Residency Theory Examination

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DEPARTMENT OF FAMILY MEDICINE, UBTH

Postgraduate Residency In-Training Examination
SECTION: OBSTETRICS & GYNAECOLOGY
Instructions: Answer all questions with clarity and precision. Structure your clinical decision-making from the perspective of a consulting Family Physician.
QUESTION 1 Active Management of Labour

Using the partographic action line, discuss the Active Management of Labour in a 37-year-old primipara.

QUESTION 2 Chronic Hypertension & Preconception Care

A 37-year-old Para 2+2 woman presented with a history of HTN in her last pregnancy 16 months ago and has remained on anti-HTNs since. She desires another baby and is currently on IUCD. Family history shows both parents and immediate senior brother are HTN.

Task: As a family physician, how will you manage this patient?
QUESTION 3 Adolescent Health & Acute Pelvic Sepsis

A 17-year-old Para 0+0 female secondary school student presented with a 5-day history of lower abdominal pain, painful micturition, and high-grade fever of 2 days duration. She recently commenced a coital relationship with her boyfriend.

  1. Itemize the problems.
  2. Present how you will manage this patient as a family physician.
QUESTION 4 Antenatal Care Objectives & WHO ANC Model

What are the main objectives and tasks of antenatal care?

Using the new WHO ANC schedule, describe how you will achieve these goals for a 28-year-old Para 1+2 woman presenting at 6 weeks.

Clinical & Social Background: LBC was 10 months ago. She is a petty trader and husband is a bricklayer. Both have primary education and reside at Iguobazuwa.


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