Obstetrics and Gynaecology

Data

Official data in SubjectManager for the following academic year: 2022-2023

Course director

Number of hours/semester

lectures: 0 hours

practices: 180 hours

seminars: 0 hours

total of: 180 hours

Subject data

  • Code of subject: OAS-SZN-T
  • 6 kredit
  • General Medicine
  • Final/Rotational (year) modul
  • both semesters
Prerequisites:

OAK-ST2-T > clinical module completed

Course headcount limitations

min. 5 – max. 120

Topic

Aim of the subject is to support students in developing skills to apply their theorethical knowledge gained during the previous two semesters in obstetrics and gynecology for everyday practical use. To ensure this students take active part in everyday routines of ambulatory and on-ward care, as well as delivery room and operating room activities. They are given the opportunity to perform physical examinations under supervision. Goal is to help students gather practical experiences and become skilled in obstetrics and gynecology necessary for the general practitioner.

Lectures

Practices

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Seminars

Reading material

Obligatory literature

Literature developed by the Department

Material prepared by faculty of department - materials of lectures and practices in PDF

Notes

Recommended literature

1. Cunningham, F. Gary, et al. Williams Obstetrics. 25th edition, New York: McGraw-Hill Education, 2018.
2. D. Keith Edmonds (ed.). Dewhurst Textbook of Obstetrics and Gynaecology. 9th edition, Blackwell Publishing, 2018.
www.acog.org

Conditions for acceptance of the semester

Maximum of 15 % absence allowed

Mid-term exams

---

Making up for missed classes

180 hours should be completed.

Exam topics/questions

Obstetrics, Group A:
1. Stages of labour
2. Lactation, mastitis
3. Classification of abortions, etiology, therapy options
4. Forms of cesarean delivery, indications
5. Operative vaginal delivery: forceps and vacuum-extraction
6. Premature rupture of membranes
7. Prolapse of umbilical cord and fetal limb
8. Signs and differential diagnosis of pending uterine rupture and placental abruption
9. Placental abruption: pathomechanism, diagnosis, differential-diagnosis
10. Placenta praevia
11. Maternal obstetrical injuries
12. Uterine atony
13. Uterine rupture
14. DIC, HELLP, amniotic fluid embolism
15. Puerperal fever and sepsis

Obstetrics, Group B
1. Diagnosing pregnancy
2. Conception, implantation
3. Placenta accreta, increta and percreta
4. Fetal lie. Assessing fetal lie
5. Non-stress test and stress test
6. Infectious diseases during pregnancy (hepatitis, HIV, toxoplasmosis, syphilis, Group B Streptococcus)
7. Prenatal diagnostics I. (invasive methods)
8. Prenatal diagnostics II. (non-invasive methods)
9. Fetal monitoring during labor (CTG, fetal blood gas analysis)
10. Disturbances of the feto-maternal gas transport during labor
11. Obstetrical analgesia and anaesthesia
12. Resuscitation of the neonate, the Apgar-score
13. Legal regulation of pregnancy interruption, methods and complications
14. Diagnosis and pathomechanism of hydramnios and oligohydramnios
15. Intrauterine growth restriction (IUGR)
16. The mechanism and the prevention of Rh-isoimmunisation, erythroblastosis fetalis
17. Pregnancy induced hypertension and preeclampsia
18. Diabetes and pregnancy (screening and management)
19. Multifetal gestation, twin delivery
20. Cervical incompetence; etiology, diagnosis and therapy
21. Threatened preterm delivery; pathomechanism, management
22. Intrapartum management of preterm delivery
23. Daytime delivery and induced labor
24. Overdue and postterm pregnancy
25. Abnormalities of the fetal position
26. Abnormalities of the fetal engagement
27. Fetal rotational anomalies
28. Breech presentation, transverse lie
29. Vaginal delivery after prior uterine surgery
30. Pyelitis in pregnancy

Gynaecology, Group A:
1. Amenorrhea; classifications, diagnosis and therapy
2. Bleeding disorders; types and diagnosis
3. Uterine fibroids; types, diagnosis and therapy
4. Benign adnexal masses; classification, diagnosis and therapy
5. Adnexal inflammatory diseases; diagnosis, differential diagnosis, and therapy
6. Postmenopausal bleeding
7. Premalignant disease and carcinoma in situ of the uterine cervix: diagnosis and therapy
8. The role of HPV in the pathomechanism of gynecologic malignancies; HPV vaccination
9. Cervical cancer: symptoms and diagnosis
10. Endometrial cancer: symptoms and diagnosis
11. Ovarian cancer: classification, symptoms and diagnosis
12. Acute abdomen in gynecology
13. The criteria and the potential complications of IUD usage
14. Hormonal contraception: indications, contraindications, positive effects and potential complications
15. Menopause

Gynaecology, Group B:
1. Genital fistulas: pathomechanism, diagnosis and therapy
2. Congenital anomalies of the genital tract (diagnosis and therapy)
3. Indications and methods of hysterectomy
4. Functional diagnostics of the ovarian capacity, cycle diagnostic
5. Intersexuality, gonadal dysgenesis
6. Physiology of puberty and menarche
7. The most common childhood gynecological diseases
8. Vulvar and vaginal inflammatory disorders and their treatment
9. Endometriosis: pathophysiology, classification, symptoms and diagnosis
10. Treatment of endometriosis
11. Hyperandrogenic disorders, PCOS
12. Infertility: classifications and diagnosis
13. Treatment of infertility (ovulation induction therapy, AIH, IVF, ICSI)
14. Ovarian hyperstimulation syndrome
15. Sexually transmitted diseases (STD)
16. Hormone replacement therapy guidelines, indications, contraindications, side effects
17. Pelvic organ prolapse: symptoms and diagnosis
18. Pelvic organ prolapse: therapy
19. Urinary incontinence and treatment
20. Endometrial cancer: FIGO classification and therapy
21. Cervical cancer: FIGO classification and therapy
22. Hydatiform mole: symptoms, types, endocrinology and therapy
23. Gestational throphoblast neoplasia (invasive mole, choriocarcinoma): diagnosis and therapy
24. Gonadal ovarian tumors
25. Tumor markers of malignant ovarian cancer. Diagnosis and treatment of borderline ovarian cancer.
26. Malignant ovarian cancer: operative treatment, chemo- and radiation therapy
27. Premalignant and malignant vulvar diseases (VAIN, VIN)
28. Diagnostic and operative hysteroscopy
29. Laparoscopy in gynecology
30. Modern contraceptive methods

Examiners

  • Dr. Farkas Bálint
  • Dr. Gőcze Péter
  • Dr. Hantosi Eszter
  • Dr. Kovács Kálmán András
  • Dr. Rácz Sándor Attila
  • Dr. Tamás Péter István

Instructor / tutor of practices and seminars

  • Dr. Farkas Bálint
  • Dr. Gőcze Péter
  • Dr. Hantosi Eszter
  • Dr. Kovács Kálmán András
  • Dr. Nagy Bernadett
  • Dr. Rácz Sándor Attila
  • Dr. Tamás Péter István