Syllabus
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
Annotation
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.