1. Perineal tear (4th degree)
Complications: Urinary & fecal incontinence

2. 1. Missed 2. Complete

3. McRobert’s maneuver
In shoulder dystocia

5. Twin-twin transfusion syndrome

6. Trichomonas vaginalis
Treatment: metronidazole

7. Deep Vein Thrombosis
Risk factors: Immobility, combined oral contraceptive pills

8. Uterine fibroid
Submucosal, intramural, subserosal, intraligamentous, parasitic, cervical

9. 1. Complete breech 2. Footling breech
Footling breech is a candidate for CS

10. Turner syndrome Webbed neck, wide carrying angle of the arms
Karyotype is 45 XO

11. Controlled cord traction
For active management of third stage of labor

12. Ventouse delivery Indications: Delay in the 2nd stage of labor
Poor maternal effort
Fetal distress

13. Siamese (conjoined) twins
After 12th day

14. Herpes simplex
Treat with acyclovir

15. Mauriceau–Smellie–Veit maneuver

16. IntraCytoplasmic Sperm Injection (ICSI)?

17. 1. Didelphys uterus 2. Septate uterus

18. Hysteroscopy

19. Cord prolapse Risk factors:
1. Fetal: malpresentation, prematurity, polyhydramnios, multiple pregnancy
2. Maternal: contracted pelvis, pelvic tumor

20. External Cephalic Version
Contraindications:
Multiple pregnancy
Previous antepartum hemorrhage
Ruptured membranes
Oligohydramnios

21. Cervical cancer?

22. Condyloma accuminata?

23. Polycystic Ovaries (PCOS)
Treat by laparoscopic ovarian drilling

24. Hydrops fetalis Causes: Immune: Rh incompatibility
Non-immune: viral (Toxoplasma, CMV)

25. Proccidentia (complete uterine prolapse)
Operation: vaginal hysterectomy

26. Mention the name of this clinical examination, how many weeks she is pregnant? Symphysiofundal height. 36 weeks(?)

27. What is the cause of antepartum haemorrhage in this case
What is the cause of antepartum haemorrhage in this case? Placenta previa. Mention the mode of delivery. Cesarean section.

28. What is the name of this diagnostic procedure
What is the name of this diagnostic procedure? Pap smear (and the wooden tool is Ayres spatula if they ask for it).

29. Mention the hormones that are secreted during the following process from the ovary. Estrogen and progesterone.

30. Mention the ant –post & transverse diameters of the female pelvic outlet. AP = 13.5 cm, transverse = 11 cm.

31. What is your diagnosis in this 65 years old pat. ? Vulval CA.

32. What is the name of this syndrome? Turner syndrome.

33. Mention a single test that is important to this newborn
Mention a single test that is important to this newborn. Serum electrolytes (↑K+, ↓Na+ and Cl-).

34. What is the name of this procedure. Amniocentesis
What is the name of this procedure? Amniocentesis. Mention two of its indications. Detection of chromosomal abnormalities (alpha-fetoprotein), determination of fetal lung maturity (lecithin-sphingomyelin ratio).

35. What is your diagnosis. Ectopic pregnancy
What is your diagnosis? Ectopic pregnancy. Mention two predisposing factors. PID, tubal sterilization.

36. What is this type of abortion. Threatened
What is this type of abortion? Threatened. Mention two predisposing factors. Infection (Chlamydia), maternal smoking.

37. What is the name of this procedure. Forceps delivery(
What is the name of this procedure? Forceps delivery(?) Mention one of its indications. Poor maternal effort.

38. 30 yr old with primary infertility 3 yr , What is your most likely diagnosis according to this picture ? PID. Mention three causative microorganisms? Chlamydia trachomatis, Neisseria gonorrhea, genital Mycoplasma species.

39. Following illegal termination of pregnancy ,the patient develops sudden abdominal pain. !- What is your most likely diagnosis ? Perforation of uterus (but without the picture below septic miscarriage would also be reasonable) 2- mention 2 other complications of D&C? Asherman syndrome, infection leading to infertility and future ectopic pregnancy.

40. What is the name of this clinical examination. Bimanual examination
What is the name of this clinical examination. Bimanual examination. Mention 2 indications? Suspected ovarian masses, endometriosis.

41. What is this specimen ? Uterus and Fallopian tubes (TAH + BS) Mention 2 differential diagnosis. Fibroid, endometrial CA.

42. 16 yr patient presented with primary amenorrhea , 1-what is your most likely diagnosis ? Imperforate hymen. 2-what is the required operation ? Cruciate incision.

43. 32 yr old , married, presented with swelling in her Lt labia Ba,what is your most likely diagnosis ? Bartholin cyst/abscess. What is the name of the required operation? Marsupialization.

44. What is the name of this procedure. External cephalic version
What is the name of this procedure? External cephalic version. mention 3 possible complications. Placental abruption, cord compression and asphyxia, PROM.

45. These are two types of congenital anomalies of the uterus
These are two types of congenital anomalies of the uterus. What are they? Bicornuate unicollis, septate. What is the name of the required operation ? Metroplasty (hysteroscopic, Jones, Tompkins)

46. What is your most likely diagnosis. Fibroid. Enumerate its types
What is your most likely diagnosis? Fibroid. Enumerate its types. Submucosal, intramural, subserosal, pedunculated (submucosal and subserosal), cervical, intraligamentous (not shown here).

47. -What is the name of this surgical operation
-What is the name of this surgical operation? Fetoscopy - Mention two of its indications in gynecology. Detect subtle structural abnormalities, fetal blood and tissue sampling

48. These are 3 types of vaginal prolepses. - What are they
These are 3 types of vaginal prolepses . - What are they ? Cystocele, rectocele, enterocele. - Mention two predisposing factors. Childbirth, chronic cough.

49. 1-What is the name of this procedure. Episiotomy
1-What is the name of this procedure ? Episiotomy. 2-Mention 2 complications. Infection, dyspareunia.

50. 1-What is the name of this presentation. Breech presentation
1-What is the name of this presentation. Breech presentation. 2-Mention its types. Complete (flexed), frank (extended), footling, incomplete.

51. What is the name of this procedure. Forceps delivery
What is the name of this procedure ? Forceps delivery. Mention 2 possible complications. Facial nerve plasy (baby), cervical laceration (mother).

52. What is the lie of this fetus. Transverse
What is the lie of this fetus ? Transverse. Mention 2 possible predisposing factors. Placenta previa, polyhydramnios. Mention the mode of delivery. Elective cesarean section (or stabilizing induction if there is no placenta previa).

53. -What is this procedure
-What is this procedure. Vaginal delivery of breech presentation (showing Lovset maneuver). - Mention two possible complications. Nerve injury (in the baby), genital lacerations (mother)

54. Describe this picture ? Twin pregnancy (vertex/nonvertex), antepartum hemorrhage (+ placenta previa?) Mention two possible complications. Cord prolapse, postpartum hemorrhage.

55. What is the name of this procedure. Controlled cord traction
What is the name of this procedure? Controlled cord traction. What are the possible complications during this stage of labor? Postpartum hemorrhage (uterine atony, retained placenta) and urine retention(?).

56. What gestations are compatible with each of the marking illustrated

57. What is this specimen. Uterus and Fallopian tubes (+ ovaries
What is this specimen ? Uterus and Fallopian tubes (+ ovaries?) What is the name of the operation ? TAH + BSO. Enumerate 2 indications for this operation ? Ovarian CA, dysfunctional uterine bleeding (above 40 years).

58. 12 weeks pregnant patient ,her ultrasonic exam reveals negative fetal heart pulsation . 1-What is your diagnosis? Missed miscarriage(?) 2-Mention 3 important investigations. B-hCG(?) CBC(?) High vaginal swab(?)

59. 60 yr old female presented with abdominal distension originating from the pelvis , 1- what is your most likely diagnosis ? Ovarian cancer. 2-Mension 2 helpful investigations. Ultrasound and CA125.

60. After difficult labor ,the patient had a cystic bulging in her anterior vaginal wall with stress incontinence , 1-what is your diagnosis ? Cystourethrocele. 2-Mention the name of the required operation. Anterior colporrhaphy.

61. Ultrasound showing IUCD.