أكيد! إليك نفس أسئلة الـ OSCE بصياغة إنجليزية احترافية كما قد تراها بالامتحان: ⸻ 📝 OSCE-style questions – Abortion (miscarriage) ⸻ 💡 Scenario 1 👩⚕️ A 26-year-old woman, 9 weeks pregnant, presents with slight vaginal bleeding, no pain. 🔹 Examiner asks: • What is the most likely diagnosis? Threatened abortion • What is the key investigation to confirm the diagnosis? Ultrasound (to confirm fetal viability and intrauterine location) • How would you manage this patient? Reassurance, relative rest, follow-up scan, consider progesterone if indicated ⸻ 💡 Scenario 2 👩⚕️ A 30-year-old woman, 11 weeks pregnant, presents with heavy vaginal bleeding, crampy lower abdominal pain. On exam, cervix is open. 🔹 Examiner asks: • What is your diagnosis? Inevitable abortion • What is your plan? Prepare for uterine evacuation (MVA or D&C), fluid resuscitation if needed, check Rh status and give anti-D if Rh negative ⸻ 💡 Scenario 3 👩⚕️ A woman 10 weeks pregnant reports vaginal bleeding with passage of tissue. Exam: uterus small for gestation, cervix closed, ultrasound shows empty uterus. 🔹 Examiner asks: • Diagnosis? Complete abortion • What is the next step? Observation, no further intervention if stable ⸻ 💡 Scenario 4 👩⚕️ A woman at 8 weeks gestation reports loss of pregnancy symptoms, no bleeding. Ultrasound shows a non-viable fetus (no heartbeat). 🔹 Examiner asks: • Diagnosis? Missed abortion • Management options? 1️⃣ Expectant 2️⃣ Medical (misoprostol) 3️⃣ Surgical (MVA/D&C) ⸻ 💡 Scenario 5 👩⚕️ A woman with a history of 3 consecutive miscarriages. 🔹 Examiner asks: • What investigations would you order? • Antiphospholipid antibody screen • Parental karyotyping • Uterine imaging (3D ultrasound / HSG / MRI) ⸻ 💡 Common OSCE questions on abortion 🔹 When do you give anti-D immunoglobulin? Any abortion with bleeding, intervention, or >12 weeks gestation 🔹 What is the dose? <12 weeks: 50 micrograms 12 weeks: 100 micrograms 🔹 Difference between threatened and inevitable abortion? • Threatened: closed cervix, viable fetus • Inevitable: open cervix, inevitable loss ⸻ 💡 Tip: Let me know if you want me to format this as a printable OSCE checklist, flowchart, or mock station! 🚑📋
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