By Justin Konje
This e-book demonstrated itself in its first variation because the definitive 'one-stop-shop' revision relief; the one one on hand to surround all parts of the MRCOG half 2 exam in one quantity. Now incorporating perform EMQs in addition to the traditional query varieties, this moment variation will make sure that it keeps its position at the 'must-have' checklist for each candidate getting ready for this exam.
Concentrating on trying out the candidate's theoretical and useful wisdom as steered within the present MRCOG syllabus, the e-book exams the trainee with questions in obstetrics and gynaecology and people features of medication, surgical procedure and paediatrics correct to the perform of both.
The ebook is split into 4 key components, one for every variety of query, every one of which opens with an introductory part on easy methods to strategy the examination and, crucially, tips to fail it.
# half 1 presents a sequence of brief resolution perform papers. universal blunders are highlighted in addition to an inventory of key issues required to get complete marks. A pattern solution is given for every question
# half 2 features a mock paper for the MCQ a part of the examination, containing 225 questions with solutions and precious annotations
# half three introduces the EMQ, giving the reader forty questions within the sort of the exam, including solutions and explanatory notes
# half four is dedicated to the OSCE, with descriptions of 20 pattern stations assessing various facets of scientific perform, suggestion on how you can take on those, and steered marking schemes.
Throughout, questions were designed to check actual wisdom and knowing, problem-solving skill, and medical and verbal exchange abilities.
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Extra resources for SAQs, MCQs, EMQs and OSCEs for MRCOG Part 2, Second edition: A comprehensive guide (Arnold Publications)
Finally, the type of contact should be established. Infection is more likely with signiﬁcant contact, deﬁned as spending at least 15 minutes in the same room as the infected individual, face-to-face contact and in the setting of an open ward. If the pupil is in the teacher’s class, then she would most likely have had signiﬁcant contact. The susceptibility of the patient is important. Has she had VZV infection in the past? If her immune status is uncertain, IgG antibodies should be measured in her serum.
Any ﬁts should be stopped by the administration of intravenous MgSO4 4 g slowly over a period of 10–15 minutes followed by 2 g every 2 hours for maintenance and suppression of further ﬁts. Randomised controlled trials have shown conclusively that this regimen is not only more effective in stopping convulsions but is associated with fewer side-effects (both to the mother and fetus) than intravenous diazepam in the management of eclampsia. With the administration of this drug, an intravenous line should be secured and bloods collected for a FBC, U&Es, creatinine and uric acid levels, group and save, LFTs and ﬁbrinogen and FDPs.
A 27-year-old known hypertensive, in her ﬁrst pregnancy, books for antenatal care at 10 weeks’ gestation. (a) Discuss the complications that she may have and how you will diagnose them. (6 marks) (b) What steps will you take to improve the outcome of pregnancy? (14 marks) 4. A 26-year-old books for antenatal care at 8 weeks’ gestation. (a) Brieﬂy discuss the risk factors for PET that you will obtain from her history. (8 marks) (b) How may you reduce the risk of her developing PET? (12 marks) 5.