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MRCOG PART 2 SBAs and EMQs

Course PAID
notes341
EMQ1499
SBA2088
Medical disorders and pregnancy » Essays
Venous thrombo-embolism is a major cause of maternal death. (a) Which women are at high risk of venous thrombo-embolism during pregnancy? [6 marks] (b) How can morbidity and mortality from venous thrombo-embolism Show Answer 2012-08-25 3409 views
A 35 year old woman with Graves disease is referred for antenatal care at 8 weeks gestation. (a) What will you tell her about the risks associated with Graves disease in pregnancy? [6 marks] (b) Discuss Show Answer 2012-09-01 2967 views
You have just diagnosed an ileo-femoral deep venous thrombosis in a 20 year old woman at 20 weeks gestation. Justify your antenatal care. Show Answer 2010-11-02 2398 views
A 34 year old woman with 2 previous caesarean section had a DVT at 12 weeks gestation and has been on therapeutic sub-cutaneous fractionated heparin for the rest of her pregnancy. Justify your pre-operative, Show Answer 2010-11-02 2244 views
A 24 year old woman with sickle cell disease presents in labour at 37 weeks gestation. Justify your intra-partum and post-partum care. Show Answer 2010-11-02 3454 views
A 34 year old woman with a renal transplant is referred for antenatal care at 8 weeks gestation. Justify your antenatal management. Show Answer 2010-11-02 2215 views
A 34 year old woman suffered an intra-uterine death at 38 weeks gestation, with the fetus weighing 2.0kg. Investigations revealed positive anti-cardiolipin antibodies which were confirmed 6 weeks later Show Answer 2010-11-02 2116 views
A 36 year old primigravida complains of itching especially in her hands and feet at 34 weeks gestation. Her blood pressure is normal and there is no proteinuria. Investigations show elevated serum bile Show Answer 2010-11-02 1880 views
A 25 year old woman with insulin-dependent diabetes mellitus is planning a pregnancy. How would you counsel her? (14 marks). Outline the measures you will take in order to optimise outcome in an insulin-dependent Show Answer 2010-11-02 1901 views
A 24 year old epileptic is planning a pregnancy. How would you counsel her with regards to the risks to her and her fetus and how these risks can be reduced? Show Answer 2010-11-02 1870 views
You are asked to see a 40 year old woman urgently in the antenatal clinic. She has a prosthetic heart valve, is on warfarin treatment and is 6 weeks pregnant. How would you counsel her? Show Answer 2010-11-02 2421 views
A 20 year old woman with severe asthma is planning a pregnancy. How would you counsel her? Show Answer 2010-11-02 1968 views
A 20 year old woman with congenital heart disease presents at 10 weeks gestation. Which interventions would you recommend to optimise maternal and fetal outcome, with particular reference to her cardiac Show Answer 2010-11-02 1815 views
A 20 year old woman who is 30 weeks pregnant presents at 2am with sudden onset of shortness of breath and pleuritic chest pain. Justify your initial management. Show Answer 2010-11-02 1661 views
A 30 year old woman is referred for antenatal care at 12 weeks gestation. She is known to be heterozygous for the Factor V Leiden mutation. How would you manage her pregnancy with specific reference to Show Answer 2010-11-02 1570 views
A 20 year old woman with sickle cell disease is referred for antenatal care at 10 weeks gestation. Outline the risks to the mother and baby and describe your interventions to optimise outcome. Show Answer 2010-11-02 1491 views
Critically appraise the screening tests for diabetes mellitus in pregnancy Show Answer 2010-11-02 1446 views
Perinatal outcome in diabetic pregnancies should be similar to that in non-diabetic pregnancies. How can this be achieved? Show Answer 2010-11-02 1344 views
A 25 year old primigravida has developed HELLP syndrome at 33 weeks gestation. What principles underlie her management? Show Answer 2010-11-02 1641 views
Venous thrombo-embolism remains a major cause of maternal mortality. Evaluate the measures that can be taken to minimise the risk of venous thrombo-embolism during the antenatal period (16 marks) and Show Answer 2010-11-02 1436 views
A 24 year old epileptic has noticed an increase in the frequency of her grand mal seizures and is unexpectedly found to be 14 weeks pregnant. Justify your antenatal (10 marks), intra-partum (5 marks) Show Answer 2010-11-02 1609 views
A 20 year old primigravida with sickle cell disease is referred for antenatal care at 10 weeks gestation. (a) What will you tell her about the risks to her health and to her fetus? [8 marks] (b) Which Show Answer 2010-11-02 1498 views
A 20 year old woman with congenital heart disease is planning a pregnancy. (a) Which features of her heart disease are relevant to your counselling and subsequent management? (6 marks) (b) What will you Show Answer 2010-11-02 1734 views
A 25 year old primigravida with a history of Graves disease treated with propylthiouracil has been referred to the antenatal clinic at 12 weeks gestation. (a) What will you tell her about the risks associated Show Answer 2010-11-02 1690 views
A 30 year old woman with a previous deep vein thrombosis is known to be a carrier of the factor V Leiden mutation. She is referred to the antenatal clinic at 8 weeks gestation. (a) Justify your clinical Show Answer 2010-11-02 1612 views
A 35 year old nulliparous woman with a renal transplant has been referred for pre-conception assessment and counselling. (a) Justify the information you would obtain from the history and clinical examination Show Answer 2010-11-02 1799 views
A 30 year old woman presents at 30 weeks gestation with a 3 days history of itching that is worse in her hands and feet. (a) Describe your initial assessment of the patient [7 marks]. (b) State the most Show Answer 2010-11-02 1907 views
A 25 year old woman with a 15 year history of insulin-dependent diabetes mellitus is referred to the antenatal clinic at 12 weeks gestation. (a) Describe the assessment that you would undertake during Show Answer 2013-02-17 1013 views
A 40 year old nulliparous woman with a 3 year history of Type II diabetes mellitus has been referred for pre-pregnancy counselling. Her BMI is 23kg/m2. (a) Discuss your assessment [8 marks]. (b) What Show Answer 2013-02-26 1010 views
A 34 year old woman has a glucose tolerance test at 28 weeks gestation because her BMI is 42 kg/m2. Fasting blood glucose is 6.9 mM and 2h glucose level is 11.6 mM. (a) Discuss your subsequent antenatal Show Answer 2013-07-15 967 views
A 33 year old nulliparous woman attends the antenatal clinic at 8 weeks gestation. She is known to have SLE with positive anti-phospholipid antibodies and three previous first trimester miscarriages. Show Answer 2013-08-11 1086 views