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I was a bit late starting the recording, so the first couple of EMQ scenario discussions are missing.
Send me your answer and you will get my written version.
You will note that we are up to essay number 53.
How many have you written?
14
|
EMQ. Cystic fibrosis
|
50
|
You have been asked to give a tutorial
on essay-writing to MRCOG part II candidates.
Outline the
key aspects of the advice you will wish to convey.
|
51
|
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
|
52
|
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.
|
53
|
Question. Critically evaluate HPV vaccine and its
uses.
|
This question is about cystic
fibrosis.
For
each scenario choose the option that gives the best answer.
Each
option can be used once, more than once or not at all.
And, to make you behave in a
model fashion, there is no option list, so you have to decide the correct
answer.
Scenario 1.
A woman is 8
weeks pregnant and known to be a carrier of cystic fibrosis.
Her husband is
Caucasian.
What is the risk
of the child having cystic fibrosis?
Scenario 2.
A healthy woman
attends for pre-pregnancy counselling.
Her brother has
cystic fibrosis. Her husband is Caucasian.
He has been
screened for cystic fibrosis. The test was negative.
What is the risk
of them having a child with cystic fibrosis?
Scenario 3.
A healthy woman
is a known carrier of cystic fibrosis.
She attends for
pre-pregnancy counselling. Her husband has cystic fibrosis.
What is the risk
of them having a child with CF?
Scenario 4.
A
healthy woman attends for pre-pregnancy counselling. Her sister has had a child
with cystic fibrosis.
What
is her risk of being a carrier?
Scenario 5.
A woman attends
for pre-pregnancy counselling. Her mother has cystic fibrosis.
What is the risk
that she is a carrier?
Scenario 6 .
A woman attends
for pre-pregnancy counselling. Her mother has cystic fibrosis.
The partner’s
risk of being a carrier is 1 in X.
What is the risk
that she will have a child with CF?
Scenario 7.
A healthy
Caucasian woman is 10 weeks pregnant.
Her husband is a
known carrier of cystic fibrosis.
Which test would
you arrange?
Scenario 8.
A woman attends
for pre-pregnancy counselling. She has read about diagnosing CF using cffDNA
from maternal blood. Is it possible to test for CF in this way?
Scenario 9.
A woman and her
husband are known carriers of cystic fibrosis.
What is the risk
of them having an affected child.
Scenario 10.
A woman and her
husband are known carriers of cystic fibrosis.
What can they do
to reduce the risk of having an affected child?
Scenario 11.
A woman and her
husband are known carriers of cystic fibrosis.
Can CVS exclude
an affected pregnancy?
Scenario 12.
A woman with
cystic fibrosis has a normal delivery of a healthy, 3.2 kg. baby at term. She
has been advised not to breastfeed because her breast milk will be
protein-deficient due to malabsorption.
Is this advice correct?
Scenario 13.
A woman with
cystic fibrosis has a normal delivery of a healthy, 3.2 kg. baby at term. She
has been advised not to breastfeed because her breast milk will contain
abnormally low levels of sodium.
Is this advice
correct?
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