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The teaching is aimed at basics of gynaecological care and care during pregnancy. Ongoing screening programs
in gynaecology and obstetrics will be discussed. Students will be taught during commented live transmissions
about surgical procedures in gynaecology and obstetrics. They will be trained on Viktorie simulator for vaginal
delivery during obstetrics practical seminar, practice perineal wound repair. Basic set of gynaecological
instruments will be presented, PAP smear technique and HPV test usage will be trained. Lectures are focused on
all subspecialties in gynaecology and obstetrics aiming at both theoretical knowledge and clinical skills.
Last update: Kolářová Jana (24.06.2021)
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Credits before the state exam:
Therefore, there will be 3 ways how to fulfil criteria You will always need to pass final State exam at First Faculty. 1) Full attendance of 5+2weeks at the First Faculty 2) You will attend 2 weeks clinical elective (any Ob/Gyn department -worldwide), bring stamped certificate. Then you will be required to attend 3 weeks practical seminars and theoretical lectures. 3) You will attend full Ob/Gyn program of recognized university abroad. This requires receiving our pre-approval. You will send us your request, with the name of university and its Ob/Gyn syllabus. After our review you will (or not) receive our approval and you will be required before the state exam bring us a certificate from the visiting university.
State Exam: - takes place during the 7th week of traineeships. Students register for the State Exam through the Information Study System of the 1st Faculty of Medicine, Charles University State Exam Questions in Gynecology and Obstetrics - Valid from 2024/25 Clinical question means the management of the outlined patient (diagnostic and therapeutic procedure) with the described clinical manifestations 1. a) Principles of antenatal care in the Czech Republic – recommended procedures b) Clinical question – Bleeding in the third trimester of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Malignant tumors of the fallopian tube and ovary – classification, management, treatment d) Clinical question – Vaginal bleeding in a ten-year-old girl (diagnosis, differential diagnosis, treatment procedures) 2. a) High-risk pregnancy – definition, types of risks b) Clinical question – Hypertension at 24 weeks of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Uterine myomatosis – types, complications d) Clinical question – Vaginal bleeding in a woman in her 60s (diagnosis, differential diagnosis, treatment procedures) 3. a) Cardiopulmonary resuscitation during pregnancy and labor b) Clinical question – Vomiting in the first trimester of pregnancy (diagnosis, differential diagnosis by trimester, treatment procedures) c) Menstrual bleeding disorders – classification, diagnosis, treatment d) Clinical question – Urinary incontinence in a woman in her 40s (diagnosis, differential diagnosis, treatment procedures) 4. a) Internal diseases during pregnancy (with a focus on cardiovascular, endocrine, liver, and lung diseases) and commentary on organ system changes during pregnancy b) Clinical question – Bleeding during the second stage of labor (patient management – diagnosis, differential diagnosis, treatment procedures) c) Examination of an infertile couple and evaluation of infertility causes d) Clinical question – Cardiopulmonary decompensation and sudden cardiac arrest shortly after gynecological surgery (diagnosis, differential diagnosis, treatment procedures) 5. a) Causes and prevention of maternal and perinatal mortality and morbidity b) Clinical question – Elevated temperature in the postpartum period (diagnosis, differential diagnosis, treatment procedures) c) Sexually transmitted diseases (definition, examples, diagnosis, treatment) d) Clinical question – Irregular uterine bleeding in a woman around 45 years old (differential diagnosis, diagnosis, treatment procedures) 6. a) Preeclampsia and eclampsia, HELLP syndrome b) Clinical question – Bleeding in the third stage of labor (patient management – diagnosis, differential diagnosis, treatment procedures) c) Thromboembolic disease in gynecology – etiopathogenesis, risk factors, symptoms, diagnosis, treatment, prevention d) Clinical question – Painful menstruation (differential diagnosis of causes, diagnosis, treatment procedures) 7. a) Anatomy of the pelvis and soft birth canal in the context of childbirth b) Clinical question – Uterine hypertonus in a pregnant woman in the third trimester (patient management – diagnosis, differential diagnosis, treatment procedures) c) Diagnosis, differential diagnosis, and treatment of acute events in gynecology d) Clinical question – Excessive menstrual bleeding (patient management – diagnosis, differential diagnosis, treatment procedures) 8. a) Acute abdominal conditions during pregnancy b) Clinical question – Pruritus during pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Congenital uterine and vaginal anomalies – causes, diagnosis, treatment, disorders of sexual differentiation d) Clinical question – Post-coital bleeding (diagnosis, differential diagnosis, treatment procedures) 9. a) External and internal obstetric examination at the end of pregnancy and during labor: fetal position, presentation, engagement, and attitude b) Clinical question – Breast pain and redness in the postpartum period (diagnosis, differential diagnosis, treatment procedures) c) Life stages of a woman from a gynecologist's perspective. Development of the reproductive organs throughout a woman's life d) Clinical question – A woman with persistent pelvic pain and possibly irregular cycles (differential diagnosis, diagnosis, treatment procedures) 10. a) Determining the gestational age, system of obstetric care in the Czech Republic b) Clinical question – Back pain in the third trimester of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Diagnosis, differential diagnosis, and treatment of acute abdominal events in gynecology d) Clinical question – A patient with uterine fibroids during the fertile period – solution algorithm and deciding factors 11. a) Rh incompatibility and isoimmunization – definition, diagnosis, treatment, prevention b) Clinical question – Headaches in the 30th week of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Menstrual cycle regulation, classification, disorders d) Clinical question – Fecal incontinence after a vaginal delivery with extensive perineal injury (differential diagnosis, diagnosis, treatment) 12. a) Physiological changes in the mother's body during pregnancy and their significance b) Clinical question – Lower abdominal pain in the second half of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Infertility treatment, assisted reproduction methods, complications of infertility treatment d) Clinical question – Dyspareunia in a woman of reproductive age (differential diagnosis, risk factors) 13. a) Acute vs. chronic fetal hypoxia in pregnancy b) Clinical question – Abnormal urine test results during routine monitoring in pregnancy (typical abnormal findings in diabetes, preeclampsia, infection, and proposed further care) c) Endometriosis – classification, symptoms d) Clinical question – Urgency and increased frequency of urination (diagnosis, differential diagnosis, treatment procedures) 14. a) Pathology of early pregnancy from the perspective of fetal development – definition of terms b) Clinical question – Decreased fetal movement in the third trimester (diagnosis, differential diagnosis, treatment procedures) c) Vulvovaginal infections d) Clinical question – Dysuria and feeling of incomplete bladder emptying in a perimenopausal woman (differential diagnosis of symptoms, diagnosis) 15. a) Multiple pregnancy – types, complications b) Clinical question – Swelling of the lower extremities in the second half of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Appendicitis and adnexitis – differential diagnosis d) Clinical question – A 15-year-old girl with no menstrual period (diagnosis, differential diagnosis, treatment procedures) 16. a) Breech presentation – definition, types, labor management b) Clinical question – Rupture of membranes at 18 weeks of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Ectopic pregnancy – location, diagnosis, therapy d) Clinical question – A 25-year-old woman with an irregular menstrual cycle (diagnosis, differential diagnosis, treatment procedures) 17. a) Embolic events during pregnancy and labor b) Clinical question – Rupture of membranes at the end of the third trimester (diagnosis, differential diagnosis, treatment procedures) c) Planned parenthood, contraception, sterilization d) Clinical question – A woman in her 50s with missed menstrual periods (diagnosis, differential diagnosis, treatment procedures) 18. a) Peripartum life-threatening hemorrhage b) Clinical question – Rupture of membranes at 25 weeks of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Induced abortion – indications, procedures, legal regulations d) Clinical question – Hypotension and oliguria in the early period after a hysterectomy (differential diagnosis, diagnosis, treatment procedures) 19. a) Placenta – morphology, function, pathology, examination b) Clinical question – Sudden unconsciousness during labor (diagnosis, differential diagnosis, treatment procedures) c) Endoscopic methods in gynecology – definition, classification, indications d) Clinical question – Lower abdominal pain in early pregnancy (diagnosis, differential diagnosis, treatment procedures) 20. a) Infectious diseases and pregnancy b) Clinical question – Collapse of a woman in the second half of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Diagnosis and treatment of precancerous lesions of gynecological tumors d) Clinical question – Routine check-up of a woman after a hysterectomy (what, how, why to routinely check, possible complications, their manifestations) 21. a) Physiology and pathology of the postpartum period and lactation b) Clinical question – Vaginal bleeding at 20 weeks of pregnancy (patient management – diagnosis, differential diagnosis, treatment procedures) c) Malignant tumors of the cervix d) Clinical question – A woman with mild lower abdominal pain and a positive pregnancy test (diagnosis, differential diagnosis, treatment procedures) 22. a) Irregular and pathological fetal positions – diagnosis, labor management b) Clinical question – Convulsive state in the third trimester of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Malignant tumors of the uterine body d) Clinical question – Vaginal discharge in a woman of reproductive age (diagnosis, differential diagnosis, treatment procedures) 23. a) Vaginal delivery in the cephalic presentation – physiological course b) Clinical question – Check-up of a woman after a cesarean section (what, how, why to routinely check, possible complications, their manifestations) c) Risk factors of malignant gynecological tumors, hereditary syndromes d) Clinical question – Feeling of pressure and discomfort in the lower abdomen during infertility treatment (diagnosis, differential diagnosis, treatment procedures) 24. a) Disorders of the mechanism of childbirth in the first and second stages of labor b) Clinical question – Shortness of breath in the second half of pregnancy (patient management – diagnosis, differential diagnosis, treatment procedures) c) Surgical treatment of malignant gynecological tumors – significance, examples of the extent and procedures according to tumor types d) Clinical question – Palpable mass in the breast (diagnosis, differential diagnosis, treatment procedures) 25. a) Shock state during pregnancy b) Clinical question – Sudden excruciating abdominal pain during labor (diagnosis, differential diagnosis, treatment procedures) c) Benign breast diseases (classification, diagnosis, treatment) d) Clinical question – Pelvic and lower back pain after gynecological surgery (diagnosis, differential diagnosis, treatment procedures) 26. a) Diabetes mellitus and pregnancy – classification, complications, principles of care for a pregnant woman b) Clinical question – Hypotension after delivery (diagnosis, differential diagnosis, treatment procedures) c) Precancerous lesions of the vulva, vagina, endometrium, and cervix d) Clinical question – Bleeding in the first trimester of pregnancy (diagnosis, differential diagnosis, treatment procedures) 27. a) Premature newborn and low birth weight newborn – classification, anatomical and physiological signs of immaturity b) Clinical question – Bleeding in the postpartum period (diagnosis, differential diagnosis, treatment procedures) c) Urinary incontinence in women – definition, classification, diagnosis, treatment d) Clinical question – Pruritus of the vulva and vagina (diagnosis, differential diagnosis, treatment procedures) 28. a) The most common causes leading to newborn adaptation disorders, neonatal resuscitation b) Clinical question – Painful swelling of the lower extremities during pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Complications of laparoscopy and hysteroscopy d) Clinical question – Preoperative examination and preparation before hysterectomy – types of examinations and procedures, and justification (diagnosis, differential diagnosis, treatment procedures) 29. a) Birth injuries – causes, classification, treatment, prevention b) Clinical question – Routine check-up in the postpartum period for a woman after spontaneous delivery c) Reproductive surgery – definition and examples of surgical infertility treatment d) Clinical question – Irregular and more frequent menstrual bleeding in a 30-year-old woman (diagnosis, differential diagnosis, treatment procedures) 30. a) Screening and diagnosis of chromosomal abnormalities in pregnancy (the most common types of chromosomal abnormalities and their screening) b) Clinical question – Excessive weight gain and swelling during pregnancy (differential diagnosis, diagnosis) c) Primary and secondary prevention, screening of gynecological tumors d) Clinical question – Irregular bleeding in perimenopause (diagnosis, differential diagnosis, treatment procedures) 31. a) Regular ultrasound examinations during prenatal care b) Clinical question – Discharge at the end of the second trimester of pregnancy (diagnosis, differential diagnosis, treatment procedures) c) Breast cancer – classification, diagnosis, treatment d) Clinical question – Feeling of pressure in the vagina in the first months after delivery (diagnosis, typical findings, treatment procedures) 32. a) Induction of labor – indications and description of methods b) Clinical question – Dysuria and increased frequency of urination during pregnancy (differential diagnosis, diagnosis, treatment procedures) c) Radiotherapy, chemotherapy, hormone therapy, and targeted therapy of gynecological malignancies – typical examples d) Clinical question – Proposal of contraception method for a woman after completing her reproductive plans (selection of appropriate options and commentary on advantages and disadvantages) 33. a) Extractive obstetric operations – types, indications, complications b) Clinical question – Urinary retention during pregnancy (patient management – diagnosis, differential diagnosis, treatment procedures) c) Fertility-preserving treatment in oncogynecology – definition, typical examples d) Clinical question – Fever and abdominal pain after gynecological surgery (diagnosis, differential diagnosis, treatment procedures) 34. a) Cesarean section – brief description, classification of types, indications, and examples b) Clinical question – Lower abdominal pain and pain around the symphysis before delivery in a woman after a previous cesarean section (differential diagnosis, diagnosis, treatment procedures) c) Malignant tumors of the vulva and vagina d) Clinical question – Vaginal discharge in postmenopause (diagnosis, differential diagnosis, causes, treatment procedures) 35. a) Fetal hypoxia in pregnancy b) Clinical question – Prolonged labor in the first stage of labor (diagnosis, causes, management) c) Prebiopsy diagnostic methods of the lower genital tract d) Clinical question – Post-hysterectomy care with fever and subsequent diarrhea (patient management – diagnosis, differential diagnosis, treatment procedures) 36. a) Monitoring fetal heart rate during labor (basic parameters, examples of pathology) b) Clinical question – Routine admission of a woman at term with physiological pregnancy and onset of labor c) Benign tumors and pseudotumors of the ovary d) Clinical question – Vomiting and bowel obstruction after laparotomy for gynecological surgery (patient management – diagnosis, differential diagnosis, treatment procedures) 37. a) The most common fetal malformations and their prevention. Teratogens b) Clinical question – Apgar score (definition and examples of normal and abnormal scores) c) Uterine and vaginal wall prolapse – terminology, classification, causes, types of treatment b) Clinical question – Lower abdominal pain in a non-pregnant woman after sexual intercourse (basic differential diagnosis and key diagnostic parameters) 38. a) Invasive methods of prenatal diagnosis – indications, possibilities of in utero fetal treatment b) Clinical question – Preterm labor after 24 weeks of pregnancy (patient management – diagnosis, differential diagnosis, treatment procedures) c) Diagnostic methods in urogynecology (overview, typical indications) d) Clinical question – Preoperative preparation to prevent complications during hysterectomy and typical examples of complications
State Exam Questions in Gynecology and Obstetrics - Valid from 2024/25
Clinical question means the management of the outlined patient (diagnostic and therapeutic procedure) with the described clinical manifestations
10. 22. Last update: Dvořák Jan, MUDr. (24.09.2024)
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Women’s physiology Physiological changes in pregnancy and fetal development OB-GYN examination methods Surgical approaches in gynaecology Minor surgical procedures in gynaecology Infection in pregnancy Infection, physiology and pathology of the breast during pregnancy Disorders of early pregnancy and differential diagnosis Perinatology and fetomaternal medicine Organization of prenatal care in the Czech Rep., obstetric examination Prenatal screening and congenital abnormalities Pharmacotherapy in pregnancy Pathological pregnancy (preterm delivery and prolonged pregnancy, intrauterine fetal death) Pathological pregnancy (FGR, fetal anaemia, multiple pregnancy, TTTS) Pathological pregnancy (medical disorders during pregnancy - diabetes, hypertension, HELLP syndrome, blood and heart disorders) Delivery, abnormal uterine activity, intrauterine hypoxia, cardiotocography Obstetric emergencies Infection in pregnancy, sepsis Peripartum haemorrhage Obstetric analgesia and anaesthesia Breech, abnormal fetal positions, disorders of normal delivery Instrumental and operative delivery, obstetric injury Placental pathologic conditions, abnormally adherent placenta Disorders of puerperium Gynaecological Oncology Surgical anatomy Management of malignant tumours - surgical treatment Premalignant lesions Hereditary cancer syndromes Management of malignant tumours - other treatment modalities Gestational trophoblastic disease Breast disorders Urogynaecology Functional anatomy Urine incontinence Pelvic organs descensus Endocrinology and reproductive medicine Gynaecological endocrinology Contraception Infertility and assisted reproduction Oocyte maturation and early embryonic development Gynaecological endoscopy Common procedures Endometriosis Benign gynaecology Infections Acute abdomen Basics of surgical anatomy Last update: Kolářová Jana (24.06.2021)
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For the current schedule follow the website of the clinic and the FB group: https://gynpo.lf1.cuni.cz/en/ Obstetrics and Gynecology 24. 4. 2023 Monday 8.45 - 9.15 Basic information doc. Švabík 9.15 - 10.45 Organization of prenatal care in the Czech Republic, obstetric examination doc. Koucký 10:45-11:45 Prenatal screening and the most common congenital fetal aneuploidy and malformations prof. Calda 12:00-13:15 Psychological care of patients at Department of Obstetrics and Gynecology PhDr. Slabá
25. 4. 2023 Tuesday (ATTENTION – Bulovka University Hospital, bulding No. 15, lecture hall) 8.30 - 10.00 Pregnancy-induced physiological changes in women and fetal development as. Hurt/as. Mojhová 10.15 - 11.45 Infections in pregnancy. Physiology and pathology of the mammary gland in pregnancy as. Matěcha/as. Mojhová 12.00 - 13.15 Pathology and differential diagnosis of early pregnancy as. Dubová/as. Brtnický
26. 4. 2023 Wednesday 8.30 - 9.15 High risk pregnancy, fetal growth restriction (FGR) as. Vojtěch 9.15 – 10.15 Anatomy of the pelvis, mechanism of physiological labor as. Přáda 10.30 – 11.15 „Obstructed labor“ doc. Koucký 11.15 – 12.00 Sudden events in pregnancy doc. Koucký
27. 4. 2023 Thursday 8.30 – 10.00 Abnormal fetal position and presentation MUDr. Laštůvka 10.15 – 11.15 Peripartum/postpartum hemorrhage prof. Pařízek 11.15 – 12.30 Cardiopulmonary resuscitation in pregnancy, analgesia and anaesthesia in obstetrics prof. Pařízek
28. 4. 2023 Friday 8.30 – 09:15 Fetal hypoxia, CTG as. Přáda 09.15 – 11.15 Operative delivery, C-section prof. Hájek, as. Přáda 11:15 – 12:00 The most important cardiovascular diseases in pregnancy-preeclampsia as. Šimják 12:00 – 13:00 Diabetes in pregnancy, Intrahepatic cholestasis of pregnancy as. Andrlová, as. Šimják
1. 5. 2023 Monday holiday 8.30 – 10.00 Multiple pregnancy and its complications as. Vojtěch 10.15 – 11.30 Pharmacology in pregnancy, erytrocyte alloimmunization as. Žižka 11.30 – 12.30 Disorders of the duration of pregnancy as. Vojtěch
2. 5. 2023 Tuesday 8.30 – 9.05 Distribution of newborns according to weight and length of gestation. Physiological adaptation late preterm/early term and mature newborns, lung cleansing and reconstruction of fetal circulation, specifics of adaptation of immature newborns prof. Plavka/MUDr. Lamberská 9.10 – 9.45 Placental transfusion-physiology and significance for newborns, delayed umbilical cord clamping vs milking MUDr. Lamberská/MUDr. Dunajová 9.50 – 10.25 Resuscitation of premature newborns in the delivery room - algorithm, aids, monitors, devices MUDr. Nguen/MUDr. Lamberská, MUDr. Dunajová 10.35 – 11.05 Care of newborns in the delivery room-treatment, bonding, monitoring. Non-initiation of care in live-born newborns, comfort care in the NICU, parents MUDr. Lukšová/MUDr. Paslerová 11.10 – 12.00 Modern neonatology, building blocks, evolution of mortality and morbidity, limits of viability prof. Plavka
3. 5. 2023 Wednesday (ATTENTION – Bulovka University Hospital, bulding No. 15, lecture hall) 8.30 - 10.00 Minor surgeries in gynaecology as. Brtnický/as. Kabele 10.15 - 11.45 Examination methods in gynaecology and obstetrics as. Hubka/as. prim. Koliba 12.00 - 12.45 Surgical approaches in gynaecology prof. Zikán/as. Brtnický 13.00 - 13.45 Breast diseases prof Zikán/as. Dubová
4. 5. 2023 Thursday 8.30 – 10.30 Gynaecological endocrinology, endometriosis, contraception doc. Fanta 10.45 – 12.15 Gynaecological emergencies doc. Fanta 12.15 - 14.45 Examination of the infertile couple, treatment of infertility, complications. MUDr. Adamcová
5. 5. 2023 Friday 8.30 - 10.00 Vulval and endometrial cancer as. Kocián 10.15 - 11.45 Hereditary Syndromes in Gynaecologic Oncology, Prevention, GTD/GTN as. Frühauf 12.00 - 13.15 Video Lectures – Surgery in Gynaecologic Oncology as. Frühauf
8. 5. 2023 Monday holiday
9. 5. 2023 Tuesday 8.30 – 10.00 Basics of gynaecological endoscopy. Video: Total Laparoscopic Hysterectomy prof. Kužel 10.00 – 11.00 Puberty and bleeding disorders MUDr. Poncová 11.15 – 12.30 Gynaecologic infection prof. Mašata 12.30 – 13.30 Benign uterine tumours, reproductive surgery prof. Mára
10. 5. 2023 Wednesday Rector´s day
11. 5. 2023 Thursday Practical seminars (½)
12. 5. 2023 Friday Victoria obstetrical simulator (for practicing at Bulovka)
15.5. - 26.5.2023 clinical rotation
29. 5. 2023 Monday 8.30 - 10.00 Precancerous lesions in gynaecology prof. Sláma 10.15 - 11.45 Ovarian cancer management prof. Fischerová 12.00 - 13.15 Cervical cancer prof. Cibula
30. 5. 2023 Thuesday 8.30 – 10.00 Multiple pregnancy and its complications as. Vojtěch 10.15 – 11.30 Pharmacology in pregnancy, erytrocyte alloimmunization as. Žižka 11.30 – 12.30 Disorders of the duration of pregnancy as. Vojtěch
31.5.2023 Wednesday 8.30 – 9.30 Urogynaecology – introduction, diagnostic methods doc. Švabík 9.30 – 10.45 Urinary incontinence prof. Martan 11.00 – 12.30 Pelvic organ prolapse prof. Mašata 12.30 -13.30 Delivery and obstetrical pelvic floor injury vs pelvic floor function. MUDr. Dvořák Video
5.6.-9.6.2023 EXAM
Last update: Urbanová Jana (06.04.2023)
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