ALL ABOUT OBGYN OSCE
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Important Topics to Cover for Exam
Gestational Diabetes Miletus (GDM) & Diabetes Miletus in
pregnancy:
- Definition of each & risk factors.
- Common & specific congenital anomalies.
- Complication (maternal & fetal).
- Causes of delayed lung maturity, macrosomia & ketoacidosis in pregnancy.
- Diagnostic & screening test , when is it done?
- Management (Antepartum, Intrapartum & postpartum) for each : GDM,
Pregnant with diabetes or uncontrolled diabetes.
Pre-eclampsia & Hypertension in pregnancy:
- Definitions of each type. (mild/severe pre-eclampsia, eclampsia, chronic
HTN)
- Clinical presentations (symptoms & Pathophysiology of them)
- Examination findings.
- Risk factors
- How to diagnose? INVESTIGATIONS
- Monitoring during pregnancy.
- Complications (fetal & maternal).
- How to manage (drugs, attacks).
Antepartum hemorrhage & Postpartum hemorrhage:
APH:
- DDX.
- Definitions.
- Risk factors.
- Symptoms to differentiate b/w different types.
- Monitoring & Investigations .
- Complications
- Management.
PPH:
- Definition.
- Causes (4T's)
- Risk factors.
- Complication.
- Management for each cause.
3
Bleeding in early pregnancy:
- Definition.
- DDX.
Abortions:
- Definition.
- Types & clinical presentation.
- How to differentiate b/w different types.
- Common causes in 1ST & early 2ND trimester.
- Investigations & management .
- Complications.
- Recurrent abortions (definition, causes & management)
Ectopic pregnancy:
- Definition.
- Clinical presentation.
- Causes & risk factors.
- Investigations & Complications.
- Management medical & surgical.
Molar pregnancy:
- Definitions & types.
- Clinical presentation.
- Causes & risk factors.
- Investigations , evaluation & for how long.
- Prognosis (bad benign, malignant, metastasis)
- Managemnet.
Multiple pregnancy:
- Types.
- Risk factors.
- Physiological changes.
- Complications (maternal & fetal)
- Presentations & mode of delivery.
- Management.
Malpresentation:
- Types & definitions.
- Risk factors.
- How to confirm diagnosis.
- Assessment & follow up.
- Complications
- Management (Antepartum & intrapartum)& mode of delivery.
4
Cervical incompetence:
- Definitions.
- Clinical presentation.
- Causes & risk factors.
- Complications.
- Management & evaluation.
Down's syndrome, Turner's syndrome.
- Karyotyping or chromosomal abnormality.
- Investigations.
- Antepartum procedures to confirm diagnosis.
- Features.
- Management.
Preterm labor (PTL):
- Definition.
- Clinical presentation.
- Causes & risk factors.
- Assessments & management.
- Tocolytic therapy (types, indications & contraindications)
- Complications, prognosis.
PROM & PPROM:
- Definitions.
- Causes & risk factors.
- Clinical presentation.
- Complications.
- Assessment & management.
SVD & Instrumental deliveries:
- Definition of labor.
- Evaluations of labor (symptoms & signs)
- False labor, failure to progress & how to manage that.
- Complication (antepartum, intrapartum, postpartum)
- Indications & contraindications.
- Prerequisites.
- Assessment of mother & fetal.
- Puerperium (in details).
5
C-section:
- Definition.
- Types.
- Indications (emergency, absolute, relative).
- Contraindications.
- Complications in first 5 days Postoperative (orderly).
- Follow up postoperatively in the first 3 days.
IUGR & IUFD:
- Definition.
- Causes & risk factors.
- Types, how to differentiate b/w them.
- Investigations.
- Complications.
- Management.
Polyhydromnios:
- Definition.
- Causes & risk factors.
- Clinical presentation.
- Complications.
- Management.
Induction of Labor:
- Indications & contraindications.
- Bishop score (evaluation of labor).
- Prerequisites.
- Methods of inductions.
- Difference b/w induction & augmentation.
- Assessment (maternal & fetal).
- Complications & management.
UTI:
- Causes.
- Risk factors.
- Complications during pregnancy.
- Investigations.
- Management.
- Pyelonephritis (symptoms, complications & treatment)
6
Infertility:
- Definitions.
- Causes & risk factors.
- History of the husband & wife.
- Investigations.
- Management.
PID & Endometriosis:
- Definition.
- Causes & risk factors.
- Clinical presentation.
- Investigations.
- Complications.
- Management.
Abnormal Uterine Bleeding:
- Types & Definitions.
- Causes & risk factors.
- Clinical presentation.
- DDX.
- Investigations.
- Complications.
- Management.
Contraception:
- Types.
- Mechanism of action.
- Indications & Contraindications.
- Effectiveness & Failure rate.
- Complications.
Fibroids:
- Definition.
- Causes & Risk factors.
- Clinical presentation.
- Relation to menstrual cycle & pregnancy.
- Types, degeneration.
- Complications.
- Management & Rx.
7
Menopause:
- Definition.
- Clinical presentation & associated symptoms.
- Complications.
- Types of medications used.
Ovarian masses:
- DDx (in pregnancy, no pregnancy, at any age).
- Clinical presentations.
- Evaluation & investigation.
- Complication.
- Management.
Carcinomas:
- Types, grades & stages.
- Relation to pregnancy, Nulliparity & menstrual cycle.
- Risk factors.
- Clinical presentation.
- Evaluation & investigations.
- Complication.
- Management & prognosis.
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