29/11/2003

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss recurrent pregnancy loss.         

(40 Marks)

2

Discuss management of eclampsia.

(40 Marks)

3

Discuss post partum haemorrhage.

(40 Marks)

30/11/2003

ALL.QUESTIONS ARE TO BE ANSWERED:

1

Discuss diagnosis and management of hyperandrogenic conditions in females.

(40 Marks)

2

Discuss pelvic inflammation diseases. (PID)

(40 Marks)

3

Discuss in a critical way the available and new methods of treatment of ovarian cancer.

(40 Marks)

6/11/2004

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss the complications and management of plural pregnancy.

(60 Marks)

2

Discuss the drugs which are beneficial to the fetus during late pregnancy.

(60 Marks)

2/12/2003

ANSWER THE FOLLOWING QUESTIONS:

1

Discuss ureteric injury in gynecologic surgery.

(25 Marks)

2

Discuss early development of placenta and chorion and pathological placental development.

(25 Marks)

3

Discuss surgical anatomy of the perineal body.

(25 Marks)

4

Discuss antibiotic prophylaxis and therapy in gynaecologic and obstetric practice.

(25 Marks)

1/12/2003

COMMENTARY

A thirty six years old patient received an ICSI treatment which ended in a transfer of four embryos.
Six weeks later, a transvaginal ultrasound exam revealed two beating hearts:
At the eighteenth week of her pregnancy a second ultrasound exam was ordered to investigate the cause of bleeding per vagina. There was a large placenta covering the area of the internal os. One living baby corresponded to the dates. The other showed no pulsations with a BPD that equals thirteen weeks.
Comment on the mentioned case giving your best LINE of treatment.

 

3/5/2003

COMMENTARY

A 29 years old patient presented with her husband because because of primary infertility for 6 years.
She is complaining also of chronic vague lower abdominal pain with sense of fullness. The pain comes in intermittent episodes that are aggravated during sexual intercourse…
Additionally the patient is depressed and is suffering of general malaise and easy fatigability over the last year.
The menstrual period was getting infrequent to come every 35-40 days and recently it lasts for 3 days. The periods used previously to be 4/30.
Height: 165 cm, body weight: 53 cm, BP: 110/70, pulse: 80/minute and regular temperature : 37.8°c.
Husband semen analysis showed normal parameters.
Hysterosalpingography showed straight tubes. The outline was smooth but there was occasional diverticular dilatation along their course. Both tubes showed spilling of the dye. A delayed film after 24 hours should intraperitoneal spill but with loculations of the medium that suggested intrapelvic adhesions.
She was admitted for premenstrual endometrial biopsy and laparoscopy.
At diagnostic curettage the gross appearance of the endometrial tissues was normal.
Laparoscopic examination showed red mildly swollen oviducts. There were dense avascular adhesions that involved the periadenxa. The ovaries had thickened capsule. The wall of the pelvic peritoneum was hyperemic and thickened. There was also adhesions of the urinary bladder. Standard procedure for diathermy cauterization and lysis of the intrapelvic adhesions was performed.
Next day she felt increasing postoperative diffuse dull abdominal pain. Body temperature was 38.2°c. The pain increases on deep abdominal palpation.
Repeat vaginal ultrasound along the next five days demonstrated increasing free fluid in the pouch of Douglas.
Comment on the mentioned positive data.
Discuss the differential diagnosis.
Present further investigations and management.
 

4/5/2003

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss applied surgical anatomy of the female pelvic. Vasculature.

(25 Marks)

2

Discuss haemodynamics of the fetal circulation.

(25 Marks)

3

Discuss endometrial. hyperplasia.         

(25 Marks)

4

Discuss viral infections during pregnancy.

(25 Marks)

28/4/2003

ANSWER THE FOLLOWING QUESTIONS:

1

Discuss hemoglobinopathies during pregnancy.

(40 Marks)

2

Discuss reducing perinatal mortality.

(40 Marks)

3

Discuss seizures in obstetric practice.

(40 Marks)

30/4/2003

ANSWER THE FOLLOWING QUESTIONS:

1

Discuss recent diagnosis and management of genuine stress incontinence in female.

(40 Marks)

2

Write a critique about H.R.T. in the postmenopausal period.

(40 Marks)

3

Discuss diagnosis and management of germ cell tumours of the ovary.

(40 Marks)

3/11/2002

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss controversy of HRT in postmenopausal woman and

alternative lines of therapy.

(40 Marks)

2

Discuss the role .of endoscopy in diagnosis and management of preinvasive and invasive malignancies of the female genital Tract.

(40 Marks)

3

Discuss the impact of diabetes mellitus on gynecological problems.

(40 Marks)

3/11/2002

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss early fetal loss.

(60 Marks)

2

Discuss postpartum collapse.

(60 Marks)

5/11/2002

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss the surgical anatomy of the pelvic floor and it’s impact upon the treatment of pelvic floor prolapse.

(40 Marks)

2

Discuss the microbiology of P.I.D.

(30 Marks)

3

Discuss the pathology of functioning ovarian tumors.

(50 Marks)

4/11/2002

COMMENTARY

A 25y old patient complaining of cessation of menstruation for the last two months admitted to the hospital with lower abdominal pain of increasing intensity during the last 2 days.
Clinical examination revealed:
B/P 110/70 mmHg, Pulse 90 b/min., Temp. 37.8°c., tender lower abdomen mainly on the right iliac possa. Pelvic examination was not done.
Laboratory investigations revealed:
C.B.C. Hb. 8.6gm.  /100ml., leucocytic count 12000/ml.
Hot. Value 33%.
PUT YOUR DIFFERENTIAL DIAGNOSIS AND MANAGEMENT OF THIS PATIENT IN A LOGIC WAY WITH JUSTIFICATION.

20/4/2002

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss renal transplantation and pregnancy.

(40 Marks)

2

Discuss embolic problems in obstetrics.

(40 Marks)

3

Discuss the impact of pelvic shape and size on obstetric practice.

(40 Marks)

21/4/2002

ALL QUESTIONS ARE TO BE ANSWERED:

1

Discuss management of recurrent ovarian cancer.

(60 Marks)

2

Discuss chronic pelvic inflammatory diseases.

(60 Marks)