ANSWER SHEET BY Q.

SET 1 OSCE ONG 2015/2016

BISHOP SCORE

1. Name the scoring system - Bishop Score

2. List 2 uses of Bishop Score - i ) Prediction of successful labor induction
ii) Assess the odds of SVD
3. A- Dilation
B- Station
C- Firm

KIWI VENTOUS

1. Name : Kiwi ventouse

4. Give two indications - i ) Fetal distress in 1st stage of labor
ii) Prolonged second stage labour
5. 4 pre-requisites
- Fully dilated os
- OA/OP
- Rupture membrane
- CPD is ruled out
- Engaged
- Pain killer
- Station

IBERET FOLIC

1. Name one indication - Iron deficiency anaemia

6. Common side effect - i ) blackish stool , diarrhoea
ii) abdominal pain , infrequent bowel movement
7. Other alternatives :
a) Obimin
b) Haematinics

PRESENTATION OF BABY HEAD

1. Label A & B , A: Anterior fontanelle , B : Saggital suture

8. Name the position of presenting part : - OA
9. Name the diameter of presenting part : traverse ( 13.5 cm )
10. Give the diameter of presenting part : 13.5 cm.
MERCILON

1. Name 2 hormones in this drug : Desogestrel and ethynyl estradiol

11. State the main usage : Contraception
12. Give 2 side effects :
1. breast tenderness
2. nausea and vomiting
3. bacterial candidiasis infection
4. abdominal pain
5. headache

VURSELLUM FORCEPS

1. What is the device : Vulssellum forceps

13. Give the function : to grasp the cervix in the operation
14. Name one gynaecological procedure in which these devices is used : Dilatation and
Curettage
15. Complication :
1. trauma to the cervix
2. bleeding

SET 1 OSCE ONG 2014/2015

CARDIOTOCOGRAPHY

1. Label part A and B - A) Toco- transducer/ Tocogram B) Cardio- transducer / Cardogram

16. Function of the instrument - i ) recording the FHR
ii) assess uterine contraction during pregnancy
17. When it can be used -
1. reduce fetal movement
2. preterm contraction
3. pre-eclampsia

PROSTIN

1. What is the group of this medication : Prostaglandin E2

18. What is the function of this medication - i ) softening and ripening the cervix for preparation
of labor
19. When it can be used : Induction of labour, evacuation of POC
 20. Contraindication for this medication :
1. hypersensitivity
2. acute PID
3. severe asthma
4. chronic hypertension

VAGINAL BREECH DELIVERY

1. What is the problem that happen : Head entrapment

21. What are the complication that might happen for the fetus/cord ?
1. Fetus :
1. Fetal distress
2. hypoxia
3. trauma to the brain and skull

GOOGLE IMAGE : ENDOMETRIOSIS OF OVARY

 1. What are the abnormal pathological findings of this image : endoscopic image showing
ruptured of chocolate cyst in the left ovary
22. What is the diagnosis : Endometriosis / ruptured endometrioma
23. What are the symptoms that patient complaint of :
1. dysmenorrhea
2. dyspareunia
3. sub fertility
4. pelvic pain
24. What are the treatment for this
problem : sorry thaqiff not so sure this
one

SET 2 OSCE ONG 2014/2015

SIMS SPECULUM

1. Name the instrument : Sims speculum

25. Function of the instrument - i ) exploring and inspecting the vaginal wall and cervix
ii) collecting discharge from the vagina
26. 2 conditions that need the instrument to be used :
1. dilation and curettage
2. IUCD insertion

IBERET FOLIC

1. What is the active component in this medication : Folic acid, B12

27. 2 indications : IDA, folate deficiency
28. One complication to the mother and one to the fetus, if pt not compliance to the
medication :
1. Mother:
1. PIH
2. Fetus
1. Low body weight
2. Preterm labor

DILAPAN

1. Name the item above : Dilapan

29. Explain how it works :
 1. It will absorb fluid in the uterine cervical canal
2. And then increase its volume and dilate the cervix ( after 4 - 6 hrs , from 3mm to 8 - 10
mm
3. The dilatation will initiate the endogenous PGL released
4. PGL will cause the collagen degradation thus ripened the cervix

3. Complication : ascending infection , vagina bleeding, uterine hyperstimulation

ULTRASOUND OF MISSED MISCARRIAGE

1. Describe the radiograph : Based on the ultrasound findings, missed miscarriage is

classified as to be of two types :
1. When an empty gestational sac is visualised with an absent embryonic pole
it is termed as blighted ovum
2. When a gestational sac with an embryonic pole without the cardiac activity
, it is termed as early fetal demise.
30. Diagnosis : Missed miscarriage

PARTOGRAM OF :
PRIMARY DYSFUNCTIONAL LABOUR
Primary Dysfunctional Labour :

1. Pathological conditions : Poor progress in the active phase

2. Etiology : Most of the time it is due to poor uterine contractions
3. Management : Augmentation and correction of ketosis can improve uterine contractions
SECONDARY ARREST

1. Pathological conditions : If the labour progress normally upto 7cm or more but subsequently the
cervix does not dilate
2. Etiology : macrosomic baby, small pelvis or malposition.
3. Management : do assessment of secondary arrest - Fetal size fundal height , degree of
engagement, position of presenting part , signs of obstruction, any pelvic mass ?
TRANSVAGINAL ULTRASOUND PROBE

1. Name the instrument : Transvaginal ultrasound probe

31. 2 conditions that need the instrument to be used :
1. Ectopic pregnancy
2. Molar pregnancy
3. Unexplained vaginal bleeding
4. IUCD insertion
5. Abdominal pelvic pain