RANK ORDER OF TOPICS OF GYNAECOLOGY & OBSTETRICS IN ORDER OF

IMPORTANCE FOR SEND UP AND ANNUAL EXAMINATION PREPARED BY Dr. M. ZAMAN

OBSTETRICS 1) PHYSIOLOGICAL CHANGES IN PREGNANCY

a. 1ST ORDER i. Systemic changes (volume homeostasis, blood, cvs) ii.

Endocrinological changes

b. 2ND ORDER i. Remaining whole chapter (important)

2) ANTENATAL CARE

a. 1ST ORDER i. Antenatal visits ii. Antenatal history and examination

3) ANTENATAL IMAGING AND ASSESSMENT OF FETAL WELL BEING

a. 1ST ORDER i. Diagnostic ultrasound (esp. features during 3rd trimester) ii. CTG iii.
Biophysical profile scoring

4) PRENATAL DIAGNOSIS

a. 1ST ORDER i. Diagnosis of downs syndrome ii. Comparison of various pre-natal

diagnostic procedures

b. 2ND ORDER i. Neural tube defects ii. Congenital heart defects

c. 3RD ORDER i. Remaining chapter

5) ANTENATAL OBSTETRIC COMPLICATIONS

a. 1ST ORDER i. Hyperemesis gravidarum ii. APH (placenta previa, abruption

placentae) iii. ECV

b. 2ND ORDER i. Minor disorders of pregnancy ii. UTI iii. Venous thromboembolism
iv. Oligo and Polyhydroamnios v. Rh iso-immunization

c. 3RD ORDER i. Abdominal pain in pregnancy

6) TWIN AND MULTIPLE GESTATIONS

a. 1ST ORDER i. Definition ii. Classification iii. Complication

7) DISORDERS OF PLACENTATION

a. 1ST ORDER i. Placenta previa ii. Placental apruption iii. PIH and Eclampsia iv. IUGR

8) PRETERM LABOUR

a. 1ST ORDER i. Causes and Management

9) MEDICAL DISORDERS

a. 1ST ORDER i. Anemia ii. Thyroid dysfunction

iii. HTN iv. DM

b. 2ND ORDER i. Heart disease

c. 3RD ORDER i. Epilepsy ii. Perinatal infections (infection screening during

pregnancy)

10) NORMAL LABOUR

a. 1ST ORDER i. Physiology of labour (dimensions) ii. Definition of 3 stages of labour

iii. Management of all 3 stages of labour (esp. active management) iv. Partogram

b. 2ND ORDER i. Mechanism of labour

11) ABNORMAL LABOUR

a. 1ST ORDER i. Breech presentation ii. Obstructed labour and fetal distress iii. The
Bishop scoring iv. Induction of labour v. Assisted delivery (forceps, ventouse)

b. 2ND ORDER i. Pain relief in labour and different types of anaesthesia ii.
Episiotomy and C-Section iii. Deep transverse arrest and transverse lie

c. 3RD ORDER i. Perineal tears ii. Shoulder dystocia

12) PUERPERIUM

a. 1ST ORDER i. PPH ii. Puerperial pyrexia b. 2ND ORDER i. Breast disorders ii. Post
partum psychosis iii. APGAR score

OBSTETRICS MOST WANTED

1) APH 2) PPH 3) Management of 3rd stage of labour 4) Breech presentation 5)

Obstructed labour 6) Pre-eclampsia 7) Anemia and DM in pregnancy 8) Puerperial
pyrexia 9) IUGR 10) Systemic changes during pregnancy 11) Obstetric ultrasound
12) Antenatal visits and prenatal diagnosis of downs syndrome 13) Biophysical
profile scoring

GYNAECOLOGY a. 1ST ORDER i. Amenorrhoea ii. Menorrhagia (esp. fibroid uterus) iii.
Infertility iv. Contraception v. Abortion (esp. septic abortion) vi. Endometeriosis and
adenomyosis vii. CA cervix viii. Ovarial CA ix. Endometrial CA x. UV prolapse xi.
Abnormal vaginal discharge 1. Vaginal candidiasis 2. Bacterial vaginosis 3.
Trichomoniasis xii. Post menopausal syndrome and HRT xiii. Hysterectomy xiv. D&C
xv. Laproscopic surgery

b. 2ND ORDER i. Urodynamic stress incontinence ii. Detrouser over activity iii.
Normal menstrual cycle iv. Benign tumors of ovary v. Bartholin cyst and other
vaginal cysts vi. Manchester repair

c. 3RD ORDER i. Vulval CA