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Obstetrics & Gynecology (OBGYN) ​Obstetrics ​Early Pregnancy: ​Signs to diagnose pregnancy ​Preconceptional care — supplementations & vaccinations ​Parity index ​Teratogens & associated defects ​Trimester-wise screenings ​Leopold maneuvers ​High-Yield Conditions: ​Cervical insufficiency — types of cerclage ​APLA (Antiphospholipid Antibody Syndrome) ​Ectopic pregnancy — expectant, medical & surgical management ​Molar pregnancy — partial vs complete ​Placenta & Amniotic Fluid: ​Placental abnormalities ​Amniotic fluid abnormalities ​Placenta previa vs placental abruption ​PAS (Placenta Accreta Spectrum) ​Multiple Pregnancy: ​Multiple pregnancy mechanics ​MCDA vs DCDA (USG evaluation) ​TTTS (Twin-to-Twin Transfusion Syndrome) ​Medical Disorders in Pregnancy: ​Hypertension in pregnancy ​Preeclampsia & eclampsia — management ​HELLP syndrome ​Diabetes in pregnancy ​Labor & Delivery: ​Modified Bishop score ​Active management of third stage of labor ​Breech presentation — management ​Lovset & Burns Marshall maneuvers ​Shoulder dystocia — HELPERR algorithm ​Postpartum hemorrhage — EMOTIVE protocol ​Gynecology ​Menstrual Disorders: ​Mullerian anomalies ​Primary vs Secondary amenorrhea ​Abnormal uterine bleeding — FIGO classification ​Uterine Conditions: ​Adenomyosis ​Fibroids ​Endometriosis — management ​Endometrial hyperplasia ​High-Yield Clinicals: ​Vaginal infections ​Ovarian cysts & tumors ​Cervical cancer — screening & diagnosis ​HPV vaccination ​PCOS ​Contraception

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That's your full, exam-focused OBGYN study guide. Here's a quick overview of what's covered:

What's Included

OBSTETRICS (6 Major Sections):
  1. Early Pregnancy - Presumptive/probable/positive signs, Naegele's rule, preconceptional folic acid + vaccinations, GTPAL parity index, complete teratogen table with defects, trimester-wise screenings (NT, quad screen, NIPT, GBS), Leopold maneuvers with purpose of each
  2. High-Yield Conditions - Cervical insufficiency (McDonald vs Shirodkar vs transabdominal cerclage), APLA/Sapporo criteria with pregnancy management, Ectopic pregnancy (expectant/medical/surgical criteria + MTX indications mnemonic), Molar pregnancy comparison table (complete vs partial - karyotype, hCG, US, GTN risk)
  3. Placenta & Amniotic Fluid - Abnormal placental types (succenturiate, circumvallate, velamentous, vasa previa), polyhydramnios/oligohydramnios causes + DRIPPS mnemonic, Previa vs Abruption comparison table, PAS spectrum with C-section risk percentages
  4. Multiple Pregnancy - Division timing → chorionicity chart, Lambda/Twin Peak vs T-sign on US, TTTS Quintero staging + management (FLP), TAPS, TRAP
  5. Medical Disorders - HTN classification, preeclampsia criteria + MgSO4 protocol + toxicity levels, HELLP criteria, GDM screening (1-step vs 2-step), fetal complications including sacral agenesis
  6. Labor & Delivery - Modified Bishop score table, AMTSL components, Breech types + ECV, Lovset's + Burns-Marshall maneuvers, HELPERR algorithm, PPH 4 T's + EMOTIVE protocol with uterotonics
GYNECOLOGY (4 Major Sections): 7. Menstrual Disorders - Mullerian anomalies (AFS Class I-VII), Primary amenorrhea approach by FSH/LH, Secondary amenorrhea (Asherman's, POI, Sheehan's, FHA), PALM-COEIN AUB classification 8. Uterine Conditions - Adenomyosis (MRI findings, LNG-IUS first-line), Fibroids (FIGO subclassification, red degeneration in pregnancy, management ladder), Endometriosis (3 D's, rASRM staging, management by goal), Endometrial hyperplasia (without atypia vs EIN - cancer risk + management) 9. High-Yield Clinicals - BV/Candida/Trichomonas comparison table (Amsel criteria, clue cells, whiff test), Ovarian cysts + tumor classification (epithelial/germ cell/sex cord-stromal, Call-Exner, Meigs), Cervical cancer FIGO 2018 staging + Pap/Bethesda classification + CIN management 10. HPV + PCOS + Contraception - Gardasil 9 schedule, Rotterdam criteria, PCOS management (Letrozole first-line), full contraception comparison table with failure rates, EC options
All key mnemonics are summarized in a final reference table. Let me know if you'd like any section expanded, turned into flashcards, or formatted as a downloadable document.
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