|
54 |
EMQ. Whooley questions |
|
55 |
Role-play. Medical examiner. Explain to
FY1. |
|
56 |
Viva. Air travel in pregnancy |
|
57 |
Prepare a ‘blurb’. Screening for Down’s syndrome |
|
58 |
EMQ Surrogacy |
54. EMQ.
Whooley questions.
There is no option list to make it harder – it’s
not an EMQ!
1. When does NICE advise checking for
depression in relation to pregnancy?
2. What is the title of the questions NICE
advises asking?
3. Where were the Whooley questions first
validated?
4. What are the actual questions?
5. When does NICE advise checking for anxiety
in relation to pregnancy?
6. What is the title of the questions NICE
advises asking?
7. What are the actual questions?
55. Role-play.
Medical examiner. Explain to FY1.
You are the
registrar on call on the labour ward. It is quiet. You were having a coffee
with the consultant and FY1. The FY1 mentioned that she had heard mention of
medical examiners yesterday and had not heard of MEs before. The Consultant has
told you to tell her about the ME system as if it was a Part 3 station and you
are preparing for your Part 3 exam. The Consultant is a Part 3 examiner and has
told you that you need to think of how to display senior doctor thinking and
not just outline the basics so that you impress as an outstanding candidate.
56. Viva.
Air travel in pregnancy.
Candidate’s
instructions.
This
is a viva station about air travel & pregnancy.
The
examiner will ask you 15 questions.
When
you have finished a question, you will not be allowed to return to it as later
questions may indicate the answer. If you return, no marks will be awarded,
even for correct answers.
57. Prepare
a ‘blurb’. Screening for Down’s syndrome
Candidate’s
instructions.
Preparing ‘blurbs’ is basic and Down’s screening is a common
topic.
We have done it several times as part of a role-play, but
not as an exercise on its own.
This is meant as a reminder that it should be a routine
part of your study group activity.
58. EMQ
Surrogacy.
Surrogacy.
Pick the best choice from the option list for each scenario or ‘True’ or ‘False’.
Abbreviations.
CF: commissioning father
CM: commissioning mother
CPs: commissioning parents
PO: parental order
SM: surrogate mother
Option List.
a)
CM
b)
CF
c)
CPs
d)
SM
e)
Chairman of the HFEA
f)
Senior judge at the Children and Family Court
g)
traditional surrogacy
h)
gestational surrogacy
i)
HFEA
j)
SSAEW
k)
RCOG Surrogacy Sub-Committee
l)
false
m)
true
n)
none of the above
Scenario 1. List the
different types of surrogacy.
Scenario 2. “Gestational” surrogacy has better
“take-home-baby” rates than “traditional” surrogacy.
Scenario 3. There are approximately 1,000 surrogate
pregnancies per annum in the UK. True/False
Scenario 4. Which national body regulates surrogacy in
England?
Scenario 5. Privately-arranged
surrogate pregnancies are illegal and those involved are liable to up to 2
years in prison. True/False
Scenario 6. List the risks of surrogacy.
Scenario 7. Obstetricians
are legally obliged to take the CPs’ wishes into consideration in managing
pregnancy complications or problems.
Scenario 8. The psychological outcomes of surrogacy are
fully understood. True/False.
Scenario 9. The psychological outcomes of surrogacy are
more severe after traditional surrogacy.
True/False
Scenario 10. Who has the
right to arrange TOP if the fetus is found to have a major congenital
abnormality?
Scenario 11. A SM decides
at 10 weeks that she does not wish to be pregnant and arranges to have a TOP.
The CPs. hear about this and object strongly. To whom should they apply to have
the TOP blocked?
Scenario 12. A woman has
hysterectomy and BSO to deal with extensive endometriosis at the age of 30. She
marries two years later and her sister offers to act as surrogate. She
undergoes IVF and 4 embryos are created. One is transferred and a successful
pregnancy ensues. The baby is adopted by the woman and her husband. The 3
remaining embryos were frozen. Four years later the woman falls out with her
sister, but finds another surrogate and wishes to proceed with another
pregnancy. The sister says she does not want her eggs to be used and that the
frozen embryos should not be transferred. Does the sister have the legal right
to block the use of the embryos? Yes / No.
Scenario 13. A girl born
from donor sperm reaches the age of 16 and wishes to know the identity of her
genetic father. Does she have the right to this information? Yes / No.
Scenario 14. A girl born
from donor sperm reaches the age of 18 and wins a place at Oxford University to
read medicine. Does she have the legal right to get the donor to contribute to
her fees?
Yes / No.
Scenario 15. A PO is
active from the moment it is completed and signed by the relevant parties.
True/False
Scenario 16. A SM can
change her mind at any time and keep the child, even if the egg was not hers.
True/False
Scenario 17. The CPs can change their mind, leaving the SM
as the legal mother. True/False
Scenario 18. A SM’s husband is the legal father until
adoption is completed or a PO comes into force.
True/False
Scenario 19. A lesbian
couple in a stable, co-habiting relationship can be CPs and become the legal
parents of the child of a SM. True/False
Scenario 20. CPs are
likely to get faster legal status as the legal parents through application for
a PO rather than applying for adoption. True/False
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