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Tonight's essays.
Question 1.
A 25-year-old primigravida attends for a routine scan and echogenic bowel is noted.
1. What is the advice of the National Screening Committee in relation to “soft markers"?
6 marks.
6 marks.
2. What conditions are linked to echogenic bowel? 6 marks.
3. Justify your management. 12 marks.
Question 2.
A woman is referred to the pre-pregnancy counselling clinic. She had Caesarean section with her previous pregnancy.
1. Outline the history you will take. 6 marks.
2. Justify the investigations you will arrange. 4 marks.
3. Justify the advice you will give. 10 marks.
Question 3.
With regard to epidural anaesthesia in obstetrics:
1. Outline the main differences between it and spinal anaesthesia. 6 marks.
2. Outline the main techniques and drugs used. 4 marks.
2. Evaluate the main contraindications. 4 marks.
3. Discuss the main uses. 6 marks.
Question 4.
A woman attends the antenatal clinic at 36 weeks. She had read an article in a woman’s magazine about the merits of commercial umbilical cord blood banking and would like to have this done.
1. Justify the history you will take. 4 marks
2. Justify the investigations you will arrange. 2 marks
3. Justify your management. 14 marks
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