Monday 4 June 2012

Tutorial 4 June 2012

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Tonight we had an EMQ and 4 essays.
 
Lead-in.
The following scenarios relate to haemophilia A, factor VIII deficiency  (HA).
For each, select the most appropriate answer  from the option list.
Each option can be used once, more than once or not at all.
To make you use correct EMQ technique, the option list is not there.
So, you have to come up with an answer.
Scenario 1.
A woman attends for pre-pregnancy counselling. Her brother has haemophilia A. What is her risk of being a carrier?
Scenario 2 .
A woman attends for pre-pregnancy counselling. Her father has haemophilia A. What is her risk of being a carrier?
Scenario 3.
If she is tested and found to be a carrier, what tests will you arrange for her partner?
Scenario 4.
If she is a carrier, what is the risk to her male offspring?
Scenario 5.
If she is a carrier, what is the risk to her female offspring?
Scenario 6.
If she is  a carrier and her partner has haemophilia A, what are the risks to their female offspring?
Scenario 7.
If she is a carrier and her partner has haemophilia A, what are the risks to their male offspring?

 
A 35-year-old woman plans to go to a malarial area of Africa to join her husband who works there. She is 6 weeks pregnant. Critically evaluate the advice you will give her.

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.
2. What conditions are linked to echogenic bowel?                                                                      6 marks.
3. Justify your management.                                                                                                            12 marks.

Critically evaluate the non-contraceptive benefits of the COC.

Critically evaluate asymptomatic bacteruria in relation to pregnancy.

Send me your answers, written under exam conditions and I'll respond with mine.

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