This document contains a series of questions related to obstetrics and gynecology. It addresses topics like labor complications (shoulder dystocia, abnormal fetal lie), imaging findings (placental abnormalities, engagement/position of fetal head), surgical procedures (cervical cerclage, recurrent cesarean section), and labor patterns. Each section presents 1-4 multiple choice or short answer questions about the name, definition, risk factors, management, or differential diagnosis of a particular OB/GYN topic. The document is intended as a study aid for an OSCE (objective structured clinical examination) in obstetrics and gynecology.

1. OSCE REVISION
PART(2)
OSAMA M WARDA MD
Prof. of Obstetrics & Gynecology
Mansoura University-EGYPT

2. 1. What this image show
2. What is the cause of this condition
3. How to avoid this complication
4. How to suspect this complication antenatally
OBS.& GYN. Dept Mansoura University Hospitals
2

3. 1-What is the name of maneuver
2-Give 2 indications, 2 prerequisites,, 2 precautions?
3-Name 2 complications
OBS.& GYN. Dept Mansoura University Hospitals
3

4. 1.Name the maneuver?
2.What is the indication?
3.Give 2 precautions?
OBS.& GYN. Dept Mansoura University Hospitals
4

5. 1.Name the maneuver?
2.What is the indication?
3.Give 2 precautions?
OBS.& GYN. Dept Mansoura University Hospitals
5

6. urethra
cervix
Fetal right shoukder &
arm
1.Name the maneuver?
2.What is the indication?
3.Give 2 complications?
OBS.& GYN. Dept Mansoura University Hospitals
6

7. 1-Describe what you see in image.
3 What is the common site in uterus for this
complication to occur.
4 Name 2 common causes for this condition in labor
OBS.& GYN. Dept Mansoura University Hospitals
7

8. A B
Regarding the picture:
1.Which is more common to
occur during labor?
2.Which is more favourable
prognosis? Give reasons?
OBS.& GYN. Dept Mansoura University Hospitals
8

9. 1. What is the name of this
condition?
2. How to diagnose name 2 ?
3. What is the differntial
diagnosis name 2 ?
OBS.& GYN. Dept Mansoura University Hospitals
9

10. 1. What this photo shows ?
2. What is the name of diameter
(red arrow) ?
3. Give 3 risk factor for this
condition.
4. Name 2 maneuver to solve this
problem
OBS.& GYN. Dept Mansoura University Hospitals
10

11. 1. What this US image show ?
2. What is the type of choronicity & amniocity?
3. Name 3 complication
OBS.& GYN. Dept Mansoura University Hospitals
11

12. 1. What is the name of this maneuver?
2. Briefly define how does it work
3. Name 2 alternative maneuvers
Suprapubic pressure
dislodging the anterior
shoulder
MANAGEMENT OF SHOULDER DYSTOCHIA
OBS.& GYN. Dept Mansoura University Hospitals
12

13. 1. What is the name of this maneuver?
2. Briefly define how does it work
3. Common complication
OBS.& GYN. Dept Mansoura University Hospitals
1. Wood’s screw
2. Humeral fracture
MANAGEMENT OF SHOULDER DYSTOCHIA 13

14. This is a case of
shoulder dystocia
1. What is the name of this maneuver?
2. Briefly define how does it work
3. Name 2 alternative maneuvers
OBS.& GYN. Dept Mansoura University Hospitals
14

15. MANAGEMENT OF SHOULDER DYSTOCHIA
1. What is the name of this maneuver?
2. Briefly define how does it work
3. Name 2 alternative maneuvers
McRoberts Position
OBS.& GYN. Dept Mansoura University Hospitals
15

16. MANAGEMENT OF SHOULDER DYSTOCHIA
OBS.& GYN. Dept Mansoura University Hospitals
16

17. OBS.& GYN. Dept Mansoura University Hospitals
17

18. 1. What is the name of this manouver ?
2. What is the aim of this maneuver
3. How to avoid perineal laceration in labor – name 2 ?
OBS.& GYN. Dept Mansoura University Hospitals
18
Ritgen’s maneuver
Prevent anal sphincter tear

19. 1. What This Photo Show?
2. How to diagnose direction of
fetal back by PV examination ?
3. What is the best line to manage
this condition ?
OBS.& GYN. Dept Mansoura University Hospitals
19

20. 1 What this photo show?
2 What is the type of this incision ?
3 Give 3 indication for recurrent operation
4 Name 4 complication 2 intra operative ,2 post operative
OBS.& GYN. Dept Mansoura University Hospitals
20

21. 1 What image A and B show
2 Which type has a better prognosis and why?
A
21
A B
OBS.& GYN. Dept Mansoura University Hospitals

22. 1-Name of this maneuver?
2 -What is the examiner’s hand assessing?
3-What are the possible results?
OBS.& GYN. Dept Mansoura University Hospitals
22

23. 1-What is the placental abnormality in photo A
2- Describe the placental abnormality in photo B
3- Name 2 complication for these abnormalities
A
B
23
OBS.& GYN. Dept Mansoura University Hospitals

24. 1. What photo A show ?What is the significance of this maneuver?
2. What photo B show ?What is the significance of this maneuver?
3. When maneuverB is considered inaccurate?
A B
OBS.& GYN. Dept Mansoura University Hospitals
24

25. OBS.& GYN. Dept Mansoura University Hospitals
25
1-What is the name of pelvic outlet diameter in photo A
2- What Is The Significance Of This Test? What isThom’s dictum?
3- According to photo B is this diameter normal or not
Thom’s dictum: bituberous+ post. Sagital = 15cm or more & bituberous is 8cm or more=vaginal delivery
A B

26. 1. What is the name of this malpresention ?
2. What is the diameter of engagment in this case?
3. What is the movement by which head is delivered?
OBS.& GYN. Dept Mansoura University Hospitals
26

27. 1. What is the presentation of
these twins?
2. What is the safest mode of
delivery
3. How you manage if 1st twin
delivered vaginally and 2nd
twin retained
OBS.& GYN. Dept Mansoura University Hospitals
27

28. 1. Describe what you see in photo A
2. What is the name and aim of this maneuver
3. What you see in photo B,
4. What is the risk if maneuver A is not done
OBS.& GYN. Dept Mansoura University Hospitals
28
A
B

29. 1-What THIS photo show?
2-What does this manouver detect?
OBS.& GYN. Dept Mansoura University Hospitals
29

30. 1. Is fetal head engaged or not?
2. What is the station the photo show?
3. What is the position of fetal head?
4. Name 3 causes for non engagement of head in prior to labor?
OBS.& GYN. Dept Mansoura University Hospitals
30

31. 1- What is the attitude of fetal head in A,B ,and C
2-What is the presenting part of fetal head in A ,B, and C?
3- What is the denominator in A,B, and C?
OBS.& GYN. Dept Mansoura University Hospitals
31
A B C

32. 1-What this photo show ?
2-What is the name of this instrument
3-What is the advantage of using this instrument
4-Name one alternative method to deliver the head
OBS.& GYN. Dept Mansoura University Hospitals
32

33. 1-What is the degree of pernieal laceration in photo A
2-What is the degree of pernieal laceration in photo B
3-How to prevent perneal laceration in labor? name 2
OBS.& GYN. Dept Mansoura University Hospitals
33
A B

34. OBS.& GYN. Dept Mansoura University Hospitals
34
1. Name 2 diagnostictest for this condition (A)
2. What is the complication seen in photo (B)
3. Name 4 clinical signs for this complication
A
B

35. OBS.& GYN. Dept Mansoura University Hospitals
35
1. What photo A and B show
2. Give 2 complication for this condition
3. Name 3 indication for CS in this condition
4. Give 3 differential diagnosis of APH?
A
B

36. OBS.& GYN. Dept Mansoura University Hospitals
36
1. What is the diameter passing through vulval ring (red arrow)?
2. what is meant by crowning ?
3. What is the expected next movement of the fetal head?
OCCIPUT

37. OBS.& GYN. Dept Mansoura University Hospitals
37
1. What this photo show? ,Which is more common A or B?
2. How many chorion ,amnion in photo A & How many chorion ,amnion in B?
3. Name 3 complication for this condition

38. OBS.& GYN. Dept Mansoura University Hospitals
38
1. Describe the changes in cervix in photos from left to right?
2. What is the cause of cervical effacement
3. What cause cervical dilation name 2
4. In primigravida which cervical change occurs first?

39. OBS.& GYN. Dept Mansoura University Hospitals
39
1. What this image shows
2. What is the 3 main
item of this graph ?
3. What is the cause of C.S
as The Graph show?
CX dil blot x, head descent blot 0

40. OBS.& GYN. Dept Mansoura University Hospitals
40
B
A
C
D
NAME THE PATTERNS (B), (C ),AND (D)?
A= NORMAL
B= SECONDARY ARREST
C= PRIMARY DYSFUNCTION
D= PROLONGED LATENT
PHASE

41. OBS.& GYN. Dept Mansoura University Hospitals
41

42. OBS.& GYN. Dept Mansoura University Hospitals
42
A B
C
1. What is the name of these 3cardinal movement of labor ?
2. What is the cause of B
3. What is the cause of C

43. OBS.& GYN. Dept Mansoura University Hospitals
43
1.What is the preferred mode of
delivery:
2. Pre-requisits after delivery of
the first twin?
3.Mention 2 complications of
labor?

44. OBS.& GYN. Dept Mansoura University Hospitals
44
1. What is the preferred mode of
delivery? Why?
2. Pre-requisits after delivery of the
first twin?
3. Mention 2 complications postpartum?

45. ◦THAKYOU FOR ATTENDANCE ,
WAITING FORYOU IN “OSCE
REVISION” PARTS 3 & 4
45
OBS/GYN Dept. Mansoura University Hospitals