osce student exam in obstetrics &gynecology zagazig university 2014
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DR: Manal BeheryFaculty of medicine ,Zagazig University
2014
OSCE Student ExamIn Obstetrics &Gynecology
OSCE Exam Saturday OSCE Exam Saturday
OSCE performance?
السؤال اللول في جميع الشرائج • مشترك
R وللنموذج, B للنموذج•
5
1-What is the name of this procedure
2-Name 2 types of this incision
3-Define 3 indication to do this procedure?
4-What is the right time to do this procedure?
5-Name 2 possible complication ?
Prolapsed Umbilical Cord
1-What this photo show?
2-Name 3 causes for this abnormality?
3-What is the preferred maternal position to decrease complication ?
4- What is the management if cervix x is fully dilated
5-Mention 3 factors affecting the prognosis ?
1-What is the name of this procedure?2-What is the indication 3-Give 2 precaution before performing it?4-Name 2 possible complication5- Name the three steps of active management of 3rd stage of labor
1-What is the name of this maneuver ?
2-What is the indication?
3-How does it act?
4- Name 4 causes of uterine atony
5-Name 2 alternative methods if this maneuver failed
1- What photo A and B show ?
2-What is the possible cause name 3 ?
3-Mention 3 complication during pregnancy
4- What is the preferred mode of delivery in this condition ?
5-Mention 2 complication during labor
A B
GYNECOLOGY
Gynecology
1-What is the name of this examination?
2-What is the patient position for this examination?
3- Name 2 indication
4- Name 2 information gained by this examination
5- Name 3 Investigation if this examination revealed abnormality ?
•
1-Describe what you see in the photo
2-What are different types of this condition you know ?
3-What is the most probable type of this condition as photo illustrate
4-How to diagnose it clinically
5- Name 2 investigations for this condition
1-What this photo show?
2-Name 3 clinical presentation for this condition
3-Name 2 investigation to confirm diagnosis
4-Name 2 medical lines of treatment for this case
5-Possible complications of this procedure (mention2)
1-What is the name of this test?
2-What is the indication, name 2 ?
3-Name 2 precaution before the test
4-Name 2 disadvantage for this test
5-Name 2 cause for a false negative test
*A 19years old girl presents with 1ry amenorrhea . She is 141cm.
1-What is the most likely diagnosis
2-What hormone test would you
request
3-What is her uterus looks like?
4- What is her gonads looks like?
5- Name two other associated
anomalies
OSCE exam Sunday OSCE exam Sunday
1-What this photo show ? 1-What this photo show
2-What is the cause of this condition
3- Mention two risk factors?
4- Mention two symptoms ?
5- Name 2 methods of investigations?
vesicles
uterus
1-What is the name of this operation ?
2- What is the indication ?
3- How to diagnose cervical incompetence?
4-What is the best time to perform this operation ?
5- Name 2 complications for this operation
1-What is the name of pelvic type in A , B, and C
2-Which pelvic type is considered normal, name 3 characters
3-Which type favors occipto- posterior position
4-Which type favors transverse fetal head(OT)position
5-How to assess pelvic outlet ,name 2 A B C
1-What this photo show?
2-What is type of this incision ?
3-Give 3 indication for recurrent operation
4 –Name 2 intra operative complication
5- Name 2 post operative complications
1-What is the name of this maneuver?
2 -What is the examiner’s hand assessing?
3-If the hand can not catch the presenting part the; presenting part is engaged (Right or wrong)
4)What is meant by engagement
5)What is the station of engaged head by PV
GYNECOLOGY
Gynecology
1- Describe what you see in this photo?
2- Name 3 symptoms .
3 Name 2 investigation to confirm the diagnosis ?
4- Name 2 lines of treatment
5-What is the differential diagnosis name 3
1-Describe what this photo show
2- What is the name of this instrument
3- What is the indication of this examination
4- What is the advantage of this examination
5-What is the finding in A and B A B
1-What this photo show
2-Name 2 clinical presentation for this lesion
3- Name 2 differential diagnosis for this condition
4) Mention 3 predisposing factor
5) What is the name of operation for this case
1
1-What photo A show? Describe the character of vaginal discharge In this photo
2-What is the name of this characteristic cervical appearance in photo B
3-What is the name of the organism in C
4-What is the specific treatment
5-Does the husband need treatment ?And why • A B C
1. What this photo show
2. What is the responsible hormone ?
3. Name 3 causes for its elevation
4. Name two other clinical presentation
5. Name 2 drugs used to treat this case ?
OSCE exam Monday OSCE exam Monday
A
1- What this photo show
2- What is the name of pelvic diameter in photo A
3- What Is The Significance Of This Test
4-What is Thom's dictum
5- According to photo B is this diameter normal or not B
10CM
• A patient with Unilateral pelvic pain and tenderness, + HCG ,palpable adnexal mass on PV, exploration reveal this photo,
1-What is the most likely diagnosis
2—Name 2 symptoms
3- Name 2 signs
4-Give 2 differential diagnosis
5- Name 2 lines of surgical treatment
1-What this photo show ?
2- Name 2 causes of this malpresention
3-What is the name of this instrument
4-What is the advantage of using this instrument
5-Name one alternative method to deliver the head
1-What is the name of this GRAPH
2-What is the name of this declaration
3-Describe its onset and offset in relation to uterine contraction
4- What Is The Cause ?
5- What is the name of the machine producing this image
A
1-Name the three cardinal movement in labor illustrated in this photo
2- what is meant by engagment
3-What is the cause of internal rotation
4-What is the station of fetal head in photo B
5- what is the cause of fetal descent
GYNECOLOGY
Gynecology
A patient with throbbing pain and swelling in the right side of the vulva
1-which structure is involved
2- Name 2 Causes for this condition
3-What is the diagnosis
4-What is the name of the operation for this condition
5 Name 2 Differential Diagnosis
A
B
1-What is the name of this lesion 2-What is the commenst clinical presentation name
3 3-What is the comment site in pelvis this lesion
occurs 4-Name 2 diagnostic tests 5- Name 2 surgical lines for treatment
• 1 1 What this photo show What this photo show • 2- What is the site of this complication as the 2- What is the site of this complication as the
photo show photo show 3 - What is the position of this uterus?3 - What is the position of this uterus?4- Identify instrument in arrow (1).4- Identify instrument in arrow (1).5 - Identify instrument in arrow (2).5 - Identify instrument in arrow (2).
• 1-What is the name of this uterine abnormality • 2-What is the investigation used in this photo• 3-Name 2 clinical presentation• 4-Name 2 obstetrical complication • 5- Name 2 gynecological complications
Bladder
Rectum
uterus
Cervix
This is a case of cancer cervix ,From the photo 1-What is the staging of this patient 2-What is the commonest clinical presentation3-Name 2 complication4-What is the best line of treatment (in one word)5- What is the contraindication for surgery name 2
OSCE exam Tuesday OSCE exam Tuesday
1-What is the name of this maneuver ?
2-What is the indication
3- What is the best time to perform this maneuver
4-Name 2 precaution before doing this manouver
5-Name 2 complications
1-What this photo show ?
2-Describe what you see in image A
3-Describe what you see in image B
4-What is the common site in uterus for this complication to occur
5-Name 2 common causes for this condition in labor
BA
1-What photo A and B show 2- Name 3 possible causes for this condition3- Name 2 complication for this condition 4- Name 3 indication for C.S in this condition 5- Name 2 differential diagnosis
AB
Placenta
1- What is the attitude of fetal head in A,B ,and C
2-What is the presenting part of fetal head in A ,B,C?
3- What is the denominator in A,B, and C?
4- What Is The Engaging Diameter In A
5- What Is The Engaging Diameter In C
A B C
• 1-What is the name of this examination ?• 2-What is the name of this patient position • 3-What is the information gained by this exam
as photo b shows ? Name 2 • 4- What is the position of fetal head in photo B• 5- Is the head flexed or deflexed in photo B
B
GYNECOLOGY
Gynecology
A case presented with uterine myoma1-What is the name of this operation
2-Name 3 clinical presentation for this condition
3-Name 2 other types(route) of this operation
4-Name 3 contraindication for this operation
5- Name 2 complications
• A patient with positive Pap smear
1-what is the name of this operation
2-Name one other indication for this operation
3-Name 2 contraindications
4-Name 2 complications
5- Name 2 other types of cervical biopsy
1-Describe what image A show ?
2-What is cause of this condition ?
3-How to confirm the presence of this lesion
4-What is the treatment as image B shows
5- What is the precaution be done after cutting of adhesions
AB
1- What this photo show ?
2- Name 2 advantage for this method
3- How does it act , name 2 mechanisms?
4- Name 3 contraindications for its use
5-Name 2 complications
1-What is the name of tubal pathology in this photo
2- What is the presentation of this patient
3-What is the name of investigation in B
4- Name one other diagnostic method
5-What is the best treatment if condition is bilateral
B
OSCE exam Wednesday
OSCE exam Wednesday
1-What is the name of this maneuver ?
2- Name 3 causes for this malpresention
3- Name 2 complications for this maneuver
4- Name 2 alternative methods for delivery of after coming fetal head
5 Name 3 indication for Cesarean Section in this malpresention
1-What photo A show?
2-Name 2 diagnostic test for this condition
3-What is the complication seen in photo B
4-How to diagnose this complication clinically
5-Name 2 investigation to confirm this complication
A Amniotic fluid
B
1-Name the placental abnormality in A ,B ,and C
2-Give 3 main cause for this condition
3-Name 2 indication for C.S in this condition
4-Name 3 complication
5- Name 3 differential diagnosis for this condition
A B C
1-Describe the cervical changes shown in photo B ?
2- Name 2 causes for these changes
3-What is the 2 cardinal movement of labor in photo B
4-What is meant by engagement
5- What is the cause of fetal descent in labor A B
1-What this image show ?
2-Name 4 risk factors for this condition
3- What is the differential diagnosis of this case?
4-What is the first line of treatment of this case
5- Name 2 surgical lines to treat this case
GYNECOLOGY
Gynecology
1- What this photo show
2- What is the commonest clinical presentation of this lesion
3-Name 3 possible complications
4-What is the name of diagnostic method used in this photo
5-What is the incidence of malignancy in this lesion
uterus
Lesion
1- What this photo show
2- Name 2 risk factors for this condition
3- Name 2 clinical presentations
4- Name 3 complications for this lesion
5- Name 2 signs of malignancy in this case
Lt ovarian cyst
Rt ovarian cyst
Uterus
1-Describe what you see in the photo ?2-What are the different types of this condition you know ? 3- What is the probable type of this condition as photo illustrate 4-How to diagnose it clinically? 5- Name 2 investigations to confirm the diagnosis
1-What this photo show?
2-Name 2 clinical presentation
3-What is the degree of this condition in photo B
4-How to differentiate between A and B clinically
5- Name 2 complication
BA
1-What is the type of this uterine anomaly ?
2- What is the cause of this anomaly
3- What is the commonest clinical presentation
4- Name 2 methods of investigation
5- Name 2 obstetric complications
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