Tutorial 7th. July 2011

Podcast.
Website.

Tonight we had 4 essays.
I hope you find them interesting.

Question 1.

A woman is found to have a haemoglobin value of 10 gm. / dL. at 28 weeks gestation.

1.      list the main causes of anaemia in pregnancy.                                     6 marks.

2.      outline the main concerns you will have about this level of anaemia.    4 marks.

2.      critically evaluate the main elements of the investigation.                     4 marks.

3.      critically evaluate the management.                                                    6 marks.

Question 2.

A healthy primigravid woman is found to have a breech presentation at 36 weeks. Critically evaluate the management.

1.      outline the investigations you will arrange.    6  marks.

2.      critically evaluate your management.           14 marks.

Question 3.

A woman is found to have a temperature of 39.⁰ C. on the second day after a normal delivery.

1.      what is the definition of puerperal pyrexia?    2 marks.

2.      is puerperal pyrexia a notifiable disease?         2 marks.

3.      critically evaluate your investigation.                8 marks.

3.      critically evaluate the management.                 8 marks.

Question 4.

In relation to “Surviving sepsis”.

1.      outline the key elements of the initial management.                   6 marks.

2.      outline the key elements of monitoring the patient’s condition.  4 marks.

2.      outline the key elements of fluid management.                          4 marks.

3.      critically evaluate the use of corticosteroids.                             2 marks.

4.      critically evaluate antibiotic therapy.                                         4 marks.