 18)

2. Active Management of Labour (3rd Stage) & PPH

  • What is active management of the 3rd stage of labour? (Cards 1, 2, 4)
  • Define PPH. (Cards 4, 5, 11, 15, 19)
  • What are the types of PPH with duration? (Cards 4, 15, 19)
  • What are the causes of primary PPH? (Cards 4, 5, 11, 15, 19)
  • Case: 25-year-old, para 3+0, delivered a big baby; after 1 hour placenta delivered intact, uterus flabby, pulse 110, BP 100/60 - Diagnosis? Management? (Cards 6, 13)
  • Case: 30-year-old, para 3+0, delivered 30 minutes after vaginal delivery - excessive P/V bleeding, uterus flabby, BP 100/50, pulse 110 - Diagnosis? Management? (Card 12)

3. Episiotomy

  • Define episiotomy. (Cards 1, 15, 17)
  • What are the indications of episiotomy? (Cards 1, 15, 17)
  • What are the types of episiotomy? (Card 17)
  • What are the complications of episiotomy? (Cards 1, 15, 17)

4. Obstructed Labour & VVF

  • What is obstructed labour? (Cards 1, 7)
  • How will you diagnose obstructed labour? (Card 1)
  • How can you prevent VVF following obstructed labour? (Card 1)
  • Mention common obstetric emergencies. (Cards 7, 10)

5. Pre-eclampsia & Eclampsia

  • What is pre-eclampsia? (Cards 6, 7, 10, 13, 14, 16)
  • What are the complications of pre-eclampsia? (Cards 6, 10, 12, 13, 16)
  • What is eclampsia? (Cards 5, 9, 11)
  • What are the maternal complications of eclampsia? (Card 9)
  • What are the drugs used to control hypertension in pregnancy? (Card 7)
  • How can we prevent convulsion during pregnancy? (Card 10)
  • What are the investigations required before MgSO4 is given? (Card 10)
  • Case: 30-year-old primigravida, 35 weeks, BP 150/90, oedema ++, urine albumin + - Diagnosis? Principles of management? (Cards 1, 3)
  • Case: 25-year-old lady, 36 weeks, BP 150/90, oedema ++, urine albumin + - Diagnosis? How will you treat? (Card 3)
  • Case: 22-year-old primigravida, 35 weeks, severe headache, BP 180/110, oedema, urine albumin +++ - Diagnosis? Principles of management? (Cards 2, 8)
  • Case: 24-year-old primigravida, 32 weeks, headache, BP 170/110, urine albumin ++ - Diagnosis? Principles of management? (Cards 14, 17)
  • Case: 20-year-old primigravida, 38 weeks, headache, BP 170/120 (?), urine albumin - Diagnosis? Principles of management? (Card 15)
  • Case: 29-year-old primigravida, 35 weeks, BP 166/115, generalized body swelling, headache - Diagnosis? Principles of management? (Card 17)
  • Case: 25-year-old primigravida, 32 weeks, BP 140/90, urine protein + - history of convulsion 3 times at home - Diagnosis? Principles of management? (Card 15)
  • Case: 30-year-old lady, 37 weeks, watery PV discharge for 6 hours, severe H/O convulsion - Diagnosis? Management? (Card 13)

6. Antepartum Haemorrhage (APH) - Placenta Previa & Abruptio Placentae

  • What is APH? (Card 6)
  • What is abruptio placentae? (Cards 6, 13, 16)
  • What are the maternal and fetal complications of abruptio placentae? (Cards 6, 7, 12, 13, 16)
  • What is placenta previa? (Card 17)
  • What are the types of placenta previa? (Card 17)
  • What are the complications of placenta previa? (Card 17)
  • Case: 33-year-old primigravida, 38 weeks, painless P/V bleeding on 2 occasions - Diagnosis? Confirm diagnosis? Obstetric management? (Cards 4, 14, 19)
  • Case: 35-year-old, para 3+0, 36 weeks, P/V bleeding; USG shows placenta covering the OS - Diagnosis? Advice? Mode of delivery & precautions? (Card 1)
  • Case: 28-year-old, 3rd gravida, hypertensive, 38 weeks, severe lower abdominal pain & P/V bleeding - Diagnosis? Clinical points in favour? Definitive management? (Card 7)
  • Case: 29-year-old primigravida, 35 weeks, severe lower abdominal pain & P/V bleeding for 2 hours, pulse 120, BP 140/90, abdomen tender and tense - Diagnosis? Management? Dangers? (Cards 15, 16)

7. PROM (Premature Rupture of Membranes)

  • Define PROM. (Card 4)
  • What are the dangers of PROM? (Cards 4, 10)
  • Case: 30-year-old lady, 37 weeks, complaints of watery PV discharge for 6 hours - Diagnosis? Management? (Card 6)
  • Case: 30-year-old lady, 37 weeks, watery PV discharge - Diagnosis? Management? (Card 13)

8. Anaemia in Pregnancy

  • Define anaemia in pregnancy. (Cards 4, 19)
  • What are the causes of anaemia in pregnancy in Bangladesh? (Cards 4, 19)
  • Case: A lady at 38 weeks with severe anaemia - How will you manage labour and puerperium? (Cards 4, 19)

9. Gestational Diabetes Mellitus (GDM)

  • What is GDM? (Cards 7, 16)
  • What are the maternal and fetal complications of GDM? (Cards 7, 16)
  • What are the fetal complications of GDM? (Card 3)
  • What is the drug of choice in GDM? (Card 3)

10. Induction of Labour

  • What is induction of labour? (Cards 3, 5, 14)
  • What are the methods of induction of labour? (Cards 3, 5, 14, 17)
  • What are the oxytocic agents? (Cards 5, 11)
  • What oxytocic drugs are used for induction of labour? (Cards 5, 11, 14)
  • What are the complications of surgical/ARM induction of labour? (Cards 3, 5, 11, 14)
  • Why is Misoprostol not used for induction of labour? (Card 14)
  • Case (induction-related): Previously 2 LSCS, 36 weeks primigravida - Obstetric management? Complications? Contraceptive advice? (Card 9)

11. Antenatal Care (ANC) & Antenatal Assessment

  • What is ANC? (Cards 5, 14)
  • What are the revised WHO schedule for ANC & PNC? (Card 5)
  • What are the steps of ANC? (Cards 11, 14)
  • What are the indications for hospitalization during ANC? (Cards 8, 18)
  • What is antenatal care? (Cards 8, 18)
  • Mention 3 danger signs of pregnancy. (Card 10)
  • Mention 3 obstetric emergencies. (Card 10)

12. Caesarean Section (C/S)

  • What are the common indications of Caesarean section? (Card 2)
  • What are the complications of repeat Caesarean section? (Card 2)
  • Case: 29-year-old, 2nd gravida, 38 weeks with H/O C/S, started labour at home - Diagnosis? Principles of management? (Cards 5, 11)

13. Rupture Uterus

  • What are the causes of rupture uterus? (Cards 5, 11)
  • Case: Previous C/S history, 38 weeks, started labour pain at home, condition deteriorating - Diagnosis? Principles of management? (Cards 5, 11)

14. Multiple Pregnancy & Polyhydramnios

  • Define multiple pregnancy. (Cards 3, 9, 12)
  • What are the maternal and fetal complications of multiple pregnancy? (Cards 3, 9, 12)
  • Define polyhydramnios. (Card 9)
  • What are the causes of polyhydramnios? (Card 9)
  • Case: Primigravida, 32 weeks, SFH = 36 weeks - Differential diagnosis? Fetal complications? (Card 3)
  • Case: 27-year-old multigravida with previous H/O big baby, labour pain started, presenting part soft - Possible diagnosis? Complications during delivery? (Cards 8, 18)
  • Case: 33-year-old multigravida, 34 weeks, H/O ANC, BP 90/70, SFH 31 cm - Diagnosis? Investigations? When to terminate? Maternal & fetal complications? (Cards 2, 8)

15. Post-maturity

  • What is post-maturity? (Cards 6, 13)
  • What are the maternal and fetal complications of post-maturity? (Cards 6, 13)

16. Puerperium & Puerperal Complications

  • Define puerperium. (Card 9)
  • What are the complications that may occur during puerperium? (Card 9)
  • What is puerperal pyrexia? (Card 12)
  • What are the causes of puerperal pyrexia? (Card 12)
  • Case: A patient came to you with complaints of high fever, lower abdominal pain, foul-smelling P/V discharge 10 days after delivery - Diagnosis? Management? (Card 10)

17. Puerperal Sepsis

  • What is puerperal sepsis? (Card 2 - reversed text)
  • What are the causes of puerperal sepsis? (Card 2)

18. Forceps Delivery

  • What are the indications of forceps delivery? (Card 7)
  • What are the criteria to be fulfilled prior to forceps delivery? (Card 7)

19. Retained Placenta (3rd Stage Complications)

  • Case: 29-year-old, para 1+0, delivered healthy male baby at home, 2 hours back; now comes with profuse P/V bleeding, placenta not expelled - Diagnosis? Management? (Cards 9, 16)

20. IUD / Intrauterine Fetal Death (IUFD)

  • Case: Primigravida, 34 weeks, came to ANC with no fetal movement for 2 days - Diagnosis? Investigations? Management? When to terminate? Maternal & fetal complications? (Card 10)
Summary of Topics Covered:
#TopicNo. of Questions (approx.)
1Normal Labour~11
2PPH / 3rd Stage~7
3Episiotomy~4
4Obstructed Labour / VVF~4
5Pre-eclampsia & Eclampsia~16
6APH (Placenta Previa + Abruption)~10
7PROM~4
8Anaemia in Pregnancy~3
9GDM~4
10Induction of Labour~7
11ANC & Antenatal Assessment~8
12Caesarean Section~3
13Rupture Uterus~2
14Multiple Pregnancy & Polyhydramnios~6
15Post-maturity~2
16Puerperium & Complications~5
17Puerperal Sepsis~2
18Forceps Delivery~2
19Retained Placenta~1
20IUFD~1
Pre-eclampsia/Eclampsia is the most heavily tested topic, followed by APH, Normal Labour, and Induction of Labour. These should be prioritized for preparation.
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