This document contains multiple choice questions testing knowledge about various obstetrics and gynecology instruments and procedures. It addresses topics like risk factors for ureteric injury during surgery, features that help identify delayed ureteric injury, appropriate use of forceps, and choices concerning intrapartum monitoring and uterine incisions during cesarean delivery. The document is authored by Dr. Okechukwu A. Ugwu and contains over 60 questions in a similar format.

1. OSCE Picture test in
Obstetrics and Gynaecology
Dr.OkechukwuA.Ugwu

2. . About this instrument
a) It can be used for hindwater
rupture of membrane F
b) Its use is associated with cord
prolapse T
c) Its use is associated with foetal
injury T
d) It can cause uterine
hyperstimulation F
e) Its use is contraindicated in
retroviral positive patients F
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3. Prevention of ureteric injury
1. Generous surgical exposure T
2. Meticulous surgical technique
T
3. IdentifIcation of Risk factors T
4. Ureteric stenting T
5. Pre operative IVU not
necessary F
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4. About this instrument
a) It is a high cavity forceps F
b) It is a non-rotational forceps
and so can be used in the
correction of asynclitism F
c) It has a sliding lock T
d) The cervix should be at least
8cm dilated for its use F
e) It causes more maternal injury
compared to the vacuum
extractor T
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5. Concerning this
a) It is a permanent measure of
management F
b) Pregnancy is a
contraindication F
c) It should be changed every 6
months F
d) It can be complicated by
vaginal infection T
e) If it fails, surgery is indicated T
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6. About the condition depicted below
a) It is common in postmenopausal
women F
b) Cystic degeneration usually
precedes hyaline degeneration F
c) The intraligamentary form can
cause polycythaemia T
d) GnRH antagonists are useful in
its management T
e) Iron deficiency anaemia
secondary to chronic blood loss
is an indication for surgical
management. **T
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7. Features of delayed ureteric injury
Prolonged ileus T
Watery vaginal discharge T
Prolonged high output from drains
T
Fever/sepsis. T
Persistent flank/ abdominal pain T
Flank mass T
Elevated creatinine or BUN T
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8. About the Instrument
1. They are indicated in maternal
exhaustion. -T
2. Bladder must be empty but the
catheter bulb need not deflated-F
3. Associated with more maternal
worries about the baby compared to
Vacuum. -F
4. Associated with lower APGAR scores
compared to vacuum.-F
5. Ideal traction of 30-45 lb.-T
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9. 6. Cervarix offers protection-F
7. May contain oncogenic subtypes of
HPV-T
8. Contraception is mandatory while
using podophyllin-T
9. Neonatal laryngeal papilomatosis is a
recognized potential problem.-T
10. Histology is necessary for diagnosis-
F
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10. Concerning this instrument,
a. It is used in fistula repair T
b. Cusco’s speculum can be used in
its place F
c. Its use requires one assistant T
d. Its use requires more than one
assistant F
e. Autoclaving is contraindicated F
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11. About this instrument
a) A tourniquet can be used in its
place. T
b) It is useful in vaginal
hysterectomy F
c) It is used in clamping the isthmus
of the fallopian tubes F
d) It helps reduce blood loss during
surgery T
e) It can be left in place for at least
2 hours F
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12. Concerning the use of this instrument:
a. It is used to reduce the
bisacromial diameter and allow for
vaginal delivery F
b. Cervix need not be fully
dilated in experienced hands T
c.It is employed in the commonest
type of destructive surgery. T
d. Continuous bladder drainage
is essential after its use T
e. At least 2/5th of the fetal
head must have gone into the
maternal pelvis if its use is
indicated F
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13. Concerning the picture shown and
intrapartum monitoring
a. The duration between two vertical
lines on a partograph is half hour. T
b. In the primigravida, the cervix
dilates at a rate of at least 1 cm/hr
in the active phase T
c. The alert line is parallel and 4hours
to the right of the action line F
d. Vaginal examination is done four
hourly. T
e. Plastic Pinnard stethoscope is better
than the metallic one in monitoring
fetal heart rate. T
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14. Concerning the picture shown
a.Birth weight of 1400gram is an
indication for Caeserian delivery. T
b. Engagement of the presenting
part in the pelvis is not a
contraindication for external cephalic
version. F
c.High parity is a predisposing factor T
d. Lovset manouvre is used to
deliver the head F
e. Kielland’s forceps can be used in the
delivery of the aftercoming head F
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15. Concerning uterine incisions during
Caesarean delivery
a. A is associated with less likelihood of
adhesion formation to bowel or
omentum T
b. A is more commonly used than B T
c. B allows for easy entry into the uterus
when there is fibroid in the lower
segment T
d. B is associated with less likelihood of
subsequent uterine rupture during
pregnancy F
e. A is indicated in the presence of
carcinoma of the cervix F
A
B
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16. Multiple gestation
a. Cleavage of zygote on day 9 after
fertilization produces the picture
shown F
b. The intertwin membrane is made
up of 2 layers of amnion with no
chorionic layer F
c. Inheritance as autosomal recessive
trait is recognised F
d. There is a risk of twin to twin
transfusion F
e. Caeserian delivery is indicated if the
presentation of the first twin is
vertex and the second twin non-
vertex F
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17. Concerning this picture
a. This is a complication of external
cephalic version T
b. Coagulation failure is a
complication T
c. Foetal parts will be easily
outlined on palpation.F
d. The uterus will have a hard
wooden consistency on palpation
T
e. Caeserian section should be
performed if the fetus is dead on
presentation. F
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18. 11. Used by 2% of Nigerian women.-T
12. Failure rate of ideal use is 2%.-F
13. Use associated with deep vein
thrombosis but not myocardial
infarction in obese women.-F
14. Increased risk of rheumatoid
arthritis.-F
15. Risk of Stroke is increased in women
with migraine but lower in those with
aura.-F
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19. 16. Outer ring needs to be held prior to
penetration.-T
17. Can be noisy and cumbersome-T
18. More likely to rupture than male
condom.-F
19. Contains spermicide-F
20. Failure rate of 5% with ideal use.-T
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20. 21. Sensitivity of 96%-F
22. Liquid based type make diagnosis of
HPV and Chlamydia possible-T
23. Abnormality found in 10% of all
samples-T
24. False negative result may be up to
70%-F
25. Nationwide programme has reduced
incidence of Ca. Cervix by 95%-F
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21. 26. This is a Karman syringe- F
27. Volume of syringe is 50cc- F 60CC
28. 5-10mm cannula for 9-12weeks-F
29. Provides sunction pressure of about
640mmHg-T
30. Can be used for menstrual
regulation.-T
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22. 31. Size and rate of growth influenced
by sexual stimulation.- T
32. N. gonorrhoeae and Chlamydia
Trachomatis are most often isolated in
the abscesses-F -E.coli
33. Word Catheter has a role in
management.-T
34. Silver Nitrate ablation may be used
in treatment. -T
35. Biopsy is mandatory in patients
under 40years-F
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23. 36. Postdatism and malpresentation
may be complication-T
37. Oligohydramnios often associated-F
38. Defect results from malformation
around day 35 of embryonic life.-F 25
39. Late neonatal death is common.-F
EARLY
40. Folic acid supplementation may
reduce incidence.-T
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24. 41. Monoclonal in origin-T
42. Red degeneration is the commonest
form of degeneration-F
43. Only submucous type has been
shown to be linked with infertility-F
44. Uterine artery embolization not
recommended for women who wish to
preserve fertility. -T
45. Recurrence after myomectomy is
about 20%.-F 10-15
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25. 46. About 80% of patients are above
55years –F 65
47. Commonest site is labia minor-F
48. Two-thirds occur in women with
Lichen sclerosis-T
49. 4-8% of squamous cell type linked
with Paget disease.-F <1%
50. Stage 3 has 5-year survival rate of
about 75%.-T
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26. 51. Bilateral in about 25%-F
52. Stroma ovarii if parathyroid tissue is
demonstrated.-F
53. Immature variant accounts for 20%
of all ovarian malignancy in females less
than 20 years-T
54. Immature variant are commonly
bilateral-F
55. Squamous cell carcinoma is the
most common histology of malignant
transformation in mature variant.-T
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27. 56. Flexion point is 3cm from anterior
fontanelle-F
57. Negative pressure of 600mmHg is
recommended-T
58. Use associated with increase risk of
shoulder dystocia-T
59. Retinal haemorrhage commoner in
forceps than in this instrument.-F
60. May be used during Caesarean
section.-T
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