Czech Gynaecology and Obstetrics Board Exam study guide
Czech Gynaecology and Obstetrics Board Exam · Work through your exam, one topic at a time.
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 study guide has 12 sections and about 4,986 words.
01Obstetrics – normal pregnancy, prenatal care and physiology
This domain tests normal maternal adaptation, the Czech antenatal visit schedule and screening programme, and your ability to read routine laboratory results against pregnancy-specific reference ranges. Plasma volume rises 40–50% by about 32 weeks while red-cell mass rises only 20–30%, so haemoglobin falls to a dilutional nadir of roughly 105–110 g/L.
517 words, about 3 min02Obstetrics – high-risk pregnancy and maternal-fetal medicine
Maternal-fetal medicine tests risk stratification, hypertensive disease, diabetes, preterm birth, fetal growth restriction, alloimmunisation and multifetal pregnancy - with emphasis on the threshold decisions that change management. Preeclampsia: new BP ≥140/90 after 20 weeks plus proteinuria ≥300 mg/24 h (protein/creatinine ≥30 mg/mmol) or maternal organ dysfunction - platelets <100 ×10⁹/L, creatinine 90 µmol/L, doubled transaminases, pulmonary oedema, neurological symptoms.
403 words, about 2 min03Obstetrics – intrapartum care, operative delivery and obstetric emergencies
This domain covers the diagnosis and progress of labour, fetal monitoring, the three stages and their complications, operative vaginal delivery and caesarean section, and the emergencies where minutes decide outcome. Active first stage: regular painful contractions with cervical change; record dilatation, station, position and caput on the partograph.
440 words, about 2 min04Gynaecological oncology and breast disease
The exam tests the Czech screening programmes and, for each tumour site, the staging system and the first correct management step - plus triple assessment of breast disease. Screening: cervical cytology from 15 years within the annual preventive gynaecological examination; HPV testing is used for triage and follow-up.
430 words, about 2 min05Benign gynaecology, endometriosis and pelvic floor disorders
Benign gynaecology covers abnormal uterine bleeding, leiomyomas, adenomyosis, endometriosis and pelvic organ prolapse - everyday presentations where classification drives the treatment choice. Use FIGO PALM-COEIN: Polyp, Adenomyosis, Leiomyoma, Malignancy/hyperplasia; Coagulopathy, Ovulatory dysfunction, Endometrial, Iatrogenic, Not yet classified.
401 words, about 2 min06Reproductive endocrinology, infertility and assisted reproduction
This domain tests the endocrine control of the cycle, the investigation of infertility, ovulation induction and assisted reproduction, including the Czech legal framework for reimbursement. Volume ≥1.4 mL, concentration ≥16 million/mL, total count ≥39 million, progressive motility ≥30%, total motility ≥42%, normal morphology ≥4%, vitality ≥54%.
414 words, about 2 min07Urogynaecology and pelvic reconstructive surgery
Urogynaecology tests the classification of urinary incontinence and prolapse, conservative versus surgical treatment, and the complications specific to mesh and fistula surgery. Stress incontinence: leakage on effort or sneeze from urethral hypermobility or intrinsic sphincter deficiency.
386 words, about 2 min08Gynaecological endoscopy and minimally invasive surgery
This domain covers laparoscopic and hysteroscopic access, equipment and energy, indications, and the recognition and management of endoscopic complications. Veress needle at the umbilicus in slim women, Palmer's point (left subcostal) after previous midline surgery, and open Hasson entry when adhesions are expected.
382 words, about 2 min09Infections, sexually transmitted diseases and preventive care
The exam tests the differential diagnosis of vaginal discharge, pelvic inflammatory disease, the classic sexually transmitted infections and prevention - vaccination, screening and partner notification. Bacterial vaginosis: clue cells, pH above 4.5, positive whiff test, thin grey discharge; three of four Amsel criteria or a Nugent score of 7–10.
418 words, about 2 min10Ultrasound and imaging in obstetrics and gynaecology
This domain tests first-trimester dating, the mid-trimester anomaly scan, fetal biometry and Doppler, gynaecological pattern recognition and the reporting systems used in Czech practice. Dating: crown–rump length at 7–13 weeks is the most accurate (±5–7 days); later dating uses head circumference and femur length.
384 words, about 2 min11Ethics, legislation and health-care organisation in Czech practice
This domain tests Czech health law as applied to gynaecology and obstetrics: consent, confidentiality, abortion and sterilisation rules, assisted reproduction, documentation and the organisation of perinatal care. Act 372/2011 on health services: informed consent, the right to refuse treatment, the advance directive (dříve vyslovené přání), documentation and confidentiality.
414 words, about 2 min12Emergency medicine, resuscitation and perioperative care
Emergency medicine and perioperative care tests resuscitation of the pregnant and gynaecological patient, recognition of shock and sepsis, anaphylaxis, massive haemorrhage and thromboprophylaxis. Start standard BLS and ALS: compressions 100–120/min with manual left uterine displacement rather than tilting the whole body.
397 words, about 2 min