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https://soundcloud.com/drtmcf/12-december-2013
Tonight we wrote 5 essay plans and anwered an EMQ - we are speeding up!
7
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EMQ.
Ulipristal.
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23
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A nulliparous woman of 30 years
attends for pre-pregnancy counselling. Her father is a carrier of the Fragile
X premutation. Her paternal uncle has Fragile X syndrome. Critically evaluate
the management.
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24
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A six year old girl is referred to
the gynaecology clinic with a 2 month history of vaginal discharge.
1.
Justify the history you will take.
5 marks
2.
Justify the investigations you will do.
5 marks
3.
Critically evaluate the management. 10 marks
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25
|
Critically analyse “Enhanced Recovery” in
Obstetrics and Gynaecology.
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26
|
With regard to endometrial cancer.
1.
Outline the key features of Type 1 and Type 2 cancers. 4 marks
2.
Outline the FIGO histological grading system.
2 marks
3.
Critically evaluate the FIGO staging for endometrial cancer. 6 marks
4.
Detail the FIGO staging system for endometrial cancer. 8 marks.
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27
|
You have been asked to give a lecture
on the Mental Capacity Act 2005 to the junior staff of the department of
O&G using illustrative examples.
1.
What is the Court of Protection and what does it do? 6 marks
2. Describe the types of cases you will use and the key
points you will make. 14 marks.
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Lead-in.
The following scenarios relate to
ulipristal. For each, select the most appropriate from the option list.
Each option can be used once, more than
once or not at all.
Scenario 1.
What type of drug is ulipristal?
Scenario 2.
How is ulipristal broken down /
excreted?
Scenario 3.
What is the half-life of ulipristal?
Scenario 4.
Which drug may prolong the half-life of
ulipristal?
Scenario 5.
What is the main use of
ulipristal?
Scenario 6.
What is the dose of
ulipristal?
Scenario 7.
What time-scale applies to
the licensed use of ulipristal?
Scenario 8.
What contraceptive advice
is given to those using ulipristal?
Scenario 9.
What advice is given to
women who are breast-feeding?
Scenario 10.
Can treatment with
ulipristal be repeated within 1 month?
Option list.
GnRH
analogue.
Selective
serotonin reuptake inhibitor.
19-nortestosterone
derived progestagen.
21-hydroxyprogesterone-derived
progestagen.
mifepristone
derivative.
Selective
oestrogen receptor modulator.
Selective
progesterone receptor modulator.
Urinary
excretion.
Metabolised
by renal cytochrome P450 enzyme system.
Metabolised
by hepatic cytochrome P450 enzyme system.
30
mg. with dose repeated if vomiting occurs within 3 hours.
100
mg. with dose repeated if vomiting occurs within 3 hours.
150
mg. with dose repeated if vomiting occurs within 3 hours.
phenobarbitone
valium
erythromycin
12
hours.
18
hours.
32
hours.
72
hours.
120
hours.
Depot-contraception.
Depression.
Emergency
contraception.
Menorrhagia.
Termination
of pregnancy.
Yes.
No.
Maybe.
Continue.
Discontinue
for 36 hours.
Discontinue
for 72 hours.
May
interfere with contraception containing progestagen.
May
interfere with contraception containing oestrogen.
No
action if LARC being used.
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