Tutorials for the Jan 2024 exam will start on 09/10/2023. All sessions will be from19:00 - 20:00 UK time unless otherwise stated. We will focus on recall questions from recent exams + exam technique.
09/10 - Statistics
16/10 – PNC & Neonatology
23/10 - NO SESSION
30/10 - Infertility & Endocrinology
06/11 - Surgical practice; Early pregnancy
13/11 - Antenatal care
20/11 - Contraception / STIs; Urogynaecology
27/11 - Infections in pregnancy / PT labour
04/12 - Management of labour / Emergencies
11/12 - Oncology (1.5 - 2H SESSION)
18/12 - Medical disorders; Medical education / Clin gov / ethics (1.5-2H SESSION)
To participate, please send us your Skype ID, date of busyspr subscription and registered email address.
Sorry the above email was incorrect
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Hello,
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I forgot to post- I subscribed on 17/12/2023.
Thromboprophylaxis
Posted by Madiha A.
Hi Dr Ayuk , I've come across a question where a lady aged 32 has sickle cell disease and is 8 weeks pregnant. Her bmi is normal, no other risk factors. The question is about thromboprophylaxis. I thought that SCD gets a score of 3 therefore antenatal lmwh from 28 weeks and 6 weeks postnatally but the answer is antenatal prophylactic lmwh and 6 weeks postnatally . Could you please explain why it wouldn't be from 28 weeks only
thank you
Posted by Farrukh G.
Posted by Madiha A.
Hi Dr Ayuk , I've come across a question where a lady aged 32 has sickle cell disease and is 8 weeks pregnant. Her bmi is normal, no other risk factors. The question is about thromboprophylaxis. I thought that SCD gets a score of 3 therefore antenatal lmwh from 28 weeks and 6 weeks postnatally but the answer is antenatal prophylactic lmwh and 6 weeks postnatally . Could you please explain why it wouldn't be from 28 weeks only
Thanks - you need to post the entire question with the options. You have posted your interpretation of the question which is not necessarily accurate
Posted by Madiha A.
A 32 year old woman attends the antenatal clinic at 8 weeks gestation in her first pregnancy. She has a history of sickle cell disease . Her bmi is 24.
choose the single most appropriate management
1) therapeutic lmwh antenatal and for 6 weeks PN
2) aspirin and teds
3)teds
4) good hydration and mobilisation
5) high dose prophylactic lmwh antenatal and 6 weeks PN
6)prophylactic lmwh from 28 weeks and 6 weeks Pn
7) warfarin antenatal and PP
8) lmwh PN for 10 days
9) therapeutic lmwh from 28 weeks
10) therapeutic lmwh for 6 weeks PP
11) antenatal LmWH and for 10 days PP
Posted by Madiha A.
12) prophylactic lmwh antentally and 6 weeks postpartum
Posted by Farrukh G.
We cannot find this question on our database. The EXPLANATION Icon on the website should tell you why the SELECT SQL_CALC_FOUND_ROWSed answer is correct.
Wrong answer
Posted by Mahmud K.
Hi Dr. Ayuk,
Can you please have a look this question and corect the answer option.
Options for Questions 42-42
A
Hydration and early mobilization
B
Prophylactic LMWH for at least 10 days
C
Prophylactic LMWH for 3 days
D
Prophylactic LMWH for 6 weeks
E
Prophylactic LMWH for 7 days
F
Long-term warfarin
G
Higher prophylactic dose LMWH for at least 10 days
H
Higher prophylactic dose LMWH for 6 weeks
I
Therapeutic LMWH for 10 days
J
Therapeutic LMWH for 6 weeks
Instructions:For each of the case histories described below, choose the single most appropriate management from the above list of options. Each option may be used once, more than once, or not at all.
Explanation
Question 42
A 39 year old woman with 4 previous caesarean sections presents in spontaneous labour at 32 weeks gestation. Emergency caesarean section is undertaken with estimated blood loss of 2000 ml.
B(Correct answer: B)
Multiple risk factors
• Age > 35 years
• Parity >/= 3
• Pre-term delivery (< 37+0 weeks)
• PPH (> 1 L) or blood transfusion
Emergency caesarian section
Score: 6 so need Prophylactic LMWH for 6 wks not 10 days( option D)
Kind Regards
Sabina Khondoker
Posted by Farrukh G.
Thanks - I am afraid the answer is correct as stated in the explanation based on RCOG 2015 guidelines
NB If persisting or > 3 risk factors consider extending thromboprophylaxis with LMWH
Please see the flowsheet on page 33 of this document