Website.
Contact us.
Tonight we had an EMQ on cystic fibrosis and 4 essays.
A 30-year-old
woman has a booking scan at 10 weeks which shows monoamniotic twins.
1. Critically evaluate the risks associated with
monoamniotic twins. 4 marks
2. Justify the history you will obtain. 2
marks
3. Evaluate the management options during the antenatal
period. 10 marks
4. Outline the key
features of the management of labour. 4
marks
A 32 year-old woman with learning
difficulty attends the gynaecology clinic with her mother. The referral is
because of severe dysmenorrhoea and menorrhagia. The mother is keen for her to
have hysterectomy and is prepared to give her consent.
1. What factors will you take into consideration before
offering treatment? 8 marks.
2. Outline the treatment options, not including
hysterectomy, that you will discuss. 6 marks.
3. If it is concluded that hysterectomy is the best
option, justify the steps you will take to arrange this. 6 marks.
A six year old
girl is referred to the gynaecology clinic with a 2 month history of vaginal
discharge.
1. Justify the history you will take. 5
marks
2. Justify the investigations you will do. 5
marks
3. Critically evaluate the management. 10 marks
A 20-year-old
woman is referred to the gynaecology clinic with a complaint of hirsutism.
Critically evaluate the management.
1. Outline the
necessary facts to obtain from the history.
6 marks.
2. Justify the
investigations you would arrange. 8 marks.
3. Outline the key
aspects of the management. 6
marks.
EMQ.
This
question is about cystic fibrosis.
For
each scenario choose the option that gives the best answer.
Each
option can be used once, more than once or not at all.
And, to make you behave in a
model fashion, there is no option list, so you have to decide the correct
answer.
Scenario 1.
A woman is 8
weeks pregnant and known to be a carrier of cystic fibrosis.
Her husband is
Caucasian.
What is the risk
of the child having cystic fibrosis?
Scenario 2.
A healthy woman
attends for pre-pregnancy counselling.
Her brother has
cystic fibrosis. Her husband is Caucasian.
He has been
screened for cystic fibrosis. The test was negative.
What is the risk
of them having a child with cystic fibrosis?
Scenario 3.
A healthy woman
is a known carrier of cystic fibrosis.
She attends for
pre-pregnancy counselling. Her husband has cystic fibrosis.
What is the risk
of them having a child with CF?
Scenario 4.
A
healthy woman attends for pre-pregnancy counselling. Her sister has had a child
with cystic fibrosis.
What
is her risk of being a carrier?
Scenario 5.
A woman attends
for pre-pregnancy counselling. Her mother has cystic fibrosis.
What is the risk
that she is a carrier?
Scenario 6 .
A woman attends
for pre-pregnancy counselling. Her mother has cystic fibrosis.
The partner’s
risk of being a carrier is 1 in X.
What is the risk
that she will have a child with CF?
Scenario 7.
A healthy
Caucasian woman is 10 weeks pregnant.
Her husband is a
known carrier of cystic fibrosis.
Which test would
you arrange?
Scenario 8.
A woman attends
for pre-pregnancy counselling. She has read about diagnosing CF using cffDNA
from maternal blood. Is it possible to test for CF in this way?
Scenario 9.
A woman and her
husband are known carriers of cystic fibrosis.
What is the risk
of them having an affected child.
Scenario 10.
A woman and her
husband are known carriers of cystic fibrosis.
What can they do
to reduce the risk of having an affected child?
Scenario 11.
A woman and her
husband are known carriers of cystic fibrosis.
Can CVS exclude
an affected pregnancy?
No comments:
Post a Comment