Information for 6th year students

 

I. LECTURES:

Lectures will not be given for sixth year students but the attendance of the lectures given for the fifth year students is recommended.

 

II. PRACTICE:

The aim of the practical course in the sixth year is to extend the student’s knowledge in obstetrics and gynecology. In our department every student will have a tutor, who is responsible for the education of his/her student. The duration of the practice is five weeks. During this time the student will be able to work as a medical doctor under the supervision of his/her tutor. It is strongly advised to be on duty with the tutor. Night duties are obligatory once a week. All students must become acquainted with the work of different divisions. There will be a weekly rotation system (see Rotation Itinerary below!). The students will be assigned to assist in operations. Sixth year students should look for their names among the assistants in the operating teams (to be on time in the operating theater). It is advisable to take part in the morning sessions in the library for those students who understand Hungarian to get an impression of the life and work of a large University Department.

Signing up to the practical course should be done using the NEPTUN system. Every student has to have an attendance sheet, on which the night-duties and the activities in the delivery room, wards and in the operating theaters are certified by the surveying lecturer. The six week’s practice will be certified in the index, too.
There is no possibility for individual starting of the rotation! All students who signed up in the NEPTUN system to a certain five week period in the 1^st Department of Obstetrics and Gynecology have to be present on the first day of the practice at 8:00 at the Information on the ground floor of the Department (contact person: Dr. NAGY).

 

III. EXAMINATION:

Final exam must be taken in the last week or in the following week of every rotation period (generally Mondays and Wednesdays are preferred exam days). Use NEPTUN system to sign up to the final exam of your rotation period. No individual requests can be taken into account! Questions from obstetrics and gynecology will be asked by an examining board.
The requirements of the final examination can be summarized according to the questions. Special emphasis (essential requirements) is laid, however, on some issues of everyday praxis:

Essential requirements (theoretical and practical) in obstetrics

• prenatal care (anamnesis, lab tests, screenings during pregnancy, obstetrical examinations, Leopold’s maneuvers)
• cardiotocography (NST, OCT)
• ultrasonography (evaluation)
• abnormal pregnancy (diagnosis and therapy), intercurrent diseases (diabetes, heart diseases, renal diseases).
• preeclampsia, hypertension, twins, hemorrhages
• normal labor
• fetal and maternal monitoring, management of stages of labor (examinations during labor)
• abnormal labor
• malpresentations: breech delivery, transverse lie
• obstetric operations (assistance at labor and delivery)
• obstetric operations (vacuum extraction, forceps, cesarean section, episiotomy)
• postnatal care
• neonatology
• evaluation of premature, dysmature and eutrophic newborns
• fundamentals of neonatal management

Essential requirements (theoretical and practical) in gynecology

• gynecological anamnesis
• colposcopy – cytology (basic knowledge)
• examination of the breast
• gynecologic operations (assistance)
  • Bartholin abscess, cyst
  • conisation, D and C
  • abdominal / vaginal hysterectomy
  • colporrhaphy
• postoperative management (basic knowledge)
• outpatient clinics (to take part in the office work of gynecological ambulance, genetic counseling, adolescent gynecology, menopause, endocrinology etc.)
• bleeding disorders
• cervical, corporal, ovarian cancer (etiology, screening, diagnosis, therapy)
• inflammation of the genital tract (PID)
• urinary incontinence
• contraception

 

Questions for oral exams (final) – Obstetrics
1.	Conception, implantation and placentation
2.	Obstetric and gynecologic evaluation
3.	Endocrinology of pregnancy and parturition
4.	Immunology of pregnancy
5.	The human genome. Application to obstetrics and gynecology
6.	Physiologic changes in pregnancy (cardiovasular-, respiratory system)
7.	Physiologic changes in pregnancy (renal system, hormonal changes)
8.	Hypertensive disorders in pregnancy. Eclampsia. HELLP-syndrome
9.	Signs and symptoms of pregnancy
10.	Pregnancy care, pregnancy counseling
11.	Pregnancy and cardiovasular diseases
12.	Pregnancy and diabetes mellitus. Gestational diabetes
13.	Pregnancy and kidney diseases. Urinary tract infections
14.	Pregnancy and gastrointestinal disorders
15.	Pregnancy and hematologic disorders
16.	Spontaneous abortion
17.	Preterm labor and delivery
18.	Intrauterine growth retardation (IUGR)
19.	Uterine activity during labor. Characteristics of contractions, their anomalies. Treatment.
20.	Dystocia caused by abnormal presentation and position
21.	Dystocia caused by abnormalities of fetal structure or maternal pelvic alterations
22.	Stages of delivery. Management of the first and second stage
23.	Stages of delivery. Management of the third and fourth stage
24.	Preparation for delivery. Obstetric anesthesia
25.	Induction and augmentation of labor
26.	Cephalopelvic disproportion and its consequences
27.	Breech presentation
28.	Malpresentations
29.	Anomalies of rupture of membranes
30.	Placenta previa. Other placental abnormalities
31.	Multiple gestation
32.	Placental abruption
33.	Amniotic fluid and its disorders. Polyhydramnios and oligohydramnios
34.	Postpartum hemorrhage. Inversio uteri
35.	Lesions of the birth canal. Uterine rupture
36.	Infectious diseases in pregnancy. Bacterial and parasite infections
37.	Infectious diseases in pregnancy. Viral infections
38.	Intrauterine fetal death. Postterm pregnancy
39.	Detection of fetal jeopardy during pregnancy
40.	Detection of fetal distress during labor
41.	Prenatal genetic counseling (chorionic villus sampling, amniocentesis, cordocentesis)
42.	Genetic counseling – Teratology
43.	Licit and illicit drug use in pregnancy
44.	Obstetrical examinations
45.	Ultrasound diagnosis during gestation
46.	Physiologic puerperium
47.	Pathologic puerperium. Puerperal sepsis
48.	Management of the newborn after delivery
49.	Hemolytic disease. Rh isoimmunisation
50.	Respiratory problems of newborns (resuscitation)
51.	Main forms of congenital malformations
52.	Obstetric operations. Cesarean section (indications)
53.	Placenta and the umbilical cord. Presentation and prolapse of the umbilical cord
54.	Obstetric statistics
55.	The placenta
56.	Anatomy of the bony female pelvis and the fetal skull
57.	The mechanism of normal labor
58.	Breast feeding
59.	Pregnancy complicated by surgical diseases (appendicitis, ileus, cholelythiasis)
60.	Advices during pregnancy

 

Questions for oral exams (final) – Gynecology
1.	Anatomy of female genitalia
2.	Development of female genitalia
3.	Endocrinology of female reproductive system during, before and after reproductive stage of life
4.	Primary amenorrhea
5.	Secondary amenorrhea
6.	Stein-Leventhal syndrome (PCOS)
7.	Dysfunctional uterine bleeding
8.	Dysmenorrhea. Premenstrual tension
9.	Chromosomal abnormalities (Turner syndrome, Klinefelter-syndrome)
10.	Causes of infertility. The infertile couple
11.	Examinations and treatment in infertility
12.	Hormonal contraception. Intrauterine devices
13.	Barrier and chemical contraceptives. Natural contraceptive methods
14.	Puberty
15.	Pediatric gynecology
16.	Perimenopause
17.	Inflammatory disorders of the vulva and vagina
18.	Sexually transmitted diseases in female
19.	Benign lesions of the vulva and vagina
20.	Malignant tumors of the vulva and the vagina
21.	Etiology and precancerous states of cervical cancer
22.	Symptoms, sings and screening of cervical cancer
23.	Staging and therapy of cervical cancer. Pathology
24.	Benign diseases of the uterus
25.	Etiology and precancerous states of corporal cancer (hyperplasias)
26.	Symptoms, sing and screening of corporal cancer
27.	Staging and therapy of corporal cancer. Pathology
28.	Functional cysts of ovaries
29.	Benign neoplasms of ovaries
30.	Etiology, clinical picture and screening of ovarian tumors
31.	Staging and therapy of ovarian neoplasms. Pathology
32.	Endometriosis and adenomyosis
33.	Normal and abnormal positions of the vagina and uterus (genital prolapse) and their treatment
34.	Urinary incontinence
35.	Urinary tract infections
36.	Pelvic inflammatory disease
37.	Pelvic pain
38.	Ectopic pregnancy
39.	Malformations of the genital tract
40.	Anomalies of sexual differentiation
41.	Breast diseases
42.	Breast cancer
43.	Human sexuality
44.	Gynecologic operation technics (D and C, conisation, hysterectomy, hysteroscopy)
45.	Virilism and hirsutism
46.	Hydatidiform mole
47.	Choriocarcinoma
48.	Principles of cancer therapy

 

RECOMMENDED TEXTBOOK FOR STUDYING:

Essentials of Obstetrics and Gynecology
N.F. Hacker and J.G. Moore
4^th Edition, W.B.Saunders
ISBN 072160790 (paperback)

 

FURTHER READINGS:

Obstetrics by Ten Teachers
G.V.P. Chamberlain
Seventeenth edition, E.Arnold
ISBN 0340740825
Gynecology by Ten Teachers
G.V.P. Chamberlain
Seventeenth edition, E.Arnold
ISBN 0340740817