Get Through MRCOG Part 2

EMQS

Kalaivani Ramalingam, Latha Palanivelu, Lakshmi Thirumalaikumar, Latha Mageswari Palanivelu

• Publisher: CRC Press
• Year: 2019
• Print ISBN: 9781138197770
• eBook ISBN: 9781351996198
• Edition: 2
• Topic: Medicine
• Subtopic: Gynecology, Obstetrics & Midwifery

This book provides those studying for the MRCOG Part 2 examination with welcome practice in answering Extended Matching Questions (EMQs). Updated throughout to map onto the MRCOG syllabus from September 2016, the book is designed to test the candidate's theoretical and practical knowledge of obstetrics and gynaecology. An introductory section on exam techniques is followed by a collection of 41 EMQ themes, split into obsterics and gynaecology. The questions are based on common clinical scenarios and cover a variety of topics. Answers are included after each topic, and these include explanatory material and useful references.

Chapter 1: Obstetric EMQs

1.1 Preconception counselling

Options:

A	advice against pregnancy
B	advice regarding diet, nutrition and exercise
C	cessation of smoking and lifestyle modification
D	complete blood count, HbA1c, blood sugar and renal function tests
E	complete blood count, screening for asymptomatic bacteriuria
F	genetic counselling
G	lifestyle advice and high-dose folic acid supplement
H	omega fatty acids supplement
I	partner screening
J	preconceptional folic acid
K	prophylactic antibiotics
L	prophylactic cervical cerclage
M	rubella screening and 400 mcg folic acid daily
N	screening for sexually transmitted infections
O	uterine artery Doppler study

For each of the following questions, choose the single-most appropriate option from the list A–O. Each option may be chosen once, more than once or not at all.

Questions:

1 A 34-year-old Asian woman attends the preconception clinic for advice before planning her pregnancy. She weighs 98 kg and her BMI is 35. She is known to have type 1 diabetes mellitus and is on treatment with insulin. Her recent blood sugar levels are within normal limits. Her HbA1c is 5.2%.

2 A 28-year-old Caucasian woman is contemplating pregnancy. She had donated her kidney to her twin brother a year ago. She is a non-smoker with a BMI of 24. She is Rubella immune.

3 A 42-year-old woman seeks preconception advice. She smokes 15 cigarettes a day and is on medication for chronic obstructive airway disease. She does not have any respiratory difficulty at rest, and a recent echocardiogram reveals moderate pulmonary hypertension.

4 A 29-year-old banker seeks advice regarding pregnancy. She is healthy and smokes socially. She was never in a long-term relationship and was screened negative for STIs recently.

5 A 27-year-old woman attends the outpatient clinic for advice. She was diagnosed with severe post-partum psychosis and continues to be stable on clozapine. She regularly attends counselling sessions regularly and is on follow-up with the psychiatric team.

For answers, see 2.1.

1.2 Management of early pregnancy

Options:

A	commence low-dose aspirin
B	commence low-molecular-weight heparin and low-dose aspirin
C	immediate catheterisation and reassurance
D	inpatient HDU care with hydration, analgesia and observation
E	intramuscular 17 OH progesterone injections
F	intramuscular methotrexate followed by folinic acid
G	intravenous access and urgent pelvic ultrasonography
H	laparoscopic salpingectomy
I	MSU culture followed by intravenous antibiotics
J	offer detailed counselling about selective termination
K	oral progesterone
L	prophylactic antibiotics
M	reassurance
N	serial serum beta-hCG levels
O	termination of pregnancy

For each of the following questions, choose the single-most appropriate intervention option from the list A–O. Each option may be chosen once, more than once or not at all.

Questions:

1 A 26-year-old woman presents to the A & E with fever, vomiting and severe pain in her abdomen and flank. The last menstrual period was 6 weeks ago. Her urine pregnancy test is positive and urinalysis shows multiple pus cells and epithelial cells. ...

Table of contents

• Cover
• Half Title
• Title Page
• Copyright Page
• Table of Contents
• Editors
• Introduction
• 1 Obstetric EMQs
• 2 Obstetric Answers
• 3 Gynaecology EMQs
• 4 Gynaecology Answers
• 5 Recommended Reading List
• Index