Obstetrics- OSCE June 2021

Questão 1 de 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)

Selecione uma das seguintes:

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

Explicação

Questão 2 de 11

1

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 3 de 11

1

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

Selecione uma das seguintes:

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

Explicação

Questão 4 de 11

1

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

Select one or more (4p)

Selecione uma ou mais das seguintes:

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

Explicação

Questão 5 de 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)

Selecione uma das seguintes:

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

Explicação

Questão 6 de 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)

Selecione uma das seguintes:

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

Explicação

Questão 7 de 11

1

You will perform a fetal ultrasound screening scan at:

Select one (1p)

Selecione uma das seguintes:

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

Explicação

Questão 8 de 11

1

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

Select one (1p)

Selecione uma das seguintes:

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)

Explicação

Questão 9 de 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)

Selecione uma ou mais das seguintes:

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

Explicação

Questão 10 de 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)

Selecione uma ou mais das seguintes:

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

Explicação

Questão 11 de 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)

Selecione uma ou mais das seguintes:

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

	Criado por Lit Med quase 3 anos atrás

2021 OSCE Stations (June 2021) Quiz sobre Obstetrics- OSCE June 2021, criado por Lit Med em 09-12-2021.

Obstetrics- OSCE June 2021

Questão 1 de 11

Selecione uma das seguintes:

Explicação

Questão 2 de 11

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

Selecione uma ou mais das seguintes:

Explicação

Questão 3 de 11

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

Selecione uma das seguintes:

Explicação

Questão 4 de 11

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

Selecione uma ou mais das seguintes:

Explicação

Questão 5 de 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)

Selecione uma das seguintes:

Explicação

Questão 6 de 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)

Selecione uma das seguintes:

Explicação

Questão 7 de 11

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

Selecione uma das seguintes:

Explicação

Questão 8 de 11

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

Selecione uma das seguintes:

Explicação

Questão 9 de 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)

Selecione uma ou mais das seguintes:

Explicação

Questão 10 de 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)

Selecione uma ou mais das seguintes:

Explicação

Questão 11 de 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)

Selecione uma ou mais das seguintes:

Explicação

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)