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Osce revision in obstetrics and gynecology

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OSCE REVISION IN OBSTETRICS AND GYNECOLOGY 2015,NEARLY COVERING COURSE CURRICULUM .Prepared by Dr Manal Behery.Professor of OB&Gyne .Faculty of medicine,Zagazig University

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Osce revision in obstetrics and gynecology

  1. 1. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 1 Dr Manal Behery Zagazig University 2015 Dr Manal Behery Zagazig University 2015 OSCEOSCE Revision inRevision in Obstetrics&GynecologyObstetrics&Gynecology OSCEOSCE Revision inRevision in Obstetrics&GynecologyObstetrics&Gynecology
  2. 2. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 2 1-What this photo show? 2-What is the indication name 2? 3-What is the complication ?name 3 4-Name 3 prerequisite •
  3. 3. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 3 1-What is the Malpresention in this photo? 2Name 3possible cause? 3-Describe briefly how to manage during labor ?
  4. 4. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 4 1-Determine fetal head position in this photo? 2-What is the attitude of this fetus? 3- What Is The Engaging Diameter 4-What is the mechanism by which head is delivered?
  5. 5. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 5 What is the curve ABC refere to? What is the curve EFG refere to ? Which one has obstetric importance A C B E G F
  6. 6. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 6 6 1-What is this procedure ? 2-Name 3 indication to do this procedure? 3-What is the right time to do this procedure? 4-Name 2 possible complication ?
  7. 7. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 7 • What is name of A • What is the name of B • What is the obstetric importance of A and B? • What is the position of fetal head in C A B C
  8. 8. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 8 • What does this photo show? • What is the cause of this malpresention name 2 • What is the possible complication at vaginal delivery mention 3?
  9. 9. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 9 • What this photo show? • What is the cause of this abnormality? • What is the preferred maternal position to decrease complication ? • Mention 3 factors affecting the prognosis ?
  10. 10. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 10 • What is the name of these 4 manouvers ? • What each one detectA,B,C, D?
  11. 11. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 11 • What this photo show? • What is meant by 0 station • What is the obstetric importance of level of iscial spine mention 3 ?
  12. 12. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 12 1-What is the name of this procedure? 2-What is the indication 3-Give 2 precaution before performing it? 4-Name 2 possible complication
  13. 13. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 13 1-What Does This Photo Show ? 2-What is the complication of this abnormality during pregnancy and in labor ? mention 3 3-Give the name of drug used in prophylaxis ? 1- Congenital anomalies ( 25%)
  14. 14. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 14 1-What is the name of this manouver ? 2-What is the indication? 3-How does it act 4-Name 2 alternative methods one medical and one surgical
  15. 15. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 15 lung 1-What is 1 and 2 refer to ?1-What is 1 and 2 refer to ? 2-What 3 refer to?2-What 3 refer to? 3- What is the name of segment between 1&2 ?3- What is the name of segment between 1&2 ? 3
  16. 16. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 16 1-What is the name of these 2 maternal changes with pregnancy ? 2-What is the possible cause ? 3-Mention another 2 cuteneous changes with pregnancy ?
  17. 17. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 17 lung 1-What is the name of this abnormality?1-What is the name of this abnormality? 2-Mention 2 possible causes ?2-Mention 2 possible causes ? 3-How it is diagnosed by US3-How it is diagnosed by US 4- Mention 2 complications4- Mention 2 complications
  18. 18. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 18 1-What is the name of this condition ? 2-What is the possible cause name 3 ? 3-Mention 3 complication during pregnancy ? 4-Mention 2 complication during labor ?
  19. 19. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 19 1-What is the name of this machine ? 2- What is the difference between A and B ? 3- Give 4 criteria to consider the trace normal A B
  20. 20. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 20 1-What is the name of these 2 fetal head diameterA,B? 2-What is the importance of A ,B? A B
  21. 21. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 21 1-What is the name of this procedure? 2-Mention 2 indication ? 3-Mention 2 complication 4-Give alternative method for prenatal diagnosis
  22. 22. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 22 1-What is the most probable diagnosis ? 2- Mention two risk factors? 3- Mention two symptoms ? 4- Two methods of investigations? vesicles uterus
  23. 23. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 23 • What is the name of this operation ? • What is the indication ? • What is the best time to perform this operation ?
  24. 24. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 24 • A patient presented with Unilateral pelvic pain and tenderness, + HCG ,palpable adnexal mass on PV,Exploration reveal this photo, • 1-what is the most likely diagnosis ? • 2-Give 2 differential diagnosis
  25. 25. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 25 • What Does This Photo Show? • What Is The cause of this abnormality • How to diagnose antenatally? • Mention 2 line of treatment
  26. 26. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 26 • What is the cause of this abnormality? • Mention 3 risk factors for this condition ? • Mention 2 maneuver to solve this condition? • Give 2 possible complication ? •
  27. 27. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 27 What is the name of this manouver ? What is the indication Name 2 precaution Name 2 complication
  28. 28. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 28 • What is the name of this operation • What is the type of incision • What is the indication of this operation in the photo • What is the incidence and cause of this malpresention name 2
  29. 29. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 29 • Name the placental abnormality in A ,B ,and C • Give 2 main cause for this condition • Name 2 indication for C.S in this condition • Name 3 complication A B C
  30. 30. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 30 1-What is the patient position in A and B 2-What is the name of the syndrome in photo A 3-Which position is preferred during pregnancy and why A B
  31. 31. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 31 • What is the name of these instruments? • Give 2 indication for its use • Mention 2 complication if used improbably
  32. 32. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 32 • Describe the abnormality you see in this image • Give 2 causes • Name 2 complication • Name the characteristic US appearance of this condition •
  33. 33. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 33 • What this photo show? • What is the commenst site in the tube for this condition occurs • Name 2 fate of this condition from the photo • Give 2 surgical lines of treatment
  34. 34. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 34 • Give the name of this operation • Name 2 indication • Name 3 complication
  35. 35. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 35 • What this image show • What is the cause of this condition • How to avoid this complication • How to suspect this complication antenatally
  36. 36. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 36 • 1-What is the name of maneuver • 2-Give to prerequisite • 3-Name 2 indication • 4-Name 2 complication • 5-Name 2 precaution
  37. 37. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 37 1-Describe what you see in image A 2-Describe what you see in image B 3-What is the common site in uterus for this complication to occur 4-Name 2 common causes for this condition in labor
  38. 38. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 38 • What is the name of this placenta abnormality • What is A in photo refer to • What B in photo refer to • Name 2 complication for this abnormality during and after labor A B
  39. 39. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 39 1-What is the name of this maneuver ? 2- Give 2 complication for this maneuver 3- Name 2 alternative methods for delivery of after coming fetal head
  40. 40. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 40 • What is the name of this condition • What is the commonest presentation ? • How to diagnose name 2 ? • What is the differntial diagnosis name 2 ?
  41. 41. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 41 1-What `this photo show ? 2- What is the name of diameter red arrow ? 3- Give 3 risk factor for this condition 4- Name 2 maneuver to solve this problem
  42. 42. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 42 • What this US image show ? • What is the type of zygosity ?and choronicity • Name 3complication
  43. 43. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 43 • What is the name of this syndrome ?describe briefly ? • How to avoid it during pregnancy (what is the preferred maternal position to avoid it ? inferior vena cava
  44. 44. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 44 • This is a case of shoulder dystocia • What is the name of this maneuver? • Briefly define how does it work • Name 2 alternative maneuvers
  45. 45. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 45 • What is the name of this manouver ? • What is the aim of this maneuver • How to avoid perineal laceration in labor – name 2 ?
  46. 46. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 46 1-What This Photo Show? ? 2-How to diagnose direction of fetal back by PV examination ? 3-What is the best line to manage this condition ?
  47. 47. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 47 1-What this photo show? 2-What is the type of this incision ? 3-Give 3 indication for recurrent operation 4-Name 4 complication 2 intra operative ,2 post operative
  48. 48. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 48 1-What image A and B show 2-Which type has a better prognosis and why? A B
  49. 49. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 49 1-What you see in photo A 2- What photo B show 3-What is the site of cord insertion in photo A 4-Name 2 abnormal sites for cord insertion A B
  50. 50. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 50 • What photo A show?What does it detect • What photo B show? What does it detect • What is the direction of examiner head in A and B A B
  51. 51. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 51 1-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)
  52. 52. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 52 • 1-Describe the placental abnormality in photo A • 2- Describe the placental abnormality in photo B • 3- Name 2 complication for these abnormalities A B
  53. 53. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 53 • What photo A show ?What is the significance of this maneuver • What photo A show ?What is the significance of this maneuver • When maneuverB is considered inaccurate • A B
  54. 54. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 54 A • 1-What is the name of pelvic outlet diameter in photo A • 2- What Is The Significance Of This Test • What is thom’s dictum • 3- according to photo B is this diameter normal or not B
  55. 55. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 55 • What is the name of this malpresention ? • What is the diameter of engagment in this case • What is the movement by which head is delivered
  56. 56. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 56 • What is the presentation of these fetuses • What is the safest mode of delivery • How you manage if 1st twin delivered vaginally and 2nd twin retained
  57. 57. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 57 • 1-Describe what you see in photo A • 2-What is the name and aim of this maneuver • what you see in photo B, • what is the risk if maneuver A is not done A B
  58. 58. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 58 • 1-What THIS photo show? • 2-What does this manouver detect
  59. 59. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 59 • Is fetal head engaged or not? • What is the station the photo show • What is the position of fetal head • Name 3 causes for non engagement of head in prior TO LABOR
  60. 60. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 60 • 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, and C? • 3- What is the denominator in A,B, and C? A B C
  61. 61. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 61 • 1-What this photo show ? • 2-What is the name of this instrument • 3-What is the advantage of using this instrument • 4-Name one alternative method to deliver the head
  62. 62. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 62 • 1-What is the degree of pernieal laceration in photo A • 2-What is the degree of pernieal laceration in photo B • 3-How to prevent perneal laceration in labor? name 2
  63. 63. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 63 • What photo A show? • Name 2 diagnostic test for this condition • What is the complication seen in photo B • Name 4 clinical signs for this complication A Amniotic fluid B
  64. 64. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 64 1-what photo A and B show 2- give 2 complication for this condition 3- Name 3 indication for C.s in this condition 4- name 3 differential diagnosis A B Placenta
  65. 65. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 65 2- what is the diameter passing through vulval ring (red arrow)? 3- Why is this called ? 4- what is meant by crowning ? 5- What is the expected next movement of the fetal head Occiput
  66. 66. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 66 • What this photo show? • which is more common A or B • How many chorion ,amnion in photo A • How many chorion ,amnion in photo B • Name 3 complication for this condition A B
  67. 67. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 67 1-Describe the condition of cervix in photo A,B,C, and D 2-What is the cause of cervical effacement 3- what cause cervical dilation name 2 3-In primigravida which occurs first dilation or effacement ? A B C D
  68. 68. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 68 • 1-what this image shows • 2-what is the 3 main item of this graph ? • what is the cause of C.S as The Graph show?
  69. 69. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 69 • What is the name of this cervicogaph? • What does it shows ? • Give the name labor pattern in of A .B .And C B CA
  70. 70. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 70 1-What is the name of these 3 cardinal movement of labor ? 2-What is the cause of B 3-What is the cause of C A B C
  71. 71. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 71 • what is the prerequisite after delivery of 1st twin in photo A? • What is the preferred mode of delivery in photo B? and why ? A B
  72. 72. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 72 • 1-What this photo show? • 2-What is the comment site for this complication to occurs • 3-give 3 causes for this complication in labor • 4- Name 2 lines of management
  73. 73. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 73 • What is the name of this manouver? • Give 2 indication • Name 3 prerequisite • 2 complications
  74. 74. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 74 1- give the name of these 2 cord abnormalities 2- Name 2 complication for these anomalies 3-How to diagnose B antanally ? A B
  75. 75. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 75 • Cesarean hysterectomy ,what this photo show? • Name 2 clinical signs for diagnosis of this condition at operation • Give the histopathology finding in this case • Name 2 risk factors for this case Placenta
  76. 76. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 76 • What is the name of this placental abnormality? • What is the cause of this abnormality • Name the commonest complication for this abnormality
  77. 77. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 77 • Describe what this photo show? • At what stage in labor this condition occurs ? • Name 3 risk factors for this condition • Name 2 symptoms if this condition occur in labor
  78. 78. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 78 • What is the name of this operation ? • What is the indication of this operation as appear in the photo ? • What other types of this malpresention • Name 4 indication of this operation in this malpresention
  79. 79. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 79 • What image A shows?What image B show • What is the structure hold by Allis forceps in red arrow? • What is the structure hold by Allis forceps in red arrow ? A B
  80. 80. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 80 • What is the name of this test? what is the prerequisites for this test ? • What is the name of instrument A, and B? • What is the indication of this test ? • Name 2 ominous signs requiring interference in this test • A B
  81. 81. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 81 • Name the three component of this graph • Describe what you see in this cevicograph • What TR mean • Is this course of labor normal? and why
  82. 82. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 82 • What is the name and length of the pelvic diameter in green arrow ? • When we considered pelvic contracted according to this diameter • What is the name of ligament in red arrow(1)? 1
  83. 83. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 83 • 1-Describe what photo A,and B show? • 2-What is the 2 cardinal movement of labor in photo B • 3-What is the cause of cervical change in photo B A B
  84. 84. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 84 • 1- What the examiner assess in this photo? • What is the value of this examination ? • Which angle is considered normal and why
  85. 85. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 85 • What is the name of pelvic type in A,B,and C • Which pelvic type is considered normal,name 3 characters • Which type favors occipto posterior position • Which type favors transverse fetal head position
  86. 86. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 86 • 1-What is the name of this patient position • 2-What is the name of this examination ? • 3-What is the information gained by this exam as photo b shows ? name 2
  87. 87. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 87 • What does this photo show • Describe brifely how to deliver both fetuses • Name 3 factors affecting the prognosis of this condition
  88. 88. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 88 1-what is the difference between a ,b, and c 2-which one has the worst prognosis 3-give 2 other factors affecting the prognosis of the condition 4-name 2 diagnostic signs
  89. 89. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 89 • What is the abnormality in this partograph • What is the cause of C.S as the graph show
  90. 90. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 90 • 1-Describe what this graph show • 2-What is the type of abnormality in this graph • 3- This case delivered vaginally after correction of which item in the graph
  91. 91. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 91 • 1-what this image show • 2-what is the name of this operation • 3-what is the risk of this operation • 4-name 2 alternative methods tube
  92. 92. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 92 • 1- What this graph show? • 2-What is your comment on this CTG trace • 3-What is the degree of this abnormality as the graph show • 4- at what stage in labor this abnormality occur ? • 5- briefly what is your next step in management
  93. 93. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 93 • 1-What is the name of this decleration • 2-Describe its onset and offset in relation to 3- uterine contraction • 3- What Is The Cause ? A
  94. 94. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 94 • 1-What this photo show • 2- What is meant by engagment • 2-What is the station of fetal head in A and B • 3- name 3 importance for the level of ischial spine A B
  95. 95. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 95 • Define the three cardinal movement in labor illustrated in this photo • What is the cause of internal rotation • What is the station of fetal head in photo B
  96. 96. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 96 • What is the name of this operation • What is the indication • What is the next step if this operation failed • Name 3 risk factor for this condition Uterine artery
  97. 97. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 97 • What this image show ? • Name 4 risk factors for this condition • What is the first line of treatment of this case
  98. 98. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 98 GYNECOLOGY
  99. 99. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 99 • What is the name of this investigation • What is the patient postion for this examination • What is the abnormality shown in this photo ovary ULTRASOUN D PROBE
  100. 100. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 100 • Infertile women taking ovulation induction presented with abdominal pain and enlargement • What is the name of this syndrome • What is the risk factors • What is the treatment
  101. 101. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 101 • A case presented with uterine myoma • 1-What is the name of this operation • 2-What is types of this operation • 2-Name 3 contraindication • 4- name 2 complication
  102. 102. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 102 • What is the name of this operation • What is the indication • What is the contraindication • Name 2 complications
  103. 103. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 103 • What this slide show • What is the commonest presentation of this lesion • What is the diagnostic method in this photo
  104. 104. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 104 • 1-What is the name of this examination? • 2-What is the patient position for this examination? • 3- Name 3 indication for this examination ?
  105. 105. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 105 • What this image show • What is the degree of this condition • Name 3 risk factors • What is the differential diagnosis of this case
  106. 106. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 106 • 1- What this photo show • 2- What is the risk factors for this condition • 3- What is signs of malignancy in this case • 4-what is the stage of this lesion
  107. 107. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 107 • What is the name of this operation • What is the indication • Name 2 diagnostic test for this condition to be treated by this operation • Name 3 different types for this condition
  108. 108. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 108 • Describe what you see in the photo • What is the types of this condition • What is the most probable type of this condition as photo illustrate • How to diagnose it clinically
  109. 109. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 109 1-Describe what you see in the photo ? 2-What is the different types of this condition? 3- What is the type of this condition as photo illustrate 4-How to diagnose it clinically?
  110. 110. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 110 • 1-What is the name of this operation • 2-What is the indication • 3-What is the predisposing factors for this condition
  111. 111. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 111 • 1-What this photo show? • 2-What is the degree of this condition • 3-How to differentiate between A and B
  112. 112. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 112 • 1-What this photo show? • 2-What is the degree of this condition • 3-How to differentiate between A and B A B
  113. 113. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 113 • What this photo show? • What is the pathology in this photo • Name 3 clincal presention for this condition • Name 2 investigation
  114. 114. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 114 1- Describe what you see in this photo? 2- Name another 2 investigation to confirm the diagnosis ? 3-What is the differential diagnosis name 3
  115. 115. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 115 W 1-What is the name of this operation 2-What are types of this operation 2-give 3 gynecological indication 3-Name 3 complications
  116. 116. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 116 • What is the name of this test? • What is the indication ? • Name 2 precaution before the test • Name 2 disadvantage for this test
  117. 117. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 117 • 1-Describe what this photo show • 2- What is the name of this instrument • 3- What is the indication of this examination • What is the finding in A and B A B
  118. 118. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 118 • 1-What is the type of this uterine anomaly • 2- What is the cause of this anomaly • 3- What is the commonest clinical presentation
  119. 119. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 119 • What this photo shows ? • What is the cause of this anomaly • What is the possible complication of this condition ?
  120. 120. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 120 A patient with throbbing pain and swelling in the right side of the vulva 1)which structure is involved 2)What is the diagnosis 3)What is the name of the operation for this condition as photo B shows A B
  121. 121. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 121 1)What is 1 in this photo refere to 2- Name 2 differential diagnosis for this condition 2) 3 predisposing factor 4) Mention two complications 6) Mention two lines of treatment 1
  122. 122. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 122 • 11 what this photo showwhat this photo show • What is the site of this complication as theWhat is the site of this complication as the photo showphoto show 3 - What is the position of this uterus?3 - What is the position of this uterus? 5- Identify instrument in arrow (1).5- Identify instrument in arrow (1). 6 - Identify instrument in arrow (2).6 - Identify instrument in arrow (2).
  123. 123. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 123 • What is the name of this investigation • What is the indication name 2 • Name 2 abnormal finding by this examination • Name 2 contraindication
  124. 124. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 124 • 1-Describe the character of vaginal discharge in this photo • What is the name of this characteristic cervical appearance B • What is the name of the organism in C • What is the specific treatement • A B C
  125. 125. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 125 1-What is the name of pathology in this photo 2-What is the presentation of this patient 3-What is the name of investigation in B 4- Name 2 alternative investigations 5-What is the best treatment if condition is bilateral
  126. 126. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 126 • 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
  127. 127. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 127 • What is the name of this operation • What is the indication • Name 2 complications • Name 2 contraindications
  128. 128. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 128 1-Describe what image A show ? 2-What is the name and cause of this condition ? 3-How to confirm the presence of this lesion 4-What is the treatment as image B shows •
  129. 129. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 129 A patient with chronic pelvic pain and infertility ,laproscopy revealed this photo 1-What is the provisional diagnosis 2-What is the comment organism responsible for lesion 3- What is the specific medical therapy for this condition
  130. 130. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 130 1-Name the type of this intrauterine contraceptive device? 2-List 3 contraindications to the use of this form of contraception 3-Name 2 complications 4- Name 3 non contraceptive benefits for this method
  131. 131. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 131 1. What this photo show 2. What is the responsible hormone 3. Name 3 possible causes 4. Name 2 drugs used to treat this case ? 5. How would you treat it?
  132. 132. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 132 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 and 2 surgical lines for treatment
  133. 133. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 133 A 19years old girl presents with 1ry amenorrhea . She is 141cm. 1) What is the most likely diagnosis 3)What hormone test would you request 4) What IS her uterus looks like 5) What IS her gonads looks like 6) Name two other associated anomalies
  134. 134. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 134 1-What is the type of this lesion in A ,and B 2-What is the commonest presentation? 3-Name 2 complications? 4-What is best line of treatment in A ,and B A B
  135. 135. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 135 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 presentation 3-Name 2 complication 4-What is the best line of treatment (in one word)
  136. 136. Operational Obstetrics & Gynecology · Bureau of Medicine and Surgery · 2000 Slide 136

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