TEALE FENNING Medical Education    FAQ   Search   Memberlist   Usergroups   Register   Profile   Log in to check your private messages   Log in  mrcog courses for doctors Oncology-Cervical Ca Goto page Previous  1, 2          TEALE FENNING Forum Index -> MRCOG Part 2: MCQ & Past Paper questions View previous topic :: View next topic   Author Message rpwalavalkar Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966 Posted: Fri Feb 02, 2007 8:16 pm    Post subject: wolverine wrote: 1. It would be true if it was for HPV-16 2. Stage Ia2 risk for pelvic lymphnodes involvement is 5% therefore lymphadenectomy is adviced 3. just true 4. just true 5. the 5-year survival rate is the same between surgery and chemo-radio 6. The wrong bit in this otherwise correct statement is the LSCS. Classical section is adviced greetings O king of Onco i'm starting my onco revision this weekend even if it kills me _________________ Dr Miss. Raj Walavalkar MBBS MRCOG TealeFenning Administrator SR O&G Wessex Region Back to top bronwyn Century Club Joined: 19 Jul 2006 Posts: 144 Location: Alton, Hampshire Posted: Sat Feb 03, 2007 9:19 am    Post subject: wolverine wrote: The wrong bit in this otherwise correct statement is the LSCS. Classical section is adviced Agreed. The other reason I thought it may be false is that in very early disease you can wait for a little more lung maturity (maybe 34 weeks) before you deliver. Depends what you (or the person who set the silly question!)mean by early disease Wolverine Another spanner in the works: does she really need a hysterectomy if it's very early disease.....what about delivery then a redical trachelectomy in very early stages. Just being 's advocate!!! Sure is false then I suppose B _________________ Bronwyn Bell SpR Portsmouth Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sat Feb 03, 2007 10:18 am    Post subject: wolverine wrote: 6. The wrong bit in this otherwise correct statement is the LSCS. Classical section is adviced Excellent question ... this is true RCOG style ... well done Wolverine. This proves the importance of reading the question carefully in every situation and evaluating the importance of every single word. We teach this religiously on every single one of our courses and yet I still make mistakes having preached this concept for almost 10 years Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sat Feb 03, 2007 10:23 am    Post subject: Well done Bronwyn ... top marks You raise some good points ... bronwyn wrote: The other reason I thought it may be false is that in very early disease you can wait for a little more lung maturity (maybe 34 weeks) before you deliver. Depends what you (or the person who set the silly question!)mean by early disease Wolverine Is this right? I have not read up about this since my Part 2 and that was not yesterday bronwyn wrote: Another spanner in the works: does she really need a hysterectomy if it's very early disease.....what about delivery then a redical trachelectomy in very early stages. Just being 's advocate!!! Sure is false then I suppose I would strongly advise you to stay miles away from trachelectomy unless speficially asked about it in the OSCE. In any essay question put it at the very end as a remote possibility unsuitable for the vast majority of women and something that would have to be discussed in conjunction with an experienced gynae-oncologist. Not sure if we have any data on trachelectomy and pregnancy anyway. It's a bit like rape, abuse, childhood cancer etc ... put this stuff at the end in small print and in italics!!! OK that is an exaggerattion but you get my point _________________ "Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sat Feb 03, 2007 10:26 am    Post subject: wolverine wrote: 1 staging of cervical Ca requires MRI imaging It would be true if it was for HPV-16 What do you mean?? How does HPV relate to MRI? _________________ "Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sat Feb 03, 2007 11:08 am    Post subject: wolverine wrote: Nick. As you noticed I posted the topic number 100! What do I get? A big group hug Good man ... you like your statistics I see and are soon to join the Century Club! Back to top wolverine Century Club Joined: 16 Jan 2007 Posts: 394 Posted: Sat Feb 03, 2007 12:39 pm    Post subject: Nick Raine-Fenning wrote: wolverine wrote: 1 staging of cervical Ca requires MRI imaging It would be true if it was for HPV-16 What do you mean?? How does HPV relate to MRI? Apologies. That was the answer of the 1st question of the other group "premalignant changes". I was just waiting to see who is going to spot it first! But staging is Basically clinical and requires an EUA and cystoscopy/rectosigmoidoscopy and not an MRI therefore false! Back to top wolverine Century Club Joined: 16 Jan 2007 Posts: 394 Posted: Sat Feb 03, 2007 12:47 pm    Post subject: Quote: Depends what you (or the person who set the silly question!)mean by early disease Wolverine It was me bron who made that silly question Early I meant stage I and IIa (when surgery is adviced). And apart from Ia1 (microinvasion) where cone excision may sufice, for all the ather stages hysterectomy with pelvic lymphadenectomy is better adviced. All the other modalities are currently under evaluation as Nick said. Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sat Feb 03, 2007 12:49 pm    Post subject: wolverine wrote: Early I meant stage I and IIa (when surgery is adviced). And apart from Ia1 (microinvasion) where cone excision may sufice, for all the ather stages hysterectomy with pelvic lymphadenectomy is better adviced. Is that right? What about big Ib2's? wolverine wrote: Apologies. That was the answer of the 1st question of the other group "premalignant changes". I was just waiting to see who is going to spot it first! But staging is Basically clinical and requires an EUA and cystoscopy/rectosigmoidoscopy and not an MRI therefore false! Quite! Back to top bronwyn Century Club Joined: 19 Jul 2006 Posts: 144 Location: Alton, Hampshire Posted: Sat Feb 03, 2007 5:12 pm    Post subject: wolverine wrote: It was me bron who made that silly question Fantastic question then if it comes from you Keep them coming! And as Nick says, a typical RCOG one, necessitating reading, re-reading and reading again!!! BB btw Wolverine, were you the man in blue scrubs at Fridays teaching? Have just clicked who you are if it is you! _________________ Bronwyn Bell SpR Portsmouth Back to top wolverine Century Club Joined: 16 Jan 2007 Posts: 394 Posted: Sat Feb 03, 2007 7:23 pm    Post subject: Yes Bron that was me! Seems like we'll be seeing each other a lot in Portsmouth.. Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sat Feb 03, 2007 8:13 pm    Post subject: bronwyn wrote: btw Wolverine, were you the man in blue scrubs at Fridays teaching? Have just clicked who you are if it is you! Yes he was the handsome one in the corner who looks like Hugh Jackman but sprouts body hair and inter-phalangeal blades when angry - do not cross him Looks like you guys have a great bunch of people down on the South coast. Nice part of the world and many fond memories for me Back to top bronwyn Century Club Joined: 19 Jul 2006 Posts: 144 Location: Alton, Hampshire Posted: Sat Feb 03, 2007 8:25 pm    Post subject: wolverine wrote: Seems like we'll be seeing each other a lot in Portsmouth.. Excellent! Hope you're as much fun as our local greek god in Poole, Prof AA Better knock this exam on it's head....no time for studying in Portsmouth I believe Nick Raine-Fenning wrote: Yes he was the handsome one in the corner who looks like Hugh Jackman but sprouts body hair and inter-phalangeal blades when angry - do not cross him I will do my best to keep him & _________________ Bronwyn Bell SpR Portsmouth 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: MCQ & Past Paper questions All times are GMT Goto page Previous  1, 2 Page 2 of 2   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