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 1st 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
4th 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