OSPE exam

MED 32

(midterm ) Made by :

Kenana Owaidah Sara jameel Amal al rifai Shorooq al enzi Arwa al hujaili Shahd sheikh

• Mention the labelled strutures :

A- Utersacral ligament

B-uterus

C-ovary

D-Fallopian tubes

• Dx?

Placenta previa

Types labelled ?

A-increta

B-percreta

2 risk factors ?

-previous CS

-Multiple gestations

1 fetal complication ?

IUFD

• Name of this condition ?

D & C after missed abortion

• 2 complications ?

DIC

Infection

• 1 risk factor ?

Uncontrolled DM -smoking

صورة شبه دي

• Dx?

Galactorrhea

• What hormone is responsible ?

Prolactin

• 2 causes ?

-pitutary adenoma

-drug side effect

-hypothyroidism

• DX?

Endometriosis

Describe the picture ?

Adhesions between uterus and bladder and colon ..ect

2 investigations ?

Laparoscopy -MRI

كان فيه صوة تانية موضحة

adhesions

#Case scenario of watery discharge with abnormal

epithelium

• Dx?

Bacterial vaginosis

• 2 diagnostic criteria ?

-+ve KOH

- pH>4.5

• 1 causative organism?

- Gardnerella vaginosis

• Dx?

Face presentation

Denominator ?

Mentum

Action of delivery ?

Felxion

Diameter ?

Suboccipitubregmatice

1 maternal complication ?

PPH

Dx? Fern test – PROM (according to the scenario) 2 therapeutic indication ? -tocolytics -dexamethasone -observation 1 maternal complication ? chorioamnionitis

Dx? HSG 3 uses ? -evaluate tubal patency -detect uterine abnormality -as therapeutic measure for unexplained infertility

• Dx?

COCP

• Mechanism of action ?

Inhibit ovulation - change in motility , secretion of tube(interfering fertilization ) -

Effect on the endometrium , cervical mucus .

• 2 non contraceptive uses ?

Cycle regulation – endometriosis

• Dx?

PCOS

• 3 criteria for dx?

-amenorrhea/oligomennorrhea

-lab or clinical evidence of hypergonadism

-us features of PCO

Dx?

Late deceleration

management?

Stop oxytocin –give O2- IVF

Dx?

Mediolateral episiotomy

2 indications?

-obstructed labor

-prolonged labor

1 maternal complication ?

Dysparenunia –bleeding-infection

• Dx?

Vesicular mole

• 2 risk factors?

Smoking

Extreme of age

• 2 TTT options ?

Suction curretgae

Hysterectomy

chemotherapy

Done

... ادعولنا