obstetrics picture test OSCE

1. OBSTETRICS PICTURE TEST

2. 1. Also known as pathological
retraction ring T
2. Formed between thinned out
upper segment and lower
segment F
3. Contractions wane off with time
in primigravid women T
4. Electrolytes derangement is
common T
5. Increased risk of PPH T
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3. 6. Spermatozoa must be
immobilized before injection. T
7. Inverted microscopy is utilized T
8. When indicated, male
karyotyping should be done. T
9. ‘OAT’ syndrome is a
contraindication. F
10. Holding pipette provides gentle
sunction. T
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4. 11. Commoner in multipara T
12. Usually symptomatic F
13. Intermenstrual bleeding is a
recognized symptom T
14. Recurrence rate of about 3% F
15. Monsel paste has a role in
controlling bleeding post-avulsion T
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5. 16. HPV is a double stranded DNA
virus. T
17. Smoking doubles risk of Ca
cervix T
18. Risk due to COCP falls to
baseline in 10 years after stopping.
T
19. Presence of nodal involvement
increases mortality by 30% stage for
stage. F
20. Pregnancy does not adversely
affect outcome. T
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6. 21. Cervical length of less 25mm at
24wks in a primigravida is an
indication F
22. Outcome is the same as no
intervention in multiple gestation. F
23. Removal of Shirodkar type
requires anaesthesia T
24. Immediate removal following
PPROM optimisises outcome. F
25. Recent evidence supports
laparoscopic over laparotomy for
abdominal cerclage F
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7. 26. Rupture of this type may be catastrophic
T
27. Typically ruptures around 11weeks. F
28. Progesterone assay could help localize
gestation. F
29. Wedge resection is the management of
choice. T
30. Total removal of the ipsilateral tube is
recommended. T
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8. 31. Provides illumination and
magnification T
32. 3 consecutive inadequate pap
smear samples is an indication T
33. Ablative technique may be used
for glandular disease. F
34. CCI has a maximum score of 10
T
35. It is unsatisfactory when the
endocervical canal is not visualised
F
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9. 36. Incidence of 0.2% T
37. Delivery by extension F
38. Presenting diameter is 9.5cm T
39. Anterior neck mass is the most
common course. F
40. Mentoposerior is better
delivered by CS. T
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10. 41. Cost effective investigation T
42. This is risk factor for ectopic
gestation T
43. Live birth rate is reduced by 35%
in patients with this condition
undergoing IVF-ET FALSE
44. Salpingectomy or proximal
occlusion is indicated. T
45. NNT in IVF patients undergoing
treatment for this condition is 6. T
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11. 46. This is a pneumatic anti-shock
garment. F
47. One size fits all F
48. Made of Neoprene T
49. Segments 4, 5 and 6 should be
applied by only one person. T
50. It is a definitive treatment. F
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12. 51. Time consuming T
52. 10-15cm long T
53. Preferred in Misgav-Ladach
technique F
54. Utilizes blunt dissection F
55. Has cosmetic appeal T
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13. 56. Two thirds of patients bleed PV T
57. Transvaginal USS is
contraindicated F
58. Bleeding is mainly maternal T
59. Hospital admission yields better
outcome than being at home F
60. Risk of morbidly adherent
placenta in cases of 3 previous CS
and Placenta previa is 45%. T
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14. 61. Routinely done for primigravida F
62. This type bleeds less T
63. Restrictive used increases
anterior perineal traumaT
64. May have a role in management
of fetal distress T
65. The technique with best
outcome is unknown T
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15. 66. Should be inserted between Day
1-5. T
67. Levels of hormones in the blood
return to normal in a week. T
68. Biodegradable. F
69. Failure rate of 2 in 1000 F
70. Discontinuation rate of 15-25%
F
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