Thursday, 1 May 2025

MRCOG Tutorial 1 May 2025

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71

Role-play.

72

Viva.

73

Viva.

74

Viva.

75

EMQ. Fezolinetant

 

71.   Role-play. Candidate’s instructions will be will be emailed shortly before the tutorial.

 

72 - 74. Viva. Topics will be revealed during the tutorial so that you can’t prepare!

 

75.   Fezolinetant & the SKYLIGHT trials. EMQ. Questions.

Abbreviations.

FDA:   US Food & Drug Administration.

Please attempt to answer without preparation – that is what you have to do in the exam.

Question 1.        Which of the following drugs featured in the SKYLIGHT series of trials and led to it

being approved for use by the FDA in 2023?

A

Fezofez

B

Fezolift

C

Fezolinetant

D

Fezolineout

E

Fezolineup

F

none of the above

Question 2.        What kind of drug is it?

A

GnRH analogue

B

hair restorer

C

synthetic dynorphin

D

synthetic kisspeptin

E

synthetic neurokinin

F

neurokinin 3 receptor agonist

G

neurokinin 3 receptor antagonist

H

none of the above

Question 3.        What is it used for?

A

Fragile X syndrome

B

male-pattern baldness

C

menopausal vasomotor symptoms

D

migraine

E

premature ovarian insufficiency

F

recurrent miscarriage

G

none of the above

Question 4.        What side effects have been attributed to its use?

A

acne

B

alopecia

C

asthma

D

depression

E

diarrhoea

F

impaired memory

G

insomnia

Question 5.        What is the situation re its use in the NHS?

A

it is licensed for use in the NHS

B

NICE has not approved its use because of its high cost

C

NICE has not approved its use because of concerns re side-effects v benefits

D

NICE is due to start appraising fezolinetant in July 2024

E

none of the above

Question 6.   Which, if any, of the following are correct about the warning issued by the FDA in

September 2024?

A

10 cases of severe liver damage occurred within 2 months of starting Fzo

B

10 cases of severe renal damage occurred within 2 months of starting Fzo

C

regular liver function tests should be done for 9 months

D

regular renal function tests should be done for 9 months

E

Fzo should no longer be prescribed

F

none of the above

Question 7.     Which, if any, of the following are correct about the Highlight1 trial?

A

it compares FZO with E2 patches in relief of VMS in menopausal women age > 50

B

it compares FZO with E2 patches in relief of VMS in menopausal women age > 60

C

it compares FZO with E2 patches in relief of VMS in women with POI

D

it compares FZO with E2 patches in relief of VMS in women with breast Ca

E

it compares FZO with placebo patches in relief of VMS in women with breast Ca

F

it is a Phase 4 trial.

G

none of the above

Question 8.     Which, if any, of the following are correct about the phases of clinical trials?

A

a Phase 0 trial uses the new Rx at low doses to check safety

B

a Phase 1 trial attempts to assess what effects the new Rx has

C

a Phase 2 trial usually involves up to 100 individuals as guinea pigs

D

a Phase 3 trial compares the new Rx with existing regimes for efficacy

E

a Phase 5 trial compares the cost of the new Rx with the standard treatment

F

none of the above

 

 

 

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