3 February 2025.
Role-players: 1. Aakanksha Gupta, Banaz Jama,
2. Joanna D’Souza, Rachala Madhuri.
|
1 |
How
to prepare. |
|
2 |
Role-play 1. Candidate’s instructions will be sent shortly
before the tutorial |
|
3 |
Role-play 2. Ditto. |
|
4 |
EMQ. Asymptomatic bacteriuria |
1.
How
to prepare.
Part 2
stuff, study buddies, practice, courses.
Communication skills. Importance of polished introduction to role-plays. ?
adopt user-friendly name for role-play if you are ‘Clementina’, ‘Cressida’
‘Maximilian’ or ‘Vladymir’. ‘Blurbs’. How to deal with GP referral letter.
Senior doctor thinking: staffing, training, audit, critical incident reporting
and analysis etc. Avoiding medical jargon, abbreviations and acronyms
‘registrar’, ‘anaphylaxis’, PCOS, PMB
2. Role-play
1.
3. Role-play
2.
4. Asymptomatic bacteriuria.
Abbreviations.
ASB: asymptomatic bacteriuria.
ASBIP: ASB in pregnancy.
LE: leukocyte esterase.
MSU: mid-stream specimen of urine.
NICE: National
Institute for Health and Care Excellence.
NSC: NUK
National Screening Committee.
Question
1.
What is the
definition of ASB?
|
A |
> 1,000,000 colonies per mL on MSU |
|
B |
> 100,000 colonies per mL on MSU |
|
C |
> 10,000 colonies per mL on MSU |
|
D |
> 1,000 colonies per mL on MSU |
|
E |
> 1,000,000 organisms per mL on MSU |
|
F |
> 100,000 organisms per mL on MSU |
|
G |
> 10,000 organisms per mL on MSU |
|
H |
> 1,000 organisms per mL on MSU |
|
I |
none of the above |
Question
2.
Which, if any of
the following reflect NICE’s advice re routine screening for ASBIP?
|
A |
routine screening should be offered early in pregnancy |
|
B |
screening should be by culture of a MSU |
|
C |
screening by dipstick testing for nitrites and
leukocyte esterase is acceptable as an alternative to MSU screening |
|
D |
routine screening is not recommended |
|
E |
talk of urine is indelicate and ill-suited to genteel
discourse so please desist |
Question
3.
Which, if any of
the following reflect the NSC’s advice re screening for ASBIP?
|
A |
routine screening should be offered early in pregnancy |
|
B |
screening should be by culture of a MSU |
|
C |
screening by dipstick testing for nitrites and
leukocyte esterase is acceptable as an alternative to MSU screening |
|
D |
routine screening is not recommended |
|
E |
talk of urine is indelicate and ill-suited to genteel discourse |
Question 4.
Which, if any, of
the following are proven to be more likely in those with ASBIP?
|
A |
chorioamnionitis |
|
B |
cystitis |
|
C |
endometritis |
|
D |
↑
perinatal mortality |
|
E |
LBW |
|
F |
learning difficulty |
|
G |
fetal anaemia |
|
H |
maternal anaemia |
|
I |
premature birth |
|
J |
pyelonephritis |
|
K |
schizophrenia |
Question
5.
What was the main
justification for routine screening for ASBIP?
|
A |
it reduces the risk of cystitis |
|
B |
it reduces the risk of premature labour |
|
C |
it reduces the risk of IUGR |
|
D |
it reduces the risk of pyelonephritis |
|
E |
the laboratory staff like to be busy |
|
F |
none of the above. |
Question
6.
Which of the
following statements is correct about leukocyte esterase?
|
A |
LE is a sensitive indicator of UTI |
|
B |
LE derives from inflamed bladder mucosa |
|
C |
LE derives from bacteria killed by leukocytes |
|
D |
LE testing is an acceptable method of screening for ASB |
|
E |
a +ve urine LE test usually leads to testing of a MSU |
|
F |
none of the above |
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