Obgy
30 mcqs - comes with short answers
1. mother coming in - what is your role in terms of booking, interpret data’s, vital signs
2. – 3. understanding early onset of diabetes
4. your role in decision making in complications of pregnancies – how you going to make decision
5. obstetric emergencies 7. – 8. your role as interns when patient coming in with problems what are you going to do in terms of managing
those problems eg htn and diabetes – what are you going to do?
9. Baby in stressful situation - ctg – what will you do as an intern
14. – 18. application of clinical finding
19. – 21. What is your role in terms of labouring mother
- how do u bring about delayed delivery complications- what are you going to do? You will opt for Alternative
methods or c-section?
Role of application.
- how can u elicit pregnancy – are you going to use when was your last menses, or use other tests for confirmation?
How will you confirm a pregnancy?
- importance of understanding the vital statistics – temp, BP, pulse rate to come up with confirmation of dx
- UTIs and abdominal pain, how is it related to pregnancies and how its related to wellbeing of a mother
29. – 30. To pregnant mother
Section B – 50 marks
1. Application of gynae component
2. Mother coming in with chronic diseases – what will you do? How you going to manage chronic diseases, 3C and 1D
diabetes, cancers, chronic obstructive airway disease, chronic obstructive vascular disease, cardiac diseases – it is
asking that
3. role of hysterectomy
4. importance of knowing the physiology of pregnancy
5. simple cases in gynae ward - abdominal pain (obstetric or surgical in nature), PV bleeding, PV discharge
- ectopic pregnancy/ miscarriages/ inevitable abortions
Essay question (20 marks)
- application of ethics, what will u do when a patient comes in
- history taking
- how to value patient
Obgy osce (5 questions)





How will you talk to husband – wife going in labour
Taking menstrual history
Intern in labour ward, primp in pain, what will you do?
Abdominal pain, discharge, ectopic pregnancies – read dysmenorrhea types and mgx too
Gynae cases - pain, abnormal bleeding, abnormal discharge – what questions you will ask
o After surgery, drain 50mls blood, what should you do?
o Fluid balance chart, UO is 30mls/kg, what should you do?
o Nurse advices about abnormal observation in post op gynae ward, Rr 12, P 66, BP 90/60. What will
you do as an intern?
Call for help- inform reg
Chart IV fluids bolus.
Do immediate PE and Look for signs of bleeding


pathophysiology of pregnancy and its importance – cycles
how uterus is being prepared in accordance to the cycles, if its abnormal then chronic diseases comes in –
bleeding and cancers or abnormal growths - cyst, or ectopic pregnancy