Website
10
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EMQ.
Anatomy
of the fetal skull.
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11
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Role-play.
Anencephaly.
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12
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Structured
discussion. Breastfeeding.
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13
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Role-play.
Huntington’s
disease.
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Role-players.
Beatrice and
Harriet Lamb.
Fiona Mackie
Active
participants.
Ria Arora UAE
Ananya Basu India
Marlon Harmsworth Malta
Lakshmi Mari Saudi Arabia
Pavani Nallaluthan Malaysia
Sri Rajan UK
Girija Swaminathan UK
10. EMQ. Anatomy of the fetal skull.
Scenario
1.
How many bones make up the
vault of the skull?
Option list.
A.
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3
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B.
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5
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C.
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6
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D.
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7
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E.
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8
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Scenario
2.
What is the origin of the word
“bregma”?
Option list.
A.
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the Greek word meaning “arrow”
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B.
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the Greek word meaning “front of the head”
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C.
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the Greek word meaning “top of the head”
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D.
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the Greek word meaning “where lines intersect”
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E.
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none of the above
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Scenario
3.
What is the origin of the word
“lambdoid”?
Option list.
A.
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it is derived from “lambda”, the 11th.
letter of the Greek alphabet, with the symbol “λ”
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B.
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it is derived from the shape of the rear end of a
newborn lamb, with legs apart for balance in the shape of an inverted “V”
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C.
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it derives from the Norse noun “lam” meaning to hit
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Scenario
4.
What is the origin of the word
“sagittal”?
Option list.
A.
|
it derives from the Latin verb “sagire” meaning to be
wise
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B.
|
it derives from the Latin noun “sagitta” meaning
“arrow”
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C.
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it derives from the Latin adjective “sagitta” meaning
“pointing north”
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D.
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it derives from the Latin adjective “sagitta” meaning
“lacking tension”
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Scenario
5.
What is the meaning of the word
“coronal”.
Option list.
A.
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it is the 11th. letter of the Greek alphabet
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B.
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it derives from the Latin “corona” meaning “crown”.
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C.
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it derives from the sun’s corona, meaning equator
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Scenario
6.
What is the definition of
“vertex”?
Option list.
A.
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the most prominent part of the occiput
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B.
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the area around the posterior fontanelle
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C.
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the area bounded by the anterior fontanelle and the
posterior fontanelle
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D.
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the area bounded by the anterior & posterior
fontanelles and the parietal bones
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E.
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the area bounded by the anterior & posterior
fontanelles and the parietal eminences
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F.
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the area bounded by the anterior & posterior
fontanelles and the parietal cardinals
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Scenario
7.
What is the definition of the
anterior fontanelle?
Option list.
A.
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the anterior end of the sagittal suture
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B.
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the area where the sagittal and coronal sutures meet
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C.
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the area between the frontal and parietal bones
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D.
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the posterior end of the sagittal suture
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E.
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the area between the parietal bones and the occiput
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Scenario
8.
What is the definition of the
posterior fontanelle?
Option list.
A.
|
the anterior end of the sagittal
suture
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B.
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the area where the sagittal
and lambda sutures meet
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C.
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the area between the frontal
and parietal bones
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D.
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the posterior end of the
sagittal suture
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E.
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the area between the parietal
bones and the occiput
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Scenario
9.
How many other fontanelles are there?
A.
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0
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B.
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2
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C.
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3
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D.
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4
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E.
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6
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Scenario
10.
What is the falx cerebri?
Option list.
A.
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an area of dura mater at the back of the skull like a
roof over the cerebellum
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B.
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is an artefact on ultrasound suggesting the presence of
cerebral tissue where there is none
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C.
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is the horizontal fibrous platform on which the
cerebellum rests
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D.
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is a crescent-shaped fold of dura mater separating the
cerebral hemispheres
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Scenario
11.
What is the importance of the
falx cerebri in relation to delivery, particularly breech delivery?
Option list.
A.
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the falx cerebri is inserted into the tentorium
cerebelli and traction on the base of the skull may lead to tentorial tears
and intracranial bleeding
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B.
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the falx cerebri is inserted into the bone of base of
the skull and traction on the base of the skull may lead to tears of the falx
and intracranial bleeding
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C.
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the falx cerebri is inserted into the tentorium
cerebelli and traction on the base of the skull may lead to tentorial tears leaving
the cerebellum unsupported and liable to trauma
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What diameter presents to the pelvis with vertex
presentation?
Option list.
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A.
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suboccipito-bregmatic
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B.
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suboccipito-frontal
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C.
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occipito-frontal
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D.
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mento-vertical
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E.
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submento-bregmatic
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Scenario 13.
What diameter presents to the pelvis with typical
occipito-posterior position?
Option list.
Use the
Option List from Scenario 12.
Scenario 14.
What diameter presents to the pelvis with brow
presentation?
Scenario 15.
What diameter presents to the pelvis with mento-anterior
face presentation?
Option list.
Use the
Option List from Scenario 12.
Scenario 16.
What diameter presents to the pelvis with mento-posterior
face presentation?
Option list.
Use the
Option List from Scenario 12.
Scenario 17.
What is the average length of the suboccipito-bregmatic
diameter in a term baby?
Option list.
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A.
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9.0 cm.
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B.
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9.5 cm.
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C.
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10.0 cm.
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D.
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10.5 cm.
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E.
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11.0 cm.
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F.
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11.5 cm.
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G.
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12.0 cm.
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H.
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12.5 cm.
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I.
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13.0 cm.
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J.
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13.5 cm.
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K.
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14.0 cm.
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Scenario 18.
What is the average length of the suboccipito-frontal diameter
in a term baby?
Option list.
Use the
Option List from Scenario 17.
Scenario 19.
What is the average length of the occipito-frontal diameter
in a term baby?
Option list.
Use the
Option List from Scenario 17.
Scenario 20.
What is the average length of the mento-vertical diameter
in a term baby?
Option list.
Use the
Option List from Scenario 17.
Scenario 21.
What is the average length of the submento-bregmatic diameter
in a term baby?
Use the
Option List from Scenario 17.
11. Role-play. Anencephaly.
Candidate’s instructions.
You are an SpR5 and running the ante-natal clinic – your
consultant has been called to help a consultant colleague with an emergency on
the labour unit and is not available for advice.
You are about to see Jean Hathersage. She is 25 years old
and had a 10-week scan last week that showed anencephaly. She stated that she
did not want TOP. She was counselled, given information leaflets and asked to
return to the antenatal clinical today for further discussion.
It is your task to conduct that discussion.
12. Structured discussion. Breastfeeding.
Candidate’s instructions.
This is a viva station about breastfeeding.
The examiner will ask you 7 questions.
13. Role-play. Huntington’s disease.
Candidate's Instructions.
You are the SpR in the pre-pregnancy counselling clinic.
Mary Smith has been referred.
The GP referral letter is brief. “Please see this woman
who is considering becoming pregnant. Her father has Huntington’s chorea, about
which I know very little.”
Your task is to take a history and advise about
appropriate investigations.
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