Tutorial 30 June 2011

Podcast.
Website.
I bought some new equipment this week to try to improve the quality of the sound.
Let me know if you think it is better.

Tonight we tackled 4 essay topics.

Question 1.

A 16-year-old virgin is referred with dysmenorrhoea. You are the SpR and see her in the gynaecology clinic. She is accompanied by her mother.

a.            justify the history you will take.                             8 marks

b.            justify the investigations you will arrange.               4 marks

c.             critically evaluate your management.                     8 marks.

Question 2.

With regard to ovarian hyperstimulation syndrome (OHSS):

1. how is OHSS graded?                                             4 marks.

2. what is the aetiology of OHSS?                                2 marks.

3. how may the incidence of OHSS be reduced?          6 marks.

4. justify your management of a case of OHSS.             8 marks.            

Question 3.

You are the SpR in the antenatal clinic. The consultant is absent due to illness and no other consultant is available. A midwife asks you to see a woman whose scan has shown anencephaly.

1. What steps will you take before seeing the woman?         6 marks

2. Justify the approach you will use during the interview.     10 marks

3. What will you do when the interview is over?                   4 marks         

Question 4.

With regard to uterine rupture:

1. how is uterine rupture graded?                                  2 marks

2. critically evaluate the risk factors for uterine rupture.  6 marks

3. critically evaluate the diagnosis of uterine rupture.      6 marks     

4, outline the management.                                            6 marks                         

                                                               

 As usual, send me your essays and I'll send whatever I manage to get time to write.