OBGYN OSCE for students

1. OBSTETRICS AND
GYNAECOLOGY OSCE for
medical students
Dr. Okechukwu ugwu
DR SUNUSI RIMI

2. A 25 year old who is currently 14 weeks pregnant, which of the following treatment options is not appropriate
• A. Podophylline paint
• B. Trichloroacetic acid
• C. Liquid Nitrogen cryotherapy
• D. Imiquimod 5% cream
• E. LASER treatment

3. Associated with the picture except
• A. Diabetes
• B. Acromegally
• C. Cushing’s syndrome
• D. Conn’s Syndrome
• E. Addisson disease

4. • A. linea Nigra
• B. Acanthosis nigricans
• C. Conn’s syndrome
• D. Melasma Gravidarum
• E. Cholasma

5. Causes increase myometrial contraction via
• A. Activates phospholipase –C
which produces IP3
• B. Release of cAMP
• C. Release protein Kinase A
• D. Release of cGMP
• E. None of the above

6. Two major oncoprotenis associated with high risk
HPV
A. L1 and L2
B. P53 and P55
C. L3 and E5
D. E6 and E7
E. L5 and L6

7. BARTHOLIN GLAND ABSCESS
• A. The gland is tubular and alveolar
in character – T
• B. The cytoplasm contains mucigen
droplets with Basophilic inclusions
– F
• C. the duct has an epithelium
covered by stratified squamous
epithelium at its ORIFICE- T
• D. greater vestibular gland is
homologous to bulbo-urethral
gland- T
• E. most common site for Vulvar
adenocarcinoma - T

8. Bartholin cyst
• A. Bartholin gland is a rare site for
transitional cell carcinoma- T
• B. E. coli is the commonest cause
of Bartholin gland abscess-T
• C. Bartholin's glands originate from
the urogenital sinus- T
• D. Word” catheter is a method for
treating Bartholin's cyst and
abscess that helps prevent
recurrence. -T
• E. Innervation is from the perineal
nerve- T

9. MgSO4
• A. recommended dosage for
recurrent seizures may depend on
maternal weight. –T
• B. loss of tendon reflexes may point
to toxicity. – T
• C. serum levels should not be
routinely checked. – T
• D. it should be stopped if there is
severe oliguria.- T
• No role in Fetal neuroprotection
before anticipated early preterm
delivery. -F

10. SHOCK IN OBSTETRICS
• A. systolic blood pressure falls in Class II
shock. – F
• B initial fluid replacement should be with
2 litres of warmed Hartmann's solution. –
T
• C. Concerning massive obstetric
haemorrhage: hypotension may be
exacerbated by an IV bolus of Oxytocin. T
• D. Concerning massive obstetric
haemorrhage: tachycardia suggests
significant blood loss, even if the patient
is normotensive.- T
• E. Concerning burns in pregnancy: the
percentage of the burn can be calculated
according to multiples of 9. -T

11. CAESAREAN SECTION
• A. caesarean section in the second
stage is a safe alternative to vaginal
delivery.- F
• B. the assistant should use
intermittent fundal pressure to aid
delivery of the baby.- F
• C. utero-vesical fold identifies the
upper limit of the lower uterine
segment.- T
• D. peri-mortem Caesarean section
should be delayed for 6 minutes
during CPR- F
• E. the aim is primarily to save the
foetus- F