Syllabus 4 course 2023-2024 Obstetrics and gynecology-1.doc

«С.Ж. АСФЕНДИЯРОВ АТЫНДАҒЫ ҚАЗАҚ ҰЛТТЫҚ МЕДИЦИНА УНИВЕРСИТЕТІ» КЕАҚ
НАО «КАЗАХСКИЙ НАЦИОНАЛЬНЫЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ ИМЕНИ С.Д. АСФЕНДИЯРОВА»
Department of Obstetrics and Gynecology, department of Oncology Syllabus
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«Approved»
head of the department Obstetrics and Gynecology
with a course in Clinical Genetics
Doctor of Sciences, prof. Isenova S.Sh.______
head of the department Oncology
Doctor of Medical Sciences Kaydarova D.R.__________
«____» _____________2023
SYLLABUS
Educational program Bachelor's degree «General Medicine»
Code and name of the specialty 5В130100 – «General Medicine»
The cycle of discipline PDV
Code of Discipline B.20-OAG.
The name of the discipline Fundamentals of obstetrics and gynecology
Course 4 Semester 7,8
ECTS credits 11
The total hours 330 classroom 165
Self-service hours 165
Department/course Department of Obstetrics and Gynecology with a course in Clinical Genetics, department of
Oncology
Language of instruction Kazakh, Russian, English
Form of final control Exam: Stage 1 MCQ testing, stage 2-practice examination (CbD); Differentiated credit
Almaty 2023

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Normative references:
The syllabus is drawn up in accordance with:
- By Order of the Acting Minister of Health and Social Development of the Republic of Kazakhstan № 647 of
31.07.2015 "On approval of state mandatory standards and standard professional training programs in medical and
pharmaceutical specialties" (as amended on 02/21/2020);
- Educational program in the specialty 6B10107 "General Medicine", approved
by the Rector's order № 195 dated 28.08.2019. (updated and approved by the decision of the Academic Council, Protocol № 4 of
18.01.2023);
- By the Order of the Minister of Education and Science of the Republic of Kazakhstan dated April 20, 2011
No. 152 "On approval of the Rules for the organization of the educational process on credit technology of education in
organizations of higher and (or) postgraduate education" (as amended on 04/05/2023).
Developed and discussed: Signature Full name Protocol details
Head of the Department, MD
Associate Professor of the
Department, PhD
Professor of the Department
assistant
S.Sh. Isenova.
Zh.S.Begniyazova
B.N.Bishchekova
E.A. Makhmutova
Minutes of the meeting of the
department ___________
№___ dated "___"
_________ 2023
Head of the Department, MD. Head
Teacher, PhD
Assistant
D.R. Kaidarova
T.T.Sydykova
K.U.Sabirov
department ___________
№___ dated "___"
_________ 2023
Agreed:
Committee educational
programs______________________
S.A.Esenkulova Minutes of the educational
programs committee meeting
___________ №_ from

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"___"________ 2023.
Technical expertise
UMO methodologist for _______ A.A.Korganbayeva
Contact information:
Teacher information
№ Full name Position Academic degree Email adress
1. S.Sh.Isenova Head of department
Obstetrics and
Gynecology with a
course in Clinical
Genetics
Doctor of medicine Isenova.s@kaznmu.kz
2. D. R. Kaidarova Head of department
Oncology
Doctor of medicine dilyara.kaidarova@gmail.com
3. Zh. S.Begniyazova associate professor Candidate of
medical Sciences
begniyazova.z@ kaznmu.kz
4. B. N.Bischekova professor Candidate of
medical Sciences
bischekova.b@ kaznmu.kz
5. Zh.U. Bazarbayeva assistant assistant - bazarbaeva.z@ kaznmu.kz
6. T.T.Sydykova head teacher Candidate of
medical Sciences
sydykova.t@kaznmu.kz
7. K.U. Sabirov assistant Doctor of medicine sabirov.k@ kaznmu.kz
1. Learning format:

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The format of training is described: full-time 100%
2. Purpose of discipline
formation of knowledge, skills and abilities in the diagnosis and management of physiological / pathological pregnancy,
childbirth, the postpartum period, and the diagnosis, treatment, prevention of gynecological diseases and oncopathology.
3. Brief description of the discipline
Having studied the module, the student will be able to consult patients, conduct differential diagnosis, plan examination,
treatment and prevention of the most common obstetric and gynecological pathology and oncopathology from the standpoint of
evidence-based medicine; recognize acute medical situations and provide first aid, show effective communication with the
patient, based on knowledge of obstetrics, gynecology and oncogynecology. Be able to work in a team.
Learning outcomes
LO
EP
The result of the
discipline/module training
Assessment
method
Share of evaluation
(%)
Teaching method
Upon completion of the discipline/module, the student will be able to:
LO
1.
1.1Apply knowledge about the
clinical and physiological
characteristics of the female
body in different age periods
1.2Apply knowledge on special
and additional methods of
examination of pregnant
women, parturient
women,puerperas and
Oral interview
Situational tasks
Case
MCQ Testing
25%
Video lectures,
Practical lesson
Practical master class (demonstration),
Small group work

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gynecological patients
1.3Accept knowledge about
physiological/pathological
pregnancy, childbirth,
postpartum period
LO 2 2.1 Interpret the results of clinical
and laboratory methods of
examination of a pregnant woman
/ woman in labor / childbirth /
CTG / gynecological patient
2.2 Determine the gestational age,
the expected date of delivery, the
plan for managing pregnancy and
childbirth
2.3 conduct and interpret the data
of a physical examination of a
pregnant woman / woman in
labor: general
examination(BP,BMI,etc.),
special obstetric examination
(examination and palpation of the
abdomen, measurement of the
circumference of the abdomen
and the height of the uterus,
determination of the position and
Oral interview
Situational tasks
Case
MCQ Testing
25%
25%
Practical lesson
Small group work
Practical lesson
Small group work
ТBL

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presentation of the fetus,
auscultation of the fetal heartbeat,
vaginal examination)
2.4 fill out a partogram, assess the
nature of labor, diagnose an
anomaly of labor
2.5 conduct an examination of an
oncogynecological patient
(general examination, palpation of
the mammary glands, lymph
nodes, abdomen, examination of
the external genitalia and cervix
in the mirrors, bimanual
examination, taking smears for
the degree of purity of the vagina)
LO 3 3.1 Deal with the problems of
protecting the health of the female
population (prevention and
information about gynecological
and oncological diseases)
Oral interview
Situational tasks
Case
MCQ Testing
Video lectures,
Practical lesson
Small group work
LO 4 4.1 Prescribe treatment of
obstetric and gynecological
pathology
4.2 perform a first aid
Oral interview
Situational tasks
Case
MCQ Testing
25%
Practical lesson
Small group work ТBL

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LO 5 5.1 Carry out the professional
activities of a general practitioner,
taking into account the laws
adopted in society, regulations
and ethical standards.
Oral interview
Situational tasks
Case
MCQ Testing
10%
LO 8 8.1 Apply scientific principles,
methods and knowledge of
evidence-based practice to solve
problems in clinical medicine and
continuing professional
development
Oral interview
Situational tasks
Case
MCQ Testing
10%
Practical lesson
4. Diseases / Clinical problems by discipline / module
№ o/n №
from the
list of EP
Diseases / Clinical Problems The level of training
by module
1. 1. Abortion PD
2 38. Ectopic pregnancy PD
3 92. Retardation of intrauterine development of the fetus PD
4 177. Pathological childbirth E
5 194. Polycystic ovaries PD
6 198. Premenstrual syndrome DT
7 203. Gestosis and toxicosis of pregnant women D
8 215. Birth injury D
9 221. Sepsis D

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10
270.
Eclampsia, preeclampsia, HELLP syndrome E
11 272. Endometriosis PD
1. Practical skills, manipulations, discipline/module procedures
№ o/n №
from the
list of EP
Practical skills, manipulations, procedures
Level of study
Patient-oriented collection of complaints, anamnesis of the disease and life
1 1. Collection of complaints, anamnesis of diseases and life 4
2 2. Obtaining Informed Consent 4
General inspection 4
3 14. Physical examination of the breasts and regional lymph nodes 4
4 15. Physical examination of the abdomen 4
Record keeping in the medical information system
5 21.
Drawing up an examination (treatment) plan in the medical information
system
3
6 26. Maintaining an outpatient patient record in a medical information system 3
Laboratory and functional diagnostics
7 30. Blood pressure measurement 4
Invasive procedures and emergency care
8 40. Washing and antiseptic treatment of hands 4
9 74. Conducting a normal birth 3
Prevention and public health

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10 77. Family planning and contraception counseling 4
Obstetrics
11 111. External gynecological examination 3
12 112. Examination of the cervix and vagina on the mirrors 2
13 113. Bimanual abdominal abdominal examination 2
14 114. Bimanual rectal abdominal examination in women 2
15 115. Examination of a pregnant woman 3
16 116. Management of pregnancy and childbirth 3
17 117. Assistance with physiological childbirth 2
Thematic plan
№
п/
п
Topic Assignment
Practical
classes
Training
at the
simulation
center
IWST
(consultation)
IWST
Obstetrics
1. Physiology of childbirth.
Periods and duration of
labor. Modern methods of
registration of labor activity.
Labor pain relief.
6.8 2.5 4.0 Prepare the material for the
main lit. № 1 pp. 157-184
Electronic resources
2. Maintaining I - II - III period
of childbirth.Partogram.
Assessment of the state of
3.8 3.0 2.5 4.0 Prepare the material for the
main lit. № 1 pp 185-198 and
additional № 3 pp 365-369,

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the newborn on the Apgar
scale.
3. Physiology of the
postpartum period.Breast-
feeding. Physiology of the
neonatal period. Transitory
states.
main lit № 1 pp 215-217 and
4. Incorrect position of the
fetus. Breech presentation of
the fetus. Birth management.
main lit. No. 1 pp. 219-24, KP
2013, DisKazNMU, MOODLE,
5. Operative obstetrics:
obstetric forceps, vacuum
extraction, caesarean section.
Midterm control: Testing.
Practical skills: partogram,
active management of the III
stage of labor
main lit № 1 pp 501-558 and
6. Premature birth. Postponed
pregnancy. Signs of
prematurity and postmaturity
of the newborn.
main lit. № 1 page 307-321
and addendum № 7 page 85-95,
KP 2017, 2023.
7. Bleeding in the second half
of pregnancy. Premature
detachment of a normally
main lit. № 1 pp. 429-444 and
additional KP 2017. Electronic

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located placenta. Placenta
previa.
resources
8. Obstetric bleeding in
childbirth, postpartum
period.
main lit. № 1 pages 445-455
and KP 2023
9. Anomalies of labor activity.
Obstetric trauma.
supplement № 7 pp. 142-155
10. Purulent-septic
complications in puerperas
and newborns.
Practical skills: situational
tasks.
supplement № 7 pp. 155-164,
pp. 463-482 KP 2017, 2023
Gynecology
11. Management of
physiological pregnancy.
The fetus as an object of
childbirth.
addendum № 9 pp. 6-64
12. Research methods in
obstetrics. Antenatal
protection of the fetus.
Prenatal diagnosis of fetal
malformations.
- СЦ- 6,0 2.0 3.5 Prepare the material for the
main lit. № 2 pp. 34-64,
13. Vomiting of pregnant 6.8 2.5 4.0 Prepare the material for the

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women. Hypertensive
conditions during pregnancy.
Features of pregnancy and
childbirth.
additional KP 2014, 2023,
14. Pregnancy loss.
Etiology.Classification.Diag
nostics. Tactics of
conducting.
additional KP 2016
15. Family planning. Modern
methods of contraception.
Reception of practical skills:
techniques of Leopold-
Levitsky. Gravidogram.
main lit. № 1 pages 635-644
16. Reproductive system of a
woman. Propaedeutics of
gynecological diseases.
Research methods in
gynecology.
Malformations of the genital
organs and violations of the
sexual development of girls
main lit. № 2 pp. 34-64
17. Menstrual irregularity.
Abnormal uterine bleeding.
Amenorrhea, hypomenstrual
syndrome.
main lit. № 2 pp. 65-72

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18. Inflammatory diseases of the
female genital organs.
Etiology. Pathogenesis.
Diagnostics. Modern
principles of treatment.
Addendum No. 8 pp. 145-156,
KP 2015, Electronic resources
19. «Acute abdomen» in
gynecology. Types of
gynecological operations.
6.8 2.5 4.0 Study the protocol, solve a
situational task, study
presentations, video material
and main literature № 2 pp 302-
326 and additional № 5 pp 178-
200, КП 2018, a review of
scientific literature
20. Neuroendocrine syndromes.
Etiology. Clinic.
Diagnostics. Basic principles
of treatment.
Midterm control: testing.
Practical skills: taking a
smear for bacterioscopy,
special gynecological
examination
main lit. № 2 pp. 74-107, No. 1
pp. 66-73, KP 2014 Electronic
resources
Total 126 9 45 75
Oncogynecology
21. Organization
oncogynecological services
6.0 - 2.0 4.0 Prepare the material for the
main lit. № 1 page 131 and

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in the Republic of
Kazakhstan. Oncological
group alertness. Modern
ones principles diagnostics
and treatments Principles of
the clinical examination.
Screening, prevention.
supplement No. 2 volume 1
page 75-101
Electronic resources literature
22. Background and
precancerous diseases of the
cervix. Cervical cancer.
Supplement No. 2 volume 2 pp.
544-565 Electronic resources
23. Background, precancerous
diseases of the body of the
uterus. Cancer of the body of
the uterus.
Supplement No. 2 volume 2 pp.
544-565 Electronic resources
24. Dishormonal dysplasia and
benign breast tumors.
Mammary cancer.
main lit. № 1 pp. 19-20, № 2
and Supplement No. 2 volume
2 pp. 257-311 Electronic
resources
25. Benign and malignant
tumors of the ovaries.
Differential score.
Supplement № 2 volume 2 pp.
576-597
30 10 20

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Exam– 15
Total hours 156 9 55 95
EVALUATION POLICY
Discipline "Obstetrics and Gynecology with a course in Clinical Genetics " with the final control form: Exam
Type of
control
Specific gravity
estimates
Structure of learning outcomes
assessment Form of holding
Current
control (CC)
40% of the ARA The arithmetic average of current grades
obtained in the classroom and divided by
the number of current grades:
Сurrent control ratings =
n1+n2+n3+n4+n5+...22/38, where n is
the score for a practical lesson, IWS,
communication skills, practical skills,
etc.
Total current ratings =38, out of them
for practical training=22
for practical skills=4
for communication skills=4
per IWS =4
for forming judgments=4
For the module, the student must receive
46 marks (38 in obstetrics and
gynecology and 8 in oncogynecology)
Discussion of the topic (oral interview, work
in small groups, discussion). Testing
(incoming control and final control). Classes
will be held in the form of solving cases,
situational tasks, in the form of PBL, CBL,
practicing skills on dummies and simulators.
Analysis of thematic patients or role-playing
games.
Midterm 60% of the ARA The arithmetic mean of all MC. There Midterm controls are carried out in the form

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control (MC) are 5 border controls (4 in obstetrics and
gynecology and 1 in oncogynecology)
of testing and reception of practical skills.
When testing, 50% - in the language of
instruction, 20% - in the second language
(Russian or Kazakh), 30% - in English. In
addition, the solution of situational problems
of CbD.
Scoring is carried out after filling out the
appropriate assessment sheet.
The
assessment
of the
admission
rating
(ARA)
ARA =
(CC*0,4)+(MC*0,6)
If the total score is less than 50% of the
ARA, the student is not allowed to take
the exam
The minimum ARA score for admission to
the exam = 50.
At a lower value, the student is not allowed
to take the exam and re-studies the
discipline in the summer additional semester
on a fee basis.
Assessment
of the final
control
(AFC)
The exam is conducted in 2 stages: stage
I-testing, MCQ tests. II- reception of
practical skills , For distance learning-
solving situational problems of CbD
AFC = arithmetic mean of stages I and
II
The exam is conducted in 2 stages: I stage-
testing, MCQ tests at the end of each
discipline, II-reception of practical skills
during the interim certification, with
distance learning, solving situational tasks
of the CbD.
When testing, 50% of the tests are in the
language of instruction, 20% - in the second
language (Russian or Kazakh), 30% - in
English.
Final score
(FS)
FS =
(ARA*0,6)+(AFC*0,4)
AFC=AFSstep1*0,5+AFCstep2*0,5
AFC=(AFC1* number of credits 1+AFC2*

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number of credits 2+…AFC n* number of
credits n)/ total number of credits
Discipline "Oncogynecology" with the form of final control: Differentiated credit
Type of
control
Specific gravity
estimates
Structure of learning outcomes
assessment
Form of holding
Current
control
(СС)
100% от ОРД
The arithmetic average of current grades
obtained in the classroom and divided by
the number of current grades:
Сurrent control ratings
= n1+n2+n3+n4+ n5/8, where n is the
score for a practical lesson, IWS,
communication skills, practical skills,
etc.
Total current ratings =8, out of them
for practical training =5
for practical skills =1
for communication skills =1
per IWS =1
Classes will be held in the form of case
studies, situational tasks, CBL, reception of
practical skills, assessment of tasks on the
SIW and an explanation of the glossary of
terms on the topic of the lesson in three
languages.
Current estimates are put in the terms
specified in the matrix of summative
assessment of the discipline.
Scoring is carried out when filling out the
appropriate assessment sheets.
Midterm
control
(MC)
РК=100% The final control (difference test) is
40% and includes the 1st assessment of
midterm control.
Total Ratings MC =1
Testing at the last lesson for 2.5 hours (100
test items). Test tasks for midterm control in
the language of instruction - 50%, in the
second language - 20%, in English - 30%.
Scoring is carried out according to the
checklist∕ or automatically.

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The
assessment
of the
admission
rating
(ARA)
ОРД =60% The ARA makes up 60% of grades and
includes current grades for practical
work, practical skills and com. Skills,
independent work of the applicant.
ОРД= ТК= n1+n2+n3+n4+ n5/8
При ОРД менее 50% обучающийся не
допускается к диф.зачету.
Minimum AAR score for admission to the
exam = 50.
At a lower AAR value, the student is not
allowed until the final control and re-studies
the discipline in the summer extra semester,
on a fee basis.
Assessment
of the final
control
(AFC,
differential
score)
40% FC (DS)= MC Testing in the last lesson for 2.5 hours (100
test tasks).
Test tasks for midterm control in the
language of instruction - 50%, in the second
language - 20%, in English - 30%.
Scoring is carried out according to the
checklist∕ or automatically.
If a student receives 0-49 points on the
differential test (grade F), he has the right to
retake during the interim assessment period.
Final score
(FS)
ИО= (ОРД*0,6)+(ОИК*
0,4)
When calculating the final assessment
(FA) for the discipline, the assessment
of the admission rating (AAR) and the
assessment of the final control (AFC)
are multiplied by the corresponding
coefficients and summed.
FA = (AAR *0,6) +( AFC *0,4).
The minimum score of positive FS in the
discipline = 50.

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Formative assessment is not published in an electronic journal and provides constructive feedback on the results of practical
training; direct observation of the student's skills, work in a small group; reflexive review of the material passed; interviewing;
questionnaires, etc.
Summative assessment-submitted to the electronic journal. It is carried out by adding up the results of formative assessment
(essays, tests, analysis of clinical tasks, etc.).
List of practical skills in obstetrics and gynecology
1. Filling in the partogram
2. Active management of the III stage of labor
3. Filling in the gravigram
4. External obstetric examination
5. Early postpartum period. Atonic bleeding
6. Anomaly of labor activity
7. Taking a smear for bacterioscopy
8. Special gynecological examination
Practical skills are taught in the Simulation Center (SC)
1. Mechanism of labor in anterior and posterior occiput presentation
2. Active management of the III stage of labor
3. External obstetric examination
4. Taking a smear for bacterioscopy
5. Special gynecological examination
List of practical skills in oncogynecology
1. Draw up a diagnostic algorithm for managing a patient with oncogynecological pathology;
2. Interpret the data obtained in the course of laboratory and clinical studies in cervical cancer;
3. Interpret the data obtained in the course of laboratory and clinical studies in cancer of the uterine body;
4. Interpret the data obtained during laboratory and clinical studies in breast cancer;
Types of assessed communication skills:

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1) The skill of self-presentation.
Knows how to present himself, present himself from the best side (neatly dressed, neat), speaks beautifully and correctly
expresses his thoughts, knows how to control his body, "language" of gestures
2) Active listening
Talk less, listen more; develops the interlocutor’s thought without interrupting him, pauses to create a trusting contact, connects
non-verbal contacts (eye contact, nodding his head, sincere smile), reports on the perception of himself and his interlocutor
3) Skill to work in team
Knows how to quickly integrate into a team and build relationships, is able to quickly understand the tasks and make decisions,
admits his mistakes and raises team spirit, helps other participants, treats other participants with respect
Literature "Obstetrics and gynecology"
Necessarily:
1.Savelieva G.M., Shalina R.I., Sichinava L.G. and others. Obstetrics: textbook + SD - M., GEOTAR-Media, 2015.
2. Gynecology: textbook + SD / ed. G.M. Savelyeva and others - M., GEOTAR-Media, 2015.
Additional:
3. Obstetrics [Text]: A course of lectures / Edited by A.N.Strizhakov, A.I.Davydov.- Study. village- M.: GEOTAR-MEDIA,
2009.- 456s.1 copy .
4. Emergency conditions in obstetrics [Text]: A guide for doctors / V.N. Serov, G.T. Sukhikh et al. - Moscow: GEOTAR-
MEDIA, 2013. - 784 pp.: silt (Library of a specialist doctor). 20 copies.
5. Obstetrics and gynecology [Text]: edited / A.T. Raisova, R.G. Nurkasymova.- Almaty: Asem-system, 2015.-p.196-2086.
Obstetrics and gynecology [Text]. In 2 books. Book 1. Obstetrics: Textbook / Ed. V.I.Gryshchenko, N.A.Shcherbina.- Kyiv:
VSI "Medicine", 2012.- 416p. 1 copy
7. Obstetrics / E.I. Baranovskaya. - Minsk: Higher School 2014.- 287 p.:ill. 1 copy
8. Practical skills in obstetrics and gynecology [Text] / Kh.N. Nurzhanov, A.M. Sadykov; Ministry of Health of the Republic of
Kazakhstan.- Almaty: AMK, 2014.- 374 pages. 200 copies
9. "Maternity unit" / E.A. Chernukha Guide for doctors. 3rd edition revised, corrected and supplemented - M., "Triada-
X", 2012..

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10. Obstetrics [Text]: Textbook. -7th ed., Rev. and add. / E.K. Ailamazyan.- St. Petersburg: Special Lit., 2010.- 543 pp.: ill. 6
copies
11. Emergency conditions in obstetrics and gynecology [Text] / V. Distler, A. Rin; Per. with him. edited by prof. V.E.Radzinsky.-
Moscow: GEOTAR-MEDIA, 2010.- 416p. 10 copies
12. Obstetrics [Text]: Textbook / Ed. G.M. Savelyeva, R.I. Shalina, L.G. Sichinava, O.B. : ill. 11 copies
13. Guide to outpatient care in obstetrics and gynecology. [Text]: Edited by V.I. Kulakov, V.N. Prilepskaya, V.E. Radzinsky.- M:
GEOTAR-MEDIA, 2010.- 1056p 198 copies
14. Obstetrics and gynecology. Differential diagnosis from A to Z [Text]: Per. from English. / Ed. T. Hollingworth.- Moscow:
GEOTAR-MEDIA, 2010.- 400p. 1 copy
15. Guide to practical exercises: ed / M.V. Dzigua, A.A. Skrebushevskaya; Zhauapty, edited by S.A. Kabyshev., GEOTAR-
MEDIA, 2014.- 312b.: ill. 10 copies
Electronic resources:
Clinical protocols of the Ministry of Health of the Republic of Kazakhstan electronic resources:
https://diseases.medelement.com
https://youtu.be/uQDRwBnfkbw
https://youtu.be/GDl9Uv2-UH8
www.remedium.ru
https://17gdp.by.>document-3453
https://www.7ya.ru/article/Allergiya-i-beremennost/
https://mamapedia.com.ua/ beremennost/oslozhnenia-beremennosti/
https://specialfood.ru/sf-sovety/allergikam/na produkty-u-beremennyx-i-kormyashhix-
grudyu-zdorovoe-pitanie-mam/
https://www.rosmedlid.ru/book/ISBN 9785970433874.html
Literature "Oncogynecology"
Mandatory:
1. Sadykova, T.T. Oncogynecology. Proc. settlement / T.T. Sadykova.- Almaty: AKNUR, 2015

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2. Clinical protocols of the Ministry of Health of the Republic of Kazakhstan https://diseases.medelement.com
Additional
1. Clinical oncology. Abisatov H. Almaty. 2007 Volume 1-2.
http://ood.sko.kz/sites/ood.sko.kz/uploads/docs/biblioteka/abisatov_h_klinicheskaya_onkologiya_t_2.pdf
2. Oncology: [Text]: Textbook / V.G. Cherenkov. - 4th ed. correct and add.- M.: GEOTAR-MEDIA, 2017.- 312 pp.: ill.
Electronic resources:
1. Order of the Ministry of Health of the Republic of Kazakhstan dated August 2, 2013 No. 452. (as amended on December 29,
2018), page 5-22 -https://pharmnews.kz//ru/legislation.php/prikaz-mz-rk--r-dsm-47-ot-29-dekabrya-2018-goda_2626
2. Oncology. Chissov V.I., Davydov M.I., 2017, p. 16-33 https://t.me/medknigi_arhiv/469
List of equipment and / or course software
1. Desktop computer with webcam
2. Notebooks
3. Video lectures
4. Phantoms, dummies
5. Medical instruments
6. Multimedia
7.Platform (dis.kaznmu.kz (MOODLE), ZOOM, Microsoft Teams).
Annex 1
EVALUATION SHEETS FOR "OB/GYNECOLOGY"
Evaluation of test results (current, midterm control)
Full name student ______________________
Number of tasks in the test
form (20 tests)
Point for 1 correct answer
(5b)
Number of correct answers Number of points scored
Maximum score - 100.

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Total points ______________________________
Teacher's signature ______________________
EVALUATION-SHEET for formative evaluation.
Criteria for assessing the oral (written) survey
Full name student _____________________
№ Criteria for evaluation Level
Perfect Acceptable Requires correction Unacceptable
1. The level of understanding of the
topic.
15 12 7 0
2. Ability to think logically 15 12 8 0
3. Correspondence of the presented
material to the questions posed
20 15 10 0
4. The presence in the answer of all
the necessary theoretical facts
10 7 5 0
5. Illustrating the answer with well-
chosen examples
10 7 5 0
6. A culture of speech 10 7 5 0
7. Knowledge of professional
terminology
10 8 5 0
8. Ability to draw informed
conclusions
10 7 5 0
Maximum score - 100.
Total points ______________________________

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Teacher's signature ______________________
EVALUATION-SHEET for formative evaluation.
Evaluation criteria: solution of situational problems
Criteria Levels
4-А (100-90b) 3-В (89-75b) 2-С,D (74-50b) 1-F(0-49b)
The number of
correctly solved
tasks
Maximum-30b
(27-30b)
All tasks were solved
correctly.
(23-26b)
75-89% of problems are
solved correctly, or there are
minor errors in some
problems.
(15-22b)
More than 50%
of the tasks have
been solved
correctly, there are
errors.
(0-14b)
Less than
50% of the
problems were
solved correctly.
Analysis of
the proposed
situation, the
ability to use
theoretical
knowledge
Maximum-40b
(36-40б)
The student gave a deep
analysis of the proposed situation,
managed to apply the knowledge
of theoretical material. In solving
the situational problem, various
actions aimed at the outcome of
the activity were predetermined.
(30-35b)
The student gave a
shallow analysis of the
situation, showed the ability
to apply theoretical
knowledge in solving
problems.
(20-29b)
The student
knows the basic
concepts, but finds
it difficult to
analyze the
proposed situation.
(0-19b)
The student
could not
analyze the
situation, could
not apply
theoretical
knowledge in
solving
problems.
Ability to
answer questions
and draw
conclusions
(18-20b)
The student competently and
logically answered all the
questions, managed to draw the
(5-17b)
The student answered all
the questions, but there were
inaccuracies that the student
(10-14b)
The student
answered more than
50% of the
(0-9b)
The student
answered less
than 50% of the

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Maximum-30b right conclusions was able to correct after
additional questions from the
teacher
questions, there are
errors in the
answers.
questions, while
making blunders
The maximum score is 100 Total points _______________________Teacher's signature ________________
CASE EXECUTION CHECKLIST for formative evaluation
The maximum score is 100
EVALUATION SHEET
№
Criteria for evaluating steps
Score in points Comment
Unacceptable Requires
correction
Acceptable Perfect
1. Made a preliminary diagnosis 0 10 14 16
2. Substantiated a preliminary diagnosis 0 10 14 16
3. Created a survey plan 0 8 10 12
4. Determined (a) diagnostic methods and substantiated the
examination plan.
0 8 10 16
5. Carried out differential diagnosis 0 6 8 10
6. Interpreted laboratory and instrumental research methods 0 6 8 10
7. Defined forms of medical documentation 0 6 8 10
8. Defined and substantiated the tactics of treatment 0 6 8 10
Total points: 0 60 80 100

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Criteria for evaluating a presentation in multimedia format
Full name student ___________________
Excelle
nt
Acc
eptable
Requires
correction
Un
accept
able
1. The presence of a title slide with a title, a presentation plan, a sufficient
number of slides, a list of references and Internet sources.
10 7,5 5 0
2. Compliance of the presentation content with the topic and tasks. 10 7,5 5 0
3. Arrangement of slides in a logical sequence. 10 7,5 5 0
4. The style of presentation of the material (conciseness, clear wording,
structuring)
10 7,5 5 0
5. The use of modern sources of information in sufficient quantity. 10 7,5 5 0
6. The ability to summarize the material, make clear and understandable
conclusions.
10 7,5 5 0
7. The level of orientation in the presentation material. 10 7,5 5 0
8. The ability to report clearly, competently, consistently. 10 7,5 5 0
9. The ability to defend their position and the ability to respond
constructively to criticism.
10 7,5 5 0
1
0.
Slide Design quality (colorfulness, visibility, etc.). 10 7,5 5 0
CHECKLIST
CRITERIA FOR ASSESSING THE STUDENT'S COMMUNICATION SKILLS

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№
Критерий
Level, score Task
Excellent Acceptable Requires
correction
Unacceptable
о
1 2 3
1. Self-presentation skill 15 10 8 0
2. Active listening skill 15 10 8 0
3. Ability to accurately articulate
and convey information
20 12 8 0
4. Skill to work in team 10 8 6 0
5. The skill of showing
complicity and interest in a
partner
20 15 10 0
6. Partner Persuasion Skill 20 15 10 0
Scores 100 70 50 0
EVALUATION OF TESTING RESULTS MIDTERM CONTROL
Number of tasks in the test
form
(50 tests)
Point for I correct answer (2b) Number of correct answers Amount of points scored

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The maximum score is 100.
Total points _____________________________
Signature of the teacher ___________________
EVALUATION SHEET FOR THE EXAMINER FOR CASE DISCUSSION
(CBD)
Full name of the examinee ______________ Group ______Specialty_______
Full name of the examiner_________________________________________
№
Step-by-step instructions actions when execution the skill
Ratingin points
fully
implemented
done with
minor remarks
not fully
completed
not completed
1. Set it up preliminary diagnosis 20 15 10 0
2. Make it up survey plan 20 15 10 0
3. Interpret it results laboratory tests research 20 15 10 0
4. Hold differential function diagnostics 20 15 10 0
5. Set it up clinical diagnosis and treatment define business
tactics
20 15 10 0
Practical skill #1. Filling the partogram
Clinical case: "Management of physiological childbirth by partogram»
Situation: You are the doctor of the maternity unit.

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The maternity hospital received the primipara O., 25 years old at 11.00 hours with a gestation period of 39 weeks 4 days.
Complaints of cramping pain in the lower abdomen in 3-4 minutes for 25-30 seconds during the last 4 hours.
From anamnesis: Pregnancy 1, are coming the first childbirth.
During pregnancy: I, II and III trimesters - without complications.
Objective status: Condition is satisfactory. Skin normal color, clean. Tongue wet. The temperature of 36.6 ºC. Pulse 78 beats.
BP 110/70 mm Hg heart Tones clear, rhythmic. The frequency of respiratory movements 17 in 1 minute. With auscultation of
the lungs, breathing is vesicular, there are no wheezes. The mammary glands are soft, the nipples are clean. Murphy's punch sign
(Pasternacki's sign, or Goldflam's sign) is negative on both sides. No peripheral edema. Stool normal colored, was in the
morning. Urination is free, painless.
Obstetric status: the Uterus is correct, ovoid shape, corresponds to full-term pregnancy. Contractions every 3 minutes for 30
seconds, medium strength. The position of the fetus is longitudinal, the back is on the right; the head lies, pressed against the
entrance to the pelvis. Fetal heartbeat is clear, rhythmic 145 beats per 1 minute.
Vaginal examination: the Vagina of an unborn woman, the cervix is smoothed, the edges are thin, stretchable. Opening of the
cervix at 2 cm, the amniotic sac is intact. The head of the fetus lies, pressed against the entrance to the pelvis.
- Diagnosis
- Tactics of labour management
- Fill out the partogram
The end result (outcomes):
Correctly diagnosed
Defining the delivery plan
Correct filling of the partogram
Evaluation list (check-list)
on clinical case
"Maintenance of physiological childbirth on the partogram»

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№ Step evaluation criteria Score
Perfo
rmed
corre
ctly
Co
mpl
ied
with
the
com
men
ts
Not
perfo
rm
1. The diagnosis is formulated 10,0 5,0 0
2. Justified a birth plan 10,0 5,0 0
3. The partogram reflects information about the patient 10,0 5,0 0
4. The partogram reflects the fetal heartbeat 10,0 5,0 0
5. The partogram reflects information about amniotic fluid 10,0 5,0 0
6. The partogram reflects information about the configuration of the head 10,0 5,0 0
7. The partogram reflects the opening of the cervix 10,0 5,0 0
8. The partogram reflects the lowering of the head into the pelvis 10,0 5,0 0
9. The partogram reflects the number and intensity of contractions in 10 minutes 10,0 5,0 0

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10. The partogram reflects the state of the woman in labor (blood PRESSURE, pulse, body
temperature, physiological functions)
10,0 5,0 0
TOTAL 100 50 0
Max score-100
Standard response in a clinical case
"Maintenance of physiological childbirth on the partogram»
№ Step evaluation criteria The standard answer Unsatisfa
ctorily
Step
evaluation
criteria
The
standard
answer
Unsatisfa
ctorily
1. Diagnosis Pregnancy 39 weeks 4 days. I period of childbirth. 0 4,5 9 10
1.
Communication skills Established initial contact with the patient-greeted,
introduced himself; learned the name of the patient;
during this established the optimal distance. Explained
to the patient the essence of the examination. Received
verbal consent for medical manipulation.
0 0,5 1

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2 Justified a birth plan - Control of the General condition of the woman in
labor, blood PRESSURE, heart rate, diuresis, body
temperature.
0 4,5 9 10
- Monitoring of the
fetus - auscultation
every 30 minutes in
the I period of labor
and after each attempt
in the II period of
labor.
0 0,5 1
3 - Control of the nature
of secretions from the
birth canal.
0 4,5 9 10
- Active management
of the III period of
childbirth.
0 0,5 1

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4 Communication skills The skill of informing and relieving emotional stress 0 4,5 9 10
The partogram reflects
information about the
pregnant woman
Number of pregnancies and births, number of birth
history, date and time of admission to the birth unit.
The time is marked to the left of the line. For ease of
filling write a number multiple of 30 min all symbols
on the partogram are applied to the right of the
specified time
0 0,5 1
5 Communication skills Skill of informing and commenting 0 4,5 9 10
the fetal heartbeat
Fetal heart rate is recorded every half hour (listened to
every 15 minutes) - marked with a dot - •
0 0,5 1
6 Communication skills Skill of informing and commenting 0 4,5 9 10

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information about
amniotic fluid
Amniotic fluid: the color of the amniotic fluid is noted
at each vaginal examination:
0 0,5 1
7 I-amniotic sac intact 0 4,5 9 10
C-amniotic fluid light,
clean
0 0,5 1
8 M-water with
meconium (any color
intensity)
0 4,5 9 10
B-impurity of blood in
waters
0 0,5 1
A-no water / discharge 0 4,5 9 10

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0 0,5 1
10. Communication skills Skill of informing and commenting 0 4,5 9 10
information about the
configuration of the
head
- 0 – there is no configuration 0 0,5 1
Total score: 100
Maximum score-100 points
Of THESE, 90 POINTS (practical clinical skill) and
10 POINTS (communication skills).
Simulation equipment:
1. A sheet with the task, evaluation criteria of steps
2. Partograph
1-phantom of a pregnant woman
Practical skill # 2. Active management of the III stage of labor.
Code the examinee ___________ date of exam ______________________
Examiner _______________________________________________________

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Clinical case: You are the obstetrician of maternity ward. The parous G., 29 years old, had an urgent birth, a live female fetus,
weight 3700,0; height 52 cm.
Task: conduct active maintenance of the 3-stage of labor.
Skill demonstration time: 10 minutes.
SCORE CARD OF THE IMPLEMENTATION OF PRACTICAL SKILL
№ Step-by-step actions
when performing a skill
Unsatisfacto
rily
(not fulfil)
Satisfactorily
(perfor
med
incomplete,
with errors)
Well
(perform
ed in
full)
O
ver
all
sco
re
in
poi
nts
1 Wash hands, wipe with a disposable towel and wear disposable gloves.
After eruption of the anterior shoulder of the fetus, in the upper third of the
thigh, inm to introduce 10 IU of oxytocin (for uterine contraction after birth).
0 4,5 9 10
The skill of informing and relieving emotional stress 0 0,5 1
2 The birth of the placenta with the help of controlled traction for the umbilical
cord occurs not earlier than 1 minute after the birth of the child. Put a clamp
on the umbilical cord closer to the perineum.
0 4,5 9
10
3 Holding the umbilical cord clamp in one hand in a slightly taut state, position
the other hand directly over the womb to stabilize the uterus-hold the uterus by
pulling it away from the womb during a controlled pull on the umbilical cord
(helps to avoid uterine eversion).
0 4,5 9
10

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Skill of commenting and informing 0 0,5 1
4 After waiting for a strong contraction of the uterus (usually 2-3 minutes) or
lengthening of the umbilical cord carefully, gently carry out traction for the
umbilical cord on itself down, for 30-40 seconds, exerting constant counter-
pressure on the uterus.
0 4,5 9 10
5 If the afterbirth is not born during the first bout, loosen the tension. Keep the
umbilical cord taut and wait for the next contraction of the uterus. During the
next contraction of the uterus, repeat the controlled pulling of the umbilical
cord, with simultaneous countertraction of the uterus in the opposite direction.
0 4,5 9 10
6 At birth, the afterbirth is held with both hands, gently turning it, until the full
birth of the fetal membranes. Immediately after the birth of the afterbirth,
conduct a gentle massage of the uterus through the anterior abdominal wall,
until the uterus contracts.
0 4,5 9 10
7 To inspect the placenta: placenta spread out on a square tray, with the surface
up. Carefully examine the entire placenta: one lobule after another, the lobules
should fit tightly to each other. Examine the edges of the placenta.
0 4,5 9 10
8 Inspection of the fruit surface-to raise the umbilical cord, hands to straighten
and determine the presence of all the shells and the place of its rupture.
0 4,5 9 10
9 To assess the General state of the maternity hospital, pulse, blood
PRESSURE.
* Determine the amount of blood loss:
0 4,5 9 10

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* Visual method (error 30%);
* Gravimetric method (error 15%);
 * Measuring by capacity (measuring flask, tray with applied calibration).
The skill of informing, receiving feedback about the patient's condition 0 0,5 1
10 Remove gloves, discard in container for disposal. Wash hands and wipe with a
disposable towel. All the data obtained should be recorded in the history of
childbirth, if necessary, write a direction for histological examination of the
afterbirth.
0 4,5 9 10
Summary skills, farewell to the patient. 0 0,5 1
The maximum score is 100 points.
Of these, 90 points (practical clinical skill) and
10 points (communication skills).
1. dummy, the placenta with the umbilical cord
2. liquid soap
3. disposable towel and gloves
4. oxytocin 10 UNITS and syringe 2.0 g, needle
5. sterile swabs
6. an antiseptic solution
7. clamp, tweezers
8. gauze napkin
9. square tray, tray
10. recycling container

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PRACTICAL SKILL # 3. GRAVIDOGRAM
CODE THE EXAMINEE ___________ DATE OF EXAM ______________________
EXAMINER _______________________________________________________
Clinical case: Pregnant A., 20 years old is on the dispensary account in the women's clinic from 11-12 weeks of pregnancy. This
pregnancy-1 occurs against a background of moderate anemia.
FH data:
24 weeks gestation-24cm
Task:
1. Fill out the gravidogram
2. Interpretation of the gravidogram
№ Task Баллы
Неудовлетворительно
(не выполнил)
Удовлетворительно
(выполнил не
полно, с ошибками)
Хорошо
(выполнил
в полном
объёме
1 Based on the FH data fill in the gravidogram 0 4,5 9 10
2 Interpretation of the gravidogram 0 4,5 9 10
3 According to the result of the gravidogram, determine 0 4,5 9 10

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the duration of pregnancy
The skill of informing, receiving feedback about the
condition of the pregnant woman
0 0,5 1
4 Determine the further tactics of the pregnant woman 0 4,5 9 10
Summarizing skills, farewell to the patient 0 0,5 1
Total 0 20 40 40
Of these, 20 points (practical clinical skill) and
20 points (communication skills).
PRACTICAL SKILL # 4. EXTERNAL OBSTETRIC EXAMINATION
Examiner ____________________________________________________
Clinical case: You are an obstetrician-gynecologist of women's consultation. To you on the next inspection came pregnant T. 23
years. No complaints.
Task: spend pregnant external obstetric study, with a demonstration of communication skills.
SCORECARD OF THE IMPLEMENTATION OF PRACTICAL SKILL
Unsatisf
actorily
(not
fulfil)
Satisfacto
rily
(performe
d
incomplet
e, with
Well
(performe
d in full)
Overal
l score
in
points

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errors)
1 Wash hands, wipe with a disposable towel. Wear disposable gloves. 0 4,5 9 10
Established initial contact with the patient-greeted, introduced himself; learned the
name of the patient; during this established the optimal distance. Explained to the
patient the essence of the examination. Received verbal consent for medical
manipulation.
0 0,5 1
2 Pregnant lay on the couch, lying on his back, legs slightly bent in the hip and knee
joints to relax the abdominal muscles. The examiner faces the patient, to her right.
0 4,5 9 10
The skill of informing about the position of the patient's body and the skill of checking
the patient's understanding (feedback)
0 0,5 1
3 Measurement of abdominal circumference (AC) are holding a measuring tape: place the
tape on the back of the level of the mid - lumbar region, the front to the navel.
0 4,5 9 10
4 Measuring the fundal height (FH): one end of the centimeter tape should be placed to
the upper edge of the symphysis and pressed with the right hand, and with the left hand
pull the tape over the front surface of the abdomen, to the bottom of the uterus.
0 4,5 9 10
5 First maneuver: Fundal grip- determining the level of standing of the bottom of the
uterus and a large part of the fetus, located in the bottom of the uterus. The hands are
located at the bottom of the uterus and sink deep, determining the level of the bottom
0 4,5 9 10

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standing, as well as the part of the fetus located at the bottom of the uterus.
6 Second maneuver: Umbilical grip -definition of a back and small parts of a fetus, a
position, a type. The palms of both hands from the bottom of the uterus move down to
the level of the navel, placing on the lateral surfaces of the uterus, alternately right and
left hand palpation of the fetus, reveal the relationship of the back and small parts of
the fetus to the walls of the uterus, determine the position, position and type of the
fetus.
0 4,5 9 10
7 Third maneuver: the Pawlik's Grip-determination of the prepubescent part of the fetus.
The right hand is located above the womb so that the thumb is on the right, and the
other four-to the left of the midline of the uterus. The fingers slowly sink into the
depths and capture the predlezhuyuschuyu.
0 4,5 9 10
8 Listen to the fetal heartbeat depending on the position: in the first position, the fetal
heartbeat is heard from the left below the navel, in the second position-from the right
below the navel. Normally 110-160 beats per minute.
0 4,5 9 10
9 On the basis of the obtained data of CA and FH, it is necessary to calculate the
estimated weight of the fetus and make a conclusion.
0 4,5 9 10

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10 Remove gloves, discard in container for disposal. Wash hands and wipe with a
disposable towel.
To make a conclusion on the basis of the obtained data on the position, position and
type of the fetus, the ratio of the prostrate part to the entrance to the pelvis.
Inform the patient of the results of the study.
0 4,5 9 10
The skill of summarizing, receiving feedback about the patient's condition; farewell to
the patient.
0 0,5 1
1. liquid soap
2. disposable gloves
3. disposable towel
4. dummy
5. centimeter tape
6. obstetric stethoscope

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Practical skill # 5
Early postpartum period. Atonic bleeding
Code the examinee ___________ date of exam ____________________
Examiner __________________________________________________
Clinical case: the woman in Labor K. 29 years, after the birth of the front shoulder of the child in / m introduced 10 UNITS of
oxytocin.
Anamnesis of the disease: 30 minutes after the birth of the child, the afterbirth with all the lobules and shells independently
separated and stood out. The uterus is dense, at the level of the navel. The total blood loss is 250 ml. After 30 minutes, when
examined, the bottom of the uterus is 2 finger above the navel, flabby, 250 ml of blood was released during the massage and
continues.
Anamnesis life: Menstruation with 13 years, established immediately, on 4-5 days, through 28 days, moderate, painless,
regular. Sex life with 20 years. Delivery - 4 at full-term pregnancy, delivery without complications. Abortions-1, without
complications. This pregnancy VI.
Objectively: the State of moderate severity. The skin and visible mucous membranes are pale. Height 165 cm, weight 72 kg.
In the lungs vesicular breathing, wheezing no. The heart tones are clear, rhythmic. Blood PRESSURE 90/55 mmHg. heart rate
102 per minute, rhythmic, satisfactory filling. The abdomen is soft, painless. The liver and spleen are not enlarged. The symptom
of beating is negative on two sides. The uterus is soft on palpation, 2 finger above the navel. From the genital tract spotting up to
550 ml and continues.
Speculum examination: cervix, vaginal mucosa and perineum intact.
Task:
1. Поставьте диагноз.
2. Определите объем кровопотери.
3. Проведите расчет ИМТ.
4. Перечислите необходимые лабораторные исследования.
5. Перечислите пошаговую терапию при ПРК.
6. Проведите беседу о значении витамина К при атоническом кровотечении

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SCORECARD OF THE IMPLEMENTATION OF PRACTICAL SKILL
№
Step evaluation criteria
Score
Unsatisfactorily
(not fulfil)
Satisfactorily
(performed
incomplete, with
errors)
Well
(performed in
full)
1. Put the diagnosis: Early postpartum period. Atonic
bleeding. Multipara.
0 4 8
Showed skill self-presentation, hygiene hands, explained
pregnant the crux of the research.
0 1 2
3. BMI calculation (weight in kg / height in m2) 0 5 13
Skill of commenting and informing 1 2
4. Determined the amount of blood loss:
o Visual method (error 30%);
o Gravimetric method (error 15%);
o o measuring by measuring vessel (measuring
flask, tray with calibration applied).
0 5 13
Skill of commenting and informing 0 2 2
5. Laboratory research:
blood test. Coagulogram. Blood clotting time.
Determination of blood group by the ABO system.
Determination of blood RH factor.
0 5 13

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6. Began to provide assistance
STEP 1-priority measures to combat PPH.
- assessed the state and hemodynamic parameters of the
maternity hospital every 5-10 minutes (blood PRESSURE,
pulse, temperature, respiratory rate, diuresis) with
mandatory documentation in the history of labor;
* mobilization of personnel: experienced obstetrician-
gynecologist, second midwife, anesthesiologist, anesthetist,
laboratory assistant;
· catheterization and emptying of the bladder;
* catheterization of 2 peripheral veins with catheters No.
14-16: one vein for oxytocin infusion by jet; the second
vein - for taking blood for tests (Hb, Ht, platelets,
coagulation time, coagulogram, compatibility with blood
products) and subsequent infusion of crystalloids at a rate of
1000,0 ml (20 ml / kg) for 15 minutes in a ratio of 3: 1 to
the volume of blood loss;
* warming women: blanket, change wet clothes to dry;
· the supply of humidified oxygen;
* determination of blood loss every 5-10 minutes;
* order 2 doses of packed red blood cells and plasma;
STEP 2-Etiotropic treatment:
* external uterine massage;
* uterotonics;
0 5 13

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• bimanual compression of the uterus;
* balloon tamponade of the uterus;
* surgical hemostasis.
STEP 3 - methods of temporary stop bleeding.
Compression of the abdominal aorta
STEP 4 - Laparotomy, stage-by-stage surgical
hemostasis: B * Lynch, O*Leary, hysterectomy.
7. Listed preventive measures in PRK: active management of
3 periods of labor (introduction OF 10% oxytocin / m,
controlled traction for the umbilical cord, uterine massage).
0 5 13
8. Interpretation of blood group results 0 4 13
Total points: 0 50 100
Of these, 90 points (practical clinical skill) and10 points (communication skills).
Practical skill #6. Anomaly of labor activity
Examiner _______________________________________________________

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Clinical case: re-pregnant, primiparous 20 years to be in the delivery room from 00 h 00 min. in childbirth 08 hours 00
minutes, tired. Contractions every 5-6 minutes for 25-30 seconds, weak strength, moderately painful. Amniotic fluid intact. Fetal
heartbeat is clear, rhythmic, 136 beats per minute.
In anamnesis: pregnancy-3, forthcoming childbirth-1, honey. abortion-2.
Vaginal examination: the cervix is smoothed, the opening of the uterine throat 4-5 cm, the edges of medium thickness, little
pliable. The fetal bladder is intact. The head of the fetus lies, pressed against the entrance to the pelvis. Swept seam in the right
oblique size of the pelvis, small Fontanelle on the left front.
Laboratory data: blood test, hemoglobin-95 g / l, red blood cells-3,5 10*12/l, white blood cells-10010*12/l, platelets-355
thousand.
Task:
1. Diagnosis
2. Drawing up a delivery plan
3. Filling and interpretation of the partogram
4. Tactics of management of the woman in labor
5. Interpretation of CTG in childbirth
6. Interpretation of analyses
7. Prevention of bleeding in the III stage of labor
8. Justification of the final diagnosis
Unsatisfa
ctorily
(not
Satisfacto
rily
(performe
Well
(perform
ed in
Overall
score in
points

Revision: 1
Page 49 of 76
fulfil) d
incomplet
e, with
errors)
full)
1 Put the diagnosis: the first stage of labor. Primary weakness of labor activity.
Burdened obstetric history.
0 5.0 9 10
The skill of informing and the skill of checking the understanding of the student 0 1.25 1
2. Preparation of the plan of childbirth (amniotomy, in the absence of regular labor, to
begin rhodostimulation with oxytocin according to the generally accepted scheme).
0 5.0 10 15
The skill of informing and obtaining the written consent of the woman in labor 0 1.25 5
3. Filling and interpretation of the partogram 0 5.0 9 10
Skill awareness and skill check for understanding, filling partogram. 0 1.25 1
4. Interpretation of CTG in childbirth 0 5.0 9 10
The skill of commenting and informing and obtaining the written consent of the
pregnant woman.
0 1.25 1
5. Further tactics of management of the woman in labor (in the absence of regular labor
activity on the background of rodostimulation, to solve the question of operative
delivery).
0 5.0 17 20

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Skill of commenting and understanding 0 1.25 3
6. Interpretation of analyses, (to determine the degree of anemia). 0 5.0 9 10
Skill information (treatment). 0 1.25 1
7. Prevention of bleeding in the 3rd period of labor (active management of the 3rd
period of labor).
0 5.0 10 15
Practical skill 0 1.25 5
8. Justified the final diagnosis 0 5.0 9 10
The skill of summarizing, receiving feedback about the patient's condition; farewell
to the patient.
0 1.25 1
PRACTICAL SKILL # 7. TAKING A SMEAR ON BACTERIOSCOPY
Examiner _______________________________________________________
Clinical case: You are an obstetrician-gynecologist of women's consultation. To you on reception came woman 20 years.

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Complaints: profuse discharge from the genital tract after menstruation.
Task: show the technique of taking a smear on bacterioscopy, with a demonstration of communication skills.
SCORECARD OF PRACTICAL SKILL PERFORMANCE
Unsatisfa
ctorily
(not
fulfil)
Satisfacto
rily
(performe
d
incomplet
e, with
errors)
Well
(perform
ed in
full)
Overall
score in
points
1 Lay the patient on the gynecological chair on a pre-laid disposable diaper. 0 4,5 9 10
Established initial contact with the patient-greeted, introduced himself; learned the
name of the patient; during this established the optimal distance. Explained to the
patient the essence of the examination. Received verbal consent for medical
manipulation. The skill of informing about the position of the patient's body.
0 0,5 1
2 After thoroughly washing hands in accordance with the rule, wear sterile rubber
gloves on both hands. Smear on bacterioscopy should be taken from 3 points:
urethra, cervix, vagina.
0 4,5 9 10
Skill of informing and skill of check of understanding by the patient (feedback) 0 0,5 1

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3 Examine the external genitals. Pay attention to the type of hair, large and small labia
and perineum. I and II fingers of the left hand to dissolve the labia, examine the
clitoris, urethra, excretory ducts of the large glands of the vestibule of the vagina.
0 4,5 9 10
The ability to remove emotional stress, to use the words of compassionate support. 0 0,5 1
4 Urethral smear: with the index finger of the right hand inserted into the vagina,
gently massage the back wall of the urethra. The first portion of the discharge from
the urethra to remove a cotton swab.
0 4,5 9 10
Skill commenting and informing 0 0,5 1
5 After that, enter the urethra spoon volkman (to a depth of no more than 1.5-2 cm),
take the allocation and applied to the slide in the form of a circle.
0 4,5 9 10
Ability to inform and relieve emotional stress 0 0,5 1
6 Then perform the speculum examination of the cervix. To do this, spread the labia
with the fingers of the left hand, then with the right hand enter the Cusco speculum
into the closed state, observing the rule of introducing the mirror sideways. After
full insertion of the mirror, it is rotated and set to the correct position. Open the sash
to expose the cervix.
0 4,5 9 10
Ability to inform and relieve emotional stress 0 0,5 1
7 Smear from the cervix: the vaginal part of the cervix is wiped with a cotton swab,
then a Volkmann spoon is taken from the cervical canal (light scraping) and applied
to the slide in the form of a horizontal line.
0 4,5 9 10

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8 Smear from the posterior vaginal vault: using a spatula, take a smear from the
posterior vault and apply to the slide in the form of a smear.
0 4,5 9 10
9 then close the speculum and gently withdraw from the vagina. Speculum and other
used tools should be lowered into a container with a disinfectant solution. Allow the
patient to stand.
0 4,5 9 10
10 Remove gloves, discard in a recycling container, wash hands and wipe with a
disposable towel.
0 4,5 9 10
On the basis of the received data to make the conclusion. Inform the patient of the
results of the study.
0 0,5 1
1.liquid soap
2.disposable gloves and towel

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3.gynecological chair
4.spatula
5.slide
6.Volkmann spoons-2
7.Korting
8.dummy
9.sterile cotton swabs
11. gynecological Cusco speculum
PRACTICAL SKILL № 8 SPECIAL GYNECOLOGICAL EXAMINATION
Code the examinee ___________ date of exam _______________________
Examiner __________________________________________________
Clinical case: You are an obstetrician-gynecologist of women's consultation. A woman of 27 years came to you for a preventive
examination. No complaints.
Task: spend the patient a special gynecological examination with a demonstration of communication skills.
SCORECARD OF PRACTICAL SKILL PERFORMANCE
Unsatisfact
orily
(not fulfil)
Satisfactorily
(performed
incomplete,
Well
(performed
in full)
Unsatisfact
orily
(not fulfil)

Revision: 1
Page 55 of 76
with errors)
1 Lay the patient on a gynecological chair, on a pre-laid disposable diaper.
After thoroughly washing your hands in accordance with the rules, wear
sterile rubber gloves on both hands.
0 4,5 9 10
Established initial contact with the patient-greeted, introduced himself;
learned the name of the patient; during this established the optimal
distance. Explained to the patient the essence of the examination. Received
verbal consent for medical manipulation.
0 0,5 1
2 Start with the examination of the external genitals. Pay attention to the
type of hair, the labia majora and minora, the clitoris, the excretory ducts
of the large glands of the vestibule of the vagina and the perineum.
0 4,5 9 10
The skill of informing about the position of the patient's body and the skill
of checking the patient's understanding (feedback)
0 0,5 1
3 Speculum examination: Part the labia using your left hand. Gently insert
the speculum with your right hand. Fully insert the speculum with the
screw facing sideways and the blades vertical. Rotate 90 degrees during
insertion so the screw faces downwards and the blades become horizontal.
Slowly open the blades and inspect the cervix. Tighten the screw to hold
open the speculum.
0 4,5 9 10
Skill to relieve emotional tension, used the words empathic support. 0 0,5 1

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4 Pay attention to the color of the vaginal mucosa and cervix, the presence or
absence of pathological changes in the cervix, the nature of the discharge.
0 4,5 9 10
5 Bimanual examination: dilute the labia I and II with the fingers of the left
hand. Enter the III finger of the right hand into the vagina and pressing on
the perineum, enter the II finger, the thumb is taken up, IV and V-pressed
to the palm.
0 4,5 9 10
Skill to relieve emotional tension, used the words empathic support. 0 0,5 1
6 Assess the condition of the vagina: capacity, folding, extensibility of the
walls, the state of the pelvic floor muscles. To explore the vaginal vault
(the roof, flattening).
0 4,5 9 10
7 To assess the condition of the vaginal portion of the cervix (position,
shape, length, consistency, mobility and tenderness, the state of the
external os, patency of the cervical canal).
0 4,5 9 10
8 II and III fingers of the right hand to place in the anterior fornix of the
vagina. Place the left hand over the womb. Make palpation of the uterus:
determine its position, size, shape, consistency, tenderness, surface,
mobility.
0 4,5 9 10

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9 Move the fingers of the inner hand to the right lateral fornix of the vagina,
simultaneously move the outer hand to the corresponding iliac region, then
palpate the uterine appendages. Similar actions are repeated on the left.
0 4,5 9 10
10 Remove gloves, discard in container for disposal. Wash hands and wipe
with a disposable towel. On the basis of the received data to make the
conclusion. Inform the patient of the results of the study.
0 4,5 9 10
The skill of summarizing, receiving feedback about the patient's condition;
farewell to the patient.
0 0,5 1
1. liquid soap
2. disposable gloves, towel
3. gynecological chair
4. dummy
6. Cusco speculum
Evaluation sheet (check-list) of the practical skill "Biomechanism of labor in anterior and posterior occiput presentation"

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"Biomechanism of childbirth in anterior occiput presentation"
Examiner code ___________ Exam date ______________________
Examiner _______________________________________________
№ Criteria for evaluating steps Score in points
Done
correctly
Done
with
remarks
Didn't
do
it
1.
The first moment is the flexion of the head (head f / exion a small fontanelle is turned to the left
and anteriorly, to the womb (first position) or to the right and anteriorly, to the womb (second
position). The bending of the head occurs in such a way that it passes through the plane of entry
and the wide part of the cavity of the small pelvis with its small oblique size (9.5 cm). The
leading point is a small fontanel.
20,0 10,0 0
2.
The second point is the internal rotation of the head. An arrow-shaped seam of oblique or
transverse dimensions makes a turn of 45 ° or 90 °, so that the small fontanel is in front of the
womb, and the large one is behind the sacrum. Internal rotation occurs when passing through the
plane of the narrow part of the small pelvis and ends in the plane of the exit of the small pelvis,
when the sagittal suture is set in a straight size.
20,0 10,0 0
3.
The third point is further (maximum) flexion of the head. When the head fits with the
suboccipital fossa (point of fixation) under the lower edge of the pubic articulation, it is fixed.
Under the influence of birth forces, the fetal head makes extension, and the birth of the fetal head
occurs.
20,0 10,0 0

Revision: 1
Page 59 of 76
4. The fifth moment is the external rotation of the head, the internal rotation of the shoulders. 20,0 10,0 0
5.
After the birth of the shoulders, the rest of the body, due to the good preparedness of the birth
canal by the born head, is easily released. The head of a fetus born in an anterior occiput
presentation has a dolichocephalic shape due to the configuration and birth tumor
20,0 10,0 0
1. liquid soap
3. disposable towel
4. female pelvic phantom
5. neonatal phantom
7. antiseptic solution
8. disposal container

Revision: 1
Page 60 of 76
"Biomechanism of labor in posterior occiput presentation"
Examiner code ___________ Exam date ______________________
Examiner _______________________________________________
№
Score in points
Done
correctly
Done
with
remarks
Didn't
do
it
1.
The first moment is the flexion of the head (head f / exion the small fontanelle is turned to the left
and backwards, towards the sacrum (first position) or to the right and backwards, towards the
sacrum (second position). The bending of the head occurs in such a way that it passes through the
plane of entry and the wide part of the cavity of the small pelvis with its average oblique size (10.5
cm). The leading point is the point on the swept seam, located closer to the large fontanel.
20,0 10,0 0
2.
The second point is an internal incorrect turn of the head. An arrow-shaped seam of oblique or
transverse dimensions makes a turn of 45 ° or 90 °, so that the small fontanelle is behind the
sacrum, and the large fontanel is in front of the womb. Internal rotation occurs when passing
through the plane of the narrow part of the small pelvis and ends in the plane of the exit of the
small pelvis, when the sagittal suture is set in a straight size.
20,0 10,0 0
3. The third moment is further (maximum) flexion of the head. When the head approaches the border
of the hairy part of the forehead (point of fixation) under the lower edge of the pubic articulation,
20,0 10,0 0

Revision: 1
Page 61 of 76
it is fixed, and the head makes a further maximum flexion, as a result of which its occiput is born
to the suboccipital fossa.
4.
The fourth moment is the extension of the head. A fulcrum (anterior surface of the coccyx) and a
fixation point (suboccipital fossa) were formed. Under the influence of generic forces, the head of
the fetus makes an extension, and from under the womb appears first the forehead, and then the
face facing the bosom. In the future, the biomechanism of childbirth occurs in the same way as in
the anterior form of the occipital presentation.
15,0 10,0 0
5. The fifth moment is the external rotation of the head, the internal rotation of the shoulders. 15,0 5,0 0
6.
After the birth of the shoulders, the rest of the body, due to the better preparedness of the birth
canal by the born head, is easily released. The head of a fetus born in the posterior occipital
presentation has a sharp dolichocephalic shape due to the configuration and the birth tumor
10,0 5,0 0
1. liquid soap
3. disposable towel
4. female pelvic phantom
5. neonatal phantom
7. antiseptic solution

Revision: 1
Page 62 of 76
EVALUATION SHEET of the practical skill "Palpation of the breast"
Full name examinee:____________ Group:_____ specialty: _______
Full name examiner ________________________________________________
№
п/п
Criteria for evaluating steps Grades in points
Done not fully completed not done
1 He examined and palpated the mammary glands: their degree
of development, symmetry, shape, condition of the skin and
areola, their color, vascular pattern;
20 10 0
2 He asked to raise his hands and described the local status in a
standing position: he palpated all quadrants from the center to
the periphery;
20 10 0
3 He described the local status in the prone position: surface,
consistency, soreness of the mammary glands, when squeezed
- there is no discharge from the nipple.
20 10 0
4 He performed palpation with a relaxed shoulder girdle and
described the state of regional lymph nodes (axillary,
subclavian, supraclavicular, parasternal - not enlarged).
20 10 0
5 Interpreted the data of examination and palpation, made a
conclusion.
20 10 0

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Page 63 of 76
The time allotted for the task is 10 minutes.
1. liquid soap
3. disposable towel
4. breast phantom
Приложение 2
EVALUATION SHEETS ON "ONCOGYNECOLOGY" EVALUATION CRITERIA FOR ORAL SURVEY f
or formative evaluation.
Full name student ________________________________________________
Excellent Acceptable Needs
correction
Unacceptable
1. The level of understanding of the topic. 15 12 7 0
2. Ability to think logically 15 12 8 0
3. Correspondence of the material presented to the
questions posed
20 15 10 0
4. The presence in the answer of all the necessary
theoretical facts
10 7 5 0
5. Demonstrated unique knowledge from additional
literature sources
10 7 5 0
6. A culture of speech 10 7 5 0
7. Proficiency in professional terminology 10 8 5 0

Revision: 1
Page 64 of 76
8. Ability to draw sound conclusions 10 7 5 0
Points received
The maximum score is 100.
Total points ______________ Teacher's signature _____________________________________
CASE EXECUTION CHECKLIST for formative evaluation
Maximum score - 100
EVALUATION SHEETS
№
Score in points Comment
Unacceptable Needs
correction
AcceptableExcellent
1. Made a preliminary diagnosis 0 10 14 16
2. Substantiated a preliminary diagnosis 0 10 14 16
3. Compiled an examination plan 0 8 10 12
4. Interpreted laboratory and instrumental studies 0 8 10 16
5. Interpreted the data of oncomarkers 0 6 8 10
6. Conducted differential diagnostics 0 6 8 10
7. Determined the clinical group 0 6 8 10
8. Defined forms of medical documentation 0 6 8 10

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EVALUATION CRITERIA FOR CASE DISCUSSION for formative evaluation
Full name student ______________
№ Criteria for evaluation
Level
Excellent Good Satisfactory No
response
1. Conducted differential diagnosis with
analysis of pathological data
25 20 15 0
2. Defined the clinical group 25 20 15 0
3. Identified diagnostic methods and
substantiated the examination plan.
25 20 15 0
4. Correctly substantiated the clinical diagnosis 25 20 15 0
Total
Total points __________________________ Teacher's signature ________________
EVALUATION SHEETS
EVALUATION CRITERIA GLOSSARY for formative evaluation.
Full name student ______________
№ Criteria Level Сlasses №
correction
Unacceptable 1 2 3 4 5
1 The principle of
selecting terms on a
topic
20 15 10 0

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2 Description of terms 20 15 10 0
3 The correctness of
the translation into
Kazakh / Russian
20 15 10 0
4 The correctness of
the translation into
English language
20 15 10 0
5 Glossary design and
quality
20 15 10 0
Points earned
Maximum score – 100
SKILL ASSESSMENT SHEET
Interpreting Clinical Laboratory Studies
Full name student ______________________________
№ Criteria for evaluation Level Сlasses №
correction
Unacceptable 1 2 3 4
1 Correctly assessed study data. 20 15 10 0
2 Analyzed (s) and compared (s) with
indicators of the reference limits
20 15 10
0
3 The ability to think logically,
analyze, gave (a) examples.
20 15 10
0

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4 Proficiency in professional
terminology
20 15 10
0
5 Issued a correct conclusion with
recommendations
20 15 10
0
Полученные баллы
Maximum score – 100
CHECK-LIST CRITERIA FOR ASSESSING STUDENT COMMUNICATION SKILLS
checking homework (video "Doctor - patient - collection of complaints and anamnesis for making a preliminary
diagnosis") Duration no more than 15 minutes
The role of the doctor
№
Criteria Action
Level, score in points
correction
Unacceptab
le
1. Presentation Skill Greeted the patient 3 2 1 0
Introduced himself 3 2 1 0
Getting to know the patient 3 2 1 0
Names his role and purpose
of the procedure
3 2 1 0
Permission to question the
patient
3 2 1 0
2. Collection of complaints
and anamnesis of the
"What are you complaining
about?" "What would you
5 3 2 0

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