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6 January 2014.
12
|
EMQ.
Haemophilia A. Prepregnancy counselling
|
6
|
January
|
2014
|
47
|
A 35-year old woman has been referred by her GP to the
gynaecology clinic where she has been previously investigated for pelvic
pain. She has read an article in a woman’s magazine about peovic congestion
syndrome. She feels that this describes her problem accurately and wants to
know what treatment can be offered.
1. Detail the
history you will take. 4 marks
2. Justify the
advice you will give. 2 marks
3. Define pelvic
congestion syndrome. 2 marks
4. Outline how
pelvic congestion syndrome is best diagnosed.
6 marks
5. Outline the
treatment options for pelvic congestion syndrome.
6 marks.
|
6
|
January
|
2014
|
48
|
With regard to cervical
cancer:
1. Critically
evaluate the FIGO staging classification.
8 marks
Describe the FIGO
staging. 12
marks
|
6
|
January
|
2014
|
49
|
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.
|
6
|
January
|
2014
|
50
|
A
nulliparous 25-year-old woman presents for pre-pregnancy counselling. She had
bariatric surgery BS) six months ago and has lost 5 kilos since the
operation.
She is keen
to get on with pregnancy.
1. Justify the history you will take. 4 marks
2. Justify the investigations you will
arrange. 4 marks
3. Discuss the advice you will give. 4 marks
4. Outline the steps that can be taken
pre-conception to reduce the risks of pregnancy after BS. 4 marks
5. Outline the key aspects of management of
pregnancy and delivery after BS. 4
marks
|
6
|
January
|
2014
|
51
|
A woman
with BMI of 35 attends for pre-pregnancy counselling.
1. Outline the reasons that obesity
is causing concern in relation to pregnancy.
6 marks
2. Justify the investigations you
will arrange. 2 marks
3. Justify your management. 6 marks
4. Outline the key aspects of antenatal
care. 6 marks.
|
6
|
January
|
2014
|
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 %
|
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