Chronic hypertension, preclampsia, miscarriage, ectopic pregnancy and

Chronic hypertension, preclampsia, miscarriage, ectopic pregnancy and abnormal uterine bleeding make osce case 10-15

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Here are 13 OSCE cases (2–3 per topic) with full model answers sourced from authoritative medical textbooks.

What's Included

Topic	Cases	Stations Covered
Chronic Hypertension	1–2	History + management; HELLP data interpretation
Preeclampsia	3–4	Counselling (mild); Emergency eclampsia management
Miscarriage	5–7	Classification + USS; Recurrent miscarriage counselling; Anembryonic gestation
Ectopic Pregnancy	8–10	Ruptured emergency; Unruptured diagnosis; Methotrexate management
Abnormal Uterine Bleeding	11–13	Adolescent HMB + PALM-COEIN; Perimenopausal + fibroids; Acute haemorrhage

Chronic HTN: BP ≥140/90 before 20 weeks; avoid ACE/ARBs; aspirin from 12 weeks
Preeclampsia: New HTN after 20 weeks + proteinuria OR end-organ dysfunction; MgSO₄ loading = 4 g IV over 15–20 min → 2 g/hr maintenance
HELLP: Hemolysis + Elevated LFTs + Low Platelets — deliver within 24–48 hrs
Eclampsia: MgSO₄ is the anticonvulsant of choice (NOT diazepam)
Miscarriage: Anembryonic = GSD >25 mm no embryo; Embryonic demise = CRL >7 mm no cardiac activity
Ectopic: Classic triad = amenorrhoea + pain + bleeding; progesterone <15 ng/mL = abnormal pregnancy; methotrexate criteria = stable, no cardiac activity, β-hCG <5000, mass <3.5 cm
AUB: PALM-COEIN classification; endometrial biopsy mandatory in women >35 with AUB; acute bleed → OCP every 6 hours for 5–7 days stops bleeding within 24 hrs

Miscarriage there type and detail information

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