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Exam (elaborations)

Clinical Essays in Obstetrics and Gynaecology for MRCOG Part II (And Other Postgraduate Exams) 2007

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Clinical Essays in Obstetrics and Gynaecology for MRCOG Part II (And Other Postgraduate Exams) 2007

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“ClinicalEsaysin




Foreword ; - . a |
Anthony Hollingworth _ JAYPEE

, Contents

Part 1: Obstetrics
SES |: Siccck ds Sgr orERS EO TR, et 3
LSCS versus vaginal delivery—;
Air travel in pregnancy
SLE preconception counseller v
Postpartum hemorrhage

LS ke So Ser ES EOC Oa TE a OE A oe 11
Smoking and drug abuse in pregnancy ¥
Group B Streptococcus (GBS) in high vaginal swab in late pregnancy
Choroid plexus cysts in routine anomaly scan \,
Obesity and pregnancy

ieee era an rs Pay seh ovis n esos sae sca vasece avs sckeTananened ened nahn detarshcacdenankarndl 18
Uses of anti-D
Breech presentation at 38 weeks
Anterior abdominal defects in fetus at routine scan \,
Management of epilepsy, preconceptional counseling \

(OILS OU3: ik teas eee Es te OPA TEE TEED PEC AE eR Saeeeecaeeee 25
Prediction and management of shoulder dystocia +
Effects of vaginal delivery on pelvic floor \
Premature rupture of membranes at 25 weeks \
Hyperemesis in pregnancy

I ge eatin ry Deca Areas scsi ruc ficay aghastevrapsoenenseapditeahiodessizienabenttunncbas a2
Management of HELLP syndrome
Unstable lie at 38 weeks
Risk management in obstetrics
Management options for poor progress of labor

PUQEl OF cocte-c-- Fe NNEC ORT IET Vash S71 te ctenagatieg ARUN eoka asin aferans soesetgsa ois eden 38
Debate on routine use of first trimester ultrasound )
Varicella exposure in pregnancy
Postpartum dyspareunia
Pregnant victim of domestic violence , |

,xii / Clinical Essay in Obstetrics and Gynecology for MRCOG (Part 2)
|
2175)cl meres Vere rd cetera eR cin PAVE Yee ete ee re ADA ote aceon 43
Management of pregnancy at 41 weeks \
Malaria in pregnancy
Teenage pregnancy
Breast lump in a pregnant woman ,

PADOF Bs ccscescocessvnie saceteye eeninsae vevvetisbera ve ceae eqn ps te ete etatste et eee 50
Urinary retention after forceps delivery '
Outbreak of parvovirus B-19 infection in a school with pregnant teachér
Pregnancy with previous history of DVT +
Counseling for fetal reduction in a Quadruple pregnancy!

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hetattdgy PTssteeTtReet Tearent ee aaa iif
Investigations for recurrent pregnancy loss
Severe anemia in pregnancy ‘
Pain relief during labor
Echogenic bowel in fetus on routine scan

Papert 10 csccccesseanasnsonssctsnsoieescentonceshgensted
stn nanan teths test nerontsameaaeta cataaale ae eae 64
Pyelonephritis in pregnancy
Pregnancy with severe dyskaryosis on Pap smear |
Various screening tests for Down syndrome in pregnancy
Pregnancy with history of depression \

PUOGEE LT rete ian aaa ceoisin ese: atmos oe rhde cad bgesonone sae higsns enntviae fapesibwncenanc tae eee eee eam 72
Obstetric cholestasis in pregnancy
Intrauterine fetal demise in twin pregnancy \_
Detection and management of gestational diabetes mellitus \,
Management of HIV positive pregnancy

Paper 12 sisvcinssascsssessnsen cates n ene eeaee Mt Le oe 81
Debate on prenatal diagnostic tests
Consent for postmortem examination of a fresh stillborn baby
Hypothyroidism in pregnancy
Diagnosis and management of fetal growth restriction

Part 2: Gynecology
PAE ancacisccks eviosinsaopthgnsnnrenamienear meee tates cas eceavor access ossees <5 tee eee 91
Premenstrual syndrome
Newborn with ambiguous genitalia—advice to parents
Ectopic pregnancy in an IVF cycle
Urinary incontinence-investigations

, Contents / xiii
Paper 2
Break through bleeding on pills—management
Initial assessment of infertile couple \
Management options of fibroid uterus ,
Partial H. mole in histopathology for missed miscarriagey

Paper 3
Options for a woman requesting abortion |
Missed pills _
Management of symptomatic vault prolapse
Precautions to minimize urinary morbidity during hysterectomy |

Paper 4
Missed miscarriage—diagnosis
Post coital bleeding in a young parous woman \_/
Contraceptive advice for a 42-year old woman \
Dysmennorhoea ,

TIO ot A SE AEE aah DRE Te Reet bel AA DOA TS ER RE Re CE
Endometrial hyperplasia-management \
Counselling for tubai ligation |
Steps for safe abdominal laparoscopic entry
Chocolate cysts in an infertile woman {| |

Ea are crepe NS Og coda og Soni po eau ships nvvvdosneppah Naveed Gosenhostanintande
Consent for abdominal hysterectomy
Management of chronic pelvic pain \_
Bladder injury while performing hysterectomy \,
Ovarian cyst in a young non-pregnant woman __/

age ace ete art NG igh di Dacte tenderer n¢ceaicsrntcetns cr Ois svopwstsvseasaiee
Premature ovarian failure \
Vulval cancer—management
Bowel injury during laparoscopy
Emergency contraception ,

WD CIED ea earns tetatecs acct erenteue Uheyereers Drie finden Livowios sien rasecednggMlaovseaseousnsndtannnitonres
Polycystic ovaries on ultrasound—counseling
Recurrent urinary tract infections-management\,
Precocious puberty.
Endometrial ablation Vs. hysterectomy—debate

PAPEL D ..ecsssessesserserserccnensensssecscnssnssessscesssssnssnsesneeneeseeneeneeseeneeseneeeeensesseesessettees
Ovarian cancer-chemotherapy ,
Retained vaginal swab in postnatal period
Contraceptive advice for a 15-year old /
Changing role of HRT after WHI study y

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