25th. August 2022.
|
67 |
Teresa Kelly. COVID and pregnancy |
|
68 |
Viva. Emergency contraception |
|
69 |
EMQ. Turner syndrome |
67. COVID and
pregnancy.
Teresa Kelly is a consultant as St. Mary’s
hospital, Manchester and runs the COVID service. She gives an excellent talk,
covering the facts but also giving an excellent account of how she deals with the
reality of running a service. Her passion, devotion to her patients and
determination to provide the best care shine through. Definitely a talk not to
be missed.
I could see this as a testing viva or SBA
or a station counselling a woman about being vaccinated.
68. Emergency contraception.
Our role-play in
the previous tutorial showed a worrying lack of knowledge about this subject,
despite the fact that we had dealt with ulipristal in July.
I will ask a series
of questions that I hope will cement the basic facts.
69. Turner syndrome.
This is not a common clinical problem, but is an
exam favourite.
This are supposed to be EMQs, but most are MCQs with “True” and
“False” answers.
Option
list 1 is for question 2, option list 2 is for all the others.
Option list 1.
|
|
1
in 500 |
|
|
1
in 1,000 |
|
|
1
in 1,500 |
|
|
1
in 2,000 |
|
|
1
in 2,500 |
|
|
1
in 3,000 |
|
|
1
in 10,000 |
|
|
1
in 50,000 |
Option list 2.
|
|
0% |
|
|
0.1% |
|
|
1 % |
|
|
2% |
|
|
5% |
|
|
10% |
|
|
15% |
|
|
20% |
|
|
30% |
|
|
40% |
|
|
50% |
|
|
60% |
|
|
70% |
|
|
80% |
|
|
90% |
|
|
>
90% |
|
|
Most
common |
|
|
2nd.
most common |
|
|
True |
|
|
False |
|
|
Answer
not on this option list. |
Questions.
1.
TS is due to 45XO. True /False
2.
What is the incidence of TS?
3.
The incidence of TS rises with maternal
age? . True /False
4.
Most cases of TS are due to loss of a paternal
chromosome. True /False
5.
How common is monosomy X in TS?
6.
How common is monosomy Y in TS?
7.
What % of miscarriages are due to TS?
8.
What % of TS pregnancies miscarry?
9.
↑ NT is a feature of TS True /False
10. ↑ NT is more
common in foetuses with congenital heart disease True /False
11. Low
birth weight is a feature of TS. True /False.
12. If TS is
suspected, but the neonate’s karyotype from blood testing is normal, the
diagnosis is Noonan’s syndrome. True /False.
13. Neonates with
TS are at normal risk of developmental dysplasia of the hip. True /False
14. Immune
hydrops is more common in TS. True /False
15. Cystic
hygroma is more common in TS. True /False
16. What is
the approximate risk of gonadal malignancy if there is XY mosaicism in TS?
17. How common
is webbing of the neck in TS?
18. How common
is a low occipital hairline in TS?
19. How common
is congenital heart disease in TS?
20. Dissecting
aortic aneurysm is more common in TS. True /False
21. How common
is lymphoedema in TS?
22. How common
is kidney disease in TS?
23. Short
stature in TS has been linked to the TS gene. True /False
24. What % of
adolescents with TS have scoliosis. .
25. Inverted
nipples are more common in TS. True /False
26. 1ry. amenorrhoea occurs in all
cases. True /False
27. Adrenarche
occurs at a normal time. True /False
28. Cubitus
valgus is more common in TS. True /False
29. Cleft
palate if a feature of TS. True /False
30. Micrognathia
is a feature of TS. True /False
31. Abnormalities
of teeth and nails are more common in TS. True /False
32. Otitis
media is more common in TS. True /False
33. Intelligence
is usually lower in TS, especially verbal skills. True
/False
34. Women with
TS have higher mortality rates than other women. True /False
35. Oestrogen
should be started on diagnosis to promote bone growth.
True /False
36. Oestrogen-only
HRT is appropriate for bone protection. True
/False
37. Women
with TS have an ↑ risk of hypertension. True
/False
38. Women
with TS have an ↑ risk of coeliac disease. True
/False
39. Women
with TS have an increased risk of Crohn’s disease and ulcerative colitis. True
/False
40. Women with
TS have an ↑ risk of diabetes True /False
41. Women with
TS have an ↑ risk of hyperthyroidism. True /False True
/False
42. Women
with TS have an ↑ risk of deafness. . True /False
43. Women with
TS have an ↑ risk of osteoporosis. True /False
44. Women with
TS have similar rates of red-green colour blindness to men. True /False
45. Women with
TS have a normal incidence of ptosis. True /False
46. Women with
TS cannot have children. True /False
47.
The “short stature homeobox”
(SHOX) gene has been implicated in TS. True
/False
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