Tutorial 1 April 2021

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1 April 2021.

 

31.	Role-play. Anencephaly.
32.	Structured conversation. von Willebrand disease
33.	Role-play. Fragile X syndrome
34.	EMQ. Kangaroo care

 

31.         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. Your task is to conduct that discussion.

 

32.         Structured conversation. von Willebrand disease.

Candidate’s instructions.

This is a ‘structured conversation’, i.e. a viva. The consultant will ask 21 questions about von Willebrand disease. You will not be allowed to return to a question once you have answered it as subsequent questions may hint at the correct answer. If you do go back, the examiner can’t stop you, but you will be wasting time and not getting any marks.

 

33.         Role-play. Fragile X syndrome.

Candidate's Instructions.

You are about to see Mary White who has been booked in with her first pregnancy by the midwife in the antenatal clinic. All is well and she has been given the usual advice and leaflets. The midwife has asked you to see her as Mary has told her that there is a family history of Fragile X syndrome.

Your task is to discuss Fragile X syndrome and the implications for Mary, the pregnancy and her father.

34.         EMQ. Kangaroo care.

Kangaroo care.

These are not true EMQs as there may be more than one answer. I do this to compress several questions into one to reduce the amount of typing and the paper and ink needed for printing. The wording will indicate whether there is one or more than one answer.

Question  1.        

Which, if any, of the following are true in relation to kangaroo care?

Option list.

A.	skin-to-skin contact between mother and baby is a key component
B.	rooming-in is a key component
C.	exclusive breastfeeding is a key component
D.	carrying the baby in a sling anterior to the maternal chest is a key component
E.	carrying the baby in a sling on the mother’s back is a key component
F.	carrying the baby in a sling on the mother’s chest or back is a key component
G.	carrying the baby in a sling with skin-to-skin contact with the mother is a key component

 

Question  2.        

Which, if any,  of the following are proven benefits of Kc?

Option list.

A.	↓ neonatal mortality
B.	↓ neonatal morbidity
C.	↑ breastfeeding rates
D.	↑ head circumference growth
E.	↓ hypothermia
F.	↑ mother-baby bonding
G.	↓ necrotising enterocolitis
H.	↓ neonatal intra-ventricular haemorrhage
I.	↓ neonatal sepsis
J.	↑ neonatal weight gain
K.	↓ postnatal depression
L.	↑ psychomotor development at 12 months