OBGY OSCE (1).pptx

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Ivwananjisikombe1

For medical students

Healthcare

STATION
1. Name the anatomical structure below?
2. Name any three types that exist in
women.
3. List one difference between the male
and female type

UNZA AFFILIATED EXAM
1. Miss aged 22 years old nuli gravid is brought at
your hospital around 20:00hours by her parents
with history of being raped around 18:oohours
by unknown men as she was coming from
church,
a.What other things would you want to ask as
you start attending to her during your
history?(3)
b.What test would you request (4)?
c. How are you going to treat this patient? (8)

SAMPLE A
1. Describe the character of the
vaginal discharge shown in A
2. What is the name of the
characteristic cervical appearance
shown in B (1)
3. Name the obstetric condition which
the patient may be suffering from(2)

1. DESCIBE THE LESSION SHOWING BELOW AND POSSIBLE CAUSATIVE ORGANISMS
AND THEIR TREATMENT

1. NAME THE PART OF AN ORGAN SHOWN BELOW, DESCRIBE
YOURS FINDING AND LISTS YOURS DIFFERENTIAL DIAGNOSIS

STATION…………………
• The emergence tray in the ward has
magnesium sulphate( mgso4)
1. Mention the use of this drug in labor
ward.
2. Outline how the drug is administered
including the dosage.
3. Any 3 signs of its toxicity
4. mention its antidote found in the same
emergence tray

STATION…………….
A 43 year old para 5 woman presents to
labor ward with vaginal bleeding after
delivering from home 1 hour prior.
1. What is your diagnosis?
2. Outline your management.
3. state two complications with delayed
intervention

STATION………………
A 32 YEAR OLD FEMALE COME TO THE
HOSPITAL COMPLAININIG OF
DISCHERGE WHICH IS YELLOW,GREEN
TAKE A DETAILED HISTORY FROM THIS
PATIENT.

• Demography
• p/c
• Dos
• Work his
• Marital hx
• Pmhx
• Dg hx
• pshx
• Social hx

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Catheterization of the bladder involves introducing a latex or plastic tube through the urethra and into the bladder. The catheter provides a continuous flow of urine in patients unable to control micturition or those with obstructions. It also provides a means of assessing urine output in hemodynamically unstable patients. Because bladder catheterization carries the risk of UTI, blockage, and trauma to the urethra, it is preferable to rely on other measures for either specimen collection or management of incontinence. Types of Catheterization. Intermittent and indwelling retention catheterizations are the two forms of catheter insertion INTERMITTENT CATHETERIZATION introduce a straight single-use catheter long enough to drain the bladder (5 to 10 minutes When the bladder is empty, you immediately withdraw the catheter. COMPLICATION- increases risk of trauma and infection. INDICATION- It is common for people with spinal cord injury or other neurological problems such as multiple sclerosis to perform self– intermittent catheterization up to every 4 hours daily for months or years. UTI rate is lower than for patients with long-term indwelling catheters. INDWELLING CATHETERIZATION- remains in place for a longer period, until a patient is able to void voluntarily or continuous accurate urine measurements are no longer needed The straight single-use catheter has a single lumen with a small opening about 1.3 cm ( 1 2 inch) from the tip. . Urine drains from the tip, through the lumen, and to a receptacle. An indwelling Foley catheter has a small inflatable balloon that encircles the catheter just above the tip. When inflated the balloon rests against the bladder outlet to anchor the catheter in place. The indwelling retention catheter often has two or three lumens within the body of the catheter . One lumen drains urine through the catheter to a collecting tube. A second lumen carries sterile water to and from the balloon when it is inflated or deflated. A third (optional) lumen is sometimes used to instill fluids or medications into the bladder. It is easy to determine the number of lumens by the number of drainage and injection ports at the end of the catheter A second type of intermittent catheter has a curved tip A Coudé catheter is used on male patients who may have enlarged prostates that partly obstruct the urethra. It is less traumatic during insertion because it is stiffer and easier to control than the straight-tip catheter Plastic catheters are suitable only for intermittent use because of their inflexibility Latex catheters are recommended for use up to 3 weeks. Be aware of allergies. Pure silicon or Teflon catheters are best suited for long-term use (2 to 3 months) because of less encrustation at the urethral meatus Balloon sizes range from 3 mL (pediatric) to large postoperative volumes (75 mL). In adults the 5-mL and 30-mL sizes are the most common: The 5-mL size allows for optimal drainage, whereas the 30-mL size is used after pros

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OBGY OSCE (1).pptx

1. STATION 1. Name the anatomical structure below? 2. Name any three types that exist in women. 3. List one difference between the male and female type

2. UNZA AFFILIATED EXAM 1. Miss aged 22 years old nuli gravid is brought at your hospital around 20:00hours by her parents with history of being raped around 18:oohours by unknown men as she was coming from church, a.What other things would you want to ask as you start attending to her during your history?(3) b.What test would you request (4)? c. How are you going to treat this patient? (8)

3. SAMPLE A 1. Describe the character of the vaginal discharge shown in A 2. What is the name of the characteristic cervical appearance shown in B (1) 3. Name the obstetric condition which the patient may be suffering from(2)

4. 1. DESCIBE THE LESSION SHOWING BELOW AND POSSIBLE CAUSATIVE ORGANISMS AND THEIR TREATMENT

5. 1. NAME THE PART OF AN ORGAN SHOWN BELOW, DESCRIBE YOURS FINDING AND LISTS YOURS DIFFERENTIAL DIAGNOSIS

6. STATION………………… • The emergence tray in the ward has magnesium sulphate( mgso4) 1. Mention the use of this drug in labor ward. 2. Outline how the drug is administered including the dosage. 3. Any 3 signs of its toxicity 4. mention its antidote found in the same emergence tray

7. STATION……………. A 43 year old para 5 woman presents to labor ward with vaginal bleeding after delivering from home 1 hour prior. 1. What is your diagnosis? 2. Outline your management. 3. state two complications with delayed intervention

8. STATION……………

9. STATION……………… A 32 YEAR OLD FEMALE COME TO THE HOSPITAL COMPLAININIG OF DISCHERGE WHICH IS YELLOW,GREEN TAKE A DETAILED HISTORY FROM THIS PATIENT.

10. • Demography • p/c • Dos • Work his • Marital hx • Pmhx • Dg hx • pshx • Social hx

OBGY OSCE (1).pptx

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