OBGYN ROTATION 2 END OF POSTING 2015/2016 by Hilda xD
MEQ
QUESTION 1
PART 1 –
27 y/0 G3P2, LMP 27/11/15, came for booking at MCHC Kuching.
Antenatal care booking, given LMP(27th nov 15), calculate EDD, calculate POA (today 15/12/15), 4
questions u would like to ask about her past obs with reasons.
PART 2 –
She was at 14W POG.
What routine infection screening at the booking (give 3), what other laboratory investigation (give 5)
PART 3She was at 14W POG, she did MOGTT, result out 6.2 fasting and 9.7 post prandial.
What is the diagnosis?, How often will she need to do 7PBSP, Complication on her pregnancy, give 5
PART 4 –
She had GDM, also in 2nd pregnancy she had history of GDM
What complication of GDM on fetus?(4) (cant remember another 2 ques)
QUESTION 2
PART 1Postmenopausal 51 y/o nulliparous came with sudden abdomen distension for 4 months,
menopause for already 7 years.
What questions you would like to ask (give 5), what examination you would like to do to her (give 4)
PART 2Ascites, enlarged Virchow’s node, tender iliac fossa mass. What other further investigations you
would like to do in this patient? (give 5)
Pathophysiology of enlargement of Virchow’s node?,
PART 3CA-125 showed more than 60. Ultrasound revealed cystic and solid mass, with papillary projection,
bilateral with thick capsule and evidence of omental ascites.
What is the diagnosis of this patient?, (cant remember 2 quess)
PART 4She was counselled on her condition and supposed to opt for surgical procedure. However, patient
refuses it. She wanted to stay in palliative care.
What is the best surgical option for her?, Give 5 lists of what is to be done on this patient under
palliative care.
SAQ (15 M each)
1)
2)
3)
4)
Define miscarriage. Briefly explain differentiation between types clinically.
List all contraceptive method. Briefly explain COCP.
Explain normal labour progress and its management.
Write short notes on ECV.
OSCE
1)
2)
3)
4)
5)
6)
7)
Anaemia – what supplement, content of irons in each of it, site of iron absorption
Cytobrush – indication, pre equisit to perform it
3rd stage management- active management, what were given
Obs exam – ddx larger than date, smaller than date
Fibroid – label types
IUCD- MOA, Beneits (give 5)
Partograph, Meconium stain, Brady FHR, arrest at 7cm cervix dilatation. – secondary arrest,
fetal complications
8) Magnesium Sulphate – MOA, S/E
9) Endometrial Ca
10) Silicon vacuum – pre equisit, complication to fetus