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MRCOG PART 2 SBAs and EMQs

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notes334
EMQ1480
SBA2068
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emq query 2

emq query 2 Posted by g.b. D.
A Counsel and offer amniocentesis B Counsel and offer chorionic villus sampling
C Counsel and offer pregnancy termination D Counsel and offer intra-uterine therapy
E Reassure F Counsel and offer fetal surgery
G Counsel and offer fetal blood sampling H Counsel and offer intra-uterine transfusion
I Counsel and offer induction of labour at 36-38 weeks gestation J Counsel and offer serial fetal growth scans
K Counsel and refer for neonatal assessment after delivery

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.

Question 13 A 20 year old woman is found to have a fetus with an exomphalos at 21 weeks gestation Your answer: A

Correct answer: A

Question 14 A 30 year old Rhesus negative woman with Rhesus D antibodies is found to have a hydropic fetus at 26 weeks gestation Your answer: G

Correct answer: H

WOULDNT WE DO A BLOOD YES SHE WILL DEFINITELY NEED TRANSFUSION BUT FIRST STEP WOULD BE FETAL BL SAMPLING....SAMPLING TO KNOW THE FETAL HB, HEMATOCRIT AND THEN TRANSFUSE. THIS WILL ALSO DECIDE THE AMOUNT OF TRANSFUSION REQUIRED....ISNT IT ?
SO ANS ACC TO ME SHUD BE \'G\'.
Posted by g.b. D.
yes, but the other causes may not always have anemia as a etiology for hydrops....