29 April 2024.
|
88 |
Jenny
Myers. Tutorial. Hypertension and pregnancy |
|
89 |
Role-play.
Details to follow |
|
90 |
SBA.
ALPS
study |
88. Jenny Myers. Tutorial. Hypertension and pregnancy.
Jenny is Professor of Obstetrics & Maternal Medicine in
the Maternal & Fetal Health Research Centre, University of Manchester and
Consultant Obstetrician at St Mary’s, the main maternity teaching hospital in
Manchester. She is an authority on hypertension in pregnancy and an outstanding
teacher.
89.
Role-play. Candidate’s instructions will be emailed shortly before
the tutorial so that you have no time to prepare!
90.
ALPS
study. SBA.
These are not true SBAs as there
may be >1 correct answer – saves me lots of typing!
Scenario 1. Which of the
following describes the ‘ALPS’ acronym?
|
A |
Antenatal Late
Pregnancy Steroids |
|
B |
Antenatal Late
Premature Steroids |
|
C |
Antenatal Late
Preterm Steroids |
|
D |
Antenatal Late
Preventative Steroids |
|
E |
none of the
above |
Scenario 2. What
classification does the WHO use for preterm birth?
Option list. There is
none.
Scenario 3. Which
gestations were used for recruitment to ALPS?
|
A |
32-34 weeks |
|
B |
32-36 weeks |
|
C |
33-35 weeks |
|
D |
33-36 weeks |
|
E |
34-36 weeks |
|
F |
34-37 weeks |
|
G |
none of the
above |
Scenario 4. Which, if
any, of the following were used as criteria for “high probability of delivery
in the late preterm period”?
|
A |
preterm labour
+ intact membranes + cervical dilation ≥ 2
cm. |
|
B |
preterm labour
+ intact membranes + cervical dilation ≥
3 cm. |
|
C |
preterm labour
+ intact membranes + cervical effacement > 50% |
|
D |
preterm labour
+ intact membranes + cervical effacement > 75% |
|
E |
preterm labour
+ spontaneous rupture of membranes |
|
F |
planned C
section between 24 hours and 7 days later |
|
G |
planned induction
of labour between 24 hours and 7 days |
Scenario 5. Which, if
any, of the following were the conclusions of the study?
|
A |
betamethasone
reduced the risk of neonatal respiratory complications |
|
B |
betamethasone
did not reduce the risk of neonatal respiratory complications |
|
C |
betamethasone
increased the risk of neonatal hyperglycaemia |
|
D |
betamethasone
increased the risk of neonatal hypoglycaemia |
|
E |
betamethasone
increased the risk of neonatal hypothermia |
|
F |
betamethasone
increased the risk of maternal sepsis |
Scenario 6. What was the
purpose of the ALPS Follow Up Study?
|
A |
to assess the
risk of ADHD in children given betamethasone in the ALPS study |
|
B |
to assess the
risk of Asperger’s syndrome in children given betamethasone in the ALPS study |
|
C |
to assess the
risk of autism in children given betamethasone in the ALPS study |
|
D |
to assess the
risk of diabetes in children given betamethasone in the ALPS study |
|
E |
to assess the
risk of epilepsy in children given betamethasone in the ALPS study |
|
F |
to assess the
risk of neurodevelopmental anomaly in children given betamethasone in the
ALPS study |
|
G |
to assess the
risk of significant sepsis in children given betamethasone in the ALPS study |
Scenario 7. Which of the
following details the main conclusion of the ALPS Follow Up Study?
|
A |
the risk of
the specified outcome was increased |
|
B |
the risk of
the specified outcome was reduced |
|
C |
the risk of
the specified outcome was unaltered |
Scenario 8. What concerns were raised about the use of antenatal steroids in the
paper by Yao et al in the BMJ in 2023?
|
A |
the use of ANC
increased the risk of asthma |
|
B |
the use of ANC
increased the risk of eczema |
|
C |
the use of ANC
increased the risk of juvenile rheumatoid arthritis |
|
D |
the use of ANC
increased the risk of leukaemia |
|
E |
the use of ANC
increased the risk of rickets |
|
F |
the use of ANC
increased the risk of sepsis |
