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