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PICTURE TEST OSCE IN
OBSTETRICS AND
GYNAECOLOGY
DROKECHUKWUA.UGWU
DRUGS THAT CAUSE ELEVATED PLASMA
PROLACTIN
• a. Methyldopa T
• b. Dopamine. F
• c. Reserpine T
• d. Cimetidine T
• e. Nifedipine F
11/11/2017 2Okechukwu Ugwu
ASSISTED BREECH DELIVERY
• Mauriceau-Smellie-Veit
maneuver can be used T
• Ritigen maneuver is used T
• Burnsmarshal maneuver is
used T
• Pippers forceps is used T
• Rubin maneuver is used F
11/11/2017 3Okechukwu Ugwu
Amniocentesis- indications
• Detection of congenital fetal
infection T
• Determination of fetal age T
• Diagnosis of PROM. T
• Cytogenetic analysis T
• Detection of fetal
distress T
11/11/2017 4Okechukwu Ugwu
Intra-abdominal pressure at 15mmHg prior
to trocar insertion F
Palmer’s point used in cases of peritonitis. F
Most gynaecologists use the Hasson’s
technique. F
Risk of bowel injury at 15 in 10000 T.
30ᴼ is generally preferred. F
11/11/2017 5Okechukwu Ugwu
ESSURE
Permanent T
. Inserted laparoscopically F
. Consists of nickel, polyester, titanium and
stainless steel. T
. Induces lysis of the tubes. F
. HSG should be done after 6 weeks. F
11/11/2017 6Okechukwu Ugwu
. Occurs in 8% of monochorionic twins F
. Progression in Quintero staging is stepwise.
F
. Discordant gender. F
. May be detected as early as 1st trimester. T
. It’s a cause of maternal respiratory
embarrassment. T
11/11/2017 7Okechukwu Ugwu
Primary mode of action is prevention of
fertilization. T
. No-touch technique mandatory in insertion
T
. Expulsion rate of 5% T
. Uterine perforation in 0.8% F
. Asymptomatic women should be screened
for STI before insertion. F
11/11/2017 8Okechukwu Ugwu
. Gram-positive diplococci F
. Incubation period of about 21 days in
women. F
. Tenosynovitis is uncommon T
. Sensitivity of endocervical microscopy is
poor. T
. Recommended treatment is parenteral
Ceftriaxone and parenteral Azithromycin. F
11/11/2017 9Okechukwu Ugwu
Up to 50% of normal women will develop
this condition in their lifetime. T
. Balden-Half system used in classification F
Use of oestrogen cream to treat or prevent
this condition is supported by evidence.
F
Shelf pessary useful in sexually active
women. F
Round ligament is useful in reinforcement. F
11/11/2017 10Okechukwu Ugwu
. Bitemporal diameter-8.5cm T
. Biparietal diameter-9.5cm T
. Bregma is synonymous with posterior
fontanelle F
. Occipitofrontal >submentobregmatic T
. Sinciput-root of the nose. F
11/11/2017 11Okechukwu Ugwu
. Useful in diagnosis of Klinefelter syndrome
F
. Useful in single gene disorders T
. Can be used to modify maternal age-related
risk for trisomies T
. Detects Downs syndrome in about 75% of
cases T
. Prenatal screening risk of >1:350 is
considered positive. F
11/11/2017 12Okechukwu Ugwu
. Early oral intake is considered safe. T
. Shaving does reduce infection F
. Use of a new knife on the uterus associated
with lower infection rate. F
. Uterine exteriorization should be
performed F
. When midline incision is used, mass closure
is preferred to layered closure. T
11/11/2017 13Okechukwu Ugwu
. Increased risk of sleep apnea T
Sibutramine has a role in management T
First line in inducing ovulation is metformin F
Metformin has a risk for triplet of 1% F
Adjuvant growth hormone increase efficacy
of metformin. F
11/11/2017 14Okechukwu Ugwu

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Picture test IN OBSTETRICS AND GYNAECOLOGY

  • 1. PICTURE TEST OSCE IN OBSTETRICS AND GYNAECOLOGY DROKECHUKWUA.UGWU
  • 2. DRUGS THAT CAUSE ELEVATED PLASMA PROLACTIN • a. Methyldopa T • b. Dopamine. F • c. Reserpine T • d. Cimetidine T • e. Nifedipine F 11/11/2017 2Okechukwu Ugwu
  • 3. ASSISTED BREECH DELIVERY • Mauriceau-Smellie-Veit maneuver can be used T • Ritigen maneuver is used T • Burnsmarshal maneuver is used T • Pippers forceps is used T • Rubin maneuver is used F 11/11/2017 3Okechukwu Ugwu
  • 4. Amniocentesis- indications • Detection of congenital fetal infection T • Determination of fetal age T • Diagnosis of PROM. T • Cytogenetic analysis T • Detection of fetal distress T 11/11/2017 4Okechukwu Ugwu
  • 5. Intra-abdominal pressure at 15mmHg prior to trocar insertion F Palmer’s point used in cases of peritonitis. F Most gynaecologists use the Hasson’s technique. F Risk of bowel injury at 15 in 10000 T. 30ᴼ is generally preferred. F 11/11/2017 5Okechukwu Ugwu
  • 6. ESSURE Permanent T . Inserted laparoscopically F . Consists of nickel, polyester, titanium and stainless steel. T . Induces lysis of the tubes. F . HSG should be done after 6 weeks. F 11/11/2017 6Okechukwu Ugwu
  • 7. . Occurs in 8% of monochorionic twins F . Progression in Quintero staging is stepwise. F . Discordant gender. F . May be detected as early as 1st trimester. T . It’s a cause of maternal respiratory embarrassment. T 11/11/2017 7Okechukwu Ugwu
  • 8. Primary mode of action is prevention of fertilization. T . No-touch technique mandatory in insertion T . Expulsion rate of 5% T . Uterine perforation in 0.8% F . Asymptomatic women should be screened for STI before insertion. F 11/11/2017 8Okechukwu Ugwu
  • 9. . Gram-positive diplococci F . Incubation period of about 21 days in women. F . Tenosynovitis is uncommon T . Sensitivity of endocervical microscopy is poor. T . Recommended treatment is parenteral Ceftriaxone and parenteral Azithromycin. F 11/11/2017 9Okechukwu Ugwu
  • 10. Up to 50% of normal women will develop this condition in their lifetime. T . Balden-Half system used in classification F Use of oestrogen cream to treat or prevent this condition is supported by evidence. F Shelf pessary useful in sexually active women. F Round ligament is useful in reinforcement. F 11/11/2017 10Okechukwu Ugwu
  • 11. . Bitemporal diameter-8.5cm T . Biparietal diameter-9.5cm T . Bregma is synonymous with posterior fontanelle F . Occipitofrontal >submentobregmatic T . Sinciput-root of the nose. F 11/11/2017 11Okechukwu Ugwu
  • 12. . Useful in diagnosis of Klinefelter syndrome F . Useful in single gene disorders T . Can be used to modify maternal age-related risk for trisomies T . Detects Downs syndrome in about 75% of cases T . Prenatal screening risk of >1:350 is considered positive. F 11/11/2017 12Okechukwu Ugwu
  • 13. . Early oral intake is considered safe. T . Shaving does reduce infection F . Use of a new knife on the uterus associated with lower infection rate. F . Uterine exteriorization should be performed F . When midline incision is used, mass closure is preferred to layered closure. T 11/11/2017 13Okechukwu Ugwu
  • 14. . Increased risk of sleep apnea T Sibutramine has a role in management T First line in inducing ovulation is metformin F Metformin has a risk for triplet of 1% F Adjuvant growth hormone increase efficacy of metformin. F 11/11/2017 14Okechukwu Ugwu

Hinweis der Redaktion

  1. AMNIOTIC FLUID Creatinine 1.3 – 4.0 mg/dl Fetal age
  2. BALDEN WALKER
  3. GLABELLA
  4. NUCHAL TRANSLUCENCY