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MRCOG PART 2 SBAs and EMQs

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notes336
EMQ1502
SBA2115
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clarification of mcq answers/explanation

clarification of mcq answers/explanation Posted by m T.

Dear Paul,

MCQS: For treatment of severe PMS, I noticed that your answer key says COCP has not been proven superior to placebo but EPO has. However when I checked the greentop guideline, EPO is not superior to placebo and new generation COCPs are one of the recommended first line treatment. Could you please clarify this?

Also for PCOS, one of the MCQ explanations stated that there is increased free estradiol concentrations which lead to unopposed stimulation of the endometrium; yet for another question, the explanation states that serum estradiol concentrations are not increased, although there is unopposed stimulation. Please clarify as well?

Thank you.

 

 

Posted by m T.
Thanks Paul. By epo I mean evening primrose oil. I think the guidelines say that evening primrose oil is not superior to placebo, as opposed to the mcq answer provided.