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EMQ 1.
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.
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?
EMQ. Haemophilia
A. Pre-pregnancy counselling.
Lead-in.
The following scenarios relate to haemophilia A and
pre-pregnancy counselling.
For each, select the most appropriate risk from the
option list.
Pick one option from the option list.
Each option can be used once, more than once or not at
all.
Scenario 1.
A nulliparous 20-year-old
wishes to know the risk of her being a carrier as her father has mild
haemophilia A.
Scenario 2.
A nulliparous 20-year-old wishes to know the risk of her
being a carrier as her father has severe haemophilia A.
Scenario 3.
A para 3, 30-year-old wishes to know the risk of her
being a carrier as her mother is a carrier.
Scenario 4.
A para 0+4, 25-year-old wishes to know the
risk of her being a carrier as her sister has an affected son.
Scenario 5.
A para 6,
40-year-old wishes to know the risk of her being a carrier as her daughter has
had an affected baby.
Scenario 6.
A nulliparous
woman wishes to know the risk of a son having haemophilia as she is a carrier.
Scenario 7.
A nulliparous woman wishes to know the risk of a son
having haemophilia as her husband has haemophilia A.
Scenario 8.
A nulliparous woman wishes to know the risk of a daughter
being a carrier as she is a carrier.
Scenario 9.
A nulliparous woman wishes to know the risk of a daughter
being a carrier as her husband has haemophilia A.
Scenario 10.
A nulliparous woman wishes to know the risk of a son
having haemophilia as her paternal grandfather had haemophilia A.
Scenario 11.
A nulliparous woman wishes to know the risk of a son
having haemophilia as her maternal grandfather had haemophilia A.
Scenario 12.
A nulliparous woman wishes to know the risk of a son
having haemophilia as her husband’s paternal grandfather had haemophilia A.
Scenario 13.
A nulliparous woman wishes to know the risk of a son
having haemophilia as her husband’s maternal grandfather had haemophilia A.
Scenario 14.
A nulliparous woman wishes to know the risk of a son
having haemophilia as her mother’s brother has haemophilia A.
Scenario 15.
A nulliparous woman wishes to know her risk of being a
carrier as she has read about it in a magazine. There is no family history of
haemophilia A.
Option list.
|
A.
|
0 %
|
|
B.
|
0.1 %
|
|
C.
|
1 %
|
|
D.
|
12.5 %
|
|
E.
|
13.3%
|
|
F.
|
20 %
|
|
G.
|
25 %
|
|
H.
|
33 %
|
|
I.
|
50 %
|
|
J.
|
66.6%
|
|
K.
|
68 %
|
|
L.
|
75 %
|
|
M.
|
80 %
|
|
N.
|
90 %
|
|
O.
|
100 %
|
|
P.
|
200 %
|
Essays & EMQ 22 July 2013
|
12
|
EMQ. Haemophilia A. Two questions.
|
|
42
|
With regard to pertussis and
pregnancy.
1. What is pertussis caused by, how is it
spread, what kind of vaccine is available and can it be used in
pregnancy? 4 marks.
2. What are the important epidemiological
facts in relation to pertussis in the UK in 2012. 3
marks
3. What is the current advice in the UK about
pertussis in pregnancy and who creates the advice? 3 marks.
4. Critically evaluate the justification for
the advice. 10 marks.
|
|
43
|
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 complete hydatidiform
mole.
1. Justify your immediate
management. 8 marks
2. Detail the subsequent
management. 12 marks.
|
|
44
|
A nulliparous woman is found to have hydrops fetalis on a routine 20
week anomaly scan.
1. List the main causes
of hydrops fetalis. 12 marks.
2. Outline the key
investigations. 8 marks.
|
|
45
|
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.
|
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