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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
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