Yaqeen batch 2016 ^^

Group A
Mini-OSCE
3/11/2020
• Q1: 38 weeks malpresented fetus, same as the figure:

a. What do we call this presentation?

b. Mention 3 causes.
c. How to deliver the baby?
• A. Transverse lie.

• B. polyhydramnios / uterine anomaly (ex: septate uterus) / placenta

previa

• C. cesarean section (CS)

• Q2: pregnant lady found to have HbA1C = 10.5.

• a. mention two maternal complications.

• b. mention two ultrasound findings.
• c. mention one neonatal complication.
• A. DKA / recurrent candida infection / recurrent UTI.

• B. Polyhydramnios / Macrosomia.

• C. Respiratory Distress Syndrome (RDS)/ hypoglycemia/ polycythemia.

• Q3: match each drug with its side effect.

• Drugs: valproic acid/ warfarin/ tetracycline/ methyldopa/

indomethacin.

• Side: permanent brownish teeth discoloration / bone deformities/

NTD (Neural Tube Defect) / post partum depretion/ ductus arteriosus
closure.
• Ans:

• valproic acid: NTD (Neural Tube Defect).

• Warfarin: bone deformities.
• Tetracycline: permanent brownish teeth discoloration.
• Methyldopa: post partum depretion.
• Indomethacin: ductus arteriosus closure.
• Q4: Urinary incontinence:

• A. mention two risk factors of urge

incontinence.

• B. Name two surgeries for stress

incontinence.

• C. Is the image on the right normal?

• A. UTI / stones/neurological disorders/ epilepsy/DM/cancer

• B. Anterior vaginal colporrhaphy / retropubic bladder neck suspension

/ tension free vaginal tape / sling operation.

• C. Yes its normal.

• Q5: lady presented with lower abdominal pain, her B-hCG was 6000.
In the question there was laparoscopic picture (same a this):

• A. mention two other symptoms the

patient might be complaining of.

• B. mention 2 risk factors.

• C. what's the treatment?

• A. vaginal bleeding / amenorrhea.

• B. previous ectopic pregnancy / any tubal surgery / ovulation

induction.

• C. salpingectomy.
• Q6: lady presented with Blood pressure of 160/110. (pre-eclampsia)

• A.

• B. mention two causes for maternal death.

• C. Name two drugs should be given IV immediately.

• ANS:

• A. generalized tonic clonic

• B. DIC / Respiratory failure or cerebral hemorrhage.

C. magnesium sulfate (MgSO4) / Labetolol or Hydralzine.

• Q7: pregnant lady, her gestational age calculations are 36 weeks,
symphysis fundal height was 32 weeks.

• A. give 3 causes.
• B. what test should be done to make sure of gestational age?
• C. Where should the uterus be at the 20th week of gestation?
• Ans:
• A. wrong calculation/ IUGR/ IUFD.

• B. Ultrasound.

• C. At the level of umbilicus.

• Q8: 40-year-old women with heavy vaginal bleeding for 8 weeks. her
vaginal ultrasound was normal

• A. what vaginal test should be done?

• B. what others 2 investigation should be done?

• C. If the Biopsy showed simple hyperplasia without atypia , what's

your management ??
• A. Pap smear.

• B. Hysteroscopic endometrial biopsy / TFT (Thyroid Function

Test),LH,FSH, Prolactin.

• C. Hysterectomy / Mirena.
• Q9: 19-year-old female is having molar pregnancy. They mentioned
that she had history of previous molar pregnancy.

• A. mention two risk factors.

• B. two complications.

• C. treatment?
• A. previous molar pregnancy / age (less than 20y or older than 40y, in
our case young age).

• B. Persistent GTN ((‫هذا ا((لجوا(بض((روريي((نكتب‬/changing into malignancy

(choriocarcinoma) / pre-eclampsia/ ovarian cysts.

• C. Suction curettage.
• Q10: we inserted this device to a patient.

• A. Mention the most common complication.

• B. up to what can be inserted as emergency

contraception?

• C. for how many years its effective?

• D. mention 2 contraindications.
• A. Abnormal uterine bleeding (AUB).

• B. Cu IUCD can be inserted up to 5 days after unprotected intercourse

to prevent pregnancy.

• C. 10 years (Mirena IUCD is for 3-5 years)

• D. Cupper allergy/ Wilson disease/ pregnancy/ undiagnosed bleeding/

uterine anomaly.