OBG OSCE Stations - Study guide Study materials Exam preparations
Question papers Past pap, Exams of Gynecology
What is the most likely comprehensive diagnosis for a 28 y/o G1P0 at 34
weeks with BP 170/110, severe headache, blurred vision, epigastric pain, and
hyperreflexia? - ANSWERSevere Preeclampsia at 34 weeks gestation. Severe
Preeclampsia 1
List three key clinical features supporting a diagnosis of severe preeclampsia
from the scenario of a woman with BP 170/110, headache, blurred vision,
and epigastric pain. - ANSWER1. Blood pressure of 170/110 mmHg (Systolic
>160 or diastolic >110). 2. Severe headache, blurred vision, and epigastric
pain. 3. Generalized oedema and hyperreflexia. (Any 3 features listed) Severe
Preeclampsia 2
What are the first three immediate management steps upon admission for
severe preeclampsia? - ANSWER1. Hospitalization with maternal
hemodynamic stabilization. 2. Position patient on left side or flat with legs
raised. 3. Secure large bore intravenous lines and administer crystalloid IV
fluids. Severe Preeclampsia 3
What are the next three immediate management steps for severe
preeclampsia after IV access is secured? - ANSWER4. Administer
supplemental oxygen (8-10 L/min via face mask). 5. Insert Foley catheter for
,strict urine output monitoring (aim >30ml/hour). 6. Order initial
investigations (CBC, UEC, LFTs, urinalysis). Severe Preeclampsia 4
What antihypertensive medication should be administered for a diastolic BP
>100-110 mmHg in severe preeclampsia? - ANSWERHydralazine or Labetalol.
Severe Preeclampsia 5
What medication is initiated for seizure prophylaxis in severe preeclampsia,
and what is the loading dose? - ANSWERMagnesium Sulfate; 4 gm IV over 15-
20 minutes. Severe Preeclampsia 6
How frequently should maternal vital signs and fetal heart rate be monitored
in severe preeclampsia management? - ANSWEREvery 30 minutes. Severe
Preeclampsia 7
For a stable patient with preeclampsia (BP 150/100, proteinuria +2), list three
essential maternal investigations. - ANSWERUrinalysis, 24-hour urine protein,
Full Blood Count (anemia/thrombocytopenia), Urea/Electrolytes/Creatinine
(renal function), Liver Function Tests (transaminases/LDH/bilirubin). (Any 3)
Monitoring in Preeclampsia 8
For a stable patient with preeclampsia, list two essential fetal investigations. -
ANSWERObstetric Ultrasound (fetal weight/growth restriction), Amniotic fluid
volume assessment (oligohydramnios), Nonstress Testing (NST) or Biophysical
Profile (BPP). (Any 2) Monitoring in Preeclampsia 9
List three key parameters for regular monitoring in a patient with
preeclampsia. - ANSWERBlood Pressure, Urine Output, Proteinuria (daily
dipstick), Fetal Movements (daily counts), Deep Tendon Reflexes
(hyperreflexia/clonus). (Any 3) Monitoring in Preeclampsia 10
,Name two potential maternal complications of pre-eclampsia. -
ANSWEREclampsia, Cerebral hemorrhage, HELLP syndrome (Hemolysis,
Elevated Liver enzymes, Low Platelet count). (Any 2) Complications of
Preeclampsia 11
Name two potential fetal complications of pre-eclampsia. -
ANSWERIntrauterine Growth Restriction (IUGR), Low birth weight, Preterm
birth, oligohydramnios, Stillbirth. (Any 2) Complications of Preeclampsia 12
What are the first three immediate actions during an eclamptic seizure? -
ANSWER1. Call for help (multidisciplinary team). 2. Maintain airway patency
and prevent aspiration (position patient on left side). 3. Protect patient from
injury (e.g., padded side rails). Management of Eclampsia 13
After protecting the patient during an eclamptic seizure, what are the next
three actions? - ANSWER4. Administer supplemental oxygen (8-10 L/min via
face mask). 5. Gather intubation, suction, and bag/mask equipment. 6.
Secure large bore intravenous access. Management of Eclampsia 14
What is the primary drug for both preventing and treating eclamptic
seizures? - ANSWERMagnesium Sulfate. Management of Eclampsia 15
What is the loading dose of Magnesium Sulfate for treating an active
eclamptic seizure? - ANSWER4 gm IV or 10 gm IM (5 gm in each buttock).
Management of Eclampsia 16
What is the maintenance dose of Magnesium Sulfate for an active eclamptic
seizure? - ANSWER1 gm/hour IV, continued for 24 hours postpartum.
Management of Eclampsia 17
, How is a recurrent seizure managed in a patient on Magnesium Sulfate? -
ANSWERAdminister an additional 2 gm IV stat dose and increase the
maintenance infusion to 2 gm/hour. Management of Eclampsia 18
What is the definitive treatment for eclampsia, irrespective of gestational
age? - ANSWERDelivery. Vaginal delivery if cervix is favorable and rapid
delivery expected; otherwise, Caesarean section. Management of Eclampsia
19
List three parameters for monitoring Magnesium Sulfate toxicity. -
ANSWERRespiratory Rate (must be ≥12 breaths/minute), Urine Output (must
be ≥30 mL/hour), and Patellar (Knee) Reflexes (must be present).
Management of Eclampsia 20
What is the antidote for Magnesium Sulfate toxicity, and how is it
administered? - ANSWERCalcium gluconate, 1 gram IV over 3 minutes.
Management of Eclampsia 21
If Magnesium Sulfate is unavailable for eclampsia, what alternative
medications can be used? - ANSWERDiazepam (20mg IV loading dose) or
Phenytoin (10 mg/kg IV loading dose). Management of Eclampsia 22
In a scenario of a 34-week primigravida with a firm, ballotable mass in the
fundus and a softer mass over the pelvic inlet, what is the likely diagnosis? -
ANSWERTerm pregnancy (34 weeks), Longitudinal lie, Breech presentation,
likely Frank breech. Breech Presentation 23
Question papers Past pap, Exams of Gynecology
What is the most likely comprehensive diagnosis for a 28 y/o G1P0 at 34
weeks with BP 170/110, severe headache, blurred vision, epigastric pain, and
hyperreflexia? - ANSWERSevere Preeclampsia at 34 weeks gestation. Severe
Preeclampsia 1
List three key clinical features supporting a diagnosis of severe preeclampsia
from the scenario of a woman with BP 170/110, headache, blurred vision,
and epigastric pain. - ANSWER1. Blood pressure of 170/110 mmHg (Systolic
>160 or diastolic >110). 2. Severe headache, blurred vision, and epigastric
pain. 3. Generalized oedema and hyperreflexia. (Any 3 features listed) Severe
Preeclampsia 2
What are the first three immediate management steps upon admission for
severe preeclampsia? - ANSWER1. Hospitalization with maternal
hemodynamic stabilization. 2. Position patient on left side or flat with legs
raised. 3. Secure large bore intravenous lines and administer crystalloid IV
fluids. Severe Preeclampsia 3
What are the next three immediate management steps for severe
preeclampsia after IV access is secured? - ANSWER4. Administer
supplemental oxygen (8-10 L/min via face mask). 5. Insert Foley catheter for
,strict urine output monitoring (aim >30ml/hour). 6. Order initial
investigations (CBC, UEC, LFTs, urinalysis). Severe Preeclampsia 4
What antihypertensive medication should be administered for a diastolic BP
>100-110 mmHg in severe preeclampsia? - ANSWERHydralazine or Labetalol.
Severe Preeclampsia 5
What medication is initiated for seizure prophylaxis in severe preeclampsia,
and what is the loading dose? - ANSWERMagnesium Sulfate; 4 gm IV over 15-
20 minutes. Severe Preeclampsia 6
How frequently should maternal vital signs and fetal heart rate be monitored
in severe preeclampsia management? - ANSWEREvery 30 minutes. Severe
Preeclampsia 7
For a stable patient with preeclampsia (BP 150/100, proteinuria +2), list three
essential maternal investigations. - ANSWERUrinalysis, 24-hour urine protein,
Full Blood Count (anemia/thrombocytopenia), Urea/Electrolytes/Creatinine
(renal function), Liver Function Tests (transaminases/LDH/bilirubin). (Any 3)
Monitoring in Preeclampsia 8
For a stable patient with preeclampsia, list two essential fetal investigations. -
ANSWERObstetric Ultrasound (fetal weight/growth restriction), Amniotic fluid
volume assessment (oligohydramnios), Nonstress Testing (NST) or Biophysical
Profile (BPP). (Any 2) Monitoring in Preeclampsia 9
List three key parameters for regular monitoring in a patient with
preeclampsia. - ANSWERBlood Pressure, Urine Output, Proteinuria (daily
dipstick), Fetal Movements (daily counts), Deep Tendon Reflexes
(hyperreflexia/clonus). (Any 3) Monitoring in Preeclampsia 10
,Name two potential maternal complications of pre-eclampsia. -
ANSWEREclampsia, Cerebral hemorrhage, HELLP syndrome (Hemolysis,
Elevated Liver enzymes, Low Platelet count). (Any 2) Complications of
Preeclampsia 11
Name two potential fetal complications of pre-eclampsia. -
ANSWERIntrauterine Growth Restriction (IUGR), Low birth weight, Preterm
birth, oligohydramnios, Stillbirth. (Any 2) Complications of Preeclampsia 12
What are the first three immediate actions during an eclamptic seizure? -
ANSWER1. Call for help (multidisciplinary team). 2. Maintain airway patency
and prevent aspiration (position patient on left side). 3. Protect patient from
injury (e.g., padded side rails). Management of Eclampsia 13
After protecting the patient during an eclamptic seizure, what are the next
three actions? - ANSWER4. Administer supplemental oxygen (8-10 L/min via
face mask). 5. Gather intubation, suction, and bag/mask equipment. 6.
Secure large bore intravenous access. Management of Eclampsia 14
What is the primary drug for both preventing and treating eclamptic
seizures? - ANSWERMagnesium Sulfate. Management of Eclampsia 15
What is the loading dose of Magnesium Sulfate for treating an active
eclamptic seizure? - ANSWER4 gm IV or 10 gm IM (5 gm in each buttock).
Management of Eclampsia 16
What is the maintenance dose of Magnesium Sulfate for an active eclamptic
seizure? - ANSWER1 gm/hour IV, continued for 24 hours postpartum.
Management of Eclampsia 17
, How is a recurrent seizure managed in a patient on Magnesium Sulfate? -
ANSWERAdminister an additional 2 gm IV stat dose and increase the
maintenance infusion to 2 gm/hour. Management of Eclampsia 18
What is the definitive treatment for eclampsia, irrespective of gestational
age? - ANSWERDelivery. Vaginal delivery if cervix is favorable and rapid
delivery expected; otherwise, Caesarean section. Management of Eclampsia
19
List three parameters for monitoring Magnesium Sulfate toxicity. -
ANSWERRespiratory Rate (must be ≥12 breaths/minute), Urine Output (must
be ≥30 mL/hour), and Patellar (Knee) Reflexes (must be present).
Management of Eclampsia 20
What is the antidote for Magnesium Sulfate toxicity, and how is it
administered? - ANSWERCalcium gluconate, 1 gram IV over 3 minutes.
Management of Eclampsia 21
If Magnesium Sulfate is unavailable for eclampsia, what alternative
medications can be used? - ANSWERDiazepam (20mg IV loading dose) or
Phenytoin (10 mg/kg IV loading dose). Management of Eclampsia 22
In a scenario of a 34-week primigravida with a firm, ballotable mass in the
fundus and a softer mass over the pelvic inlet, what is the likely diagnosis? -
ANSWERTerm pregnancy (34 weeks), Longitudinal lie, Breech presentation,
likely Frank breech. Breech Presentation 23
