SPOTTING

Dr Suchismita Datta
SPOT NO 1

1. IDENTIFICATION
2. MECHANISM OF ACTION.
3. TIME OF INSERTION:
4. CONTRAINDICATIONS:
 Answer
1. COPPER T
2. MECHANISM OF ACTION: By Foreign body reaction, it alters biochemical
changes in the uterus, disturbs sperm and ova fusion and implantation.
3. TIME OF INSERTION:
1. within 10 days of menstrual bleeding
2. Within 5 days of unprotected sex
3. Within 48 hours of delivery
4. 6-8 weeks after delivery
5. 12 weeks after abortion
4. CONTRAINDICATIONS:
1. Suspected Pregnancy
2. Nulliparous and women having multiple partners
3. Cervix and uterine fibroid
4. PID, previous history of ectopic pregnancy
5. Congenital uterine malformation
SPOT NO 2
1. IDENTIFICATION
2. MECHANISM OF ACTION:.
3. When to start?
4. Side effects:
5. Contraindications:
1. IDENTIFICATION: ORAL COMBINED PILL
2. MECHANISM OF ACTION: 1. By inhibiting ovulation
3. 2. prevents sperm entry by making
cervical secretions thick.
4. When to start? – New pack to be started on 5th day of the cycle
5. Side effects: Breast tenderness, weight gain, mood changes,
increase in BP,DVT, Cervical cancer
6. Contraindications: Age> 40 years, breast feeding mother, breast
cancer, hyperlipidemia, thrombophlebitis
Spot no.3
1. Identify the slide?
2. How will you diagnose this syndrome?
3. Chromosomal abnormality
SPOT NO 3

1. Klinefelter syndrome

2. Klinefelter syndrome have frontal baldness

gynecomastia ,small testes, small penis,sparse armpit and
facial hairs.

3. Chromosomal abnormality- 47 ,XXY

SPOT NO 4
1. Identify the case?

2. What type of pregnancy it is?

3. Write probable outcome of this

pregnancy?

4. Enumerate 5 important causes of

high risk pregnancy?
• 1.Identify the case?

• Short statured pregnancy

• 2.What type of pregnancy it is?

• High risk pregnancy.

• Write probable outcome of this pregnancy?

• Lscs

• 4.Enumerate 5 important causes of high risk pregnancy?

• Hypertension,diabetes,obesity,STDs,HIV
SPOT NO 5
1. Identify the spot.
2. Uses of this card.
3. WHAT information is obtained
from this card?
• SPOT NO 5
1. Identify the spot -MCP CARD
2. Uses of this card-
• 1. Records routine care and immunisations received by mother and child
• 2. Tool to monitor health and nutritional status of the pregnant women and
the child
3. What information is obtained
from this card?
• DOB, name and sex of the child
• Name of parents and address of child
• Immunization status of child and mother
SPOT NO 6
1. Identify the spot
2. What is it used for?
3. What is the least count and
the maximum capacity of this
spot?
4. Recommended frequency of
weighing under 5 children for
growth monitoring.
1. Identify the spot: Salter Scale
2. What is it used for? : for measuring weight of the baby
3. What is the least count and the maximum capacity of this spot?
• The least count is 100 gm and the maximum capacity is 25 kg.
4. Recommended frequency of weighing under 5 children for growth
monitoring.
• From birth to 1 year- monthly
• Second year- every 2 months
• Thereafter upto 5 years of age- 3 monthly
Spot no 7
• Identify the spot.
• Uses of this spot.
• What does red color in the spot
signify?
1. Shakir’s tape

2. Uses:
1. measurement of MUAC

2. For checking colour blindness

3. RED colour i.e MUAC < 11.5 cm signifies severe acute

malnutrition.
Spot no 8

• Identify this spot

• Clinical features of the case
shown in this spot.
• Chromosomal abnormality.
• Spot – Turner Syndrome
• Chromosomal abnormality- 45XO
• CLINICAL FEATURES- SHORT STATURE, WEBBED NECK, MICROGNATHIA
Spot no 9

1)Identify the given

image.

2) Write its 2
important Function.
Spot no 9
• 1)Identify the given image:
• Anganwadi kendra

2) Write its 2 important Function.

• I)Basic health care activities include contraceptive counselling and
supply.
• ii)Nutrition Education and Supplementation.
•