OBGYN Advice and Study Guides Texts/Useful Resources ***required read **highly recommended *Useful resource

*Obstetrics and Gynecology (Beckman **!ase "iles# Obstetrics and Gynecology ***$%GO U&'ise (&bank ()ro*ided by the de)artment **+orld (&bank ,a)lan (&bank

-ign&.n//orning rounds 0*ery student1 exce)t those 'ho are at the 2$ for the 'eek1 has to sign&in by 3#45 am6 0ach )atient has to be checked on each morning by one student 'ho 'ill 'rite a )rogress note and )resent the )atient at rounds6 The residents )refer that the notes be done by 7 am so that they can *ie' the charts6 .t8s a good idea to come in earlier than 3#45 to ha*e enough time to 'rite your note6 !heckout and rounds begin at 9am6 The residents will be helpful in giving pointers on how to present; ask the to review your note!presentation before rounds your first ti e" There are usually 'ay more students than )atients" To help ensure that each student gets an opportunity to present that week# you can decide as a group who will be responsible for writing notes on the patients" You can do this a day in advance $i"e" at the end of rounds% to prevent uncovered patients" **Gyn students don8t ha*e to come to rounds but still ha*e to sign in by 3#45 am :;%/-O$% <otes The exam)le :;% and -O$% note )acket that they distribute is a useful tem)late6 +eekly (ui==es (are 0$G>0&?5 multi)le choice questions straight from the U&'ise q&bank@ e*ery student on rotation gets access6 They usually email the to)ics that 'ill be on the qui= earlier in the 'eek6 0ssentially1 the qui= can be any ?5 out of the 35&75 questions that you should ha*e already seen6 /id&Term 0xam (a))arently it used to be a rock1 but of course they s'itched it u) for A5?BC -ee D-tudy GuidesE

/id&Term O-!0

Usually does not count for a grade but is used to hel) you im)ro*e for the final O-!06 B stations1 3 min6 each1 there 'ill be an attending at each station silently e*aluating your )erformance# !linical Breast 0xam (model %el*ic 0xam (model Taking a Gyn history (standardi=ed )atient Taking an OB history (standardi=ed )atient :el)ful hints# Talk directly to the model or -%1 not the attending@ Furing the )el*ic exam TUR< O< T:0 >.G:TG

GH< :.-TORH ?6 .ntroduces his/herself to )atient A6 !hief com)laint 46 %resent illness B6 /enstrual history 36 $re you on hormone thera)yI 76 +ere you )assing blood/clotsI 96 +hen 'as your last )a) smear J6 Obstetric :istory K6 -exual history ?56 !ontrace)ti*e history ??6 family history ?A6 -ocial history ?46 .nforms )atient of )ossible diagnosis ?B6 .nform )atient of )lanned test/e*aluation OB :.-TORH ?36 .ntroduces oneself to )atient ?76 %rofessionalism ?96 0ye !ontact ?J6 >/% ?K6 G6% A56 Obstetrical )ast history A?6 Gynecological history AA6 %/: A46 Genetic history AB6 -urgical history A36 "amily history A76 -ocial history A96 $llergies AJ6 !urrent medicines !0R2.!$> 0L$/

AK6 .ntroduces oneself to )atient 456 0x)lains 'hat is going to be done 4?6 +ashes hands before examination 4A6 Glo*es both hands to do exam 446 Turns on lam) 4B6 Tells )atient they are about to begin exam 436 0xamines *ul*a for hair )atter1 lice1 nits1 masses or lesions 476 0xamines labia maMora and labia minora 496 .ns)ects clitoris 4J6 .ns)ects urethra1 *aginal o)ening1 and anus 4K6 )al)ates urethra and -kenes gland B56 %al)ates Bartholins glands B?6 !orrectly inserts s)eculum BA6 $sses )atients comfort B46 e*aluate cer*ix (G.20 F0-!R.%T.O< BB6 Obtain )a) correctly B36 Obtain cultures correctly B76 !orrectly remo*e s)eculum B96 %al)ate cer*ix and tries to ascertain )osition1 consistency and mobility BJ6 $sses anterior uterine surface BK6 %al)ates adnexa 356 recto&*aginal exam 3?6 +ashes hands after examination BR0$-T 0L$/ 3A6 %rofessionalism (GR00T-1 .<TROFU!0346 +ashes hands 3B6 0x)lains )rocedure to )atient 336 $ssures )atient comfort 376 Uses )ads of fingers 396 Uses acce)table method 3J6 /aintains contact 'ith models (Foes not lift fingers 3K6 0xamines axillary nodal area 756 -quee=es ni))le 7?6 $ssures )atient comfort 7A6 .dentifies breast mass 746 .nstruct )atient on self breast exam "inal O-!0 &'actly like the mid&term O-!0 'ith one additional station#

"etal monitor stri)# baseline1 *ariability1 accels/decelsI

Oral %resentations/0xam 0ach student has to )resent the :;% of a )atient that they encountered to their indi*idual )rece)tor from memory near the end of the rotation6 Hour )rece)tor 'ill also

ask you to ex)lain OBGH< conce)ts from your :;%6 Hour )rece)tor 'ill )ro*ide more details about their )references for the )resentation6 DFress !odeE &-crubs are 'orn 'hen you are on Gyn for the 'eek1 on&call1 or night float6 0*erything else1 including lecture Thursday1 is )rofessional dress 'ith 'hite coat6 Bring scrubs to change into if you8re going to be on call Thursday after lecture@ don8t 'ear scrubs to class6 &There is no real color code for the scrubs1 but the Focs mostly 'ear blues6 /isc6 $d*ice N N Oust do as you8re told to do and you 'ill be fine $ttendings# P Fr6 Byrd# 0xtremely intense but *ery focused on education and not *iolating :.%%$6 P Fr6 ,hoder# $sks a lot of detailed questions that you )robably 'on8t kno'1 but he likes to )im) e*eryone (residents and students P Fr6 Borne# funny1 gi*es you the ans'er to e*ery question he asks fi*e mins before he asks it666kee) your hands out of your coat )ockets and kee) you collar straight around him6 ,no' 'hat a cotyledon is6 P Fr6 Tucker# 2ery focused on education6 :as a tendency to'ards )im)ing6 -he asks about the tests you do on each )renatal *isit and 'hy6 P Fr6 Bruce# 2ery cool1 talks a lot@ likes for students to assess )atient reliability on :;% P Fr6 <o'iski# %im)s6 $sked about 'hat causes )reterm labor6 P Fr6 :ills# 2ery )articular@ lo*es a thorough :;% and fundal exams of the eyes P Fr6 >adson# >ikes a )rofessional )resentation (use your doctor *ocabulary P Fr6 Toussaint# +ill )im) you and try to con*ert you to OB/Gyn6 :er )im)ing is done 'ith an educational obMecti*e and actually hel)ed for the subMect board6 O*erall nice Residents# P $ll are really cool and 'ill take the time to teach you )ertinent things you need to kno' -tudy Guides (idter Study Guide $)* +uestions%

,ead an entire book $either the te'tbook or -irst Aid% before the idter " Also do the online +uestions that go with the te'tbook" The +uestions were all over the place and so e were very detailed" /eno)ause a*erage age of onset ,aryoty)e of )artial/com)lete moles /ost common neo)lasm in 'omen (uad screening# 'hich quantities can be used to detect each aneu)loidyI -TFs&&kno' them -inal paper OS.& study guide

+ritten (not mult6 choice exam on about B maMor conce)ts

!er*ical !ancer@ ste)s in screening and treatment .nter)reting a fetal monitor stri)# baseline1 *ariability1 accels/decels1 Reassuring/<on Reassuring -creening/Treatment of -y)hilis and Gonorrhea in )regnancy /ethods of contrace)tion@ 'hich is better for a nursing motherI 'hich can be used as emergency contrace)ti*e

Sub/ect Board (uestions 'ere *ery similar to +OR>F OBGH< questions@ !ase "iles in its entirety 'as also great )re)aration6 ?55 questions@ e*erything belo' 'as Q95R of the exam666 P P P P P P <O !$>!U>$T.O<- (e6g6 Bisho) score1 /onte*ideo units1 etc <O $<$TO/H Threated1 !om)lete1 .ncom)lete1 /issed $bortions diagnosis and treatment /olar/0cto)ic )regnancy diagnosis and treatment -onogram of T'in Gestation1 dichorionicI monochorionicI !er*ical cancer diagnosis and treatment6 (screening in 4A y/o 'oman 'ith a history of !.<...@ hydrone)hrosis is the most common com)lication 1 !.< ... management (choices of )a) e*ery month for 4 months1 re)eat col)o in 4 months *s6 other radical choices $bnormal )a) management /anagement of Breech )resentation1 arrest in descent %rimary amenorrhea %resentations of /ullerian $genesis 1 $ndrogen insensiti*ity1 ,allman1 Turners -econdary amenorrhea due to anorexia1 *igorous exercise1 -heehan8s1 $shermans %rimary dysmenorrhea in a young girl (due to )rostaglandin release *s6 /ittelschmer= Fysmenorrhea diagnosis/in*estigation (la)arosco)y %!O- (diagnosis1 treatment1 metformin hel)s 'ith diabetes and infertility of %!O+hat do you do 'hen you find an o*arian cyst Other causes of hirsuitism %.F diagnosis and treatment "etal tracings# kno' 'hat different decels mean (early1 late1 )rolonged $rrest of decent management "etal tachycardia after maternal infection %enicillin desensiti=ation in allergic 'oman Fiagnosis of missing cotyledons -TF differentiation/diagnosis and treatments ( Gonn1 !hlam1 Trich1 B6 *ag and !andida 'ere fa*orites /ake sure to re*ie' urinary diseases such as UT. or cystitis6 +hen is a !&section1 external/internal ce)halic *ersion1 or force)s deli*ery indicated Urinary .ncontinence (Ty)es and treatment for each 1 really old 'oman (S95 years old 'ith urinary incontinence

P P P P P P P P P P P P P P P P P P P

P P P P P P P P P P P P P

P P P P P P P P P P

*ery hea*y on the exam Uterine ru)ture and in*ersion signs %lacenta )re*ia signs %reeclam)sia and treatment <ontender indurated ulcer +oman 'ith sym)toms of cholelithiasis of )regnancy (itching but no rash on )hysical exam &diagnose by checking bile salt/acids !ause of a child 'ith *aginal bleeding and foul smelling discharge !ounceling of obese )atient to start exercise +oman 'ho gets nausea 'ith iron su))lements !ause of lab *alues of lo' :b and /!2 S?55 hematocol)o (menstraul bleeding into the cer*ix >eiomyoma ty)es (subserosal1 intrauterine1 etc Breast disorders (ni))le discharge1 lum)s1 diagnosis and treatment fine needle as)iration or excisional bio)syI Breast masses# solid firm breast mass 'ith calcification1 'oman 'ho had a motor *ehicle accident and broke her femur and had a firm irregularly bordered mass 'ith calcifications1 smooth breast mass 'ith skin thickening o*er it .nfertility&hea*y on the exam 2aginal bleeding 2ul*ar lesions&small )ink lesions on the *ul*a UT.s and treatment ('hen T/%&-/L is not an ans'er choice 1 origin of a UT. !om)lication to fetus if the mother has ty)e ? F/ *s6 Gestational F/ !auses of hydro)s fetalis %regnancy and fibroids1 .UF and fibroids /enstrual cycle tem)erature changes and the best day to concei*e >ittle girls 'ithout )ublic hair sho'ed u) AT4 times&diagnosis and treatment ?A year old 'ho started menses at ?? years old and didn8t ha*e a )eriod for 3 months U ano*ulatory