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Tonight's topics were:
First of all some MCQs from Asha.
Masculinization of cloaca is dependent on 5 alpha reductase activity
Wolffian structure development is independent of 5 alpha reductase activity.
Achondroplasia is associated with polyhydramnios
Achondrogenesis is associated with polyhydramnios
Talipes equinovarus is characteristically associated with oligohydramnios.
The risk of a 45 year old woman having a child with neural tube defect is much higher than that of a 18 year old woman.
Recognised association of oligomenorrhoea includes chronic renal failure
Cystic glandular hyperplasia of endometrium is a recognised association of oligomenorrhoea .
Uncontrolled maternal pre-gestational diabetes and a HBa1c of 11 increases the risk of aneuploidy.
Women with a history of subfertility have an increased risk of preterm labour
Rubella infection in first trimester is associated with oligohydramnios
Severity of hyperemesis is directly related to serum levels of HCG
Hyperemesis gravidarum is associated with fetal growth restriction.
Ondansetron is safe to use in the first trimester.
Neonatal Jaundice appearing on 3rd day and still present at 2 weeks of age may be due to HDN, Galactosaemia, phenylketonuria, neonatal hyperthyroidism. Pick out the ones that are true.
Use of muscle relaxants is a predisposing factor for maternal pulmonary aspiration of gastric contents.
Then we managed some essays:
59 A 25-year-old-woman had her first child by normal delivery in the night. She plans to go home today. She intends to breast-feed for at least six months. You have been asked to see her to discuss contraception.
1. Justify the history you will take. 6 marks.
2. Justify the advice you will give. 14 marks.
60 You are the SpR in the gynaecology clinic. A 30-year-old woman is referred for advice about heavy periods.
1. Justify the history you will take. 6 marks.
2. Justify the examinations you will perform. 2 marks.
3. Justify the investigations you will arrange. 2 marks.
4. Justify the advice you will gi ve. 10 marks.
61 A nulliparous woman of 30 years attends for pre-pregnancy counselling. She has had epilepsy since the age of 10 years.
1. Critically evaluate the history you will obtain. 6 marks.
2. Critically evaluate the investigations you will arrange. 2 marks.
3. Critically evaluate the advice you will give. 12 marks.
Essay in 1999 and 2004.
62 You have been asked to prepare a lecture on risk management in gynaecology for the trainees in your department.
Critically evaluate the key messages you will include in the presentation.
63 You have been asked to prepare a lecture on risk management in obstetrics for the trainees in your department.
Critically evaluate the key messages you will include in the presentation.
It is pleasing to note that we are now up to topic number 63 for this session. With luck we should get up to 80 by the time of the exam.
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