Obstetrics and gynecology - List of clinical scenarios for OSCE state exam

Sep 20, 2026

List of clinical scenarios for an OSCE state exam in obstetrics and gynecology. Each station describes a patient or candidate’s history and current condition, then sets structured tasks for the examiner and candidate: collecting complaints, proposing a preliminary diagnosis, selecting appropriate examinations (clinical, gynecological, laboratory, instrumental), and recommending treatment or contraceptive methods. Scenarios cover abnormal uterine bleeding, pelvic pain after intercourse, contraception counseling for adolescents, infertility evaluation, post-abortion fever and pain, and postpartum family planning.

LanguageEnglish

CategoryExam

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Reading Time10 min

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Clinical scenarios for OSCE state exam

Patient assessment tasks

Examinations and diagnostic workup

Treatment and contraception recommendations

| List of clinical scenarios for state exam in OSCE
Station. «Obstetrics and gynecology. Standardized patient» | | | | --- | --- | --- | | № | Clinical scenario | Part of the
competences
matrix | | 1. | Сlinical scenario 1
A woman 34 years old came to the doctor. She complains of vaginal bleeding during 15 days, weakness, dizziness. The last menstrual period began in the expected period and continues to this day. Anamnesis: menstrual periods started at the age 13 years, pretty regular, last 4-5 days, occur every 28 days, generally pain free. During two years the duration of menstrual periods increased up to 8-10 days.
Task:
1. Find out the patient's complaints and inform her about a preliminary diagnosis.
2. What examinations the patient is needed?
3. What treatment you should recommend? | Female
reproductive
system | | 2. | Сlinical scenario 2
A woman 30 years old came to the doctor. She complains of weakness, dizziness, pain in the abdomen with irradiation in the rectum, which appeared after sexual intercourse. Menstrual periods started at the age 13 years, pretty regular, last 4-5 days, occur every 28-30 days. The last menstrual period was 2 weeks ago. Uses contraception (spermicides) . Objectively: the general condition is satisfactory, blood pressure is 100/60 mm Hg, pulse-86 beats / min. Abdomen is soft, painful in the lower parts.
Task:
1. Find out the patient's complaints and inform her about a preliminary diagnosis.
2. What examinations the patient is needed?
3. What is the optimal doctor`s tactics? | Female
reproductive
system | | 3. | Сlinical scenario 3
A girl 16 years old came to the doctor. She needs information about contraception. She has no complaints. Menstrual periods started at the age 12 years, moderate, painless. Sex life from 16 years. Somatic history is not burdened. She doesn't smoke. The general condition is satisfactory, blood pressure 120/70 mm Hg, pulse 68 beats./min. The abdomen is soft, painless.
Tasks:
1. Find out the patient's complaints and peculiarities of the menstrual and sexual functions.
2. What examinations the patient is needed (clinical, gynecological, laboratory, instrumental)?
3. What methods of contraception you can recommend? | Female
reproductive
system | | 4. | Сlinical scenario 4
A 16-year-old girl came for consultation. She needs the information about contraception. Menstrual periods started at the age 13 years, moderate, painful. Somatic anamnesis is not burdened. The overall condition is satisfactory. She doesn't smoke. She has sexual intercourse with non-regular sexual partners.
Tasks:
1. Find out the patient's complaints and peculiarities of the menstrual and sexual functions.
2. What examinations the patient is needed (clinical, gynecological, laboratory, instrumental)?
3. What methods of contraception you can recommend? | Female
reproductive
system | | 5. | Сlinical scenario 5
A woman 27 years old came to the doctor. She complains of infertility for 4 years. Anamnesis: menstrual periods started at the age 14 years, pretty regular, last 6 days, occur every 27-28 days, generally painful. Sex life after 20 years. There were no pregnancies.
Task: | Female
reproductive
system | | | 1. Find out the patient's complaints and inform her about a preliminary diagnosis.
2. What examinations this infertile marital couple is needed? | | | --- | --- | --- | | 6. | Сlinical scenario 6
A woman 25 years old came to the doctor. She complains of weakness, fever, high body temperature up to 38.5 °C. Anamnesis: four days ago was performed artificial abortion. Objectively: blood pressure - 100/60 mm Hg, pulse -96 beats/min., body temperature is 38.5° C. Abdomen is soft, painful during palpation in the lower part.
Task:
1. Find out the patient's complaints and inform her about a preliminary diagnosis.
2. What examinations the patent is needed?
3. What treatment you sho

FAQs

What does each OSCE station require the candidate to do first?

Most stations begin with identifying the patient’s complaints and informing her about a preliminary diagnosis.

Which kinds of examinations are repeatedly requested in these scenarios?

Candidates are asked to specify examinations including clinical and gynecological assessment, and when needed laboratory and instrumental tests for the chosen clinical problem.

Do the scenarios include postpartum contraception and family planning?

Yes. There are stations focused on postpartum family planning, including recommendations when intrauterine devices, spermicides, condoms, or hormonal pills are not desired.

Sep 20, 2026

Uploaded by Emma Mercer