1.

Choriocarcinoma
Ultrasound appearance
Most common presentation, most dreadful
complication
Modalities of treatment and cure rates
Prognostic factors
 Answer No. 1
Snow-storm appearance (multiple
sonoluscent areas of varying size and
shape)
Vaginal bleeding
Medical 86% cure rate, surgery
(secondary)
B- hcg level, age, antecedent events,
interval time, no. of tumours, site of
metastasis, past use of chemotherapy
 2. Magnesium sulphate
Indications
for use
Common side effects
Parameters that may indicate toxicity
Antidote
 Answer No. 2
Control of siezures in eclampsia,
prevention of siezures in pre-eclampsia
Depression of central nervous system,
Normal - deep tendon reflexes, respiratory
rate<16cpm, urine output>100ml/4hr,
heart rate>60bpm
Calcium gluconate or calcium lactate
3. Combined oral contraceptive pills
Components
Efficacy
Advantages
Disadvantages
 Answer No. 3
21 Levanogestrel + ethinyl estradiol tablets
and 7 ferrous fumarate tablets
Failure rate of 0.3-0.5phwy(97% efficacy)
Does not require expertise for
administration, can be stopped anytime,
decrease incidence of ovarian cysts,
decrease incidence of acne and hirshutism
Compliance, return to fertility takes some
time
 4. Vaccum extractor
Indications
Contra-indications
What does it form on the scalp
Conditions to be met
 Answer No. 4
Maternal exhaustion, slow proggress of 2 nd
stage of labour.
Florid genital infection, maternal HIV

Ruptured membrane,uterine
contraction,8cm cervical dilatation
 5. Foleys catheter
Other types
Two indications for its use in gynaecology
Two indications for its use in obstetrics

To monitor urine output in VVF repair, to
collect specimen for biopsy
To induce labour, to drain the bladder in
uterine atony
 6. Cervical cancer
Predisposing factors
Protective factors
Commonest mode of presentation
Commonest cause of death
Staging
Management options and cure rates
 7.
Causes of bleeding in early pregnancy
Most dreaded cause of DIC in obstetrics
Blood products used in management of
DIC
Parameters of seminal fluid analysis and
their normal values
 8. Ergometrine injection
3 indications for its use
3 absolute contra-indication
Relative contra-indications
Side effects
 9.Salbutamol
3 indications for its use
Drugs with same use
Side effects
 10. Pinnard stethoscope
At what gestational age do you start using
it?
What is the normal heart rate
Name three uses of this instrument
 11. Kaman syrienge
Types
4 indications for its use
4 complications that may arise from its
use
Signs of completion when using it
 12. Norplant
Its most
important advantage
Components
3 Contra-indications
Composition of its container
 13. Hydralazine

3 Indications for its use in pregnancy

4 Side effects
Absolute contra-indications
 14. A. Sims speculum B. Cousco
speculum
2 indications for use of A above
2 indications for use of B in obstetrics
Can B be used in examining VVF?
 15. Noristherat
Component
Failurerate
Advantages
disadvantages
 16.Willkinsons canulla
2 indications for its use
Conditions to be met before its use
Complications that could arise from its
use
Contra-indications
 17. Misoprostol
What type of drug is it
3 indications for its use
Shortcomings in using the drug
What is its most important use
 18. Oxytocin
3 indications for its use
3 side effects
3 contra-indications to its use
What peculiarity differentiates it from
ergometrine
 19. Male condom
3 disadvantages
What is its failure rate
 20. Methotrexate
What class of drugs does it belong to?
3 indications for its use in O & G
4 side effects
Antidote
 Episiotomy scissors
Three conditions for which it must be used
6 tissues it cuts through
Other conditions in which it may be used
3 complications that could arise from its
use