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Tonight we managed 3 of the 4 proposed topics.
51 With regard to adhesions and gynaecological surgery:
1. Critically evaluate the importance of adhesion formation after surgery. 8 marks
2. Justify the steps you would take to reduce the chance of adhesion formation. 12 marks
52 A healthy, nulliparous woman of 35 years attends for pre-pregnancy counselling. Her brother has cystic fibrosis.
1. Justify the advice will you give about her risk of being a carrier of cystic fibrosis.
2. Justify the advice will you give about her risk of having a child with cystic fibrosis if she is found to be a carrier.
3. What other advice will you give her?
4. Justify the tests will you arrange.
5. Critically evaluate the advice you will give about screening the pregnancy for cystic fibrosis.
53 A recently-arrived immigrant woman is referred to the booking clinic at 8 weeks gestation in her first pregnancy. Her GP has investigated a chronic cough and a chest x-ray taken a few days ago has been reported as showing probable tuberculosis.
1. Critically evaluate the effects of tuberculosis on pregnancy.
2 marks.
2. Critically evaluate the effects of pregnancy on tuberculosis.
2 marks
3. Justify your management in the booking clinic. 10 marks
4. Justify your management plan for the remainder of the pregnancy and the puerperium. 6 marks
54 How may the morbidity and mortality associated with vasa previa be reduced?
We will discuss this subject on Thursday.
There is a SOGC guideline that is worth reading.
And a TOG article from 2008.
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