obstetrics and gynaecology

1. PICTURE TEST OSCE IN
OBSTETRICS AND
GYNAECOLOGY
DROKECHUKWUA.UGWU
DRJUBRIL KUKU
DREZENWANKWOFRANCIS

2. DRUGS THAT CAUSE ELEVATED PLASMA
PROLACTIN
• a. Methyldopa T
• b. Dopamine. F
• c. Reserpine T
• d. Cimetidine T
• e. Nifedipine F
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 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
5/13/2019 14Okechukwu Ugwu