Obstetrics- OSCE June 2021

Frage 1 von 11

1

You are a doctor obsterician gynecologist.
Today is 12 JUN2021

Mrs. R. K., 30 years old, primigravida, arrived to outpatient clinic for prenatal care. A woman complains for a morning nausea. Her period is late so she performed a pregnancy test. It was positive. Mrs. R.K. is worried, she wants to perform all laboratory tests as soon as possible. She thinks that she needs genetic testing for fetus chromosomal abnormalities, because she is 30 and read about such useful possibilities online.
LMP 5 APR 2021. Menstrual cycle was regular, 30 days in length, bleeding lasts for 5 days

From history: a woman has no chronic extragenital diseases, no surgery and allergies. Her grandmother had diabetes mellitus, and mother has hypertonic disease.

You made inspection, checked blood pressure – 130/84mmHg, recommended ultrasound scan of I trimester and performed laboratory tests:

Blood group – A, Rh factor – negative (blood group of husband – B, Rh factor – positive),
Tests for HIV, syphilis, hepatitis B – negative. Gliucose test – 4,4mmol/l.

CBC: hemoglobin – 132g/l, leucocytes – 11x10 /l, trombocytes – 220x10 /l.

Urinalysis - nitrites (1+), no leucocytes. Urine culture – bacterial colonisation ( >10 E.coli) was found.

Calculate estimated day of delivery using Naegeleʼs formula: Select one (1p)

Wähle eine der folgenden:

12 JAN 2022
30 DEC 2021
14 JAN 2022
Naegeleʼs formula can not be used in this case because the length of cycle is not 28 days
5 JAN 2022

Erklärung

Frage 2 von 11

1

Are there the indications for a screening for chromosomal
abnormalities in the I trimester:
Select one or more (2p)

Wähle eine oder mehr der folgenden:

Yes, they are, because a woman is 30 years old
No, they are not, because a woman is under 35 years old
No, they are not, because there are no data about the chromosomal pathology in womanʼs and her husbandʼs families
Yes, they are, a screening for chromosomal abnormalities in the I trimesteris a routine test for all women
Yes, they are, indication –womanʼs wish

Erklärung

Frage 3 von 11

1

Please, evaluate womanʼs blood pressure (BP):
Select one (1p)

Wähle eine der folgenden:

Such BP is too high in the I trimester
A woman needs consultation of the cardiologist for further detailed examination
Normal

Erklärung

Frage 4 von 11

1

The blood groups and Rh factors of spouses do not match. The
correct decisions are:

Select one or more (4p)

Wähle eine oder mehr der folgenden:

After Rh prophylaxis is important to follow antibodies titre till the delivery
If Rh prophylaxis was done at 28 week of gestation, so after delivery antibodies titre should be tested – after results a decision about second dose will be given
If no antibodies are present, Rh prophylaxis is administrated at 28-30 gestational week
After Rh prophylaxis there is no need for the antibody screen later in pregnancy
After delivery the second dose of Ig should be provided if a newborn was Rh D positive
After delivery the second dose of Ig should not be provided if a newborn was Rh D negative
Antibody testing should be performed and repeated at 20 and 27-28 week of gestation

Erklärung

Frage 5 von 11

1

Results of the urine analysis: the nitrites (1+) positive and
leucocytes negative. The bacterial colonisation (>10 E.coli) in
the urine culture was found.
Such results show:

Select one (1p)

Wähle eine der folgenden:

A low quality of the test. There are not enough data for infection, because no leucocytes are in the urine sample. The tests must be repeated
An infection of the urine bladder – cistitis
Acute pyelonephritis in pregnancy
Asymptomatic bacteriuria in pregnancy

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Frage 6 von 11

1

Results of the urine analysis: the nitrites (1+) positive and
leucocytes negative. The bacterial colonisation (>10 E.coli) in
the urine culture was found.
Your decision is:

Select one (!p)

Wähle eine der folgenden:

To start antibacterial therapy
To recommend a homeopathic treatment for urinary tract infection
To repeat the tests after 1 week and to start antibacterial therapy if the Abnormalities will persist

Erklärung

Frage 7 von 11

1

You will perform a fetal ultrasound screening scan at:

Select one (1p)

Wähle eine der folgenden:

16-17 week of gestation
18-20 week of gestation
30-32 week of gestation
I will not perform any ultrasound scan, because the scan at I trimester is already done and it was normal

Erklärung

Frage 8 von 11

1

Should glucose tolerance test (GTT) be done in this case:

Select one (1p)

Wähle eine der folgenden:

Yes (at 30-32 week of gestation)
Yes (at 24-28 week of gestation)
GTT must be done at I trimester, because womanʼs
grandmother has diabetes mellitus
No, because glucose at I trimester was normal
Yes (at 28-30 week of gestation)

Erklärung

Frage 9 von 11

1

You will perform a Beta Hemolytic Streptococcus (GBS) Culture
test at 35 - 36 week of pregnancy. If it will be positive, then the
right statements are:

Select one or more (2p)

Wähle eine oder mehr der folgenden:

A planned cesarean section must be recommend on purpose to reduce a risk for the newborn
A woman has GBS infection in the vagina, a treatment should be started before delivery on purpose to reduce a risk for the newborn
A woman is a carrier of GBS
A newborn is at risk of early neonatal sepsis
A woman does not need treatment before delivery but during delivery antibacterial therapy must be prescribed

Erklärung

Frage 10 von 11

1

2 weeks left before estimated date of delivery. A woman started
to be nervous with her decision when she supposed to leave to
the hospital. Your advices:

Select one or more (3p)

Wähle eine oder mehr der folgenden:

To go to the hospital if bloody spotting occurred
To go to the hospital if the uterus contractions started
To go to the hospital if the rupture of the fetal membranes occurred
To go to the hospital on the day which was calculated as estimated date of delivery
To go to the hospital if the contractions of uterus are every 10min and more often
To go to the hospital if fetal movements decreased

Erklärung

Frage 11 von 11

1

You have to pay attention to fetal condition during pregnancy. Which methods are used to evaluate a fetal condition in III trimester:
Select one or more: (5p)

Wähle eine oder mehr der folgenden:

Leopald maneuvers
Cardiotocography
Ultrasound fetometry
Assessment of biophysical profile
Calculation of fetal movements
Ultrasound and doplerometry data of fetus
Asessment of placenta location at ultrasound scan
Auscultation of fetal heart rate
All answers are correct

	Erstellt von Lit Med vor fast 3 Jahre

2021 OSCE Stations (June 2021) Quiz am Obstetrics- OSCE June 2021, erstellt von Lit Med am 09/12/2021.

Obstetrics- OSCE June 2021

Frage 1 von 11

Wähle eine der folgenden:

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Frage 2 von 11

Are there the indications for a screening for chromosomal abnormalities in the I trimester: Select one or more (2p)

Wähle eine oder mehr der folgenden:

Erklärung

Frage 3 von 11

Please, evaluate womanʼs blood pressure (BP): Select one (1p)

Wähle eine der folgenden:

Erklärung

Frage 4 von 11

The blood groups and Rh factors of spouses do not match. The correct decisions are: Select one or more (4p)

Wähle eine oder mehr der folgenden:

Erklärung

Frage 5 von 11

Results of the urine analysis: the nitrites (1+) positive and leucocytes negative. The bacterial colonisation (>10 E.coli) in the urine culture was found. Such results show: Select one (1p)

Wähle eine der folgenden:

Erklärung

Frage 6 von 11

Results of the urine analysis: the nitrites (1+) positive and leucocytes negative. The bacterial colonisation (>10 E.coli) in the urine culture was found. Your decision is: Select one (!p)

Wähle eine der folgenden:

Erklärung

Frage 7 von 11

You will perform a fetal ultrasound screening scan at: Select one (1p)

Wähle eine der folgenden:

Erklärung

Frage 8 von 11

Should glucose tolerance test (GTT) be done in this case: Select one (1p)

Wähle eine der folgenden:

Erklärung

Frage 9 von 11

You will perform a Beta Hemolytic Streptococcus (GBS) Culture test at 35 - 36 week of pregnancy. If it will be positive, then the right statements are: Select one or more (2p)

Wähle eine oder mehr der folgenden:

Erklärung

Frage 10 von 11

2 weeks left before estimated date of delivery. A woman started to be nervous with her decision when she supposed to leave to the hospital. Your advices: Select one or more (3p)

Wähle eine oder mehr der folgenden:

Erklärung

Frage 11 von 11

You have to pay attention to fetal condition during pregnancy. Which methods are used to evaluate a fetal condition in III trimester: Select one or more: (5p)

Wähle eine oder mehr der folgenden:

Erklärung

Are there the indications for a screening for chromosomal
abnormalities in the I trimester:
Select one or more (2p)

Please, evaluate womanʼs blood pressure (BP):
Select one (1p)

The blood groups and Rh factors of spouses do not match. The
correct decisions are:

Select one or more (4p)

Results of the urine analysis: the nitrites (1+) positive and
leucocytes negative. The bacterial colonisation (>10 E.coli) in
the urine culture was found.
Such results show:

Select one (1p)

Results of the urine analysis: the nitrites (1+) positive and
leucocytes negative. The bacterial colonisation (>10 E.coli) in
the urine culture was found.
Your decision is:

Select one (!p)

You will perform a fetal ultrasound screening scan at:

Select one (1p)

Should glucose tolerance test (GTT) be done in this case:

Select one (1p)

You will perform a Beta Hemolytic Streptococcus (GBS) Culture
test at 35 - 36 week of pregnancy. If it will be positive, then the
right statements are:

Select one or more (2p)

2 weeks left before estimated date of delivery. A woman started
to be nervous with her decision when she supposed to leave to
the hospital. Your advices:

Select one or more (3p)

You have to pay attention to fetal condition during pregnancy. Which methods are used to evaluate a fetal condition in III trimester:
Select one or more: (5p)