SubjectsSubjects(version: 875)
Course, academic year 2020/2021
  
Module of Gynaecology and Obstetrics - Gynaecology and Obstetrics II. - CSRZKGP0I
Title: Modul gynekologie a porodnictví - Gynekologie a porodnictví - II. (ak. r. 2013/2014)
Guaranteed by: Department of Gynaecology and Obstetrics (12-GYN)
Faculty: Third Faculty of Medicine
Actual: from 2016
Semester: winter
Points: 9
E-Credits: 9
Examination process: winter s.:
Hours per week, examination: winter s.:0/150 C [hours/week]
Extent per academic year: 9 [weeks]
Capacity: unknown / unknown (unknown)
Min. number of students: unlimited
State of the course: not taught
Language: Czech
Teaching methods: full-time
Level:  
Guarantor: doc. MUDr. Eduard Kučera, CSc.
MUDr. Jiří Popelka
Classification: Medicine > Clinical Overview
Attributes: Modul gynekologie a porodnictví
Examination dates   Schedule   
Annotation -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)
Clinical practice lasts 4 weeks before the state exam on gynaecology and obstetrics. The aim is to apply student´s theoretical knowledge from previous years during work at the department. We emphasize the clinical work is the method of education, not lectures or seminars. On the first day of the clinical practice all students are asked to come and meet Dr. Popelka at the lecture-room of Dept. of Gynaecology and Obstetrics of University Hospital Kralovske Vinohrady (FNKV) at 8.00 a.m. The students will be divided into 2 groups - the first group will spend the stay in FNKV, the second group in UPMD (Podoli). During the stay you will follow the doctors at the OB/GYN wards - you should participate on the work with patients - participate on morning rounds, grand rounds with senior doctors, assist at operating rooms and delivery rooms, to observe at outpatient dept. (gynaecological examination, prenatal care, ultrasonography). You will pass the final test during the last week of the stay to obtain the credit and be able to register for state exam. The term of the test will be announced during the clinical stay. You can register for the test and state exam via SIS only. It is required to wear white coat, trousers, shoes and student´s identity card during the clinical stay.
Aim of the course -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

Knowledge application to the clinical practice at different OB/GYN departments.  Preparation for the state examination.

Literature -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

Norwitz E, Schorge J. Obstetrics & Gynaecology at a Glance. 2nd ed. Blackwell Publishing 2006

Symonds EM, Symonds IM. Essential Obstetrics and Gynaecology. 4th ed. Churchill Livingstone 2004

Teaching methods -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

The education is in the form of clinical interships. Students are divided into 4 groups that  spend 1 week at different OB/GYN departments and than rotate. 


1. week - the teaching in the shape of seminars in FNKV or in ÚPMD (the students are divided into two groups)

The students continue following three weeks in FNKV, ÚPMD or in other hospitals.
2. week - gynaecological department, gynaecological ambulance
3. week - the operational intervention department, the post-operative department, operating theatre, intensive care
4. week - the delivery department

 We recommend  to observe or assist following procedures at least during clinical practice: 

Gynaecological exam (including colposcopy)

Gynaecological ultrasonography

Open abdominal surgery (hysterectomy)

Laparoscopy,  hysteroscopy

Vaginal surgery

Dilation and curretage, 

Prenatal care, examination in pregnancy, cardiotocography

Ultrasonography in pregnancy

Spontaneous delivery

Cesarian section

 

Requirements to the exam -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

To obtain the credit student has to have min 80% of attendance during the clinical stay and has to pass  the final test successfully. The test  is  realised during the last week of the clinical practice at Dept. of Gynaecology and Obstetrics of University Hospital Kralovske Vinohrady (FNKV).

Term of the test - will be in SIS.

Syllabus -
Last update: Mgr. Alena Vlasáková, DiS. (03.11.2014)

Preparation for state exam. Questions:

I. Obstetrics

 

1. Anatomy of pelvis, fetal diameters

2. Physiology of pregnancy, diagnosis, duration, physiological changes

3. Prenatal care

4. Obstetric examination

5. Ultrasonography  in obstetrics

6. Prenatal diagnosis of congenital abnormalities - noninvasive and invasive methods

7. Spontaneous delivery, stages, mechanism, management

8. Physiology of puerperium

9. Spontaneous abortion

10. Extrauterine pregnancy, diagnosis, therapy

11. Induced abortion

12. Preterm delivery, postterm pregnancy

13. Disorders of placenta, fetal membranes, umbilical cord, amniotic fluid

14. Rh-immunization

15. Hypertension in pregnancy, preeclampsia, HELLP syndrome

16. Diabetes mellitus in pregnancy

17. Thrombo-embolic disease and pregnancy, prophylaxis of TED, anticoagulation therapy

18. Infections in pregnancy

19. Peripartal hemorrhage, DIC

20. Fetus mortus - still birth    (causes, diagnosis, management)

21. Multiple pregnancy

22. Breech presentation

23. Abnormal lie of fetus, versions, extraction of fetus

24. Abnormalities of Ist and IInd delivery stage

25. Complications of IIIrd delivery stage, postpartum injuries

26. Intrapartal fetal hypoxia, cardiotocography, puls oxymetry, ST analysis

27. Sectio caesarea (indications, criteria, technique)

28. Forceps (indications, criteria, technique)

29. Abnormal puerperium, disorders of lactation

 

 

II. Gynaecology

 

1. Topographical anatomy of pelvis

2. Congenital developmental defects of female genitals

3. Diagnostic methods in gynaecology (gynecologic examination, laboratory and imaging methods)

4. Physiology of menstrual cycle

5. Disorders of menstrual cycle, diagnosis and therapy

6. Dysmenorea, premenstrual syndrome

7. Climacterium, hormonal replacement therapy

8. Planned parenthood, methods of contraception, sterilization

9. Infections of female genital tract, STD

10. Endometriosis

11. Sterility (causes, diagnosis, therapy)

12. Methods of assisted reproduction

13. Screening of oncologic diseases in gynecology, colposcopy, oncologic cytology

14. Benign and malignant lesions of vulva and vagina

15. Malignant tumors of uterine cervix

16. Benign tumors of uterus

17. Malignant tumors of uterus

18. Malignant tumors of ovaries (epithelial, non-epithelial)

19. Diagnosis and management of adnexal mass

20. Benign and malignant tumors of breast

21. Trophoblastic disease

22. Treatment of gynaecologic malignancies (surgery, chemotherapy, radiotherapy, hormonal, supportive therapy)

23. Emergency in gynaecology

24. Diagnosis of acute abdomen

25. Urinary incontinence - types, diagnosis, therapy

26. Pelvic relaxation (ethiology, therapy)

27. Gynaecologic surgery - endoscopy (indications, technique, complications)

28. Gynaecologic surgery - abdominal approach (indications, technique, complications)

29. Gynaecologic surgery - vaginal approach (indications, technique, complications)

 

 
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