Osce Recalls 2011, 2013, 2016 2
Osce Recalls 2011, 2013, 2016 2
Osce Recalls 2011, 2013, 2016 2
Obstetrics
1- Obstetric Cholestasis
2- Chickenpox, Herpes, HIV, Malaria, Zika virus
3- VBAC: 1 Cs, 2 Cs : may request water birth, home birth.
4- Cs on maternal request
5- Pre-eclampsia
6- IUFD: + process of postmortem concent
7- Diabetes (esp gestational), Thyrotoxicosis, Epilepsy, SLE
8- Immune and non-immune hydrops fetalis
9- Obesity with pregnancy
10- Downs Syndrome screening
11- Multiple pregnancy problems: TTTs, Discordant Congenital malformation in MC/DC,
IUGR, Death of one twin
12- Reduced Fetal Movements
13- PPROM
14- GBS
15- Whooping cough vaccine.
Emergencies:
1- Ectopic pregnancy
2- Uterine perforation
3- Bowel injury
4- Bladder injury
5- Retained Placenta
6- Ruptured uterus
7- Acute inversion of the uterus
8- Eclampsia
9- Maternal Collapse
10- PP collapse
11- Shoulder Dystocia
12- APH
13- Retained second twin
14- Cord Prolapse
Skills
1- Hysterectomy: Abd, Vag
2- Caesarian section
3- Ventose
4- Forceps + pudendal block
5- FBS
6- CTG
7- Neonatal Resuscitation
8- IUCD
9- Novasure
10- Laparoscopy
11- Hysteroscopy
12- Speculum examination
13- Cervical smear
14- Breech delivery
15- Shoulder dystocia
16- Knot tying.
17- Cervical cerclage
Topics
1- Domestic violence
2- Child abuse
3- FGM
4- Breast feeding
5- Drug/Alcohol abuse
6- SIDS
7- Duty of Candour.
Bad news
1- Fetal congenital abnormalities: Spina bifida, ventriculomegaly, Clefts, Anencephally,
Renal agenesis, Dilated renal pelvis, CPCs , Abdominal wall defects(Ompha, Gastro), CDH
2- Cancer
3- IUFD/ miscarriage
4- HIV
5- XY female
6- Premature ovarian insufficiency ( avoid to use premature ovarian failure)
General:
1- Audit: in depth
2- Risk management
3- Critical appraisal : Leaflet, study, guideline, internet paper.
4- Teaching
5- Labour ward prioritization
6- Gynae Theatre list organisation
7- Fetal Skull
8- Female pelvis
9- Normal Labour
10- Elecrosurgery
11- Thromboprophylaxis: Obstetrics, Gynae
12- Premature delivery at margins of viability.
13- WHO Surgical Check list
14- Consent
The above topics may appear in different types of stations:
1- Role players (lay person terms).
2- Teaching ( must be medical terms): FY1, ST1, ST3, ....
3- VIVA : must be professional thinking, vocabulary, confidence ,discussion and organisation
at a level of postgraduate student.
Go through all those topics and put a mental image about how you will approach them in
your exam.
Mustafa
Then inpatient entry was adequately dated and timed and designation written.
Patient was discharged on day 2 after removal of IDC. No details about trial of void.
Patient represents after 2 weeks with continous leakage of urine and fever.
Seen by FY2 and admitted and treated as UTI. PS not done.
Then seen by ST4 but briefly. Made a note that patient needs PS and USS but he will do after
return from OT.
Saw patient 4 hour later. Found to have VVF. Discussed with urologist. Urologist advices IDC for
conservative management.
Then entry by consultant.
2. Maternity dashboard.
There was a dashboard, asked to comment on its trends, reasons of what you see and what can
be done to correct.
3. 40 year old referred by GP with 18 months of ammenorrhea, and hot flushes and vaginal
dryness. Referred for management. Did two FSH both elevated.
4. Discharge letter by SHO, patient had 3b tear after ventouse. Says can have vaginal delivery .
Medicines prescribed were paracetamol and lactulose in correct doses.
Advises follow up in 3 weeks with midwife.
Teaching station.
5. Structured viva.
35 weeks posterior placenta previa with minor APH. Mother RH neg and fetus RH pos. How will
you manage? Her Hb is 99.
Then she has a planned CS what precautions will you take.
Then she bleeds intraop 2.5L how will you manage
Then shows Hb 88, fib 0.8, plt 64 and PT/APTT given a no with control. How will u manage.
6. 18 year old 17 weeks pregnant, comes with back pain. Take history and manage. This was
station of Domestic violence.
7. Station of Chronic pelvic pain. 28 year female referred by GP with US showing simple ovarian
cyst and ET 10mm. On history she had CPP for 2 years, past history of STD, normal laparoscopy,
family history of endometriosis with superficial and deep dyspareunia.
8. Structured viva. Us scan showing complex ovarian cyst in 48 year old with internal echoes
suggestive of blood , patient has heavy menstrual bleeding and CA 125 40.
Don't really know what they wanted in this station.
9. Role player: 38 weeks pregnant with left limb DVT, no risk factors.