Obstetrics and gynaecology picture test osce 2

OBSTETRICS AND GYNAECOLOGYPICTURE TEST
OSCE 2
Dr Okechukwu A. Ugwu
11/11/17 1Okechukwu A. Ugwu

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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**

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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
cephalo-pelvic
disproportion. F
d. This instrument
can be used for
rotation. F
e. It can be applied to
brow presentation.

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

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

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

:
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

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

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

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

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

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
presenting complaint,
there is a certainty that
if would resolve after
this surgery. F

pathology shown
would have presented
with menorrhagia. T
b. Infertility would have
been one of her
presentation. T
c. Post-operatively,
subsequent
section because the
endometrium was
breached. F
d. Laparoscopic surgery is
a management option
in this patient. T
presenting complaint,
there is a certainty that
if would resolve after T
this surgery.11/11/17 44Okechukwu A. Ugwu

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

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
section because the
endometrium was breached.
d. Laparoscopic surgery is a
management option in this
patient.
presenting complaint, there is
a certainty that if would
resolve after this surgery.

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

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

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.

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

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

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

Question 9:Concerning the
picture below
a. Being HIV positive is a
contraindicationF
being intactF
cephalo-pelvic
disproportionF
d. This instrument can not
be used for rotationF
presentation.F

Question 10: Concerning the use of the
instrument on display.
a. Conditions to be fulfilled
include a suitable
presentation like mento-
posterior
being intact.
cephalo-pelvic
disproportion.
d. This instrument can be
used for rotation.
presentation.

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

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

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

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

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