Part 2 MRCOG: Single Best Answer Questions

Andrew Sizer, Chandrika Balachandar, Nibedan Biswas, Richard Foon, Anthony Griffiths, Sheena Hodgett, Banchhita Sahu, Martyn Underwood

• Éditeur: Wiley-Blackwell
• Année: 2016
• ISBN:
  9781119160649
• Édition: 1
• Sujet: Medicine
• Sous-sujet: Gynecology, Obstetrics & Midwifery

Part 2 MRCOG: SBA Questions contains invaluable preparation and practice for candidates undertaking the Royal College of Obstetricians and Gynaecologists Part 2 MRCOG examination. It contains 400 practice questions written by a highly experienced team of MRCOG question writers, alongside detailed answers referencing each question to either an RCOG, NICE or WHO guideline, or an article in the professional journal 'The Obstetrician & Gynaecologist'. This will enable candidates to understand the reasoning and knowledge base behind the question, as well as giving them a clear reference should they wish to read further around the subject.

The first part of the book introduces and explains the new format of the Part 2 MRCOG exam, giving insightful advice on the skills required to write a good SBA question. The second part of the book contains chapters matched to the 15 of the 19 modules of the core curriculum, giving a comprehensive range of questions and answers with detailed explanations and references. For anyone preparing for the Part 2 MRCOG exam, this book will provide extensive and comprehensive practice and guidance from an expert author team.

Explanations

Module 3

IT, Governance and Research

1. 1 If involved in a serious incident requiring investigation (SIRI), initial steps would involve completing an incident form, ensuring completion of notes accurately and participating in team debrief.
   If a trainee is involved in an SIRI, what action should be taken as soon as possible?
   1. A. Discuss with the medical defence organisation
   2. B. Engage fully with the investigation
   3. C. Meet with the educational supervisor to discuss the case
   4. D. Write a formal statement
   5. E. Write a reflection of the vent

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   TOG Article

   Macdonald M, Gosakan R, Cooper AE, Fothergill DJ. Dealing with a serious incident requiring investigation in obstetrics and gynaecology: a training perspective. The Obstetrician & Gynaecologist 2014;16:109–114.

   An early reporting system ensures that trainees get the right support and they are advised to meet with their educational supervisor as soon as possible to discuss the case.

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2. 2 In surrogacy arrangement, the commissioning couple need to obtain parental orders. Within what time frame after delivery must these be made?
   1. A. 6 months
   2. B. 12 months
   3. C. 18 months
   4. D. 24 months
   5. E. 36 months

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   TOG Article

   Burrell C, O'Connor H. Surrogate pregnancy: ethical and medico-legal issues in modern obstetrics. The Obstetrician & Gynaecologist 2013;15:113–119.

   Under the HFE Act 20086 section 54, parental orders are granted if:

   • The commissioning couple are married, in a civil partnership or cohabitees and both are >18 years old.
   • The conception must be from placing the embryo, sperm or egg into the surrogate mother or by donor insemination. The egg or sperm must be from one member of the commissioning couple, thus providing a genetic link.
   • The application must be made within 6 months after delivery.
   • The child must be living with the commissioning couple, one or both of whom must be domiciled in the United Kingdom.
   • The surrogate (and the legal father if not the commissioning father) must give consent for the parental order transfer within 6 weeks after delivery.
   • No payment should be made to the surrogate (other than reasonable expenses). Expenses are decided by the court.

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3. 3 When managing a patient with surrogate pregnancy, who decides about the treatment required for any clinical situation that may affect the pregnancy?
   1. A. The binding agreement
   2. B. The commissioning father
   3. C. The commissioning mother
   4. D. The surrogate mother
   5. E. The unborn child

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   TOG Article

   Burrell C, O'Connor H. Surrogate pregnancy: ethical and medico-legal issues in modern obstetrics. The Obstetrician & Gynaecologist 2013;15:113–119.

   A duty of care is owed to the surrogate mother. The unborn fetus has no legal rights, so the surrogate must make all decisions, even if it is not in the best interests of the fetus (including lawful termination). In the event of conflict, the surrogate should be supported to make the final decision without coercion.

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4. 4 A primigravida at 24 weeks gestation has come to the antenatal clinic with a fear of childbirth and is asking for elective caesarean section as a mode of delivery.
   What would be the recommended management?
   1. A. Adequate exploration of the fears with counselling by trained personnel
   2. B. Discharging the patient to midwife care with advise for vaginal delivery
   3. C. Enlisting the patient for elective caesarean section
   4. D. Referral to another obstetrician for second opinion
   5. E. Referral to the supervisor of midwife

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   TOG Article

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