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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. (05.09.2024)
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State examination. Last update: Rob Lukáš, prof. MUDr., CSc. (05.09.2024)
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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. (05.09.2024)
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State examination - assessment of seminar paper and oral exam.
Last update: Rob Lukáš, prof. MUDr., CSc. (05.09.2024)
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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. (05.09.2024)
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Questions for state examination from obstetrics and gynaecology. "NEW - 2017/2018 " STATE EXAM
OBSTETRICS
1. Definition and diagnostics of pregnancy, physiological changes related to pregnancy 2. Prenatal care in the Czech Republic, examination methods in obstetrics 3. Maternal and perinatal mortality and morbidity 4. Ultrasound examinations during pregnancy 5. Labour, mechanism of labour, lie, position and presentation of the foetus, medical management of labour 6. Stages of labour, uterine activity and its disorders 7. Physiology and pathology of the third and fourth stage of labour 8. Physiology and pathology of puerperium, lactation 9. Disorders of the labour mechanisms, malpresentation of the foetus, shoulder dystocia 10. Pre-induction and induction of labour, postterm pregnancy 11. Premature labour, premature rupture of membranes 12. Placental disorders - placenta praevia, placenta accreta 13. Abnormal foetal growth - growth restriction (FGR), macrosomia 14. Caesarean section, pregnancy with a history of caesarean section 15. Peripartal foetal monitoring (intrapartal CTG - classification, indication, STAN, IFPO) 16. Operative vaginal delivery - forceps, vacuum extraction 17. Multiple pregnancy - diagnosis, pregnancy monitoring, labour management 18. Breech presentation - diagnosis, pregnancy monitoring, external cephalic version, labour management 19. Abortion vs. delivery of dead foetus, methods of termination of pregnancy in 2nd and 3rd trimester 20. Peripartal life-threating haemorrhage, DIC 21. Alloimmunization in pregnancy 22. Hypertension associated diseases in pregnancy - preeclampsia, eclampsia, HELLP syndrome 23. Gestational diabetes mellitus and other types of diabetes in pregnancy 24. Haematological and cardiovascular diseases in pregnancy 25. Infectious disease in pregnancy, sepsis 26. Renal and liver diseases in pregnancy 27. Oncological diseases in pregnancy 28. Obstetric analgesia and anaesthesia, pharmaceuticals administered during pregnancy 29. Postpartum adaptation of the newborn, care for the newborn in the delivery room, resuscitation of the newborn 30. Obstetric trauma (short-term, long-term complications)
GYNAECOLOGY
1. Abdominal surgery - approaches, indications (hysterectomy, salpingo-oophorectomy, salpingectomy) 2. Vaginal surgery - indications - techniques (conisation, hysterectomy) 3. Laparoscopic surgery - indications, techniques (laparoscopically assisted hysterectomy, salpingo-oophorectomy, salpingectomy) 4. Dilation and curettage, hysteroscopy - indications, description of technique 5. Assisted reproduction techniques 6. Complications of assisted reproduction 7. Endometriosis 8. Polycystic ovary syndrome 9. Amenorrhea - primary, secondary 10. Paediatric gynaecology - inflammations, bleeding, tumours 11. Congenital disorders of genitalia and their treatment 12. Urinary incontinence - definition, epidemiology, diagnostics 13. Diagnostics and therapy of stress urinary incontinence 14. Diagnostics and therapy of urgent incontinence 15. Descensus, prolaps of genitalia - risk factors (cystocele, enterocele) 16. Planned parenthood – methods of contraception, risks, benefits 17. Artificial termination of pregnancy - techniques, procedures 18. Benign tumours and precancerous lesions of the vulva 19. Malignant tumours of the vulva 20. Cervical precancerous lesions, pathogenesis, vaccination, treatment 21. Malignant Cervical Cancers - Epidemiology, Risk Factors, Staging, Diagnosis, Treatment 22. Precancerous lesions and malignancies of endometrium - epidemiology, risk factors, treatment 23. Benign tumours and malignant non-epithelial neoplasms of the uterus - epidemiology, risk factors, treatment 24. Epithelial malignancies of fallopian tube / ovarium - ethiopathogenesis, epidemiology, risk and protective factors, diagnosis 25. Epithelial malignancies of fallopian tube / ovarium - comprehensive treatment 26. Borderline ovarian tumours 27. Non-epithelial ovarian malignancies 28. Gestational trophoblastic disease 29. Molar pregnancy 30. Benign and precancerous breast disorders 31. Malignant breast neoplasms 32. Women’s life phases related to hormonal activity (newborn ... senium) 33. Hormone replacement therapy, indications, contraindications 34. Menopause, climacteric medicine - interdisciplinary issues 35. Menstrual cycle, ovulation cycle 36. Menstrual cycle disorders 37. Inflammations of the lower genital tract - diagnostics, therapy 38. Sexually transmitted diseases - diagnosis, therapy - interdisciplinary co-operation 39. 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 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, puerperium 7. Dif. dg. of anaemia and thrombocytopenia in pregnancy 8. Dif. dg. of proteinuria during pregnancy 9. Dif. dg. of abdominal pain during pregnancy 10. Dif. dg. of dyspnoea, chest pain and circulatory collapse during pregnancy, labour and puerperium 11. Dif. dg. of vaginal discharge 12. Dif. dg. of acute pelvic pain 13. Dif. dg. of chronic pelvic pain 14. Dif. dg. of ovarian tumours 15. Dif. dg. of bleeding in children and adolescents 16. Dif. dg. of bleeding in perimenopause, postmenopause 17. Dif. dg. of abdominal discomfort, ascites 18. Development of sex organs 19. Pelvic floor and pelvic floor disorders 20. Vascular supply of pelvic organs and its clinical significance 21. Topographic anatomy of pelvis and its clinical significance 22. Lymphatic drainage of the vulva, vagina, uterine cervix, uterine body, fallopian tube and ovary, breast 23. Genetic predisposition to gynaecological malignant tumours 24. Primary prevention of cervical carcinomas - vaccination 25. Screening programs in oncology in the Czech Republic 26. Legislation relating to pregnancy 27. Legislation relating to reproductive medicine 28. Artificial termination of pregnancy - legislation 29. Organization of prenatal care in Czech Republic + screening programs in pregnancy 30. Possibilities of congenital disorders detection, genetic counselling Last update: Rob Lukáš, prof. MUDr., CSc. (05.09.2024)
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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. (05.09.2024)
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