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Essays 21st. January 2013.
1. You are the SpR
in the antenatal clinic. The consultant is absent due to illness and no other
consultant is available. A midwife asks you to see a woman whose scan has shown
anencephaly.
1. What steps will you take before seeing the woman? 6 marks
2. Justify the approach you will use during the
interview. 10 marks
3. What will you do when the interview is over? 4 marks
2. Question.
Critically evaluate HPV vaccine and its uses.
3. A healthy,
25-year-old, nulliparous woman books at 8 weeks. She wishes to know what
particular advice is relevant to her as she is married to a farmer.
1. outline the history you will take. 6 marks
2. outline the investigations you will arrange. 4 marks
3. justify the advice you will give. 10 marks.
4. A 25 year-old
woman books at 8 weeks. She has one child, aged 3 years. He has recently had
chickenpox diagnosed. Her sister is 38 weeks pregnant.
1. Justify your
initial management. 8
marks.
2. Justify your
management for the rest of the pregnancy.
8 marks.
3.
Justify the advice you will give with regard to her sister. 4 marks.
Missed pills. Starting the Pill. COC.
Lead-in.
The following scenarios relate to the combined oral
contraceptive (COC) and missed pills.
For each, select the option that best fits the scenario.
Each option can be used once, more than once or not at
all.
Abbreviations.
UPSI: unprotected
sexual intercourse.
Option list.
A.
pill that is ≥ 12
hours late.
B.
pill that is > 12
hours late.
C.
pill that is ≥ 24
hours late.
D.
pill that is > 24
hours late.
E.
two missed pills at
any time in a single cycle.
F.
the first pill taken
in one’s first love affair, now recalled with fond nostalgia for its
effectiveness in preventing pregnancy, the Prince having been truly a loathsome
toad.
G.
no additional
contraception required.
H.
additional contraception
required for 7 days.
I.
emergency contraception
should be considered.
J.
emergency
contraception should be recommended.
K.
take the missed pill
immediately, but not if it means 2 pills in one day; no additional
contraception needed; pill-free interval as normal.
L.
take the missed pill
immediately, even if it means 2 pills in one day; no additional contraception
needed; pill-free interval as normal.
M.
take the missed pill
immediately, even if it means 2 pills in one day; additional contraception for
7 days; pill-free interval as usual.
N.
take one of the missed
pills immediately, discard the other missed pills, use extra contraception for
7 days and discuss emergency contraception with your doctor.
O.
take the missed pills
immediately, use extra contraception for 7 days and discuss emergency
contraception with your doctor.
P.
continuous combined
preparation.
Q.
bi-phasic preparation.
R.
quadriphasic
preparation.
S.
cannot be answered
from the data given.
T.
none of the above.
Scenario 1.
What is the definition of a
missed pill?
Scenario 2.
What is the definition of two
missed pills?
Scenario 3.
A COC is begun on day 1 of menstruation. What advice
should be given about temporary additional contraception?
Scenario 4.
A COC is begun 5 days after day 1 of menstruation. What
advice should be given about temporary additional contraception?
Scenario 5.
A COC is begun for the first time on day 1 of menstruation.
The fifth pill is missed. What advice should be given?
Scenario 6.
A pill is missed on day 14 of a
21-day pack. What advice should be given?
Scenario 7
A pill is missed on day 21 of a
21-day pack. What advice should be given?
Scenario 8
Two pills are missed in the
first week of a 21-day pack. What advice should be given?
Answer:
Scenario 9
Two pills are missed in the
second week of a 21-day pack. What advice should be given?
Scenario 10
Two pills are missed in the third week of a 21-day pack.
What advice should be given?
Scenario 11
What kind of preparation is
Qlaira?
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