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OSCE student exam in Obstetrics &Gynecology Zagazig University 2014

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OSCE FINAL year student exam in Obstetrics &Gynecology ,faculty of medicine,Zagazig University 2014 .Prepared by DR Manal Behery Profossor of OB&GYNE

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OSCE student exam in Obstetrics &Gynecology Zagazig University 2014

  1. 1. DR: Manal Behery Faculty of medicine ,Zagazig University 2014 OSCE Student Exam In Obstetrics &Gynecology
  2. 2. OSCE Exam SaturdayOSCE Exam Saturday
  3. 3. OSCE performance?
  4. 4. •‫الشرائج‬ ‫جميع‬ ‫في‬ ‫اللول‬ ‫السؤال‬ ‫مشترك‬ •‫للنموذج‬ B ,‫وللنموذج‬ R
  5. 5. 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 ?
  6. 6. 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 ?
  7. 7. 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 5- Name the three steps of active management of 3rd stage of labor
  8. 8. 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
  9. 9. 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
  10. 10. GYNECOLOGY Gynecology
  11. 11. 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 ? •
  12. 12. 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
  13. 13. 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)
  14. 14. 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
  15. 15. *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
  16. 16. OSCE exam SundayOSCE exam Sunday
  17. 17. 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
  18. 18. 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
  19. 19. 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
  20. 20. 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
  21. 21. 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
  22. 22. GYNECOLOGY Gynecology
  23. 23. 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
  24. 24. 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
  25. 25. 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
  26. 26. 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
  27. 27. 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 ?
  28. 28. OSCE exam MondayOSCE exam Monday
  29. 29. 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
  30. 30. • 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
  31. 31. 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
  32. 32. 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
  33. 33. 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
  34. 34. GYNECOLOGY Gynecology
  35. 35. 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
  36. 36. 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
  37. 37. • 11 What this photo showWhat this photo show • 2- What is the site of this complication as the2- What 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? 4- Identify instrument in arrow (1).4- Identify instrument in arrow (1). 5 - Identify instrument in arrow (2).5 - Identify instrument in arrow (2).
  38. 38. • 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
  39. 39. 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) 5- What is the contraindication for surgery name 2
  40. 40. OSCE exam TuesdayOSCE exam Tuesday
  41. 41. 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
  42. 42. 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
  43. 43. 1-What photo A and B show 2- Name 3 possible causes for this condition 3- Name 2 complication for this condition 4- Name 3 indication for C.S in this condition 5- Name 2 differential diagnosis A B Placenta
  44. 44. 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
  45. 45. • 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
  46. 46. GYNECOLOGY Gynecology
  47. 47. A case presented with uterine myoma 1-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
  48. 48. • 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
  49. 49. 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 A B
  50. 50. 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
  51. 51. 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
  52. 52. OSCE exam WednesdayOSCE exam Wednesday
  53. 53. 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
  54. 54. 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
  55. 55. 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
  56. 56. 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
  57. 57. 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
  58. 58. GYNECOLOGY Gynecology
  59. 59. 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
  60. 60. 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
  61. 61. 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
  62. 62. 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
  63. 63. 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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