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DR: Manal Behery
Faculty of medicine ,Zagazig University
2014
OSCE Student Exam
In Obstetrics &Gynecology
OSCE Exam SaturdayOSCE Exam Saturday
OSCE performance?
•‫الشرائج‬ ‫جميع‬ ‫في‬ ‫اللول‬ ‫السؤال‬
‫مشترك‬
•‫للنموذج‬ B ,‫وللنموذج‬ R
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 ?
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 ?
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
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
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
GYNECOLOGY
Gynecology
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 ?
•
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
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)
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
*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
OSCE exam SundayOSCE exam Sunday
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
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
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
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
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
GYNECOLOGY
Gynecology
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
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
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
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
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 ?
OSCE exam MondayOSCE exam Monday
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
• 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
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
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
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
GYNECOLOGY
Gynecology
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
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
• 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).
• 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
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
OSCE exam TuesdayOSCE exam Tuesday
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
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
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
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
• 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
GYNECOLOGY
Gynecology
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
• 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
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
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
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
OSCE exam WednesdayOSCE exam Wednesday
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
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
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
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
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
GYNECOLOGY
Gynecology
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
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
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
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
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
OSCE student exam in Obstetrics &Gynecology Zagazig University 2014

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OSCE student exam in Obstetrics &Gynecology Zagazig University 2014

  • 1. DR: Manal Behery Faculty of medicine ,Zagazig University 2014 OSCE Student Exam In Obstetrics &Gynecology
  • 2. OSCE Exam SaturdayOSCE Exam Saturday
  • 4. •‫الشرائج‬ ‫جميع‬ ‫في‬ ‫اللول‬ ‫السؤال‬ ‫مشترك‬ •‫للنموذج‬ B ,‫وللنموذج‬ R
  • 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. 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. 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. 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. 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
  • 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. 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. 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. 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. *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. OSCE exam SundayOSCE exam Sunday
  • 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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. OSCE exam MondayOSCE exam Monday
  • 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. • 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. 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. 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. 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
  • 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. 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. • 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. • 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. 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. OSCE exam TuesdayOSCE exam Tuesday
  • 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. 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. 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. 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. • 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
  • 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. • 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. 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. 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. 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. OSCE exam WednesdayOSCE exam Wednesday
  • 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. 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. 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. 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. 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
  • 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. 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. 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. 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. 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