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Role-play. How to practise for the Part 3.
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2
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Part 2 TOG
& RCOG sample questions. Go through all of them as they make for
easy marks. TOG has CPD questions in every issue. Make sure you can answer
all of them from the last 2 – 3 years.
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3
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EMQ. Gordon, Holmes & Semmelweis.
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4
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EMQ.
Fragile X syndrome
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5
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EMQ. Montgomery & consent.
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6
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SBA. Cowden syndrome.
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7
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Role-play.
Pre-pregnancy counselling. Cystic fibrosis.
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1. Role-play.
How to practise for the Part 3.
Candidate’s instructions.
Use your own name. You are an SpR5 and passed the MRCOG
exam. There is a new SpR3 in the department who plans to sit the Part 2 in 6
months. You consultant has had a chat with them about preparation for the Part
2 but thinks it is important that the use all the opportunities that come their
way to prepare for the Part 3 as well. The consultant has asked you to discuss how
to do this with the new trainee.
2. Part
2 TOG & RCOG sample questions.
Go through
all of them as they make for easy marks. TOG has CPD questions in every issue.
Make sure you can answer all of them from the last 2 – 3 years.
Which, if any, of
the following statements are true in relation to Semmelweis?
Option list.
A
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his full name was Ignác Fülöp Semmelweis,
but he was known to friends as "Naci".
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B
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he lived from 1818 to 1865
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C
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he revolutionised understanding of ‘childbed
fever’
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D
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he revolutionised understanding of rheumatic
fever
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E
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he revolutionised understanding of tuberculosis
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F
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he pioneered proton beam therapy
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G
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his professional ‘Damascene moment’ came after
the death of his colleague, Kolletscha, at the hands of a medical student in
1847
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H
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his work was vilified by the majority of his
professional contemporaries
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I
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he died in a lunatic asylum
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J
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he died in a road traffic accident
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K
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he died at home in bed with his mistress
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Which, if any, of
the following statements are true in relation to Gordon?
Option list.
A
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his full name was Hamish Gordon, but he was
known to friends as "Hamy".
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B
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he lived from 1801 to 1864
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C
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he revolutionised understanding of ‘childbed
fever’
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D
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he revolutionised understanding of rheumatic
fever
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E
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he revolutionised understanding of tuberculosis
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F
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he pioneered proton beam therapy
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G
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his professional ‘Damascene moment’ came after
epidemics of erysipelas and puerperal fever in Aberdeen in the late 18th.
century
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H
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his work was vilified by the majority of his
professional contemporaries
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I
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he died in a lunatic asylum
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J
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he died in a road traffic accident
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K
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he died at home in bed with his mistress
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Scenario
3.
Which, if any, of the following statements are true in
relation to Wendell Holmes?
Option list.
A
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his full name was
Wendell Holmes, but he was known to friends as "Wellie".
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B
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he lived from
1801 to 1864
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C
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he revolutionised
understanding of ‘childbed fever’
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D
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he
revolutionised understanding of rheumatic fever
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E
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he
revolutionised understanding of tuberculosis
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F
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he pioneered
proton beam therapy
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G
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he was a fan
of the work of Gordon.
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H
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his work on
childbed fever was vilified by the majority of his professional contemporaries
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I
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he died in a
lunatic asylum
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J
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he died in a
road traffic accident
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K
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he died at home
in bed with his mistress
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4. Fragile X syndrome
Abbreviations.
FXS: Fragile
X syndrome
TR: trinucleotide
repeat
Question 1.
Lead-in
Which, if
any, of the following are features of FXS in males?
Option List
A.
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autism
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B.
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epilepsy
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C.
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hyper-extensible joints
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D.
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learning
difficulty
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E.
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post-pubertal macroorchidism
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Question 2.
Lead-in
Which, if
any, of the following are features of FXS in females?
Option List
A.
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autism
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B.
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epilepsy
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C.
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hyper-extensible joints
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D.
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learning
difficulty
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E.
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post-pubertal ovarian enlargement
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Question 3.
Lead-in
Why are
women thought to be less affected by FXS than men?
Option List
A.
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two X
chromosomes dilutes the effect of affected X chromosome
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B.
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leonisation
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C.
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lionisation
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D.
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lyonisation
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E.
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none of the above
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Question 4.
Lead-in
How common
is FXS in males?
Option List
A.
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1 in
1,000
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B.
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1 in 4,000
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C.
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1 in 8,000
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D.
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1 in 20,000
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E.
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1 in 100.000
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Question 5.
Lead-in
How common
is FXS in females?
Option List
A.
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1 in
1,000
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B.
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1 in 4,000
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C.
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1 in 8,000
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D.
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1 in 20,000
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E.
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1 in 100.000
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Question 6.
Lead-in
Which gene
is implicated in the causation of FXS?
Option List
A.
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fragile
X mental retardation 1
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B.
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fragile X mitochondrial recognition 1
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C.
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fragile X 1
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D.
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the gene has not yet been identified
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E.
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none of the above
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Question 7.
Lead-in
Which is
the leading hereditary cause of learning difficulty?
Option List
F.
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Down’s
syndrome
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G.
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fragile X syndrome
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H.
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galactosaemia
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I.
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homocystinuria
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J.
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phenylketonuria
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Question 8.
Lead-in
Which is
the most common genetic cause of autism?
Option List
A.
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Down’s
syndrome
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B.
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fragile X syndrome
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C.
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galactosaemia
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D.
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homocystinuria
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E.
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phenylketonuria
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Question 9.
Lead-in
Which mode
of inheritance occurs with FXS?
Option List
A.
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autosomal
dominant
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B.
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autosomal recessive
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C.
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X-linked dominant
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D.
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X-linked recessive
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E.
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none of the above
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Question 10.
Lead-in
What is
the story about trinucleotide repeats and FXS. What are TRs? Which TRs are
involved with FXS? How are TRs categorised in relation to FXS?
There is no option list – just write your answers.
Question 11.
Lead-in
What is
the FXS premutation?
What are
its key features?
There is no option list – just write your answers.
5. Montgomery
Ruling.
Abbreviations.
BMA: British Medical Association.
GMC: General Medical Council.
Question 1.
Which, if
any, of the following statements are true?
Lead-in
A.
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The
Montgomery ruling largely replaces the Bolam ruling
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B.
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The Montgomery ruling largely replaces the Chester
ruling
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C.
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The Montgomery ruling largely replaces the Sidaway
ruling
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D.
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The Montgomery ruling is being contested in the
European Court by the GMC as it infringes the rights of doctors
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E.
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The Montgomery ruling is being contested in the
European Court by the BMA as it infringes the rights of doctors
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Question 2.
Which, if
any, of the following statements are true?
Lead-in
A.
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the
level of risk, however small, must be disclosed if a patient requests it
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B.
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the level of risk of damage from a procedure need not
be disclosed if < 1%
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C.
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the level of risk of damage from a procedure need not
be disclosed if < 10%
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D.
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a material risk is one that would be reflected in
damages > £100,000 if negligence were proved in court
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E.
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a material risk is one that would be reflected in
damages > £1,000,000 if negligence were proved in court
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F.
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a material risk is one that involves anatomical damage,
not emotional or psychological
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G.
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a material risk is one that a reasonable person in the
patient’s situation would be likely to regards as significant
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6. Cowden syndrome.
Scenario 1.
Lead in.
Which
feature is associated with Cowden syndrome?
Option list.
A. albinism
B. hamartoma
C. hammer-toe
D. hypertrichosis
E. stammer
Scenario 2.
Lead in. Which condition has the highest risk
of occurrence in women with Cs?
Option list.
A. breast
cancer
B. bowel
cancer
C. congenital
absence of Müllerian tract derivatives
D. hypertension
E. hypothyroidism
Scenario 3.
Lead in. Which
gynaecological cancer is a particular risk for women with Cs?
Option list.
A. Bartholin’s
gland cancer
B. cervical
cancer
C. choriocarcinoma
D. endometrial
cancer
E. vulval
cancer
Scenario 4.
Lead in.
Option list.
A. breast
cancer
B. colon
cancer
C. melanoma
D. renal
cancer
E. thyroid
cancer
F. all
of the above
6. Pre-pregnancy
counselling. Brother has cystic fibrosis.
Candidate's Instructions.
This is a roleplay station. You are a year 4 SpR and are
in the gynaecology clinic.
The consultant has just left you in charge as she is
feeling unwell and has gone to lie down.
Your task is to deal with the patient as you would in
real life.
GP referral letter.
Best
Medical Centre,
High Road,
Anytown.
Practice Manager: Mary Wright. B.SC., RGN.
Phone: 01882 78998 ext. 23.
Re. Mrs.
Bonnie Black,
25 Low
Road,
Anytown.
DOB: 28
January 1990.
Phone:
07889 888 132.
Dear Doctor,
Please see
Mrs Black who is planning her first pregnancy. Her main concern is that her
brother has cystic fibrosis.
This was
the first time I had met her although she has been registered with us for 5
years – her health is good and she has no history of serious illness or
surgery.
I have
explained that I don’t know much about the implications of the brother’s cystic
fibrosis for her potential pregnancies and that she needs to talk to an expert.
I have stressed that the risk of her having a child with cystic fibrosis is
high and that she needs to be aware that there is a distinct likelihood that
any pregnancy would be likely to be affected and need TOP.
Yours
sincerely,
John P.
Clatter.
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