4.OBSTETRICS&GYNECOLOGY REVISION-4

OSCE-REVESION
PART-4
OSAMA M WARDA MD
Prof. of Obstetrics & Gynecology
Mansoura University

1-What is the name of this examination?
2-What is the patient position for this examination?
3- How can you describe the findings in this photo ? 2
Obstetrics & Gynecology Dept MUH

1. What this image show
2. What is the degree of this condition
3. Name 3 risk factors
4. What is the differential diagnosis of this case
3

4
Name the 3 levels of support
of the pelvic organs, prventing
them from prolapse?
Fascial supports of the pelvic organs. Level 1 support
is provided by the uterosacral ligaments, suspending
the uterus and attached vaginal vault. Level 2
(midvagina) support is provided by the fascia lying
between the vagina and the bladder or rectum that
fuses laterally and runs to attach on the pelvic side
wall. Level 3 support is provided by the perineal body,
which has the posterior vaginal fascia fused to its
upper surface.

5
A B
C D
NAME THE POP IN EACH :A, B, C, D
A=Cystocele
B=urethrocele
C= rectocele
D= enterocele

6
Name the 2
abnormalities in this
photo? (A), (B)
B
A

7
1.Name the pop type in this
photo
2.What is its stage according to
POP-Q staging
3.What is the surgical treatment?

8
1.What is this instrument? What are its uses?
2.What is this patient’s position? What is its purpose?

9
This patient had this POP
5 years following TAH
1.Name the condition?
2.What is its stage
according to POP-Q
system?
3.Give 2 options for
surgical management?

10

11

12
Aa
-3
Ba
-3
C
-5
gh
2
Pb
3
tvl
6
Ap
-3
Bp
-3
D
-6
1. What is your diagnosis?
2. How to manage?

13
Aa
+2
Ba
+3
C
+5
gh
3
Pb
2
tvl
2
Ap
+3
Bp
+4
D
-
What is your diagnosis? Explain how
did you reach it?

1- What this photo show
2- What is the risk factors for this
condition
3- What is signs of malignancy in this case
14

15
• What is the name of this operation
• What is the indication
• Name 2 diagnostic test for this condition to be treated by this operation
• Name 3 different types for this condition

1. Describe what you see in the photo
2. What is the types of this condition
3. What is the most probable type of this condition as photo
illustrate
4. How to diagnose it clinically
16

Obstetrics & Gynecology Dept MUH 17
1 Describe what you see in the photo ?
2 What is the different types of this condition?
3What is the type of this condition as photo illustrate
4. How to diagnose it clinically?

1- Mention 3other methods to treat fibroids?
2-Name 3 contraindication myomectomy?
3- Name 2 complications of myomectomy?
Myomectomy-open
Laparoscopic myomectomy
18

1. What is the name of this operation
2. What is the indication.
3. What is the contraindication
4. Name 2 complications 19

1. Comment on this laparoscopic photo?
2. What is type of the lesion?
3. What is the best management of such a lesion?
20

1. What this photo show? 3 rules while performing?
2. What is the pathology in this photo
3. Name 3 clincal presention for this condition
4. Name 2 investigation
21

1 Describe what you see in this photo?
2 Name another 2 investigation to confirm the diagnosis ?
3 What is the differential diagnosis name 3
22

1What is the name of this operation
2.What are types of this operation
3. give 3 gynecological indication & 3 complications

1. What is the name of this test?
2. What is the indication ?
3. Name 2 precaution before the test
4. Name 2 disadvantage for this test
24

25
1. Describe what the procedure done in photo ?
2. What is the indication of this examination?
3. 4.What is the finding in A and B
A B

1-What is the type of this
uterine anomaly?
2- What is the cause of this
anomaly?
3- What is the commonest
clinical presentation?

1. What this photo shows ?
2. What is the cause of this
anomaly
3. What is the possible
complication of this
condition ?

A patient with throbbing pain and swelling in the right side of the vulva
1.What is your diagnosis in (A) ?
2.What is the surgical treatment illustrated in (B)
A B

29
1.What is shown in these photos? . Name 2 differential diagnosis
for this condition?
2. Name 3 predisposing factor, Mention two complications?
3. Mention2 lines of treatments

30
1. What this photo shows?
2. What is the site of this complication as the photo show3.
3 - What is the position of this uterus?
4.How to diagnose and how to manage?

1. What is the procedure shown in photo? Name 2 indications?
2. Name 2 abnormal finding in (B)?
3. How to manage this pathology?
A B

A B
C
D
A
1.Identify each photo A,B,C,D
2.Coss match each organism with the
corresponding pathology

Copious grey-white
vaginal discharge,
offensive in odour
associated with
itching and burning
micturation
1.What is the diagnosis?
2.Mention 4 risk factors?
3.Most common organism found on culture?
4.Treatment?

34
Name
A,
B,
C
?
A B C

35
1-Identify the pathology photo-A? What is B shows?
2-What is the presentation of this patient?
3-Mention 2 investigations (other than B) for diagnosis?
5-What is the best treatment if condition is bilateral?
A B

36
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?

1. Name of this operation?
2. What is the indication?
3. Name 2 complications?
4. Name 2 contraindications?

38
1 .Pathology that image-A shows ?
2. Three causes of this condition ?
3 How to confirm the presence of this lesion?
4-What is the treatment as image- B shows
A
B

A patient with chronic pelvic pain and
infertility, laparoscopy revealed this photo;
1 .What is the provisional diagnosis?
2What is the commonest organism
responsible for lesion?
3What is the specific medical therapy
for this condition?

40
1 Name the type of this intrauterine contraceptive device?
2 List 3 contraindications to the use of this form of contraception?
3 Name 2 complications?
4 Name 3 non contraceptive benefits for this method?

41
1. What this photo show?
2. What is the responsible hormone?
3. Name 3 possible causes?
4. How would you treat it?

42
1 .What is the name of this lesions (arrows)?
2.What is the commenst clinical presentation name 3 ?
3 .What are the common sites in pelvis this lesion occurs name 3?
4-Name 2 diagnostic tests and 2 surgical lines for treatment?

A 19-year- old girl presents with 1ry
amenorrhea . She is 141cm. Breast is
tanner 4, pubic & axillary hair are
normal. Other features as in photo:
1.What is the most likely diagnosis
3.Request for ONE hormone assay?
4)What is her uterus looks like on US?
5)What is her gonads looks like on US?
6)Most conclusive investigation?

44
1-What is the type of this lesion in A ,and B
2-What is the commonest presentation?
3 Name 2 complications?
4 What is best line of treatment in A ,and in B
A
B

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)
bladder
vagina
uterus
rectum

Thanks for
attention
46

4.OBSTETRICS&GYNECOLOGY REVISION-4

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