Tutorial.
Contact us.
Tonight's essays and EMQ are below.
I suspect that there could be an essay from the Maternal Mortality Report.
Sepsis is obviously something you need to know, the definitions and the main direct and indirect causes. But the Ten Top Recommendations or the key points in the "Back to Basics" chapter would make perfect essays. And would be killers if you did not know them.
I put in primary amenorrhoea to remind you to have paediatric gynae topics on your last-minute revision list.
Vault prolapse is one of those very technical essays that is more appropriate for a sub-specialty exam, but it came in 2005 and 2008. There was a joint guideline with the British Society of Urogynae in 2007. You would not remember the details if you are not a sub-spec trainee, so it is another for last-minute revision.
Vulval cancer heads my list of hot topics as far as cancer is concerned. I am half-way through writing an answer that should give you all you need, so send me your version and I'll e-mail it.
A girl of 15 is referred to the gynaecology clinic. She is concerned because she has not started to menstruate although all her friends have.
1. Justify the history you will take. 6 marks
2. Justify the investigations you will arrange. 6 marks
3. Justify your management 8 marks
Outline the key features of the advice given in the “Back to basics” section of the recent Maternal Mortality Report.
A 73-year-old woman is referred with vault prolapse 5 years after hysterectomy.
1. Discuss the steps that can be taken during and after hysterectomy to reduce the risk of vault prolapse. 4 marks
2. Justify the history you will obtain. 4 marks
3. Evaluate the management options. 12 marks
With regard to vulval cancer.
1. critically evaluate screening. 2 marks.
2. outline the FIGO staging system. 6 marks.
3. critically evaluate the modern approach to management. 12 marks.
Antepartum haemorrhage.
Lead-in.
The following scenarios relate to APH.
Pick one option from the option list.
Each option can be used once, more than once or not at all.
Abbreviations.
ART: assisted reproduction technology
FGR: fetal growth restriction
PET: pre-eclampsia
Option list.
A. genital tract bleeding ≥ 500 ml. from 24 weeks until the delivery of the baby
B. genital tract bleeding ≥ 500 ml. from 24 weeks until the delivery of the placenta.
C. genital tract bleeding ≥ 500 ml. from 24 weeks, or earlier if the baby is live-born, until the delivery of the baby.
D. 1
E. 2
F. 3
G. 4
H. 5
I. 6
J. 7
K. 8
L. 9
M. 10
N. 15
O. 20
P. 30
Q. 50
R. 100
S. 500
T. 1,000
U. true
V. false
W. none of the above
Scenario 1.
What is the definition of APH?
Scenario 2.
What is the upper limit in ml. for minor APH
Scenario 3.
What is the upper limit in ml. of major haemorrhage
Scenario 4.
What is the % risk of recurrence after 1 abruption?
Scenario 5.
What is the % risk of recurrence after 2 abruptions?
Scenario 6.
What is the major risk factor for placental abruption.
Scenario 7
List 10 risk factors for placental abruption.
Scenario 8
List 6 risk factors for placenta previa.
Scenario 9
In what % of pregnancies does APH occur?
Scenario 10
With regards to steps that can be taken to reduce the incidence of APH, what things would you include in an essay?
No comments:
Post a Comment