Tutorial 15 January 2015

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Tonight we started with the following EMQ. 

Then we did some communication skills practice as most of those attending are not from this area and would be unlikely to attend any of the OSCE training sessions - they have been at the NW written course this week.

Unfortunately, when I came to upload the recording, I noted that the graph showed a flat line with only a brief recording at the beginning of the session.

One of the wires connecting the mixer unit that feeds the microphone inputs into the laptop had broken and nothing had recorded.

I'll get it sorted for the next tutorial.

Send me your answers to the EMQ and I'll send mine.

My answers will give you all you need, so don't spend time researching the subject. 

Lead-in.

The following scenarios relate to folic acid and pregnancy.

Pick one option from the option list.

Each option can be used once, more than once or not at all.

Abbreviations.

MTHFR:     Methylenetetrahydrofolate reductase 

Option list.

No option list to make your life harder!

Scenario 1.                

What is the incidence of NTD in the UK?

Scenario 2.                

What is the risk of an affected sibling for the woman who becomes pregnant after having a baby with NTD?

Scenario 3.                

Which foods contain significant amounts of folic acid?

Scenario 4.                

What percentage of folic acid is destroyed by cooking / food storage?

How many people in the UK are estimated to have a folate-deficient diet?

Scenario 5.                

What is the significance of the MTHFR (Methylenetetrahydrofolate reductase gene)?

Scenario 6.                

What is the significance of the Meckel-Gruber syndrome to this issue?

Scenario 7.                

By what gestation has the neural tube closed?

Scenario 8.                

What proportion of pregnant women have taken folic acid preconceptually?

Scenario 9.                

What dose and duration of folic acid is advised for routine periconceptual use?

Scenario 10.            

List the women to whom a higher dose should be offered.

Scenario 11.            

How effective is periconceptual folic acid consumption in reducing NTD risk in the low-risk population?

Scenario 12.            

How effective is periconceptual folic acid consumption in reducing NTD risk in women who have had an affected baby?

Scenario 13.            

What is the risk of NTD recurrence for a woman who has had two affected babies?

Scenario 14.            

What is the risk of NTD in Ireland?

Scenario 15.            

What is the significance of the name “Bukowski” in relation to folic acid?

Scenario 16.            

What effect does periconceptual folic acid have on the risk of stillbirth?

Scenario 17.            

What effect does periconceptual folic acid have on the risk of autistic spectrum disorder?

Scenario 18.            

What effect does periconceptual folic acid have on maternal haemoglobin levels?

Scenario 19.            

What recommendations have been made by the RCOG to improve folic acid levels in pregnancy?

Scenario 20.            

Which names are of particular importance in the history of folic acid and NTD?

Scenario 21.            

What neurological condition has been thought potentially problematic with folic acid supplementation?