TEALE FENNING

drmmanish@yahoo.co.in · Joined: 05 Mar 2008 Posts: 42 Location: UK

Hi guys,
posting the essays ere I forget. Please note that I may be off the mark in specific words or the marking system (but not by much).

1. 28 year old nulliparous woman who is known to be HIV postive is pregnant and sees you in the antenatal clinic.

a. How would you manage her antenatal care?(8)
b. How would you manage labour and delivery?(9)
c. What measures will you take postnatally to decrease the risk of vertical transmission?(3)

1. A 20 year old low risk woman is in spontaneous labour and is diagnosed with delay in I stage.

a. How do you diagnose delay in I stage and what factors must you look for when assessing a woman with delay in I stage?(6)
b. discuss factors that would influence management of delay in I stage.(6)
c. How do you manage delay in I stage?(8)

3. A 25 year old woman who is known to have hypertrophic cardiomyopathy is pregnant and see you in the antenatal clinic.

a. what are the specific measures that you would take in her prenatal care?(9)
b. how would you manage her labour and delivery?(8)
c. what are the specific measure you would take in the immediate postnatal period?(3)

4. A 25 year old woman with a BMI of 40 sees you in the antenatal clinic.

a. what are the specific measures you would take in her prenatal care?(8)
b. how would you manage labour and delivery?(9)
c. how would you manage her postnatally?(3)

5. A young woman presents with 10 week amenorrhoea and the ultrasound scan confirms a tubal pregnancy. Outline the indications and management approach for her.

a. expectant management (6)
b. medical management (8)
c. surgical management (6)

6. A nulliparous 28 year old woman is complaining of long standing menstrual pain. ultrasound shows bilateral ovarian cysts of 6 cm and confirms endometriomas.

a. discuss your initial assessment which may help in your decision of her management?(7)
b. how would you counsel her regarding her management options?(13)

7. A 28 year old nulliparous woman comes with postcoital bleeding and on colposcopic examination is suspected to have cervical carcinoma.

a. how would you assess this patient and justify the procedures that need to be done to establish a diagnosis?(5)
b. how would you outline her management plan and briefly discuss the factors influencing her management decision?(7)
c. she wishes to preserve her fertility. briefly discuss the fertility preserving options for her?(8)

8. A 68 year old woman had hysterectomy 20 years ago and presents with something coming down. examination confirms grade IV vault prolapse.

a. what additional symptoms would you look for in assessing and managing her?(5)
b. critically appraise abdominal (8) and vaginal (7) surgical options for grade IV prolapse?
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manish

docsubhi · Joined: 03 Sep 2007 Posts: 59 Location: london

Gosh Manish spot on!

Smile

Surabhi

manoj · Joined: 22 Jun 2008 Posts: 7

3 a about investigations also

Xerxes I · Posted: Wed Sep 03, 2008 7:34 am Post subject:

Good work Manish, thank you. I have copied what you posted and will put what I remember differently in different colors. green if I am sure and red if I am not sure.

1. 28 year old nulliparous woman who is known to be HIV postive is pregnant and sees you in the antenatal clinic. (we were seeing her at booking)

a. How would you manage her antenatal care?( Cool

b. How would you manage labour and delivery?(9)
c. What measures will you take postnatally to decrease the risk of vertical transmission?It was worded: What other measures would reduce the risk of transmission? (3)

1. A 20 year old low risk woman is in spontaneous labour and is diagnosed with delay in I stage.

a. How do you diagnose delay in I stage and what factors must you look for when assessing a woman with delay in I stage?(6)
b. discuss factors that would influence management of delay in I stage.(6)
c. How do you manage delay in I stage?( Cool

3. A 25 year old woman who is known to have hypertrophic cardiomyopathy is pregnant and see you in the antenatal clinic, again booking.

a. what are the specific measures that you would take in her prenatal care?(9) (yes, this was the exact wording)
b. how would you manage her labour and delivery?( Cool

c. what are the specific measure you would take in the immediate postnatal period?(3) (I am not sure if it said specific measures in this bit)

4. A 25 year old woman with a BMI of 40 sees you in the antenatal clinic.

a. what are the specific measures you would take in her prenatal care?( Cool

b. how would you manage labour and delivery?(9)
c. how would you manage her postnatally?(3)

5. A young woman presents with 10 week amenorrhoea and the ultrasound scan confirms a tubal pregnancy. Outline the indications and management approach for her (I think it didn't say "her", and said indications and management approach for tubal pregnancy).

a. expectant management (6)
b. medical management ( Cool

c. surgical management (6)

6. A nulliparous 28 year old woman is complaining of long standing menstrual related pain. ultrasound shows bilateral ovarian cysts of 6 cm and confirms (didn't say confirms, said with typical features of )endometriomas.

I have to go, good work, thank you Manish

salihabduallah · Century Club Joined: 04 Sep 2007 Posts: 120

Hi Dr Manish

can u pls inform me what is the disease that has high prevelance in india, Syphilis; Rubella or Malaria ?

Thank you

drmmanish@yahoo.co.in · Joined: 05 Mar 2008 Posts: 42 Location: UK

I think it is malaria. It is endemic.
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manish

drmmanish@yahoo.co.in · Joined: 05 Mar 2008 Posts: 42 Location: UK

hi guys. just wanted your feedback on the foll:

what is the response to other measures to decrease vertical transmission?
cos I thought about p/n methods like bf/ neonatal azt and to look for chorioamnionitis

regarding colposcopy and suggested cx ca the q asked justify any procedures needed to establish diagnosis?r u supposed to mention fbc/ivu/uss/mri/sigmoidoscopy etc

are u not supposed to write re colposcopy and various features and excision rx to establish diagnosis?

re initial assessment in endometrioma is it not history/examination/mri/laparoscopy/etc

thanks a ton.
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manish

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

good work guys. thanks for getting the questions down.

will the march 09 candidates like to have a go at answering?

r
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region

Nick Raine-Fenning · Posted: Sat Sep 06, 2008 9:15 am Post subject: