By Kalaivani Ramalingam, Latha M Palanivelu
This e-book presents these learning for the MRCOG half 2 exam with welcome perform in answering the newly brought EMQ variety of query. Modelled at the present MRCOG syllabus, the ebook is designed to check the candidate's theoretical and useful wisdom of obstetrics and gynecology. The booklet opens with an introductory part, explaining the EMQ and its position within the exam, and advising applicants on how they need to strategy this query sort with a view to receive the top marks.This is through a set of seventy five EMQ topics, with a complete of 350 questions for the reader to aim. The questions are in accordance with universal scientific situations and canopy a number of subject matters. solutions are incorporated after every one subject, and those comprise explanatory fabric and invaluable references. With a focus at the center parts of the syllabus and a large and sundry collection of perform EMQs, this booklet can be a useful addition to the bookshelves of all applicants in instruction for the MRCOG half 2.
Read or Download EMQS for MRCOG part 2: A Self Assessment Guide (Hodder Arnold Publication) (Pt. 2) PDF
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Additional info for EMQS for MRCOG part 2: A Self Assessment Guide (Hodder Arnold Publication) (Pt. 2)
Sample text
LFTs are as follows: bilirubin 10 mg/dl, AST 50 IU, ALT 45 IU, alkaline phosphatase 480 IU. 48 l/L, and urine analysis shows ketones. What is the most likely diagnosis? F Ketonuria and haematemesis are suggestive of hyperemesis gravidarum. A 24-year-old pregnant lady presents at 20 weeks’ gestation with severe abdominal pain and dehydration. She has recently been diagnosed with gallstones. LFTs are as follows: bilirubin 25 mg/dl, amylase 1000 IU, AST 60 IU, ALT 68 IU and alkaline phosphatase 1500 IU.
If, however, the patient wishes to continue with the pregnancy, adjuvant therapy should be delayed until the second trimester. A 39- year-old in her first pregnancy presents at 27 weeks of gestation with a lump in her left breast. Ultrasound examination shows a localised 3 cm lesion in the left breast, and a subsequent biopsy shows a ductal carcinoma. D For early-stage cancer detected in the second trimester, lumpectomy can be followed by chemotherapy, and radiation can be withheld until after birth.
Fundoscopy reveals bilateral papilloedema. Answers: see page 47. 35 MEDICAL COMPLICATIONS ANSWERS 6 Breast cancer in pregnancy Answers: E D L N A 28-year-old lady who is 12 weeks’ gestation in her first pregnancy presents to her GP with a painless 2 cm lump in her right breast. She is seen by a specialist surgeon who makes the diagnosis of infiltrative ductal carcinoma on biopsy. The immunohistology of the biopsy demonstrates an oestrogen receptor-positive status. E With the finding of an infiltrative ductal carcinoma there is a significant chance that the patient will require some form of adjuvant therapy after surgery.