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The obstetrics and gynaecology state examination consists of an assessment of seminar paper and three oral questions. The questions are chosen from the topics in gynaecology, obstetrics and differential diagnosis including general knowledge. Registration to state exam is possible only through SIS.
Last update: Rob Lukáš, prof. MUDr., CSc. (17.09.2025)
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State examination. Last update: Rob Lukáš, prof. MUDr., CSc. (10.09.2025)
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Norwitz E, Schorge J. Obstetrics & Gynaecology at a Glance. 2nd ed. Blackwell Publishing 2006 Last update: Rob Lukáš, prof. MUDr., CSc. (17.09.2025)
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State examination - assessment of seminar paper and oral exam.
Last update: Rob Lukáš, prof. MUDr., CSc. (10.09.2025)
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Fulfilled credit criteria. Questions for state examination from obstetrics and gynaecology. See SIS for the exam dates. Last update: Rob Lukáš, prof. MUDr., CSc. (10.09.2025)
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New Questions for state examination from obstetrics and gynaecology 2025/2026 OBSTETRICS 1. Definition and diagnostics of pregnancy, physiological changes related to pregnancy 2. Prenatal care in the Czech Republic, examination methods in obstetrics, maternal and perinatal mortality and morbidity 3. Ultrasound examinations during pregnancy 4. Labour, mechanism of labour, lie, position and presentation of the foetus, medical management of labour 5. Stages of labour, uterine activity and its disorders 6. Physiology and pathology of the third and fourth stage of labour 7. Physiology and pathology of puerperium, lactation, obstetric trauma (short-term, long-term complications) 8. Disorders of the labour mechanismus, malpresentation of the foetus, shoulder dystocia 9. Pre-induction and induction of labour, postterm pregnancy 10. Premature labour, premature rupture of membranes 11. Placental disorders - placenta praevia, placenta accreta 12. Abnormal foetal growth - growth restriction (FGR), macrosomia 13. Caesarean section, pregnancy with a history of caesarean section 14. Peripartal foetal monitoring (intrapartal CTG - classification, indication, STAN, IFPO) 15. Operative vaginal delivery - forceps, vacuum extraction 16. Multiple pregnancy - diagnosis, pregnancy monitoring, labour management 17. Breech presentation - diagnosis, pregnancy monitoring, external cephalic version, labour management 18. Abortion vs. delivery of dead foetus, methods of termination of pregnancy in 2nd and 3rd trimester 19. Peripartal life-threating haemorrhage, DIC 20. Alloimmunization in pregnancy 21. Hypertension associated diseases in pregnancy - preeclampsia, eclampsia, HELLP syndrome 22. Gestational diabetes mellitus and other types of diabetes in pregnancy 23. Infectious disease in pregnancy, sepsis 24. Postpartum adaptation of the newborn, care for the newborn in the delivery room, resuscitation of the newborn
GYNAECOLOGY 1. Abdominal surgery - approaches, indications (hysterectomy, salpingo-oophorectomy, salpingectomy) 2. Vaginal surgery - indications - techniques (conisation, hysterectomy) 3. Laparoscopic surgery - indications, complications, relevant anatomy (laparoscopically assisted hysterectomy, salpingo-oophorectomy, salpingectomy) 4. Curettage of cervix/body, hysteroscopy – indications, complications, relevant anatomy 5. Assisted reproduction techniques 6. Complications of assisted reproduction - OHSS 7. Endometriosis 8. Hyperandrogenic syndrome - PCOS 9. Amenorrhea - primary, secondary – definition, classification, most common disorders 10. Paediatric gynaecology - development, inflammation, bleeding, congenital malformations of genitalia and their symptoms 11. Urinary incontinence - definition, epidemiology, diagnostics 12. Diagnostics and therapy of stress and urge urinary incontinence 13. Descensus, prolaps of genitalia - risk factors, treatment options (cystocele, enterocele) 14. Planned parenthood – methods of contraception, risks, benefits 15. Artificial termination of pregnancy - techniques, procedures 16. Benign tumours and precancerous lesions of the vulva - Bartholin gland abscess, lichen sclerosus, lichen atrophicus, precancerous lesions 17. Malignant tumours of the vulva 18. Cervical precancerous lesions, pathogenesis, vaccination, treatment 19. Malignant cervical cancers - epidemiology, risk factors, staging, diagnosis, treatment 20. Precancerous lesions and malignancies of endometrium - epidemiology, risk factors, treatment 21. Benign lesions of endometrium and myometrium- myomas, polyps, endometrial hyperplasia – epidemiology, risk factors, treatment 22. Epithelial malignancies of fallopian tube / ovary - ethiopathogenesis, epidemiology, risk and protective factors, diagnosis, comprehensive treatment 23. Benign ovarian tumors – classification, treatment approach, borderline ovarian tumors 24. Non-epithelial ovarian malignancies 25. Gestational trophoblastic disease, molar pregnancy 26. Benign and precancerous breast disorders 27. Malignant breast neoplasms 28. Women’s life phases related to hormonal activity (newborn ... senium) 29. Hormone replacement therapy, indications, contraindications 30. Menopause, climacteric medicine - interdisciplinary issues (osteoporosis, urogynecological problems) 31. Menstrual cycle, ovulation cycle 32. Menstrual cycle disorders 33. Lower genital tract inflammation - vulvovaginal discomfort and discharge – differential diagnosis, therapy, symptoms 34. Sexually transmitted diseases - diagnosis, therapy - interdisciplinary co-operation 35. Inflammations of the uterus, adnexa, pelvis - diagnostics, therapy DIFFERENTIAL DIAGNOSIS – DIAGNOSTIC ALGORITHM, GENERAL KNOWLEDGE 1. Dif. dg. of bleeding in pregnancy, 1st, 2nd trimester 2. Dif. dg. of bleeding after delivery and in the puerperium (postpartum and puerperal bleeding) 3. Dif. dg. of vomiting, pruritus in pregnancy 4. Dif. dg. of hypertension and seizures in pregnancy 5. Dif. dg. of shock states in obstetrics 6. Dif. dg. of fever in pregnancy and puerperium 7. Dif. dg. of anaemia and thrombocytopenia in pregnancy 8. Dif. dg. of abdominal pain during pregnancy 9. Dif. dg. of vaginal discharge 10. Dif. dg. of acute pelvic pain 11. Dif. dg. of chronic pelvic pain 12. Dif. dg. of ovarian tumours 13. Dif. dg. of bleeding in children and adolescents 14. Dif. dg. of bleeding in perimenopause, postmenopause 15. Dif. dg. of abdominal discomfort, ascites 16. Vascular supply of pelvic organs and its clinical significance 17. Topographic anatomy of pelvis and its clinical significance 18. Lymphatic drainage of the vulva, vagina, uterine cervix, uterine body, fallopian tube, ovary and breast 19. Genetic predisposition to gynaecological malignant tumours 20. Primary prevention of cervical carcinomas - vaccination 21. Screening programs in oncology in the Czech Republic 22. Legislation relating to reproductive medicine 23. Artificial termination of pregnancy - legislation 24. Organization of prenatal care in Czech Republic + screening programs in pregnancy 25. Possibilities of congenital disorders detection, genetic counselling Last update: Rob Lukáš, prof. MUDr., CSc. (03.11.2025)
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In order to become eligible for a state exam you must obtain credits from previous OB/GYN practice. The students get credit for attending seminars and clinical practice before the state exam (see Module of Gynaecology and Obstetrics II, CSRZKGP) Last update: Rob Lukáš, prof. MUDr., CSc. (10.09.2025)
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