Ospe 2

MBBS Final Year
Obstetrics & Gynecology

Objectively Structured Performance Evaluation (OSPE)
STATION – 01 (STATIC)
Marks: 05 Time allowed: 05minutes
For Candidate:
Please read the scenario carefully and answer the following questions.
Task:
A 25yrs old lady in her second pregnancy admitted through OPD at gestational
amenorrhea of 14 wks with mild per vaginal bleeding. On examination the uterus
is compatible with dates and cervix is closed.
1. What is your provisional diagnosis (1)
2. What specific investigations will you perform (1)
3. How will you manage (3)

MBBS Final Year
STATION – 01(STATIC)
Marks: 05 Time Allowed: 05 minutes
Key:
1. Threatened miscarriage 1
2. Ultrasound 1
3. Bed rest 3
Haematanics
Counseling
Frequent appointments to antenatal clinic.
MBBS Final Year
STATION – 02 (Static)
For Candidate:
Task:
Carefully examine the given instruments and answer the following questions:
1. Indentify these instruments 02
2. In which procedure they are used 01
3. What is the main purpose of their use. 02

MBBS Final Year
STATION –02 (static)
For Examiner
Key:
1. Green armytage forceps 02

Doyne retractor
2. During LSCS 01
3. As haemostatic clamp at lower segment 02

To retract bladder
MBBS Final Year
For Candidate
Task:
Carefully examine the above picture and answer the following questions:
1. What condition is shown in the given picture? 01
2. Name two important causes? 01
3. How this patient present, name only, two symptoms. 01
4. Name only 4 important complications. 02

MBBS Final Year
For Examiner:
Key:
1. Abruption placenta 01
2. Folic acid deficiency 01
PIH
Polyhydromnios
3. Abdominal pain 01
Mild as no external bleeding.
4. Shock 02
IUFD
DIC
Renal failure
MBBS Final Year
For Candidate:
Task:
Carefully answer the following questions:
1. Identify and name the different types of fibroids in the picture. 2.5
1. __________
2. __________
3. __________
4. __________
5. _________
2. How the patient with these types of fibroids present?
Name any four symptoms. 02
3. What is the incidence of malignant change in fibroids? 0.5

MBBS Final Year
For Examiner:
Key:
Q.1 2.5
1. Pedunculated subserous
2. Non Pedunculated subserous
3. intramural
4. Submucous
5. Cervical
Q. 2 02
1. Mass abdomen
2. Pain abdomen
3. Menstrual irregularities
4. Retention of urine
5. Pressure symptoms
Q. 3
1. <1% 0.5
MBBS Final Year
STATION –05 (STATIC)
For Candidate:
Carefully examine the photograph of 02 days old baby weighing 4.8kg at birth
and answer the following questions.
Task
1. What is the term used to describe this baby? 0.5

2. What problem may have occurred in labour? 01
3. What problem may have occurred at delivery? 01
4. What problems may the baby develop neonatally? Name four. 02
5. Where the baby should be cared for during the first 24 hours? 0.5
MBBS Final Year
For Examiner:
Key:
1. Macrosomia 0.5
2. Failure to progress 01
3. Shoulder dystocia 01
4.
a. Hypoglycemia 0.5
b. Hyperbilirubinaemia 0.5
c. Hypocalcaemia 0.5
d. Respiratory distress syndrome 0.5
5. In the special care baby unit 0.5
MBBS Final Year
STATION –06 (Interactive)
For Candidate:
Carefully examine the picture of an X-Ray shown and answer the questions
asked by the examiner.
MBBS Final Year
STATION – 06 (Interactive)
For Examiner:
Q.1 What is this investigation called? 01

Q.2 Describe the findings, specify two features. 01
Q.3 Are the tubes patent? 01
Q.4 What is the other method of checking tubal patency? 01
Q.5 Name the dye used in above mentioned test and the other test for
patency. 01
Key:
Q.1 Hysterosalpingogram 01
Q.2 Uterine cavity, bilateral hydrosalpinx
Q.3 No 01
Q.4 Diagnostic laparoscopy 01
Q.5 Urograffin, Methylene blue 01
MBBS Final Year
STATION – 07 (interactive)
For Candidate:
Please take menstrual history of this patient.

You are being observed by the examiner.
MBBS Final Year
For Examiner:
Please observe the student while he/she is taking menstrual history from the
patient and mark the appropriate answer.
Key
1 Introduces him/herself to the patient (0.5)
2 Ask about age of menarche (0.5)
3 Length of menstrual cycle (0.5)
4 Days of menstruation (0.5)
5 Regularity of cycles (0.5)
6 Amount of blood loss during menstruation (0.5)
7 History of intermenstrual bleeding (0.5)
8 History of postcoital bleeding (0.5)
9 History of dysmenorrhoea (0.5)
10 Date of last menstrual period. (0.5)

MBBS Final Year
STATION – 08(Interactive)
For Candidate:
Task:
Carefully examine the given picture and answer the following questions.
1. What type of abnormality is this? 01

2. Is it compatible with life? 01
3. Would it be delivered by operation? 01
4. What is the risk of this condition in subsequent pregnancy? 01
5. Is there any medical treatment to prevent this? 01
MBBS Final Year
For Examiner:
Key:
1. Neural tube defect → failure of closure of neural tube at the cranial

end.
01
2. Not compatible with life.
01
3. Top by vaginal route. 01
4. Recurrence risk 5 -10% 01
5. Folic acid (pre-conception period of 03 months). 01
MBBS Final Year
Carefully examine the given picture and answer the given questions?
Task 1
1. What is shown in the picture? (1)
2. What is the mechanism of action? (2)
3. Name two complication of its use? (2)

MBBS Final Year
Key:
1. Cu-T IUCD 01
2. Act as foreign body 02

Disturb implantation
Stimulate marked inflammatory reaction in the uterus
3.
Menstrual disturbance 02
Pelvic infection
Ectopic pregnancy
Perforation
MBBS Final Year
STATION –10 (static)
For Candidate:
Task:
Carefully examine the given set of instruments and answer the questions asked
by the examiner. 05
MBBS Final Year
For Examiner:
Questions:
1. For which procedure this set is used? 01
2. Narrate the steps briefly? 04
Key:
1. Dilatation and curettage. 01

2. 04
a. Positioning of the patient
b. Anaesthesia (G/A, Para cervical block)
c. Scrubbing and draping, bladder emptied.
d. EUA
e. Retraction of posterior vaginal wall with Sim’s speculam
f. Holding the anterior lip of cervix with volsellum
g. Measurement of the uterine cavity with sound
h. Dilatation of the internal os with hegar’s dilator
i. Curettage with uterine curette
j. Sending the simple for histopathology in formalin.
MBBS Final Year
For Candidate:
Your are provided with a dummy and fetus:
Task:
Demonstrate and describe the mechanism of normal labor?

MBBS Final Year
STATION – 11 (Static)
For Examiner:
Key:
1. Engagement of head 0.5

2. Descent 0.5
3. Flexion 0.5
4. Internal rotation 0.5
5. Extension 0.5
6. Restitutions 0.5
7. External rotation 0.5
8. Delivery of anterior shoulder 0.5
9. Delivery of posterior shoulder 0.5
10. Delivery of the fetal body 0.5
MBBS Final Year
For Candidate
Task:
Carefully examine the given picture and answer the following questions:
1. What is the type of breech shown in the picture? 01
2. What is the incidence of this condition at term? 01
3. Name two maternal and two fetal causes of this condition? 1.5
4. If this condition is diagnosed at term, name different management options

available? 1.5
MBBS Final Year
For Examiner
KEY:
1. Extended breech 01
2. 3–4% 01
3. Maternal causes: 1.5
Placenta previa
Uterine anomaly
Pelvic tumor
Fetal Causes:
Fetal anomaly
Twins
Prematurity
4. ECV 1.5
Vaginal breech delivery
LSCS
MBBS Final Year
For Candidate:
A 20 years primi gravida is admitted on to the labour ward at 34 weeks gestation

with a BP of 150/100mmHg and +++ proteinuria. She is booked at 20 weeks
gestation with a BP of 110/60mmHg and no proteinuria.
Task:
Carefully read the scenario and answer the following questions:
1. What is the likely diagnosis? 01

2. What are the symptoms she may have?
01
3. What investigations you would like to perform?
1.5
4. What are the possible maternal complication of this condition if it
is untreated 1.5
MBBS Final Year
For Examiner:
A 20 years primi gravida is admitted on to the labour ward at 34 weeks gestation

with a BP of 150/100mmHg and +++ proteinuria. She is booked at 20 weeks
gestation with a BP of 110/60mmHg and no proteinuria.
Key:
1. Pre-eclampsia 01
2. Headache 01
a) Visual disturbance
b) Epigastric painUrgency or frequency of micturition
c) Vomiting
3. FBC 1.5
a) ALT.
b) S-Uric acid
c) S. Creatinine
d) 24hrs urinary protein
e) PT
f) APTT
4. Eclampsia 1.5
a) DIC
b) Renal Failure
c) HELLP
d) Abruptio placentae
e) CVA
MBBS Final Year
For Candidate:
A G2P1 is 20 weeks pregnant. She is Rh negative and her husband is Rh

positive.
Task
Carefully answer the following questions:
1. What is the risk to this baby? 01

2. What investigations should be done? 02
3. What treatment is advised? 02
MBBS Final Year
STATION –15(STATIC)
For Examiner:
Key:
1. If last baby was Rh negative. No risk to this baby. If last baby was Rh
positive and patient received Anti-D injection then no risk to this baby. If
the present pregnancy is carrying Rh negative baby also no risk. 01
2. & 3. Blood for Rh antibodies. Blood Rh antibodies now, at 28 weeks and
repeated at 34-36 weeks. If antibody titre is high than think of delivering early.
04
MBBS Final Year
For Candidate:
Task:
Carefully examine the given picture and answer the following questions.
Q.1 Identify and name the different types of fibroids in the picture.
2.0
1. _________
2. _________
3. _________
4. _________
Q.2 How the patient with these types of fibroids present? 01
Q.3 What are the different treatment options available? 2.0

MBBS Final Year
For Examiner:
Key:
Q.1 2.0
1. Subserous
2. Intramural
3. Submucous
4. Cervical
Q.2 Menstural irregularities 01
Q.3 Conservative
Medical
NSAID(mefenamic acid)/Tranexamic acid
COCP
Surgical
Hystrectomy
Endometrial ablation 02
MBBS Final Year
Examination 2013
STATIONS
1 Ectopic pregnancy (Static)
2 Fibroids (Static)
3 PCO (Static)
4 Uterine Prolapse (Static)
5 Hyterosalpingogram (Interactive)
6 Cusco’s Speculum (Static)
7 Taking Menstrual history (Interactive)
8 Foetal Skull (Static)
9 Transverse lie with hand prolapse (Static)
10 CTG (Static)
11 Anemia (Static)
12 Prenatal diagnosis (Interactive)
13 PIH (Static)
14 History of index and past obstetric higtory (Interactive)
15 Outletlet Forceps Application (Interactive)
Patients/ Items Required
- A gynae patient with menstraul irregularity for station NO 7
- A pregnant lady for station NO 14
- Outlet Forceps , DUMMY with FETUS for station NO 15

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Ospe 2

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MBBS Final Year

Obstetrics & Gynecology

Marks: 05 Time allowed: 05minutes

1. What is your provisional diagnosis (1)

2. What specific investigations will you perform (1)

3. How will you manage (3)

Marks: 05 Time Allowed: 05 minutes

Marks: 05 Time Allowed: 05 minutes

1. Indentify these instruments 02

2. In which procedure they are used 01

3. What is the main purpose of their use. 02

STATION –02 (static)

Marks: 05 Time Allowed: 05 minutes

1. Green armytage forceps 02

3. As haemostatic clamp at lower segment 02

Marks: 05 Time Allowed: 05 minutes

1. What condition is shown in the given picture? 01

2. Name two important causes? 01

3. How this patient present, name only, two symptoms. 01

4. Name only 4 important complications. 02

Marks: 05 Time Allowed: 05 minutes

Marks: 05 Time Allowed: 05 minutes

Carefully answer the following questions:

2. How the patient with these types of fibroids present?

Name any four symptoms. 02

3. What is the incidence of malignant change in fibroids? 0.5

Marks: 05 Time Allowed: 05 minutes

2. Non Pedunculated subserous

STATION –05 (STATIC)

Marks: 05 Time Allowed: 05 minutes

1. What is the term used to describe this baby? 0.5

STATION –05 (STATIC)

Marks: 05 Time Allowed: 05 minutes

STATION –06 (Interactive)

Marks: 05 Time Allowed: 05 minutes

Marks: 05 Time Allowed: 05 minutes

Q.1 What is this investigation called? 01

Marks: 05 Time Allowed: 05 minutes

Please take menstrual history of this patient.

Marks: 05 Time Allowed: 05 minutes

1 Introduces him/herself to the patient (0.5)

2 Ask about age of menarche (0.5)

3 Length of menstrual cycle (0.5)

4 Days of menstruation (0.5)

5 Regularity of cycles (0.5)

6 Amount of blood loss during menstruation (0.5)

7 History of intermenstrual bleeding (0.5)

8 History of postcoital bleeding (0.5)

9 History of dysmenorrhoea (0.5)

10 Date of last menstrual period. (0.5)

Marks: 05 Time Allowed: 05 minutes

1. What type of abnormality is this? 01

Marks: 05 Time Allowed: 05 minutes

1. Neural tube defect → failure of closure of neural tube at the cranial

Marks: 05 Time Allowed: 05 minutes

1. What is shown in the picture? (1)

2. What is the mechanism of action? (2)

3. Name two complication of its use? (2)

Marks: 05 Time Allowed: 05 minutes

2. Act as foreign body 02

STATION –10 (static)

Marks: 05 Time Allowed: 05 minutes

Marks: 05 Time Allowed: 05 minutes