NBE CME programme for DNB consultants - National Board Of ...

NBE CME programme for DNB consultantsConsumer protection Act Imp. Of consent and counselingFamily planning- Condom; I.U.C.D. – Cu-T, Cu-7, Cu-350, Multi load; Lippes loop; Oral pills -MalaD, Mala N, Saheli, Lynoral; Injection Depoprovera; Today; Cervical Cap; Laproscopic rings9laproscopii set);Students should know - Various types of contraceptive device – indication/contraindication; MTP – Act, Procedure, Complication, Contraceptive quidence; Faliure rates ofvarious contraceptives – Sterlisation- Female- Tubal ligation, Prmsoy’s/ Laps, Couple protectionrate, Fertility Rate- Total population- Vasectomy, Contraceptive prevalence, Failure rates of variousmethods & legal implicationsGynaec- Specimen - Fibroid uterus, Cancer cervix, Vascular Mole, Ectopic pregancny, Adenomyosis,Cervical fibroid, Cancer Endometorium, Ovarian cystX-ray – Hysterosalpingography, Breech presentation, Twins/ Multiple pregnancy, Anencephaly,Hydrocephaly, Conjoined Twins; U/S - Vascular moleStudents should know - Minor operation – Dilatation & curretlage, E.B., Cervical Dilatation, CervicalBiopsy – Type, Fraction curettage, Pap smear/ Colposcopy, Vulvar biopsy, Wet smear; Majoroperations - Various types abdominal incision, opening & closing of abdomen wound, Types ofhysterectomy – Indications, Route; Ovarian Cystectomy; Oviriotomy; Salpigo-opherectomy;Salpingotomy – Partial/ total; Operation for - Cervical Malignancy, Uterine Malignancy OvarianMalignancy, Vulval Malignancy ; Chemotherapy in gynaec malignancyBad obstetrical historyHistory- Age of the patient at conception, education status of husband and wife; Husband’soccupation; Last Menstrual period; Period of gestationPresenting complaints- Bleeding per vaginum; Gestational age at the time of its occurrence;Amount of bleed, ( fresh , old, clloted blood); Any passage of clots, products of conception or grapelike vesicles pain abdomen; Nature of pain and duration; History of any intercourse or trauma;Syncopial attacks; Duration and recurrence of bleeding; History of nausea and vomiting or itssudden cessation; H/o of fever with rash or genital ulcers; H/o urinary frequency, urgency or dysuria;H/o UPT done or documentation of USG examination and appearance of cardiac activity.Eig2 nd trimester pregnancy - Period of gestation; H/o quickening; H/o pelvic pressure; H/o bleedingP/V or leaking P/v; H/o recurrent lower abdominal pain; History suggestive & thyroid disorder(constipation, w ht gain, heat and cold intolerance); History S/o diabetes mellitus (polyuria,polyphagia, polydypsia); History S/o APLA (arterial or venous thrombosis, swelling of limbs, transientischaemic attack); H/o S/o cardiac disease (breathlessness, palpitation, chest pain, swelling offeet)Abnormal uterine bleedingHistory - Age; obstetric history pertaining to abortions, ectopic, gestational trophoblastic disease,last child birth, any complication causing endometritis; MENSTRUAL HISTORY – excessive bleeding,content ( clots or POCs), amount, cydical / acyclical, post – coital or intermenstrual; H/O D&C orinstrumentation; H/O Hormonal Contraception or irregular use of hormonal preparations, IUCDs;H/O sexually transmitted diseases; H/O bleeding menstrual history - Age of menarche; Regularityof the cycles; History of prolonged cycles, duration of flow, amount of bleeding; Passage of clots;History s/o dysmenorrhealObstetric history - Age at marriage and first conception; History regarding early fetal losses;Gestational age at fetal loss; History of blighted ovum (UPT + USG documentation); Pattern ofexpulsion; Any pain abdomen and bleeding PV; Any operative intervention (D & C procedure)2 ND trimester foetal losses - Any history of bleeding or leaking per vaginum and pain abdomen;Duration of expulsion of foetus; Any bleeding P/v; Pattern of fetal ( with increasing or decreasinggestational age of the losses); Any congenital abnormality in the fetus; H/o IUGR; Early PIH orfeature suggestive of arteriovenous thrombosis74