Thursday, 27 January 2011

Tutorial 27th. January 2011

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Tonight we discussed 4 essay topics.
47           Discuss how the risk of malaria in pregnancy can be reduced.   
 There is a Green-top guideline, so you need to prepare this.
48           A primigravid woman attends the antenatal booking clinic at 5 weeks’ gestation. She smells strongly of alcohol. She admits to consuming at least ½ bottle of vodka each day.
1.            Outline the health problems linked to maternal consumption of large amounts of alcohol in pregnancy.                                                                                           8 marks
2.            Justify your management  in the booking clinic.                           8 marks
3.            Justify your management of the remainder of the pregnancy.  4 marks                                                                     
 There is a lot of stuff about this including an RCOG "statement" which replaced a Green-Top.
49           Critically evaluate screening for ovarian cancer.              

50           A nulliparous woman of 18 years attends A&E. She has missed taking her contraceptive pill. You are the SpR in O&G and have been asked to see her.
1. Justify the history you will take.                         4 marks.
2. Justify the investigations you will arrange.      4 marks.
3. Justify the advice you will give.                          12 marks.                

Contraception is a real pain as it is not something gynaecologists practise in the UK. But you have to know it. I have a problem remembering all the Pills and rules and this topic would certainly be on my last-minute-revision list.

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