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Tonight we managed four essay plans. I have been helping run the local MRCOG course for the past week and have not had time for much else. In particular, I have not managed to write any EMQs, for which I know there is an insatiable demand. I'll try to do some for the next session.
Tonight's essays were:
With regard to female genital mutilation (FGM).
1. what are the key aspects of the law in the UK relating to FGM. 2 marks.
2. what are the responsibilities of the doctor who suspects that a child may be subjected to FGM? 2 marks.
3. how is FGM graded? 3 marks.
4. outline the management of woman found at booking to have had FGM. 13 marks.
With regard to blood transfusion in obstetrics:
1. outline the main hazards of blood transfusion. 2 marks
2. how may the incidence of transfusion be reduced? 4 marks
3. outline the key factors relating to red cell use. 6 marks
4. critically evaluate the use of fresh frozen plasma. 4 marks
5. critically evaluate the use of platelets. 2 marks
6. critically evaluate the use of recombinant factor VIIa. 2 marks
A 41-year-old woman attends for review after a normal hysteroscopy. She now wishes treatment for her incapacitating heavy periods which have not responded to medical management.
1. Outline the history you will take. 4 marks.
2. Outline the investigations you will consider. 4 marks.
3. Critically evaluate your advice on the available management options. 12 marks
A patient is referred for management of premenstrual syndrome.
1. Define PMS and its grades of severity. 4 marks.
2. Outline the investigations you will arrange. 6 marks.
3. Critically evaluate the management options. 10 marks.
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