1.

Management of an 18 year old primigravida presenting at 28 weeks gestation with

a Hb of 8g/dl(take hx,ix cause of the mild anemia, then since it a mild anemia give
iron tabs200md throughout pregnancy an also folate.good response increases hb
1mgby two wk) (26 yr primigravida, Hb 4g/dl- ix and admit,ix,calculate total dose
of imferon requirement give im in divided doses check after two wks)
2. Management of a patient who presents at casualty with vaginal bleeding at 34
wks gestation(placental causes, local causes, ruptured uterus)
3. Management of a patient with amenorrhea of 7 weeks presenting at the
admission desk with acute abdomen
4. Discuss the menstrual cycle
5. Discuss active management of labour
6. Discuss anatomy of anterior abdominal wall
7. Discuss physiological changes in pregnancy
8. Discuss FANC
9. Presentation, diagnosis and management of ectopic pregnancy
10. Mechanisms of normal labour & management of breech presentation
11. Male and female sterilization and hormonal contraceptives
12. Infertility (Management of male infertility).
13. Presentation and management of H. Mole and choriocarcinoma (H. mole at 12
wks)
14. DM in pregnancy
15. Differential diagnosis and management of a patient presenting with a lower
abdominal mass
16. Cardiac disease in pregnancy
17. Management of a patient presenting at 28/40 ANC with PET
18. PROM & PTL
19. Management of APH & PPH
20. Describe the management of a 25 yr old para 1+0 who comes to the antenatal
clinic with one previous CS scar
21. Discuss the aetiology and management of breech presentation.
22. Describe the diagnostic steps and management of a lost IUCD.
23. Describe the diagnosis and management of a patient who presents at 20 wks
gestation with a uterine size of 30 wks, large bilateral ovarian cysts and passing
vesicles per vaginum
24. Discuss PID
25. Discuss the management of a patient who presents with 14 weeks amenorrhea
and vaginal bleeding
26. Every District Hospital should have an ultrasound scan!’ Discuss
27. Write an essay on breech presentation
28. Write an essay on caesarean section and it’s complications.
29. Discuss hormonal contraceptives
30. Discuss uterine fibroids
31. Discuss choriocarcinoma
32. Discuss ‘Rapture of foetal membranes @ 32 Wks gestation.’
33. Discuss the management of a pregnant mother who has been admitted with
vaginal bleeding at 32 weeks of gestation
34. Campaign: No Kenyan woman should die from cancer of the cervix by the
year 2020
35. List at least 6 complications obstructed labour and describe it’s clinical
presentation, diagnosis, treatment & prevention
36. List all the types of abortion. Out of your list, select any 2 and discuss their
management
37. Describe the clinical presentation, diagnosis, treatment, and follow up of a 19 yr
old para 0+0 who presents with abnormal per vaginal bleeding
38. Mrs. Elizabeth Light is a 24 yr old gravida 1 who presents at 18 wks gestation for
antenatal booking with a BP of 150/100mmHg and proteinuria of ++. Her past
medical and surgical history was uneventful. Describe her management until
delivery. (30 wks?)
39. Discuss the traditional practices that adversely affect the reproductive health of
women in Kenya
40. 22 yr old para 1+0 presents to ANC at 14 wks gestation , last delivery by CS.
Discuss subsequent management of this patient
41. Discuss the aetiology, presentation, management and prevention of pregnancy
induced hypertension and eclampsia
42. Describe the epidemiology, presentation, management and prevention of illegally
induced abortion
43. What are the causes of obstetric fistulae in Kenya and other developing Countries?
Discuss the management of patients with obstetric fistulae. How can this problem
be prevented?
44. Describe antenatal and intrapartum management of a pregnant patient with mitral
stenosis secondary to rheumatic heart disease
45. A 55 yr patient presents with complaints of vaginal bleeding for 2 wks after a
period of amenorrhea of 4 yrs. Describe her subsequent treatment.