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Essays & EMQ 8
August 2013.
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17
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COC. Missed pills.
Starting the Pill.
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62
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You have been asked
to write a protocol for the diagnosis and management of umbilical cord
prolapse.
1. Justify the steps you will take.
6 marks
2. Justify the key advice you will include in the protocol. 14 marks
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63
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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.
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64
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A woman attends the
antenatal clinic at 36 weeks. She had read an article in a woman’s magazine
about the merits of umbilical cord blood banking and would like to have this
done.
1. Justify the history you will take. 4 marks
2. Justify the investigations you will arrange. 2 marks
3. Justify your management. 14 marks
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65
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With regard to
Gestational Trophoblastic Neoplasia.
Outline the factors influencing prognosis.
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COC Missed pills. Starting
the Pill..
Lead-in.
The
following scenarios relate to the combined oral contraceptive (COC) and missed
pills.
For
each, select the option that best fits the scenario.
Each
option can be used once, more than once or not at all.
Abbreviations.
UPSI: unprotected sexual intercourse.
Option list.
A.
pill that is ≥ 12 hours late.
B.
pill that is > 12 hours late.
C.
pill that is ≥ 24 hours late.
D.
pill that is > 24 hours late.
E.
two missed pills at any time in a single cycle.
F.
the first pill taken in one’s first love affair,
now recalled with fond nostalgia for its effectiveness in preventing pregnancy,
the Prince having been truly a loathsome toad.
G. no additional contraception required.
H.
additional contraception required for 7 days.
I.
emergency contraception should be considered.
J.
emergency contraception should be recommended.
K.
take the missed pill immediately, but not if it
means 2 pills in one day; no additional contraception needed; pill-free
interval as normal.
L.
take the missed pill immediately, even if it
means 2 pills in one day; no additional contraception needed; pill-free
interval as normal.
M. take the missed pill immediately, even if it means 2 pills in one
day; additional contraception for 7 days; pill-free interval as usual.
N. take one of the missed pills immediately, discard the other missed
pills, use extra contraception for 7 days and discuss emergency contraception
with your doctor.
O. take the missed pills immediately, use extra contraception for 7
days and discuss emergency contraception with your doctor.
P.
continuous combined preparation.
Q. bi-phasic preparation.
R.
quadriphasic preparation.
S.
cannot be answered from the data given.
T.
none of the above.
Scenario 1.
What is the definition of a missed pill?
Scenario 2.
What is the definition of two missed pills?
Scenario 3.
A
COC is begun on day 1 of menstruation. What advice should be given about temporary
additional contraception?
Scenario 4.
A
COC is begun 5 days after day 1 of menstruation. What advice should be given
about temporary additional contraception?
Scenario 5.
A
COC is begun for the first time on day 1 of menstruation. The fifth pill is missed.
What advice should be given?
Scenario 6.
A pill is missed on day 14 of a 21-day pack. What advice should be
given?
Scenario 7
A pill is missed on day 21 of a 21-day pack. What advice should be
given?
Scenario 8
Two pills are missed in the first week of a 21-day pack. What
advice should be given?
Answer:
Scenario 9
Two pills are missed in the second week of a 21-day pack. What
advice should be given?
Scenario 10
Two
pills are missed in the third week of a 21-day pack. What advice should be
given?
Scenario 11
What kind of preparation is Qlaira?
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