Website.
Contact us.
We started with an EMQ.
Then we had three SAQs.
We were going to do a fourth on emergence contraception, but I had forgotten that it had come in the recent exam.
EMQ.
Lead-in.
The following scenarios relate to parvovirus infection
Pick one option from the option list.
Each option can be used once, more than once or not at
all.
Abbreviations.
GOVRIP: Guidance
on Viral Rash in Pregnancy. HPA. 2011
PSVMCA: peak
systolic velocity middle cerebral artery.
PvB19: parvovirus
B19
PvIgG: parvovirus B19 IgG
PvIgM: parvovirus B19 IgM
Option list.
There is none: make up your own
answers!
Scenario 1.
What type of virus is
parvovirus?
Scenario 2.
Is the title B19 something to do with the American B19
bomber, its potentially devastating bomb load and the comparably devastating
consequences of the parvovirus on human erythroid cell precursors?
Scenario 3.
PVB19 in the UK occurs in mini-epidemics at 3 – 4 year
intervals, usually during the summer months.
Scenario 4.
Which animal acts as the main
reservoir for infection?
Scenario 5.
What percentage of UK adults are immune to parvovirus
infection?
Scenario 6.
What names are given to acute
infection in the human?
Scenario 7.
What is the incubation period for parvovirus infection?
Scenario 8
What is the duration of infectivity for parvovirus
infection?
Scenario 9.
What are the usual symptoms of parvovirus infection in
the adult?
Scenario 10.
What is the incidence of parvovirus infection in
pregnancy?
Scenario 11.
How is recent infection diagnosed?
Scenario 12.
How long does PvIgM persist and why is this important?
Scenario 13.
What is the rate of vertical transmission of parvovirus
infection?
Scenario 14.
Are women with parvovirus infection who are asymptomatic
less likely to pass the virus to their fetuses?
Scenario 15.
To what degree is parvovirus infection teratogenic?
Scenario 16.
What proportion of pregnancies infected with parvovirus are
lost?
Scenario 17.
What is the timescale for the onset of hydrops?
Scenario 18.
Laboratories are advised to retain bloods obtained at
booking for at least 2 years for possible future reference. True or false?
Scenario 19.
What ultrasound features would trigger consideration of
cordocentesis?
Scenario 20.
Must suspected parvovirus infection be notified to the
authorities?
Scenario 21.
Possible parvovirus infection
does not need to be investigated after 20 week’s gestation.
Scenario 22
If serum is sent to the
laboratory from a woman with a rash in pregnancy for screening for rubella, the
laboratory should automatically test for parvovirus infection too.
Essay 1.
With regard to anti-phospholipid syndrome:
1. outline the clinical manifestations of APS. 6 marks.
2. outline the implications of APS for pregnancy . 4 marks.
3. critically evaluate how the diagnosis is
made. 5 marks.
4. critically evaluate the management in the
woman wishing to be pregnant. 5 marks.
Essay 2.
A 25-year-old primigravida attends the
antenatal clinic at 36 weeks. She has read a magazine article about delayed
cord clamping
1. Outline the factors that make delayed cord
clamping unwise. 6
marks.
2. Justify the
advice you will give about the risks and benefits of delayed cord clamping. 8 marks.
3. Outline the
arrangements necessary for safety in delayed cord clamping. 6 marks
Essay 3.
Critically evaluate the “Top Ten
Recommendations” in the most recent maternal mortality report.
If you want to do the essay on emergency contraception it was:
Essay 4.
A woman of 18 attends the A&E
Department requesting emergency contraception.
1. Outline the history you will take. 4
marks.
2. Justify the investigations you will arrange. 2
marks.
3. Outline the methods of emergency contraception
and their pros and cons. 6 marks.
4. Justify your management. 8
marks.
No comments:
Post a Comment