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Soundcloud is struggling to upload the tutorial, so this may be published before the tutorial.
If the tutorial does not upload soon, it will need to wait until tomorrow as I am going to bed!
The materials we used were as follows:
1. Critically evaluate the statement: “fortification of flour is overdue in the UK”.
2. With regard to epidural anaesthesia:
1. Outline the main differences between it and spinal anaesthesia. 4 marks.
2. Outline the main techniques and drugs used. 6 marks.
2. Evaluate the main contraindications. 4 marks.
3. Discuss the main uses. 6 marks.
3. Your consultant is on leave. The Secretary gives you an histology report relating to a
24-year-old woman who had suction evacuation for incomplete miscarriage 10 days before. The histology report is diagnostic of a complete hydatidiform mole.
1. Justify your immediate management. 8 marks
2. Detail the subsequent management. 12 marks.
4. A woman with sickle cell disease is referred to the pre-pregnancy counselling clinic.
1. Justify the history you will take. 6 marks
2. Justify the investigations you will perform. 4 marks
3. Outline the strategy for managing pregnancy. 10 marks
Lead-in.
The following scenarios relate to epidural anaesthesia.
For each, select the answer that best fits the scenario.
Pick one option from the option list.
Each option can be used once, more than once or not at all.
Scenario 1.
Which spinal level(s) conduct pain sensation from the uterus and cervix?
Scenario 2.
Which spinal level(s) conduct pain from the perineum?
Scenario 3.
Which spinal level(s) conduct pain from the left big toe and what does it signify?
Scenario 4.
Maternal pyrexia is a complication of epidural anaesthesia.
Scenario 5.
Spinal anaesthesia is effective more rapidly than epidural anaesthesia.
Scenario 6.
Adding an opioid to the local anaesthetic drug increased the potency of epidural anaesthesia.
Scenario 7
Epidural anaesthesia increases the Caesarean section rate.
Scenario 8
Epidural anaesthesia increases the length of labour.
Scenario 9
What is the rate of incomplete block with epidural anaesthesia?
Option list.
A. True
B. False
C. ≥ 1 in 10
D. 1 in 10 to 1 in 100.
E. 1 in 100 to 1 in 1,000
F. 1 in 1,000 to 1 in 50,000
G. 1 in 50,000 to 1 in 100,000
H. 1 in 100,000 or less
I. T8 - T12
J. T10 – L1
K. L2 - L8.
L. L8 - S1
M. S1 – S4
N. S2 – S4
O. S3 – S5
P. 10%
Q. 20%
R. 20 – 50%
S. 50 – 70%
T. 80 – 90%
U. 90 – 100%
V. I have no idea, I don’t care and I am going to the pub to drown my sorrows!
W. None of the above.
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