Website
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8
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Pertussis SBA
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9
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Role-play. Woman attends for pre-pregnancy
counselling as she plans her 1st. pregnancy. Her sister recently
had a baby with Down’s syndrome.
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10
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Structured discussion. Pertussis.
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Role-play.
Break bad news. Primigravida. 8 weeks. Some bleeding.
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12
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8. Pertussis
SBA.
Question 1.
Why is pertussis of current
concern in obstetrics?
Option
List
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A
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Research has linked pertussis
in the 1st. trimester with an ↑ risk of congenital heart disease
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B
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A mini-epidemic since 2011 has caused ↑ deaths of mothers & of babies
< 3 months
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C
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A mini-epidemic since 2011 has caused ↑ deaths of babies < 3 months
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D
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The infecting organism has become increasingly drug-resistant
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E
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The infecting organism has become increasingly virulent
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Question 2.
Which organism causes whooping
cough?
Option
List
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A
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Bordella
pertussis
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B
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Bacteroides pertussis
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C
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Rotavirus whoopoe
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D
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Respiratory syncytiovirus pertussis
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E
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None of the above
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Which, if any, of the following
statements is true about the organism what causes whooping cough? This is not a
true SBA as I have condensed several questions into one to save space, there
are more than 5 options and there may be more than one correct answer.
Option
List
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A
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the organism is aerobic
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B
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the organism is anaerobic
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C
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the organism is capsulated
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D
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the organism is flagellate
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E
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the
organism is an obligate intra-cellular parasite
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F
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the organism is a Gram -ve diplococcus
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G
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the organism is a Gram +ve diplococcus
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H
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the organism requires special transport
media
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I
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no one is going to ask me any of this stuff
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Question 4.
Which of the following statements is true?
Option List
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A
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Pertussis is no longer a significant threat
to infants
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B
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Pertussis
remains a significant threat to infants
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C
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The risk
of death from pertussis is eliminated by timely antibiotic therapy
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D
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the risk
of death from pertussis is eliminated by timely antiviral therapy
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E
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None of
the above
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Question 5.
Which of the following statements
is true?
Option
List
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A
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Pertussis
is not a notifiable disease
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B
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Pertussis is a notifiable disease
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C
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Pertussis is not a notifiable
disease, but cases should be reported to the local bacteriologist
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D
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Pertussis is not a notifiable
disease, but cases should be subject to audit
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Question 6.
What is the main mode of spread
of the organism that causes pertussis?
Option
List
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A
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contact with contaminated
surfaces
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B
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contaminated food
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C
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contaminated water
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D
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respiratory droplets
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E
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none of the above
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Question 7.
What is the main reservoir of the
organism that causes pertussis?
Option
List
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A
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budgerigars
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B
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cats
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C
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dogs
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D
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humans
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E
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pigeons
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F
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pigs
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G
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none of the above
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Question 8.
What is the epidemiology of
pertussis?
Option
List
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A
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the
condition is endemic
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B
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the condition is endemic with
mini-epidemics every 3-5 years
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C
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the condition is endemic with
mini-epidemics most years in the winter months
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D
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the condition is epidemic, with
outbreaks at roughly three-year intervals
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E
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the condition is epidemic, with
outbreaks at unpredictable intervals
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Question 9.
What is the incubation period for
pertussis?
Option
List
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A
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3-6 days
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B
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7-10 days
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C
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11-14 days
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D
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15-18 days
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E
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none of the above.
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Question 10.
What is the duration of
infectivity of someone with pertussis?
Option
List
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A
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2 days from exposure → 5 days after onset of paroxysms of
coughing
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B
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3 days from exposure → 10 days after onset of paroxysms of
coughing
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C
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4 days from exposure → 14 days after onset of paroxysms of
coughing
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D
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6 days from exposure → 21 days after onset of paroxysms of
coughing
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E
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none of the above
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Question 11.
What % of non-immune, close
contacts of pertussis will develop the disease?
Option
List
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A
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50%
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B
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60%
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C
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70%
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D
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80%
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E
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90%
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Question 12.
Option
List
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A
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It
advises that all pregnant women be immunised to ↓ maternal death rates.
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B
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It advises that all pregnant women
be immunised to ↓ deaths in babies < 3 months.
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C
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It advises that all babies be
immunised at birth.
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D
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It advised that “Boostrix- IPV” should replace
“Repevax” from July 2014.
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E
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It advises that immunisation of
pregnant women be continued until 2019
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Question 13.
Which, if any, of the following
statements is true in relation to average annual number of deaths due to
pertussis in the years before routing child immunisation was introduced?
Option
List
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A
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the number was 10,000
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B
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the number was 5,000
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C
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the number was 4,000
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D
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the number was 3,500
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E
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the number was <1,000
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Question 14.
Which, if any, of the following
statements are true in relation to pertussis vaccine.
Option
List
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A
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“Boostrix- IPV” is a vaccine for pertussis only
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B
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“Repevax” is a vaccine for pertussis
only
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C
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“Boostrix- IPV” &
“Repevax” are live, attenuated vaccines
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D
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“Boostrix- IPV” &
“Repevax” act against diphtheria, tetanus and polio as well as pertussis
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E
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“Boostrix- IPV” & “Repevax”
are acellular
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Question 15.
Which, if
any, of the following statements are true in relation to the JCVI’s advice of
the best time to administer pertussis vaccine in pregnancy?
Option List
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A
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20 - 24
weeks
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B
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25- 28 weeks
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C
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28 - 32 weeks
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D
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28 - 34 weeks
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E
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none of the above
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Question 16.
A woman
has suspected pertussis in early pregnancy. Should she still be offered
vaccination?
Option List
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A
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Yes
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B
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No
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C
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I don’t know
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D
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I don’t know
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E
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I hate this subject now
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Question 17.
A woman
has proven pertussis in early pregnancy. Should she still be offered
vaccination?
Option List
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A
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Yes
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B
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No
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C
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I don’t know
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D
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I don’t know
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E
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I hate this subject now
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Question 18.
A pregnant
woman misses out on vaccination as part of the TIPP. Should vaccination still
be offered in the puerperium?
Option List
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A
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Yes
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B
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No
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C
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I don’t know
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D
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I don’t know
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E
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I hate this subject now
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9. Role-play. Pre-pregnancy
counselling. Sister has a baby with Down’s syndrome.
Candidate’s instructions.
You are
the SpR in the gynaecology clinic. You have been asked to see Jenny Williams,
who has come for pre-pregnancy counselling.
Letter from the General Practitioner.
5 High
Street,
Deersworthy,
Kent.
DO9 1JY.
Re Mrs. J.
Williams,
Manor
Place,
Deersworthy.
Dear Dr.,
Please see
this woman who is planning pregnancy. I understand that her sister has had a
baby with Down’s syndrome.
Regards,
Dr. Jolly.
10. Pertussis SBA. Structured discussion. Pertussis.
Candidate’s instructions.
The examiner
will ask you 9 questions about pertussis and pregnancy.
11. Role-play. Break bad news. Primigravida. Bleeding at 8 weeks.
Candidate’s instructions.
You are the SpR in the ante-natal clinic. The Consultant
who was in clinic has been asked to assist her Consultant colleague in the
labour ward theatre. She is unlikely to return for some time as the case is one
of massive PPH and hysterectomy may be necessary.
One of the midwives asks you to see a patient who has
just had a scan in the EPU. She is
primigravid and the gestation is 8 weeks. She has had some bleeding.
An ultrasound scan = IUP.
CRL = 12 mm. No fetal heart
activity. No adnexal masses.
12. Structured discussion.
Labour ward scenario 1.
