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Obstetrics and gynaecology picture test osce 2

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picture test OSCE with DR ADEGBENGA AJEPE

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Obstetrics and gynaecology picture test osce 2

  1. 1. OBSTETRICS AND GYNAECOLOGYPICTURE TEST OSCE 2 Dr Okechukwu A. Ugwu 11/11/17 1Okechukwu A. Ugwu
  2. 2. Question 1 – The Instrument shown a. Is used in cutting stitches during Surgery F b. Is used for Cleidectomy F c. Use to separate the rectus sheath during laparatomy F d. Is required before forceps delivery. T e. Is required for Caesarean section. F11/11/17 2Okechukwu A. Ugwu
  3. 3. Question 2: This equipment: a. Can be used to prepare instruments for Caesarean section T b. Can be used to prepare instruments for Manual Vacuum Aspiration F c. Can be used to prepare instruments for Laparoscopy F d. Can be used to prepare instruments for examining a patient with VVF T e. Can be used to sterilize the HysteroscopeF11/11/17 3Okechukwu A. Ugwu
  4. 4. Question 3 – Look at the instrument on display a. It utilizes the fibre-optic system of light transmission. T b. Hysterectomy is one of the indications for its use. F c. One of the complications of its use is sub-arachnoid haematoma. F d. When insufflating prior to its use, a manometer system is used to determine the amount of gas needed. T e. Myomectomy with fibroids reaching slightly below the umbilicus is a common indication. F 11/11/17 4Okechukwu A. Ugwu
  5. 5. Question 4: The instrument on display is commonly used in obstetric practice; a. Will detect fetal heart decelerations. F*** b. Is used every 15 minutes in 2nd stage of labour. F c. Is more effective in polyhydramnios. F d. Outcome of labour is similar for intermittent auscultation and continuous electronic fetal monitoring. F e. Is more useful in breech presentations than cephalic presentations. F 11/11/17 5Okechukwu A. Ugwu
  6. 6. Question 5 – Look at the instrument on display a. It is best used with the patient in the left lateral position. T b. It is not useful when examining for urinary or faecal fistula. F c. When assessing the degree of uterovaginal prolapse, it is a better instrument than its bivalve counterpart. T d. It is used during craniotomy. F*** e. Its use is commonly associated with vaginal bruises. F 11/11/17 6Okechukwu A. Ugwu
  7. 7. Question 6: Concerning the procedure being demonstrated: a. It is a surgical contraception. F b. Each capsule is replaced annually until 5 years. F c. It is inserted under general anaesthesia. F d. It is removed under local anaesthesia. T e. It is contraindicated11/11/17 7Okechukwu A. Ugwu
  8. 8. Question 7 – Concerning this object; a. When used for emergency contraception, it must be inserted not later than 5 days after unprotected intercourse. T b. The metal contained in it has a surface area specific to each type. T c. Wilson’s disease can be aggravated by its use. T d. The volsellum forceps is always used during its removal. F e. The retrieval hook is useful in cases where translocation has occurred. T11/11/17 8Okechukwu A. Ugwu
  9. 9. Question 8 – Look at the instrument on display • The instrument is used in retracting the vagina during VVF repair F • The instrument is utilised in retracting the bladder during VVF repair F c. The instrument helps prevent VVF T*** d. The instrument is used in retracing the Rectus sheath. F e. It is a self retaining retractor. F 11/11/17 9Okechukwu A. Ugwu
  10. 10. Question 9: Concerning the figure on display. a. Sterilisation is usually performed on the structure labelled 2. F b. Progestogen contraception acts on the structure labelled 3. T c. Extrauterine pregnancy located in the structure labelled 5 will produce severe haemorrhage. T d. Fibroid located in the structure labelled 4 will cause infertility. F e. The whole figure is derived from mesonephric duct. F 11/11/17 10Okechukwu A. Ugwu
  11. 11. Question 10: Look at the picture: a. The patient with the pathology shown would have presented with menorrhagia because of the size of the mass F b. Infertility would have been one of her presentations because of the test about to be done T c. An HSG would have been done prior to this operation T d. Laparoscopic myomectomy is a management option in this patient. T e. If menorrhagia was a presenting complaint, there is a certainty that if would resolve after this surgery. T11/11/17 11Okechukwu A. Ugwu
  12. 12. Question 11: Concerning the Instrument shown: a. It is used during Caesarean section F b. It is used during vaginal Hysterectomy F c. Its used for destructive operation F d. It is used during a myomectomy T e. Injury to the ureters may follow the use of this instrument T 11/11/17 12Okechukwu A. Ugwu
  13. 13. Question 12: Observe the picture: a. The pathology demonstrated is commoner among women within the reproductive age group. F b. Weakness of the broad ligaments leads to this pathology. F c. This condition may be associated with stress incontinence T d. The condition is readily amenable to pessary insertion. F e. Colposuspension is one of the surgical methods of correction. F11/11/17 13Okechukwu A. Ugwu
  14. 14. Question 13: The instrument demonstrated is commonly used for a. Can be used during Myomectomy F b. Can be used during MVA T c. Can be used during Cerclage. T d. Is useful for vaginal hysterectomy T e. Can be used during TAH F 11/11/17 14Okechukwu A. Ugwu
  15. 15. Question 14: Concerning the instrument shown: a. It is used during Caesarean section F b. It is used during vaginal Hysterectomy F c. Its used for destructive operation F d. The cervix should be fully dilated before it is used F e. Injury to the ureters may follow the use of this instrumentF11/11/17 15Okechukwu A. Ugwu
  16. 16. Question 15: For the operation shown: a. The commonest indication is obstructed labour. F b. The longitudinal incision on the uterus is weaker than the transverse incision. T c. A male breech baby weighing 1450gm is an indication for this procedure. T d. A female breech baby weighing 1650gm is an indication for this procedure. T e. It is the method of choice in the prevention of mother-to-child transmission of HIV. T** 11/11/17 16Okechukwu A. Ugwu
  17. 17. Question 16: This is a laparoscopic view of the pelvis in a patient with pelvic inflammatory disease. a. Fitz-Curtis-Hugh syndrome is a complication of this condition. T b. Bacterial vaginosis is a known aetiological factor. F c. Characteristic findings at laparoscopy are diagnostic. T d. Long term sequelae include preterm delivery. F e. Pelvic abscess results from secondary invasion by anaerobic organisms. T11/11/17 17Okechukwu A. Ugwu
  18. 18. Question 17: The instrument displayed a. This instrument is used during VVF repair T b. The instrument is used during vaginal hysterectomy T c. It is very useful in preventing complications of caesarean section in obstructed labour F d. It is usually retained in the post-operative period. F e. Can be used in extracting liquor from the airway of the newly born neonate F 11/11/17 18Okechukwu A. Ugwu
  19. 19. Question 18: Concerning the use of the instrument on display. a. Conditions to be fulfilled include a suitable presentation like mento- posterior F b. Conditions to be fulfilled include the membranes being intact. F c. Indications include cephalo-pelvic disproportion. F d. This instrument cannot be used for rotation. F e. It can be applied to brow presentation. F11/11/17 19Okechukwu A. Ugwu
  20. 20. Question 19:Regarding destructive operations: a. Craniotomy is indicated in obstructed labour with a life fetus. F b. Cleidotomy is the division of one or both clavicles. T c. Simpson’s perforator is used for decapitation. F d. Willet’s forceps are used during craniotomy. F e. Blond-Heidler saw may be hooked over the iliac crest in breech presentation to give an excellent purchase. F 11/11/17 20Okechukwu A. Ugwu
  21. 21. Question 20: The instrument shown is used in a particular gynaecological procedure. a. It is indicated in the evaluation of uterine malformations. T b. It is indicated in the evaluation of uterine perforations.F c. It is usually performed in the mid-luteal phase of the menstrual cycle. F d. It is contraindicated in the presence of a pelvic mass. F e. It must be performed under general anaesthesia. F 11/11/17 21Okechukwu A. Ugwu
  22. 22. Question 21: Concerning the condition being treated with this intervention a. Genital tract laceration is the commonest cause of the condition. F b. The condition is the commonest cause of maternal mortality. T c. This intervention impedes access to the genital tract. F d. Access to anaesthesia may influence outcome of management of this condition. T e. This intervention can be employed at any level of care. T11/11/17 22Okechukwu A. Ugwu
  23. 23. Question 22: Regarding the picture on display: a. This prevents nosocomial infection. T b. An accoucher must wear this all the time to prevent infection. F *** c. The hospital attendant is expected to wear this all the time. F d. The scrub-nurse should also wear this. T e. It is not necessary for theatre cleaner to wear this. T11/11/17 23Okechukwu A. Ugwu
  24. 24. Question 23: This partograph depicts: a. A normal labour F b. A prolonged active phase of labour T*** c. An obstructed labour F*** a. Adequate uterine contractions F b. Fetal distress T 11/11/17 24Okechukwu A. Ugwu
  25. 25. Question 24: This tissue was obtained at TAH and BSO from a 56 year-old para 2+0 woman who presented with unprovoked irregular bleeding par vaginam a. This patient is likely to have carcinoma of the cervix F b. This patient is likely to have endometrial carcinoma T c. The pathology shown in the picture is in the myometrium F d. The patient may require chemotherapy T e. This patient may require radiotherapy T11/11/17 25Okechukwu A. Ugwu
  26. 26. Question 25: Concerning the instrument on display: a. It must be used with the patient under anaesthesia. T b. It may be indicated in the management of hydatidiform mode. T c. Autoclaving is the preferred method of sterilization. F d. It is used only by physicians. F e. Its primary mechanism is by mechanical curettage. F 11/11/17 26Okechukwu A. Ugwu
  27. 27. Question 26: During this procedure: a. The cervix should be exposed with a Sim’s speculum. F b. An Ayre’s spatula is used to obtain a sample. T c. The tip of the spatula should be rotated through 900 once. F d. The material obtained should be stained with haematoxylin and eosin. T e. The patient should lie in the left lateral position.F11/11/17 27Okechukwu A. Ugwu
  28. 28. Question 27: The instruments depicted: a. Are used during laparoscopic procedures F b. Are used for insertion of Implanon capsules. T c. Are used for intravenous infusion. F d. Are used for fine needle aspiration and cytology. F e. Are used for insertion of Norplant/Jadelle11/11/17 28Okechukwu A. Ugwu
  29. 29. Question 28: This picture depicts: a. An ultrasound scan of the pelvis. F b. A hystero- salpingogram. T c. Normal vagina and uterus. T d. Bilateral patent Fallopian tubes. F e. Presence of pelvic adhesions.11/11/17 29Okechukwu A. Ugwu
  30. 30. Question 29: This is the gross appearance of a cervical squamous cell carcinoma that is still limited to the cervix a. This is likely to be stage 2A. F b. The predisposing factors include bacterial vaginosis infection. F c. Treatment for the stage of the lesion demonstrated does not require additional radiotherapy. T d. The lesion demonstrated is amenable to cone biopsy. F e. This is the commonest histological type. T11/11/17 30Okechukwu A. Ugwu
  31. 31. Question 30: The picture depicted here: a. Represents a major degree of placenta praevia. F b. A patient with this condition should be allowed a short trial of labour. F c. Cord prolapse is usually a major complication of this condition. F d. It is always complicated by post-partum haemorrhage. F e. The patient with this condition should be delivered by elective Caesarean section. T 11/11/17 31Okechukwu A. Ugwu
  32. 32. QUESTION 1: REGARDING THE INSTRUMENT DISPLAYED: a. The instrument is used for retracting the vagina during VVF repair T b. The instrument is utilised for retracting the bladder during VVF repair F c. The instrument helps prevent VVF F d. The instrument is used for retracing the Rectus sheath. F e. It is a self retaining 11/11/17 32Okechukwu A. Ugwu
  33. 33. QUESTION 4: REGARDING THIS INSTRUMENT: a.It is called a Uterine Sound T b.It is more appropriately called a Hegar’s Dilator used for dilatation and curettage (D&C) F c.It is used to measure the depth of the uterine cavity during D&C T d.It is also used for evacuation of retained products of conception (ERPC) F e.Careless use of this instrument can cause uterine perforation T
  34. 34. Question 8: Concerning the use of the instrument on display. a. Conditions to be fulfilled include a suitable presentation like mento-posterior F b. Conditions to be fulfilled include the membranes being intact. F c. Indications include cephalo-pelvic disproportion. F d. This instrument can be used for rotation. F e. It can be applied to brow presentation.
  35. 35. Question 12 – Look at the instrument on display a. The instrument is used in retracting the vagina during VVF repair F b. The instrument is utilised in retracting the bladder during VVF repair F c. The instrument helps prevent VVF F d. The instrument is used in retracing the Rectus sheath. F e. It is a self retaining retractor. F 11/11/17 35Okechukwu A. Ugwu
  36. 36. QUESTION 20: REGARDING THE INSTRUMENT ON DISPLAY a. It is called a Green Armitage. T b. It is more appropriately called a haemostatic Doyen’s forceps. F c. It is used as haemostatic forceps during Caesarean Section. T d. Its use can cause uterine rupture. F e. Its use can cause a Vesico-Vaginal Fistula. F11/11/17 36Okechukwu A. Ugwu
  37. 37. Question 38: The following are to be noted with this picture A This patient is likely to be immuno – compromised T B Excision is an option of treatment T C Vulval cancer can result from this condition T D This condition cannot occur in patient with HIV F E This may be caused by a virus F 11/11/17 37Okechukwu A. Ugwu
  38. 38. : Question 39: Carefully look at this picture: A Biopsy is necessary for a 60-year old with this condition T B Ward-catheter can be used for treatmentT C Antibiotics is the main treatment hereF D This is due a sexually trans mitted diseaseT E This can be a complication of episiotomy T 11/11/17 38Okechukwu A. Ugwu
  39. 39. Question 40: The following are to be noted with this picture: A This patient has bilateral ovarian cystsT B The uterus looks normal T C This condition may be benign T D This patient cannot be pregnant againF E One of the complications of this condition is bleeding T11/11/17 39Okechukwu A. Ugwu
  40. 40. A. Both pictures are for same procedure T B. There is an advantage of A over B in terms of outcome F C. A is more invasive than BF D. They are used for Pap smear T E. The result is interpreted as CIN1 to CIN111 F 11/11/17 40Okechukwu A. Ugwu
  41. 41. Question 42: Observe this picture A This can be caused by a virus T B This can be a complication of episiotomy T C This patient will require plastic surgery T D She will require immediate surgery F E Gynetresia is a possible complication T11/11/17 41Okechukwu A. Ugwu
  42. 42. Question 43: Picture shows a vulva with extensive ulcer a. This woman most probably has vulval malignancy. T b. She is likely aged 35-40 years, the peak age incidence for vulval malignancy. F c. This lesion could be a syphylitic chancre F d. This lesion is easily amenable to cure by simple vulvectomy F e. Radiotherapy is the most suitable modality of treatment for this woman’s condition F 11/11/17 42Okechukwu A. Ugwu
  43. 43. Question 2: Look at the picture: a. The patient with the pathology shown would have presented with menorrhagia. T b. Infertility would have been one of her presentation. T c. Post-operatively, subsequent pregnancies should be delivered by Caesarean section because the endometrium was breached. T d. Laparoscopic surgery is a management option in this patient. T e. If menorrhagia was a presenting complaint, there is a certainty that if would resolve after this surgery. F
  44. 44. Question 2: Look at the picture: a. The patient with the pathology shown would have presented with menorrhagia. T b. Infertility would have been one of her presentation. T c. Post-operatively, subsequent pregnancies should be delivered by Caesarean section because the endometrium was breached. F d. Laparoscopic surgery is a management option in this patient. T e. If menorrhagia was a presenting complaint, there is a certainty that if would resolve after T this surgery.11/11/17 44Okechukwu A. Ugwu
  45. 45. Question 1: The instrument on display is a sonicaid, commonly used in obstetric practice; a. Will detect fetal heart decelerations.F b. Is used every 15 minutes in 2nd stage of labour.F c. It is more effective in polyhydramnios.F d. It is indicated in patients with twin gestation only.F e. Is more useful in breech presentations than cephalic presentations.F 11/11/17 45Okechukwu A. Ugwu
  46. 46. Question 2: Look at the picture: a. The patient with the pathology shown would have presented with menorrhagia because of the number of nodules removed. b. Infertility would have been one of her presentations because of the fatty degeneration observed. c. Post-operatively, subsequent pregnancies should be delivered by Caesarean section because the endometrium was breached. d. Laparoscopic surgery is a management option in this patient. e. If menorrhagia was a presenting complaint, there is a certainty that if would resolve after this surgery. 11/11/17 46Okechukwu A. Ugwu
  47. 47. Question 3: This partograph depicts: a. A normal labour b. A prolonged active phase of labour c. An obstructed labour d. Adequate uterine contractions e. Fetal distress 11/11/17 47Okechukwu A. Ugwu
  48. 48. Question 4. The picture shown below belongs to a 25 year old with 2 years History of inability to get pregnant a) Previous termination of pregnancy is a likely cause T b) This procedure was performed during mensesF c) It is performed under conscious sedationF d) Air embolism is a likely complicationT e) Hysteroscopy should be done to further evaluate the findings shownF 11/11/17 48Okechukwu A. Ugwu
  49. 49. Question 5: This is the gross appearance of a cervical squamous cell carcinoma that is still limited to the cervix a. This is likely to be stage 2A. b. Bacterial vaginosis is not a predisposing factor c. Treatment for the stage of the lesion demonstrated does not require additional radiotherapy. d. The lesion demonstrated is not amenable to Loop Electrosurgical Operation . e. This is the commonest histological type. 11/11/17 49Okechukwu A. Ugwu
  50. 50. Question 6: The object shown below: a) It is utilized in cervical ripening when there is intrauterine fetal deathT b) Oral administration is used for induction of labourT c) Rectal administration is used for post partum haemorrhageT d) Its use may cause DICF e) It should not be used in patients on anti-shock garmentF 11/11/17 50Okechukwu A. Ugwu
  51. 51. Question 7:Concerning the picture below a) The patient is well positioned for the examinationT b) The examiner is on the proper side of the patientT c) The patient is sufficiently exposed for the examinationT d) The position of the fetus is being determinedF11/11/17 51Okechukwu A. Ugwu
  52. 52. Question 8: This is a result obtained from a patient at 32 weeks gestation. a. This patient is likely to have had a previous still birth from cord prolapse .F b. This result demonstrate glucose intolerance in this patient.F c. Dietary control is sufficient for this patient.F d. Metformin may be used in the post-partum period in this patient.T e. This patient will require only insulin therapy. F 11/11/17 52Okechukwu A. Ugwu
  53. 53. Question 9:Concerning the picture below a. Being HIV positive is a contraindicationF b. Conditions to be fulfilled include the membranes being intactF c. Indications include cephalo-pelvic disproportionF d. This instrument can not be used for rotationF e. It can be applied to brow presentation.F 11/11/17 53Okechukwu A. Ugwu
  54. 54. Question 10: Concerning the use of the instrument on display. a. Conditions to be fulfilled include a suitable presentation like mento- posterior b. Conditions to be fulfilled include the membranes being intact. c. Indications include cephalo-pelvic disproportion. d. This instrument can be used for rotation. e. It can be applied to brow presentation.
  55. 55. Question 4 1. This chart is an ECG traceF 2. This is a Partogram chartF 3. This is a cardiotocogram traceT 4. This trace shows a uterine contraction that may be a Braxton Hicks contraction 5. There is evidence of Fetal distress on the trace 11/11/17 55Okechukwu A. Ugwu
  56. 56. Question 5: Concerning the picture below a) The baby is probably breech at deliveryF b) The baby was likely delivered by caesarean sectionT c) The baby may have presented with the faceT d) The baby probably had forceps deliveryT e) The baby is a product of destructive operationF 11/11/17 56Okechukwu A. Ugwu
  57. 57. Question 9: The result shown is for a 25 year old primigravida at 36 weeks gestational age. a) She should be admitted for urgent induction of labourT b) Use of misopristol is contraindicatedF c) She should have an elective Caesarean sectionT d) Fetal scalp pH is particularly useful in her intrapartum monitoringF e) The baby requires anti- retroviral therapyT CD4 count =13/mm3 Viral Load = 6,585copies/ml 11/11/17 57Okechukwu A. Ugwu
  58. 58. Question 10: The patient below is a 45 yr old lady with 6/12 history of progressive Abdominal distension a) ECG is essential in her evaluationT b) Chest X ray is not required if there are no respiratory symptomsF c) Optimum treatment requires both surgery and chemotherapyT d) Ascites is rarely associated at this ageF e) Prognosis is not related to the size of the massT 11/11/17 58Okechukwu A. Ugwu

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