Group D OBGYN Mini-OSCE

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Yaqeen Batch

Group D OBGYN Mini-OSCE 6/5/2021


The exam consisted of 20 questions, 2 marks for each question.
Q1. This picture demonstrates a uterus with a common pathology. All are true except.

a. It carries a significant risk for malignant transformation.

b. It is estrogen dependent.

c. It presents with menorrhagia.

d. It can be asymptomatic.

e. It is more common in black women.

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Q2. Regarding severe Preeclampsia. All are true except.

a. It is more common in Primigravid women.

b. Maternal intracranial hemorrhage is a complication.

c. Can be managed by oral medication.

d. IUGR is a possible complication.

e. Magnesium sulphate is monitored clinically.

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Q3. All are true regarding this picture except.

a. The maneuver in A has 4 weeks accuracy margin.

b. The maneuver in B is called lateral grip.

c. The name of this maneuvers is lepold.

d. The maneuver in C is used to assess fetal engagement.

e. Fetal back can be assessed in B.

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Q4. All are true regarding this picture except.

a. The blue diameter is called suboccipitobergmatic.

b. Chin is the dominator in face presentation.

c. The blue diameter is present in occipitoanterior position.

d. The red diameter measures 10 cm.

e. The green diameter is called submentobregmatic.

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Q5. This a colposcopic picture for 45 years presented with
high grade cervical intraepithelial neoplasia (CIN IIl). All are true except.

a. Can be treated by cone biopsy.

b. The white lesion is called acetowhite lesion.

c. Can be treated by hysterectomy.

d. Mosiac vascular pattern is a possible finding.

e. HPV 6 and 11 are the main causative agents.

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Q6. This is a procedure performed for a patient complaining of infertility. All are true except:

a. The above procedure has a therapeutic potential.

b. Hysterosalpingogram is an alternative.

c. The above patient has a patent tube.

d. The test performed is called methylene blue dye test.

e. The above procedure is best performed in the secretory phase.

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Q7. All are true regarding this picture except.

a. The risk of twin is higher with ART.

b. Post patum haemorrhage is a possible complication.

c. Twin twin syndrome is a possible complication of Dichorionic twin.

d. The incidence of monozygotic twin is constant.

e. The best time to assess chrorionicity is the 1st trimester.

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Q8. All are true regarding this picture except.

a. Can be a cause for chronic pelvic pain.

b. Treated with cyclic combined pills.

c. The ovary is the most common site.

d. It is associated with increase in the CA125.

e. Presents with infertility.

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Q9. All are true regarding this picture except.

a. Treated with Metronidazol.

b. It is associated with strawberry cervix.

c. Clue cells are present.

d. It is considered a sexually transmitted disease.

e. The media used is saline.

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Q10. All are true regarding this picture except.

a. It is commoner in teenagers.

b. Carries 15% risk of malignancy.

c. It may present with early pre-eclampsia.

d. Persistent vomiting is a symptom.

e. The usual karyotype is 69XXX.

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Q11. All are true regarding this picture except.

a. Maternal opioids administration is a possible cause for the above CTG changes.

b. Variability is poor.

c. lt is not a reactive trace.

d. Decelerations are present. Maybe all answers are true?

e. The patient is in labor.

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Q12. This image is for a 28 weeks gestation complicated by polyhydramnios. All are true except.

a. Can be caused by fetal anomalies.

b. Diabetes is the commonest cause.

c. Preterm labour is a possible outcome.

d. Anencephaly is a risk factor.

e. PPH is a recognized compilation.

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Q13. Regarding the following partogram. All the following are true except.

a. Cephalopelvic disproportion 's a possible cause.

b. The head is engaged.

c. The management is cesarean section.

d. Dilatation is 4 cm at admission,

e. Contractions are effective.

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Q14. This is a picture for 40 years old Para 5 patient, presented with vaginal bleeding.
All the following are true except:

a. Previous cesarean section is a risk factor.

b. Typically present with painful bleeding.

c. Malpresentaion is a possible finding.

d. IUGR is a possible fetal complication.

e. Managed usually by cesarean section.

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Q15. Regarding the pathology described in following procedure. All are true except:

a. Can be diagnosed by hysteroscopy.

b. The name of this procedure is hysterosalpinogram.

c. Recurrent miscarriages are possible complication.

d. Preterm labour is a possible outcome.

e. IUGR is a recognized complication.

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Q16. This is a transvaginal ultrasound image of a 65-year-old woman
presented with vaginal bleeding. All the following are true except.

a. Endometrial biopsy is mandatory.

b. Simple endometrial hyperplasia carries 30% risk of malignancy.

c. Endometroiod is most common type of endometrial cancer.

d. Endometrial cancer accounts for 10% of postmenopausal bleeding.

e. PCOS is a risk factor for endometrial cancer.

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Q17. Regarding the following drug. All the following are true except.

a. Delayed retain of normal menstruation.

b. Contains only progesterone.

c. Depression is a side effect

d. Given ILM monthly.

e. Osteoporosis is a late complication.

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Q18. This picture is for a 20-year-old single patient, presented with abdominal
pain. She was found to have ovarian cyst. All are true except.

a. Best managed laparoscopically.

b. It may precipitate ovarian torsion.

c. Rupture of the cyst is a possible complication.

d. The most common ovarian malignancy at this age is epithelail.

e. The most likely pathology is functional cyst.

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Q19. This is a picture for Primigravida, pregnant at 7 weeks presented with abdominal pain. All are true except.

a. Fallopian tube is the most common site.

b. Can be treated medically.

c. Amenorrhea is always present.

d. IVF is a risk factor of the finding.

e. This pathology can present with painless vaginal bleeding.

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Q20. Regarding subjects with the present Karyotype. All are true except.

a. They present with primary amenorrhea.

b. HRT is a treatment.

c. They present with infertility.

d. Hot flushes are common symptoms.

e. Fetuses present with lymphedema.

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