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SAQ-obstetrics & gynaecology

The highlighted ones are the four you are to do to time and bring to teaching. Please use a timer (60 min for 4 questions) as a perfect 18 minute answer is an incomplete and failing 15 minute answer.

  O&G WEEK 1

2004/2/SAQ8: A 32 year old multiparous woman presents via ambulance with marked per vaginal bleeding following the precipitous delivery at home of her term infant 15 minutes previously. The infant is well and is under the care of the neonatal service. The ambulance service has been unable to establish intravenous access and her blood pressure is now unrecordable. Outline your management of this patient.(100%)

2004/1/SAQ6: A 28 year old woman who is 32 weeks pregnant is brought in by ambulance to your base hospital. She complains of seeing flashing lights and having headaches. At triage, her vitals are; HR: 80 beats/minute, BP: 135/95mmHg, GCS: 15/15. As you start to assess her, she has a grand mal seizure. Describe your management of this patient. (100%)

2005/1/SAQ3: You have just reviewed an 18 year old female who believes she is in premature labour. She is Gravida 1 and Parity 0. She is approximately 26 weeks pregnant by dates. She has received minimal antenatal care. a) Describe your assessment of this patient. (50%). b) Describe your management of this patient. (50%)

2007/2/SAQ2: Describe how the normal anatomical and physiological changes of pregnancy influence the assessment of a 32 week pregnant woman presenting with multiple trauma.(100%)

worked answers

O&G WEEK 2

JB: Compare and contrast the management of significant blod loss from primary post partum haemorrhage to that from menorrhagia (100%)

JB: An 18 year old institutionalized intellectually disabled woman is brought to the emergency department by her carers. She complains of abdominal cramps for two days. She is found to be pregnant. Describe your assessment (50%) and management (50%) of this woman.

JB: You have been asked to set up an emergency delivery package for your regional emergency department which has no dedicated obstetric service. Describe your approach to this task (100%)

JB: Discuss the assessment of women presenting to the emergency department with bleeding in early pregnancy. (100%)

worked answers

2010/1/SAQ4: Discuss the investigations for a suspected pulmonary embolus in a 24 year old woman who is 10 weeks pregnant. (100%)

examiner's comments

2009/1/SAQ1: Write a guideline for the assessment of first trimester bleeding.(100%)

examiner's comments

2008/2/SAQ8: A 32 year old woman who is 33 weeks pregnant is referred to your emergency department because of a blood pressure of 140/95 and right upper quadrant pain for 24 hours. One hour after arriving in the emergency department, the patient begins to have a grand mal seizure. Describe your management. (100%)

examiner's comments

2007/1/SAQ6: A 19 year old woman presents with a 12 hour history of right iliac fossa pain and tenderness. a) List your main differential diagnoses.(30%) b) Compare and contrast the utility of computerised axial tomography and ultrasound for these conditions. (70%)

examiner's comments

2003/2/SAQ8: A 22 year old woman presents following an alleged assault. She is withdrawn and will not discuss details of the incident. On examination she has multiple bruises of varying appearance over her body and face. The nursing staff report blood on her underpants while undressing. Describe your assessment of this woman (100%).

examiner's comments

2001/1/SAQ7: A 30 year old woman who has been fitting for 45 minutes arrives by ambulance. She is 36 weeks pregnant. Discuss the Emergency Department management of this patient. (100%)

examiner's comments

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