Sunday, 7 September 2025

MRCOG tutorial Monday 8th. September 2025

 

Contact me

Website  

8 September 2025.                         Role-players: 1. Nikita John, Shaima Abozeid.

                                                         Role-players: 2. Charlotte Plant, Ewa Ciolak.

35

Role-play 1.

36

Role-play 2.

37

Viva. Apgar score

38

EMQ. Hepatitis E

39

EMQ. Peutz-Jeghers syndrome

 

This is similar to the cancelled programme on Monday, but I’ll change the role-plays as I don’t want you to have time to prepare before the tutorial – it is best that we simulate the exam.                                        

35.               Role-play 1. Candidate’s instructions will be e-mailed shortly before the tutorial.

36.               Role-play 2. Candidate’s instructions will be e-mailed shortly before the tutorial.

37.               Viva.             Topic will be revealed during the tutorial.

38.               Hepatitis E.                    

Question 1.        What is the most common cause of acute viral hepatitis in the UK?

A

hepatitis A virus

B

hepatitis B virus

C

hepatitis C virus

D

hepatitis D virus

E

hepatitis E virus

F

herpes simplex virus

G

HIV

Question 2.        Which, if any, of the following are correct about HEV.

A

it is a DNA virus

B

it belongs to the genus Hippieviridae

C

it belongs to the genus Hepeviridae

D

it belongs to the genus Hoppieviridae

E

there are six main genotypes

F

genotype 3 is the one of greatest importance in the UK

G

the main reservoir of genotype 3 is intensively-reared chickens

H

the main reservoir of genotype 3 is domestic cats

I

a vaccine exists but is only licensed in Russia

J

none of the above

Question 3.        Which, if any, of the following statements about HEV and pregnancy are true?

A

pregnant women are more susceptible to HEV infection

B

pregnant women are more likely to develop serious disease that the non-pregnant

C

the main risk is neonatal death due to vertical transmission

D

the main risk is maternal death

E

the risk of maternal death is highest with infection in the 1st. trimester

F

rates of preterm birth have been reported

G

rates of stillbirth have been reported

39.               Peutz-Jeghers syndrome.

Abbreviations.

PJS:       Peutz-Jeghers syndrome.

Scenario 1.    Which, if any, of the following are characteristics of PJS?

A

buccal pigmentation

B

gastro-intestinal hamartomas

C

perianal pigmentation

D

increased risk of breast cancer

E

increased risk of cervical adenoma malignum

F

increased risk of colo-rectal cancer

G

increased risk of endometrial cancer

H

increased risk of ovarian cancer

I

increased risk of pancreatic cancer

J

increased risk of prostate cancer

K

increased risk of stomach cancer

Scenario 2.    What is the approximate prevalence of PJS?

A

< 1 in 1,000

B

1 in 1,000 to 1 in 10,000

C

1 in 10,000 to 1 in 100,000

D

1 in 25,000 to 1 in 100,000

E

1 in 25,000 to 1 in 200,000

F

1 in 25,000 to 1 in 300,000

G

1 in 300,000 to 1 in 500,000

H

< 1 in 500,000

Scenario 3.    What is the mode of inheritance in PJS?

A

autosomal dominant

B

autosomal recessive

C

X-linked dominant

D

X-linked recessive

E

Y-linked dominant

F

Y-linked recessive

G

triplet repeat

Scenario 4.    Which, if any, of the following statements are true of PJS?

A

PJS only occurs in families with other affected members

B

PJS mainly occurs in families with other affected members

C

PJS may arise de-novo in families with no other affected members

D

PJS may arise de-novo in families with other affected members

E

PJS does not arise de-novo in families with no other affected members

Scenario 5.    What is the approximate lifetime risk of developing cancer in PJS?

A

10%

B

20%

C

30%

D

40%

E

50%

F

60%

G

70%

H

80%

I

90%

J

>90%

Scenario 6.    What is the relevance of STK11 to PJS?

A

It is part of the postcode of the Peutz-Jeghers Society

B

It is the name of the gene most commonly associated with PJS

C

It is the Ornithological Society’s code for the Orkney Skua

D

Somatic mutations have been found in cervical cancer

E

None of the above