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COC. Missed pills. Starting the Pill.
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51
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You are the SpR in the antenatal clinic. The
consultant is absent due to illness and no other consultant is available. A
midwife asks you to see a woman whose scan has shown anencephaly.
1. What steps will you
take before seeing the woman? 6
marks
2. Justify the approach
you will use during the interview. 10
marks
3. What will you do when
the interview is over?
4 marks
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52
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Critically evaluate palliative treatment in gynaecological
oncology.
|
53
|
Question. Critically evaluate HPV
vaccine and its uses.
|
54
|
A 35 year-old woman books at 6 weeks. She has noted
a left breast mass. Breast cancer is suspected.
1. What is the life-time
risk of female breast cancer. 1
mark.
2. How does pregnancy
affect the risks of breast cancer. 4 marks.
3. Outline the
investigation.
5 marks.
4. Critically evaluate
the management.
10 marks.
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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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