OSCE

MBBS OBS/GYNAE
SEPT.2015

NEPALGUNJ MEDICAL COLLEGE

TEACHING HOSPITAL, KOHALPUR
BANKE, NEPAL
 OSCE - 1

1)NAME THE OPERATION BEING PERFORMED ? ovarian drill

2)WHAT MUST HAVE BEEN THE CLINICAL DIAGNOSIS OF THIS PATIENT ?
PCOS(Polycystic ovarian syndrome)
3)WHAT IS THE BENEFICIAL EFFECT OF THIS OPERATION ? 1
• Decline in the LH levels
• Decrease in androgens(testosterone and adrostenedione)
• Increase in serum prolactine
OSCE 2
1.What is your diagnosis? 2
spina bifida
2. What is the prognosis ? 1
. Static
.non- progressive defect
.normal life span is generally good
3. What dietary advice should be given for
the next pregnancy ?
.take 400 microgram of folic acid every day
for the first 12 weeks of pregnancy
.dark leafy greens vegetables(spinach,)
.asparagus,beans,pea,lentils,citrus fruits.
OSCE 3
1. What congenital anomaly is illustrated ?

. Anencephaly
2. What are common associated congenital
abnormalities ?
. Deficient development of vaults of skull and brain
tissue
.absent or hypoplastic pituitary gland
. Marked diminution of adrenal gland
3. How the fetus presents during labour ?
. Face presentation
.tendency of delay labour
OSCE 4
1. What is this condition?
.placenta previa
2.How to diagnose this condition?
. ultrasound
3. What will be your plan of management at 32
weeks of gestation ? 2
. Expectant management (Macaffee regimen) is
given i.e pt is admitted till bleeding stops . Inj
betamethasone (12mg i.m for 2 doses,24 hrs
apart) is given, to hasten lung maturity.blood is
crossmatched and kept ready just week.
Tocolytics are given for 48 hrs. Anti D is given, if
female is RH-negative.
. This regime shoulf be continued for 37 wks but if
anytime during expectant management pt
bleeds, pregnancy should be reterminated
immediately.
OSCE 5 1. What type of breech presentation is
this?
. Footling breech
2. Mention four contraindications of vaginal
breech delivery?
. Placenta praevia
.contracted pelvis
. Known congenital malformation of uterus
.IUGR

3. At what gestation age external cephalic

version should be done?
. 36 wks onwards
0SCE 6 1. What instrument is this? 1
. obstetric froceps
1. Mention 3 parts of this instrument? 2
. Handle
. shank
. lock
3. What are two main functions of forcep? 2
. Use in delivery where little or no rotation is
required
.used when mother beardown effort is low
OSCE 7
1)Identify the above picture 2
. IUD- mirena
2)What is its constituent ? 1
. levonorgestrel
3)What is the life span of this device? 1
. 5yrs
OSCE 8

1)Diagnose this condition by clinical

appearance? =trichomonas vaginalis
2) Describe macroscopic picture - Strawberry
appearance and punctate hemorrhagic spots
3) How it is treated?
.metronidazol 2g orally single dose or
Tinidazole 2g orally single dose
OSCE 9
1)What is your diagnosis? 2
. Turner syndrome
2)What is the Karyotype? 1
. 45xo
3)What are the chief complaints with which
the patients presents before you?
.primary amenorrhea
.secondary sexual character are absent
.short stature
.cubitus valgus
.web neck
OSCE 10
1)What is the name of this picture?

. Partograph

2)What does the black squares

mean? .strong uterine contraction

3)What does two lines in the graph

indicate? .alert line
.action line