TEALE FENNING Medical Education    FAQ   Search   Memberlist   Usergroups   Register   Profile   Log in to check your private messages   Log in  mrcog courses for doctors Management of Early Pregnancy Complications          TEALE FENNING Forum Index -> MRCOG Part 2: EMQs - Extended Matching Questions View previous topic :: View next topic   Author Message juliprakash Joined: 08 May 2008 Posts: 29 Posted: Thu Sep 04, 2008 3:37 am    Post subject: Management of Early Pregnancy Complications Chose the most appropriate management option under the following circumstances: A urgent USG B suction evacuation C sharp curettage D anti-D 23 yr old with features of incomplete miscarriage at 12 weeks gestation. In previous pregnancy she was sensitised and had to have an intrauterine transfusion. Still she is bleeding heavily. She is bleeding 'heavily' does this make it USG or evacuation? Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sat Sep 06, 2008 8:21 am    Post subject: Need more info (as always ) I am afraid. Is she haemodynamically stable? Were there options for acute management such as iv access, fluids, resuscitation? And what about vaginal examination, syntocinon, PGs etc? The key to these is to read and cosnider each and every option. We only have 4 at present and it is possible (indeed probable) that the answer is not given in the list you provide. What do you mean by USG? I was wondering whether there was an option for suction ERPOC if you were given 'sharp' and what about USS-guided ERPOC? Back to top juliprakash Joined: 08 May 2008 Posts: 29 Posted: Sun Sep 14, 2008 5:30 pm    Post subject: Nothing was stated regarding her vitals,and no optiongiven as iv access or resuscitation. Back to top cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 921 Posted: Sun Sep 14, 2008 5:57 pm    Post subject: Re: Management of Early Pregnancy Complications juliprakash wrote: Chose the most appropriate management option under the following circumstances: A urgent USG B suction evacuation C sharp curettage D anti-D 23 yr old with features of incomplete miscarriage at 12 weeks gestation. In previous pregnancy she was sensitised and had to have an intrauterine transfusion. Still she is bleeding heavily. She is bleeding 'heavily' does this make it USG or evacuation? With whatever limited info and options given I think features of incomplete miscarriage at 12 weeks gestation and bleeding heavily I wuld go for suction evacuation. Inadequate options though Back to top cpeedahsa Century Club Joined: 21 Apr 2007 Posts: 921 Posted: Sun Sep 14, 2008 5:57 pm    Post subject: Nick Raine-Fenning wrote: What do you mean by USG? Ultrasonogram Back to top juliprakash Joined: 08 May 2008 Posts: 29 Posted: Tue Sep 16, 2008 4:27 pm    Post subject: qn stated that it had features of incomplete miscarriage-does this mean that suction evacuation or urgent ultrasound to confirm it.No word given on USS guided evacuation as option Back to top Display posts from previous: All Posts1 Day7 Days2 Weeks1 Month3 Months6 Months1 Year Oldest FirstNewest First         TEALE FENNING Forum Index -> MRCOG Part 2: EMQs - Extended Matching Questions All times are GMT Page 1 of 1   Jump to: Select a forum Announcements----------------Forum AnnouncementsExam InformationCourse Announcements Examinations----------------MRCOG Part 1: EMCQsMRCOG Part 2: MCQ & Past Paper questionsMRCOG Part 2: EMQs - Extended Matching QuestionsMRCOG Part 2: Short Answer EssaysMRCOG Part 2: Objective Structured Clinical Examination - the OSCEDRCOG: the Diploma ExaminationMFFP: Membership of the Faculty of Family Planning and Reproductive Health Care of the RCOGPLAB: The Professional and Linguistic Assessment Board test General Discussion----------------Open ForumRCOG News & UpdatesThe Study Buddy SchemeKey Facts in O&GGuidelines & ProtocolsRecommended ReadingUseful WebsitesThe Market PlaceHow things work in the UKHow do you say that? Teale Fenning Courses----------------Our UK CoursesOur Overseas CoursesOur Correspondence CourseCourse AdministrationCourse FeedbackAccommodationOther Courses Training & Career Development----------------Basic Speciality Training in O&GSubspeciality Training & Special Skills ModulesAcademic TrainingResearch & AuditThe Curriculum Vitae or CVInterview SkillsMedical EducationPublication & Presentation SkillsTraining Courses, Conferences, & MeetingsThe Job MarketClinical Attachments  You cannot post new topics in this forum You cannot reply to topics in this forum You cannot edit your posts in this forum You cannot delete your posts in this forum You cannot vote in polls in this forum Powered by phpBB © 2001, 2005 phpBB Group