Tutorial 11 July 2011

Podcast: http://soundcloud.com/drtmcf/tutorial-11-july-2011
Website: www.drcog-mrcog.info.
Tonight we dicussed 4 topics and demonstrated that we had not read the GTGs in sufficient detail!

Question 1.

A primigravida collapses 1 hour after normal vaginal delivery.

1. Critically evaluate the differential diagnosis of maternal collapse.    6 marks.

2. How may impending maternal collapse be recognised.                 4  marks.

2. Critically evaluate the management of this woman.                      10 marks.

Question 2.

Obstetric cholestasis.

1. Outline the symptoms associated with OC.                                                               4 marks.

2. Critically evaluate the differential diagnosis of OC and the key investigations.        6 marks.

3. Outline the maternal and fetal risks of OC.                                                           4 marks.

4. Justify your management of a case of OC diagnosed at 28 weeks.                        6 marks.

Question 3.

Critically evaluate alternatives to oestrogen HRT in the management of the menopause.

Question 4.

In relation to diagnostic laparoscopy, critically evaluate:

1. the issues to be discussed in obtaining informed consent                       4 marks.

2. the factors that increase the incidence of entry-related injury                 4 marks.

3. how entry-related injuries may be minimised                                       12 marks.