Website.
Tonight we discussed the following essay plans:
76. There has been a recent spate of requests for Caesarean section with no medical grounds. The Clinical Director has asked you to produce a provisional policy document on the subject for discussion at a Unit meeting with a view to formulating Unit policy.
Justify the issues and facts you will include in the paper.
77. A healthy, 27 year-old-couple are being investigated for infertility, neither having a child. Semen analysis has shown Azoospermia. You see them for review in the gynaecology clinic.
1. outline the information you will provide. 3 marks
2. justify the history you will take. 3 marks
3. justify the investigations you will arrange. 8 marks
4. outline the treatment options. 8 marks
78. A 32-year-old woman attends for pre-pregnancy counselling before embarking on her second pregnancy. She has a daughter of 5 years who was born with congenital adrenal hyperplasia.
1. Justify the history you will take. 4 marks.
2. Justify the investigations you will arrange. 4 marks
3. What is the chance that the next pregnancy will be affected by CAH. 2 marks
4. Justify the advice you will give. 10 marks
79. Critically evaluate bariatric surgery in relation to obstetrics.
80. Discuss how the impact of sepsis in obstetric units might be reduced.
As we have now reached topic 80 for this session, I hope that we have managed to spot at least two of the essays.
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