Czech Gynaecology and Obstetrics Board Exam case studies
Czech Gynaecology and Obstetrics Board Exam · Put your knowledge to work in context.
The Czech Gynaecology and Obstetrics Board Exam (Atestační zkouška z gynekologie a porodnictví) is the national certification examination that physicians must pass to practise independently as specialists in obstetrics and gynaecology in the Czech Republic. It is intended for doctors who have completed the required postgraduate training programme in the field and wish to obtain the specialty attestation. The Czech Gynaecology and Obstetrics Board Exam case studies are 5 cases and about 5,410 words.
1Severe preeclampsia at 33+4 weeks in a level II hospital
A 31-year-old primigravida, spontaneous conception, BMI 27, presents at 33+4 weeks to the antenatal triage of a regional hospital with a two-day history of frontal headache and new visual scotomata. Blood pressure is 168/114 mmHg on repeat measurement after ten minutes of rest, and urine dipstick shows 3+ protein.
954 words, about 5 min2Arrested second stage with occipitoposterior position and recurrent variable decelerations
A 29-year-old nullipara at 40+5 weeks was admitted for induction of labour for post-term pregnancy. After 14 hours of oxytocin-augmented labour with epidural analgesia she is fully dilated, and the second stage has now lasted 2 hours 10 minutes.
1,028 words, about 5 min3Grade 1 endometrioid endometrial cancer in an obese woman on apixaban
A 63-year-old woman, BMI 38, with type 2 diabetes (HbA1c 58 mmol/mol) and arterial hypertension, on apixaban 5 mg twice daily for atrial fibrillation, presents with two episodes of postmenopausal bleeding. Transvaginal ultrasound shows an endometrial thickness of 18 mm with a heterogeneous, vascularised lesion; the ovaries are not clearly visualised.
1,054 words, about 5 min4Recurrent stress incontinence with intrinsic sphincter deficiency after previous anterior repair
A 61-year-old woman, BMI 31, para 3, a smoker with chronic obstructive pulmonary disease and a winter cough, is referred with a five-year history of urine leakage on coughing and brisk walking that recurred after an anterior colporrhaphy performed six years ago. She also reports occasional urgency but no urge incontinence.
1,110 words, about 6 min5Placenta praevia with accreta signs in a Jehovah's Witness refusing blood
A 34-year-old woman, para 1 by caesarean section four years ago, now at 35+2 weeks, has a complete anterior placenta praevia with two of four ultrasound signs of accreta (intraplacental lacunae, loss of the clear zone) over the previous caesarean scar. She is a baptised Jehovah's Witness and states clearly, in writing and repeatedly, that she refuses transfusion of red cells, platelets, plasma and any allogeneic blood product.
1,264 words, about 6 min