Possible essay topics.

Home Page MRCOG MCQ topics

Abbreviations:

"BJOG"  = British Journal of O&G.

“Essay”   = date(s) the topic appeared in the essays.

“GTG”      = date of the RCOG Green-top guideline on the topic.

"JG"         = joint guideline: e.g. RCOG + Royal College of Midwives.

“TOG”      = dates of articles on the subject in The Obstetrician & Gynaecologist”.

“OGRM”  = dates of articles on the subject in Obstetrics, Gynaecology & Reproductive Medicine”.

 

Introduction.

It is usually possible to "spot" a few of the essay questions.

If a topic features on more than one of the lists below, that makes it more likely to appear.

The most useful information is probably my final selection of "hot topics".

If you have others that you think should be on the list, let me know.

If any of those on the list should not be there, tell me.

 

List of topics.

  1. abbreviations.
  2. introduction
  3. final selection of "hot topics". Being updated February 2010.
  4. topics derived from the "Green Top" guidelines. Updated February 2009.
  5. topics derived from NICE guidelines.
  6. topics derived from recent TOG articles. Updated February 2009.
  7. topics derived from "Obstetrics, Gynaecology & Reproductive Medicine"
  8. topics that may appear repeatedly.  Updated February 2009.
  9. topics that have appeared recently and are unlikely to re-appear for a while.
  10. things to read up the night before.
  11. other.

 

    Return to List of Topics.

    Return to top of the Page.

    Go to the bottom of the page and other links.

 

Final selection of "hot topics".

2 February 2010.

I have started the tedious and extremely time-consuming task of spotting hot topics.

I will be adding to this list over the next week or so: make sure you keep returning.

But you can make a start now.

Read any Green-tops, NICE guidelines, MCQ answers, TOG and OGRM articles relating to the topic.

Make out an essay plan.

Then make out cards!

I am producing this by amalgamating the lists from:

    GreenTop & NICE guidelines, past essay questions, TOG articles and OGRM articles and BJOG editorials.

I have tried to prioritise, so that the ones I most fancy come at the top.

I have put in neonatal screening and advise that you read it.

It has not appeared in the essays, but has changed radically in recent years, so is a likely topic.

Other neonatal topics like jaundice, resuscitation and examination could feature.

Have a session to cover them with a friendly paediatric registrar.

Fragile X syndrome has not featured in the essays, but must do so one day.

Vitamin supplementation and pregnancy was the subject of the RCOG's SAC Opinion Paper 16 published in 2009.

Folic acid fortification of flour was the subject of the RCOG's SAC Opinion Paper 4 published in 2003.

I have written a model essay.

Cancer is a likely essay and one of those things you must prepare, but revise in the days before the exam.

Molar pregnancy. Hydatidiform. Complete. Management. At 4/12 she bleeds. Counsel.

March

2009

Cancer. Colposcopy. ? ca cervix.

September

2008

Cancer cervical. Why successful? Recent advances. Limits

September

2007

Cancer. Palliative care in gynae oncology

March

2007

Molar pregnancy

March

2006

Cancer ovarian: +ve family history. Discuss screening

September

2005

Cancer: endometrial.

March

2005

Cancer. HRT + risks of breast cancer

September

2004

Cancer. Endometrial hyperplasia. Age 50. Abnormal bleeding

March

2004

Cancer. Palliative care in gynae oncology

March

2003

Cancer cervix. Why does it still occur?

September

2002

PMB. Age 90. Endometrium 15 mm. Mgt.

September

2002

Molar pregnancy. Hydatidiform

March

2002

Cancer vulval. Invasive squamous. 70 yrs. Surgical mgt.

September

2001

Cancer. Endometrial hyperplasia. 49. Menstrual problems

March

2001

Cancer. CIGN. Multip. Asymptomatic

September

1999

Cancer ovarian. Morbidity of chemotherapy. How to reduce

March

1999

Cancer ovary. Objectives of surgery

September

1998

Cancer. Ovarian. Objectives of surgery

September

1998

Cancer. Choriocarcinoma. Prognostic factors

March

1998

Cancer. VIN. Treatment with regard to natural history

March

1998

Cancer Endometrial & HRT

September

1997

 

Cancer of the cervix has appeared in various forms in 1999, 2002, 2007 and 2008.

I think another topic is more likely:

    ovary, endometrium, vulva, screening and palliative care.

There are various articles in TOG and OGRM, including a "model essay" about a woman requesting screening for ovarian cancer.

OGRM has had the following articles recently:

    Principles of chemotherapy and radiotherapy. March 2009.

   Palliative care. June 2009.

   Ovarian cancer management. May 2009.

   Organisation of oncology services. March 2007.

   Vulval cancer. March 2008.

   Cancer in pregnancy. October 2008.

   Cancer of the cervix. June 2007.

   Pelvic mass. July 2008.

   Endometrial cancer. November 2007.

TOG has also had a lot of articles.

   Inherited gynae cancer syndromes. 2008.

   Early ovarian cancer management. 2007.

   Chemotherapy for ovarian cancer. 2007.

   Gynae cancer and the Pill. 2004.

   Screening for familial gynaecological and breast cancer.

   Endometrial cancer management. 2003.

   Cervical cancer management. 2004.

   Endometrial cancer & lymphadenectomy. 2009.

   Fallopian tube cancer 2006.

The RCOG published SAC No 12, "Targeted Therapies for the Management of Ovarian Cancer" in December 2008.

You can't pick a single hot favourite from this lot.

You need to prepare for screening and the management of the common cancers, particularly ovary.

Watch out for that difficult one about prognostic factors in choriocarcinoma.

It came in 1998 and could come again.

It is dealt with in MCQ 6, question 19.

Make out a card with the FIGO scoring system.

Put it into your bundle of things for last-minute revision.

Palliative care came in 1999, 2003 and 2007, so it will return soon.

Definitely one to prepare - there was an article in OGRM is June 2009.

It is a favourite as you need to know about palliative radiotherapy and chemotherapy, pain relief and relief of nausea.

Also about support systems: GPs and community nurses, Macmillan nurses, and hospices.

You also need to think about legal stuff; the right of the individual to decline treatment, making a will etc.

Organ donation is not usually an issue, but worth mentioning as negative statements often get a mark.

You need to involve religious groups for those with religious faith.

And you need to think about care of the relatives.

Contraception is a regular topic.

Contraception: copper IUCD, 5 yrs in situ. Occ missed K. Age 47

September

1998

Contraception: Pill. Non-contraceptive advantages

March

1998

Contraception. Effect on subsequent fertility

March

1999

Contraception: emergency. 17. Ist coitus.

September

1999

Contraception: IUCD. Lost threads. Age 38. Management

September

2003

Contraception: Pill: breakthrough bleeding

March

2004

Contraception: Pill & DVT risk – sister has had DVT

March

2005

Contraception: emergency

March

2007

Contraception: LARC. Adv & disadvantages. Migraine March 2009

There has been a contraception essay in 9 of the past 12 years.

So, it features on average once in every 1.3 years.

This makes it likely this year.

I think you need to prepare all of these, with the exception of LARC.

Emergency contraception has changed dramatically with the arrival of Ulipristal.

If the examination committee had heard of it when setting up the questions, it would make EC likely as no other topic has changed much.

 

And, after that rather long introduction, here is the list of "hot" topics.

 

Hot Topics for March 2010.

Topic

Essay

GTG

TOG

OGRM

VTE thromboprophylaxis

 -

04

06 07

-

VTE & pregnancy

-

07

06 07

-

VTE & the Pill

05

04

-

-

Female genital mutilation - 09 07 08

Blood transfusion

02

07

-

07,08

Cell salvage - BJOG09E 10 -

Psychiatric illness in pregnancy & puerperium

02, 05

NICE 07

08, 09

09

Premenstrual syndrome

03

08

08

08

Alcohol & substance abuse

99, 02

06 alcohol

00

07

PCOS & long-term effects

00 03 05

07

04

06

Vaginal discharge in the pre-pubertal.

-

-

07

-

Chickenpox & pregnancy

03

07

05

08

Herpes & pregnancy

98, 02

07

05

08

Gp B Streptococcus & pregnancy

00

03

05

-

Cystic fibrosis & pregnancy - - 09 10

Cord prolapse

-

08

-

-

Parvovirus & pregnancy

98

-

05

08

Malaria & pregnancy

-

-

05

08

Tuberculosis

      08
Contraception - see above        
Neonatal jaundice - - - -
Neonatal resuscitation - - - 09
Neonatal screening - - - -

Rape. Forensic examination

04

-

05 06

07

Chlamydia screening

00

BJOG 09

-

09

Pre-implantation genetic diagnosis & screening

-

-

08

07

Air travel & pregnancy

03

SAC 08

02

-

Hirsutism 06 - 09 08
Cancer: see discussion above        

Breast ca & pregnancy

-

04

05

08

Pelvic  infection

04

08

04

-

Neurological disease: especially epilepsy 99, 04 epilepsy   06, 10 09
Chronic renal disease & pregnancy - RCOG 08 09 07
Recurrent miscarriage 00 04 03 SAC 08 04 07

Downs syndrome screening

01

NICE 08

01

-

Sickle cell disease & pregnancy - - 05 08
Mesh & prolapse repair - BJOG 08 09 08
Pregnancy: bleeding disorders, inherited 07 VonW 2007 08 -
cffDNA / non-invasive screening

-

SAC 09, BJOG 09

06

06

Adolescent pregnancy.

04

-

07

-

Shoulder dystocia

98 03

05

01 05 06

09

Thyroid disease & pregnancy

01

01

08

08

Tocolytics / Pre-T labour

05

02

04 07 08

07

Breech & ECV

00, 05

06

07

-

Delayed cord clamping.

-

SAC 09

08

 

US screening & Fetal structural abnormalities - RCOG 00 01, 08 07

Precocious puberty

00

-

-

08

Postpartum disaster: PPH

00, 04

-

-

07, 09

Postpartum disaster: collapse

01

-

-

09

Postpartum disaster: inversion -   09  

Risk management

-

various guidance

07

07, 08

Cornual pregnancy 97 - 07 -
Folic acid fortification of flour - SAC 03 - -
Vitamin supplements - SAC 09 - -
HRT: oestrogen and alternative Rx 99,00,04   02, 05 09
Home birth   RCOG/RCM 07, BJOG 09, RCOG 09 ONS    
HPV vaccine - SAC 09, BJOG 09, Stats DOH 10 01,09 07, 09
Osteoporosis 02   99 09

Instrumental delivery.

05

05

-

08

Labour. Normal. Management.     01 04

Multiple pregnancy. How to reduce risk

02

-

-

-

Postmaturity

00

-

00

-

Botulinum toxin in urogynae

08

-

06

-

Botulinum toxin non-urog use

-

-

08

-

Anti-D for Rh prophylaxis

04

02

07

-

Adhesion prevention 05 - - -

The above are on the March 2010 list.

The ones below are still being edited.

 

Anovulation

02

-

-

-

Anaemia & pregnancy

04

-

-

-

         

Slow progress in labour

99

NICE 07

-

07

Urinary incontinence.

00, 03 05

-

06

08

Thrombocytopenia & pregnancy

00

-

-

-

Sterilization.

-

-

06

07

Renal transplant & pregnancy

97

-

-

-

Postmenopausal bleeding. Investigation

03

-

-

-

PMB investigation and management

03

-

-

-

Menorrhagia 98, 99, 05, 09 NICE 07 08 08
         

Ovarian cyst. Post meno

00 04

03

02

07 08

Osteoporosis

02

-

-

-

MRSA

05

-

-

-

Menopause.

-

-

06

08

IUGR & SGA

01

02

-

08

Hydrops. Non-immune

99

-

-

-

Hydramnios

99

-

-

-

HRT & breast cancer risk

00, 04

-

-

-

HPV

 

 

06

07

Echogenic bowel

02

-

-

-

Contraception: long-acting reversible

 

NICE 05

-

-

Contraception: IUCD

98, 03

-

-

08

Consent

03

various guidance

06

07

Choroid plexus cyst

00, 03

-

-

-

Choriocarcinoma: prognostic factors

98

04

-

-

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Topics derived from the "Green Top" Guidleines.

If a topic is important enough to merit a "Green Top", it is almost certain to be the basis of an essay at some time.

For example, "Early pregnancy loss" featured in the exam in 2002 and 2004.

But there was an updated guideline in 2006 and a TOG article in 2007.

The subject duly reappeared in the essays in March 2008.

If you look at "Alcohol & pregnancy", there is a guideline from 2006.

There is advice from the Department of Health and a load of media chatter.

It has never appeared in the essays, so must do so in the near future.

"Venous thrombo-embolism" has not appeared in the essays since 1999.

But we have a 2007 guideline and TOG articles in 2006 and 2007.

It has got to come soon!

I also fancy infection in pregnancy, which could be anything from chickenpox and parvovirus to malaria and tuberculosis.

Blood transfusion has a new guideline for 2008.

It appeared in the essays in 2002, so is likely to do so again in the near future.

 

So, my "hot" topics would include:

Topics highlighted in yellow have not appeared in the exam as essays.

Topics highlighted in green are also in the list derived from the table of short essay topics.

Topic Exam essay Greentop guideline
Alcohol - 2006
Blood transfusion. 2002 2007
Cord prolapse - 2008
Eclampsia 1999, 2002 2006
Endometriosis   * Also TOG article in 2004   2006
Chickenpox, but could also be parvovirus 2003 2007
Herpes 1998, 2002 2007
Malaria. - TOG 2005
Polycystic ovary syndrome & its long-term consequences 2000, 03, 05 2008
Premenstrual syndrome 2003 2008

Shoulder dystocia / Erb’s palsy

1998, 2003 2005
VTE & pregnancy. In TOG 2006 & 2007 - 2007
VTE & Pill   2004

 VTE and HRT is also overdue.

 Some of these have MCQs on this web site.

 

    Return to List of Topics.

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    Go to the bottom of the page and other links.

 

 

Topics derived from recent TOG articles.

I went through TOG back to 2005.

Then I looked to see if the subject had appeared as an essay in the exam.

And in "Obstetrics, Gynaecology and Reproductive Medicine".

 

Menopause: sexual dysfunction

TOG articles by topic

Year

Abortion & domestic violence

2009

Adenomyosis

2009

Cancer: endometrial: lymphadenectomy

2009

Cancer: fertility saving

2009

Cancer: ovarian early

2009

Chronic renal disease & pregnancy

2009

Clinical governance: aggression & conflict

2009

CMV & pregnancy

2009

Contraception: LARC

2009

Cystic fibrosis & pregnancy

2009

Domestic violence & abortion

2009

Fertility-saving & cancer

2009

Fetal infection

2009

Fetal movements: reduced

2009

Hirsutism

2009

HPV vaccine update

2009

Labia: fused paediatric

2009

LARC

2009

Menopause: vulva

2009

Mesh & prolapse

2009

Non-anti-D antibodies & pregnancy

2009

Obesity & pregnancy

2009

Obesity: effect on practice & outcome

2009

Paediatric: fused labia

2009

Pelvic floor: childbirth

2009

Perineal clinic: set up

2009

PPH: surgery

2009

Pregnancy: abortion and domestic violence

2009

Pregnancy: chronic renal disease

2009

Pregnancy: CMV

2009

Pregnancy: cystic fibrosis

2009

Pregnancy: domestic violence and abortion

2009

Pregnancy: fetal infection

2009

Pregnancy: fire-drill training

2009

Pregnancy: non-anti-D antibodies

2009

Pregnancy: obesity

2009

Pregnancy: outcome after UAE

2009

Pregnancy: pelvic floor

2009

Pregnancy: PPH: surgery

2009

Pregnancy: reduced fetal movements

2009

Pregnancy: surrogacy

2009

Pregnancy: thrombocytopenia

2009

Pregnancy: uterine inversion

2009

Risk management: fire-drill training

2009

Sexual function & vaginal surgery

2009

Surrogacy

2009

Surrogate pregnancy

2009

Thrombocytopenia & pregnancy

2009

Urinary incontinence: NICE guideline

2009

Urogynae: mesh and prolapse

2009

Uro-gynae: NICE and incontinence

2009

Uro-gynae: perineal clinic how to set up

2009

Uro-gynae: sexual function and vaginal surgery

2009

Uterine artery embolisation: pregnancy outcome

2009

Uterine inversion

2009

Vulva: menopausal

2009

 

Topic TOG Essay Guideline TOG

Menopause: sexual dysfunction

2010

 

 

 

Mental Capacity Act

2010

 

 

 

Pelvic pain: laparoscopy threshold

2010

 

 

 

Pregnancy: women who decline blood products

2010

 

 

 

Pregnancy: placental accreta plan

2010

 

 

 

Sexual dysfunction in postmenopausal women

2010

 

 

 

Abortion & domestic violence

2009

 

 

 

Adenomyosis

2009

 

 

 

Cancer: endometrial: lymphadenectomy

2009

 

 

 

Cancer: fertility saving

2009

 

 

 

Cancer: ovarian early

2009

 

 

 

Clinical governance: aggression & conflict

2009

 

 

 

CMV & pregnancy

2009

 

 

 

Contraception: LARC

2009

 

 

 

Cystic fibrosis & pregnancy

2009

 

 

 

Domestic violence & abortion

2009

 

 

 

Fertility-saving & cancer

2009

 

 

 

Fetal infection

2009

 

 

 

Fetal movements: reduced

2009

 

 

 

Hirsutism

2009

 

 

 

HPV vaccine update

2009

 

 

 

Labia: fused paediatric

2009

 

 

 

LARC

2009

 

 

 

Menopause: vulva

2009

 

 

 

Mesh & prolapse

2009

 

 

 

Non-anti-D antibodies & pregnancy

2009

 

 

 

Obesity & pregnancy

2009

 

 

 

Obesity: effect on practice & outcome

2009

 

 

 

Paediatric: fused labia

2009

 

 

 

Pelvic floor: childbirth

2009

 

 

 

Perineal clinic: set up

2009

 

 

 

PPH: surgery

2009

 

 

 

Pregnancy: abortion and domestic violence

2009

 

 

 

Pregnancy: chronic renal disease

2009

 

 

 

Pregnancy: CMV

2009

 

 

 

Pregnancy: cystic fibrosis

2009

 

 

 

Pregnancy: domestic violence and abortion

2009

 

 

 

Pregnancy: fetal infection

2009

 

 

 

Pregnancy: fire-drill training

2009

 

 

 

Pregnancy: non-anti-D antibodies

2009

 

 

 

Pregnancy: obesity

2009

 

 

 

Pregnancy: outcome after UAE

2009

 

 

 

Pregnancy: pelvic floor

2009

 

 

 

Pregnancy: PPH: surgery

2009

 

 

 

Pregnancy: reduced fetal movements

2009

 

 

 

Pregnancy: surrogacy

2009

 

 

 

Pregnancy: thrombocytopenia

2009

 

 

 

Pregnancy: uterine inversion

2009

 

 

 

Risk management: fire-drill training

2009

 

 

 

Sexual function & vaginal surgery

2009

 

 

 

Surrogacy

2009

 

 

 

Surrogate pregnancy

2009

 

 

 

Thrombocytopenia & pregnancy

2009

 

 

 

Urinary incontinence: NICE guideline

2009

 

 

 

Urogynae: mesh and prolapse

2009

 

 

 

Uro-gynae: NICE and incontinence

2009

 

 

 

Uro-gynae: perineal clinic how to set up

2009

 

 

 

Uro-gynae: sexual function and vaginal surgery

2009

 

 

 

Uterine artery embolisation: pregnancy outcome

2009

 

 

 

Uterine inversion

2009

 

 

 

Vulva: menopausal

2009

 

 

 

ART & tubal disease

2008

 

 

 

Botulinum toxin: non-urological uses

2008

 

 

 

Breech delivery: pros & cons

2008

 

 

 

Cancer: inherited syndromes

2008

 

 

 

Cervical insufficiency

2008

 

 

 

Clinical governance: debriefing staff

2008

 

 

 

Colpocleisis

2008

 

 

 

Congenital abnormality: failure to detect & treat

2008

 

 

 

Contraception: under-16s. Confidentiality & methods

2008

 

 

 

Cord clamping: delayed

2008

 

 

 

Depression during pregnancy: risk factors & treatment

2008

 

 

 

Embryo transfer: elective single

2008

 

 

 

Endometrial hyperplasia

2008

 

 

 

HIV. Women’s health. Recent developments

2008

 

 

 

Inherited cancer syndromes

2008

 

 

 

Molar pregnancy

2008

 

 

 

PGD: ethics

2008

 

 

 

Postnatal affective disorders 1: introduction

2008

 

 

 

Postnatal affective disorders 2: prevention and management

2008

 

 

 

Pregnancy: cervical insufficiency

2008

 

 

 

Pregnancy: cord clamping

2008

 

 

 

Pregnancy: depression. Risk factors & treatment.

2008

 

 

 

Pregnancy: ethnic minorities & maternal death

2008

 

 

 

Pregnancy: molar pregnancy

2008

 

 

 

Pregnancy: PGD: ethics

2008

 

 

 

Pregnancy: postnatal affective disorders 1

2008

 

 

 

Pregnancy: postnatal affective disorders 2

2008

 

 

 

Pregnancy: postpartum voiding dysfunction

2008

 

 

 

Pregnancy: preimplantation testing

2008

 

 

 

Pregnancy: PUL

2008

 

 

 

Pregnancy: thyroid disease

2008

 

 

 

Pregnancy: UTI

2008

 

 

 

Pregnancy: vaginal breech delivery

2008

 

 

 

Pregnancy: vasa previa

2008

 

 

 

Pre-implantation genetic diagnosis. Ethics

2008

 

 

 

Pre-implantation testing for aneuploidy

2008

 

 

 

PUL: evidence-based approach

2008

 

 

 

Recurrent UTI in gynae

2008

 

 

 

Risk management: fetal anomaly failure to detect

2008

 

 

 

Risk management: good governance

2008

 

 

 

Single embryo transfer

2008

 

 

 

Thyroid disease in pregnancy

2008

 

 

 

Tubal disease and assisted reproduction

2008

 

 

 

Urinary tract: recurrent infection in gynae

2008

 

 

 

Uro-gynae: colpocleisis

2008

 

 

 

Urogynae: postpartum voiding dysfunction

2008

 

 

 

Urology: postpartum voiding dysfunction

2008

 

 

 

UTI in pregnancy

2008

 

 

 

UTI recurrent in gynae

2008

 

 

 

Vaginal breech delivery

2008

 

 

 

Vasa previa

2008

 

 

 

Voiding dysfunction postpartum

2008

 

 

 

Anticholinergic drugs for overactive bladder

2007

 

 

 

Bleeding disorders & pregnancy

2007

 

 

 

Breech delivery: mode of choice

2007

 

 

 

Caesarean section: VBAC

2007

 

 

 

Cancer: leiomyosarcoma

2007

 

 

 

Cancer: ovarian chemotherapy

2007

 

 

 

Cancer: ovarian. Chemotherapy. New developments

2007

 

 

 

Cancer: ovarian. early-stage management

2007

 

 

 

Cancer: sentinel node mapping

2007

 

 

 

Cardiac disease 1 congenital

2007

 

 

 

Chemotherapy: ovarian cancer

2007

 

 

 

Clinical guidelines: adapting for local use

2007

 

 

 

Cloning

2007

 

 

 

Cornual pregnancy

2007

 

 

 

Dental manifestations of pregnancy

2007

 

 

 

Endometriosis surgery

2007

 

 

 

FGM

2007

 

 

 

Heavy menstrual bleeding  & minimal access

2007

 

 

 

Menorrhagia: minimal access techniques

2007

 

 

 

Minimal access & heavy menstrual bleeding

2007

 

 

 

Miscarriage: modern management

2007

 

 

 

Ovarian cancer early

2007

 

 

 

Paediatrics: vaginal discharge in a child

2007

 

 

 

Painful bladder & interstitial cystitis.

2007

 

 

 

Perineal care

2007

 

 

 

Pregnancy: adolescent. Management.

2007

 

 

 

Pregnancy: breech delivery. Mode of choice

2007

 

 

 

Pregnancy: cardiac disease. Part 1: Congenital.

2007

 

 

 

Pregnancy: cardiac disease. Part 2: Acquired.

2007

 

 

 

Pregnancy: corneal (interstitial) management

2007

 

 

 

Pregnancy: dental manifestations

2007

 

 

 

Pregnancy: FGM

2007

 

 

 

Pregnancy: genital mutilation

2007

 

 

 

Pregnancy: genital tract haematoma

2007

 

 

 

Pregnancy: inherited bleeding disorders

2007

 

 

 

Pregnancy: miscarriage: modern management

2007

 

 

 

Pregnancy: perineal care

2007

 

 

 

Pregnancy: teenage pregnancy

2007

 

 

 

Pregnancy: VBAC

2007

 

 

 

Pregnancy: VTE in obstetrics 2

2007

 

 

 

Psychosexual disorders

2007

 

 

 

Risk management: breech delivery

2007

 

 

 

Risk management: confidentiality, access to medical records

2007

 

 

 

Risk management: guidelines

2007

 

 

 

Teenage pregnancy

2007

 

 

 

Thrombosis in obstetrics. Part 2. Diagnosis & treatment

2007

 

 

 

Urinary incontinence. Anti-cholinergic drugs

2007

 

 

 

Urinary incontinence: mesh-free anterior wall repair

2007

 

 

 

Uro-gynae: anticholinergic drugs for overactive bladder

2007

 

 

 

Uro-gynae: interstitial cystitis & painful bladder syndrome

2007

 

 

 

Uro-gynae: mesh-free

2007

 

 

 

Uterine sarcoma

2007

 

 

 

Vaginal discharge in the pre-pubertal

2007

 

 

 

VBAC

2007

 

 

 

VTE in obstetrics 2

2007

 

 

 

Botulinum toxin in urogynae

2006

 

 

 

Brachial plexus palsy. Alternative view

2006

 

 

 

Caesarean section and colonic pseudo-obstruction

2006

 

 

 

Cancer: fallopian tube

2006

 

 

 

Consent

2006

 

 

 

Consent: assisted conception

2006

 

 

 

Cystoscopy in gynae

2006

 

 

 

Epilepsy & pregnancy

2006

 

 

 

Fraser guidelines

2006

 

 

 

HPV update

2006

 

 

 

HRT: an alternative approach to the menopause

2006

 

 

 

Hysteroscopic sterilisation

2006

 

 

 

IVF. Risk of infection.

2006

 

 

 

Menopause: alternative approach

2006

 

 

 

Molecular cytogenetics

2006

 

 

 

MRI & the fetus

2006

 

 

 

Obesity & hormones

2006

 

 

 

Ovarian cysts & pregnancy

2006

 

 

 

Pelvic pain, chronic. Management

2006

 

 

 

PET: pathogenesis

2006

 

 

 

Pregnancy: adnexal masses

2006

 

 

 

Pregnancy: epilepsy

2006

 

 

 

Pregnancy: eye conditions

2006

 

 

 

Progestogens: new drugs in contraception & gynae

2006

 

 

 

Risk management: pre-op counselling

2006

 

 

 

Symphysis pubis dysfunction

2006

 

 

 

Thrombosis in obstetrics. Screening & prophylaxis

2006

 

 

 

Twins: twin-twin transfusion

2006

 

 

 

Ultrasound: safety

2006

 

 

 

Urinary incontinence: Botulinum

2006

 

 

 

Urinary incontinence: urodynamics. ? essential pre-op investigation

2006

 

 

 

Brachial plexus palsy. Medico-legal

2005

 

 

 

Cancer gynae: MRI

2005

 

 

 

Maternal mortality: Hindu Kush

2005

 

 

 

MRI in gynae cancer.

2005

 

 

 

ART: ? single embryo transfer.

2004

 

 

 

Cancer: cervical. Screening

2004

 

 

 

Cancer: cervical: current management

2004

 

 

 

Cancer: combined oral contraceptive

2004

 

 

 

Cancer: HPV vaccines

2004

 

 

 

Cancer: Pill

2004

 

 

 

Contraception: Pill: cancer

2004

 

 

 

Endometriosis: new techniques

2004

 

 

 

Ethics: routine antenatal screening

2004

 

 

 

HPV vaccines

2004

 

 

 

Menorrhagia: quantifying blood loss

2004

 

 

 

Non menstrual bleeding in women < 40

2004

 

 

 

Ovarian cysts: premenopausal women

2004

 

 

 

PID

2004

 

 

 

Pill: cancer

2004

 

 

 

Polycystic ovary syndrome: current understanding

2004

 

 

 

Polycystic ovary syndrome: Metformin

2004

 

 

 

Pregnancy: preterm labour. Tocolysis

2004

 

 

 

Pregnancy: SLE

2004

 

 

 

Preterm labour: tocolysis

2004

 

 

 

Salpingography proximal tubal blockage

2004

 

 

 

Screening: principles

2004

 

 

 

Sexual abuse and subsequent gynae conditions

2004

 

 

 

Sling procedures: risks and benefits.

2004

 

 

 

Sterilisation: avoiding pregnancy at time of

2004

 

 

 

Twins: mode of delivery

2004

 

 

 

Ureteric injury in O&G

2004

 

 

 

Urogynae: sling procedures: risks and benefits.

2004

 

 

 

Voiding dysfunction postpartum 2008      
People who decline blood products 2010 - RCOG information -
Menopause: sexual dysfunction 2010   RCOG meeting 08,09

Mental Capacity Act

2010     Consent 03  

 

  2010      

Postnatal affective disorders 1: introduction

2008

-

NICE 07

06 09

Postnatal affective disorders 2: prevention and management

2008

-

NICE 07

06 09

PUL: evidence-based approach

2008

-

06

09

Pre-implantation genetic diagnosis. Ethics

2008

-

-

07 08

Pre-implantation testing for aneuploidy

2008

-

-

07 08

Thyroid disease in pregnancy

2008

01

01

08

Cord clamping: delayed

2008

-

-

-

Bleeding disorders, inherited & pregnancy

2007

-

-

08

Cancer. Ovarian. Chemotherapy. Current and new developments

2007

98 99

-

06

Cancer: ovarian. early-stage management

2007

98 99

-

06

Endometriosis: surgical management

2007

97

06

08

Pregnancy: adolescent. Management.

2007

04

-

-

Pregnancy: cornual (interstitial) management

2007

97

-

 

Risk management: confidentiality, access to medical records

2007

-

-

07 08

Vaginal discharge in the pre-pubertal

2007

-

-

-

Botulinum toxin in urogynae

2006

-

-

-

Consent

2006

03

-

07

Epilepsy & pregnancy

2006

99

-

-

HPV update

2006

-

-

07

Sterilisation

2006

-

-

08

Menopause: alternative approach

2006

-

-

08

Urinary incontinence: urodynamics. ? essential pre-op investigation

2006

00 03 05

-

06

 

 

 

TOG articles by topic

Year

 

 

 

 

 

Stuff like delayed cord clamping may seem esoteric.

But I would recommend that you read the articles.

Once they have been in TOG they are definite "possibles" for the exam.

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Topics derived from "Obstetrics, Gynaecology & Reproductive Medicine".

I haven't had time to update all the 2009 articles & link them to previous essays.

I hope to do this shortly.  

 

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The table below gives the essay topics that have featured over the past ten years or so.

Amenorrhoea 1ry. Normal BMI. Inv. & mgt. ? cyclical pain

March

2009

Contraception. LARC. Long-acting, reversible. Advantages & disadvantages.

March

2009

Labour. Failure to progress. Requests C.s. Counsel & mgt. Causes.

March

2009

Menorrhagia & Dysmen. Reasons for referral, management principles.

March

2009

Molar pregnancy. Hydatidiform. Complete. Management. At 4/12 she bleeds. Counsel.

March

2009

Pregnancy. PET.  28/52. BP 150/115. Assessment and treatment

March

2009

Pregnancy. Renal transplant. Pre pregnancy and antenatal

March

2009

Pregnancy. Rhesus. Unbooked 30/52. High anti-D. Counselling & how to ¯ fetal risk

March

2009

Cancer. Colposcopy. ? ca cervix.

September

2008

Ectopic. Tubal pregnancy. Expectant / medical / surgical mgt.

September

2008

Labour. Delay. in 1st. stage. Diagnosis / management

September

2008

Ovarian cysts. ? endometriosis. 29. nullip

September

2008

Pregnancy. Cardiomyopathy hypertrophic at booking

September

2008

Pregnancy. Infection. HIV at booking. A/N, labour, delivery, neonate

September

2008

Pregnancy. Obesity. BMI 40. A/n, delivery, postnatal

September

2008

Vault prolapse after hysterectomy

September

2008

Infertility. Male. Azoospermia

March

2008

Miscarriage threatened. 7 weeks. No FH activity visible

March

2008

Pregnancy. Amniotic fluid embolism

March

2008

Pregnancy. Multiple. Twin-twin transfusion syndrome

March

2008

Pregnancy. Pruritus. Obstetric cholestasis

March

2008

Pregnancy. VBAC

March

2008

Urinary frequency. Bladder overactive. Non-pharmacological treatments

March

2008

Vulva. Itching, atrophy, ulceration

March

2008

Cancer cervical. Why successful? Recent advances. Limits

September

2007

Dysmenorrhoea. Age 25. COC and NSAI not helpful

September

2007

OHSS ?

September

2007

Pregnancy. Perineal tear. Anal sphincter injury

September

2007

Pregnancy. SROM? 30 weeks. Diagnosis. Tests. Monitoring. Therapies

September

2007

Pregnancy. Von Willebrand’s in pregnancy

September

2007

Pre-pregnancy counselling. Diabetes. Type 1.

September

2007

Suture materials in pelvic floor surgery

September

2007

Cancer. Palliative care in gynae oncology

March

2007

Contraception. Emergency

March

2007

Fistula after hysterectomy

March

2007

Pelvic pain. 15/ 12 history

March

2007

Pregnancy. Chest pain / dyspnoea after delivery

March

2007

Pregnancy. Domestic violence

March

2007

Pregnancy. Placenta previa? “Show” at 37 weeks

March

2007

Pregnancy. Stillbirth Term. Investigations. Other aspects of care

March

2007

Dyspareunia 6/12 after 1st. delivery

September

2006

Ectopic. Management options

September

2006

Fibroids + anaemia. Nulliparous

September

2006

Pregnancy. Placenta retained at 30 minutes

September

2006

Pregnancy. SROM 38 weeks. Primigravida

September

2006

Pregnancy: Uterus perforated during ERPC

September

2006

Pre-pregnancy counselling. Age 41

September

2006

Pre-pregnancy counselling. Previous PET + section 26 wks

September

2006

Antibiotics: prophylactic in O&G

March

2006

Hirsutism. Normal hormones

March

2006

Laparoscopy: safe entry technique

March

2006

Molar pregnancy

March

2006

Pregnancy. Abdominal pain at 22 weeks

March

2006

Pregnancy. Infection. Hepatitis B and

March

2006

 Pregnancy. Large-for-dates uterus at 33 weeks

March

2006

Pregnancy. Multiple. Twins. Labour. 37 weeks. Management

March

2006

Pregnancy. Obesity

March

2006

Turner syndrome

March

2006

Cancer ovarian: +ve family history. Discuss screening

September

2005

Incontinence: stress.

September

2005

Labour. Delivery.  Instrumental: OP.

September

2005

Labour. Induction. Social

September

2005

Menorrhagia not responding to medical measures

September

2005

PCO obese 1ry infertility

September

2005

Pregnancy. Amnio. Counselling re amnio. Sister has Downs babe

September

2005

Pregnancy. Breast: painful + swollen 2/52 after delivery

September

2005

Pregnancy. Psychiatric disorder + maternal mortality

September

2005

Sterilisation: failure. Why? Steps to reduce occurrence

September

2005

Adhesions in gynaecology

March

2005

Cancer: endometrial.

March

2005

Contraception. Pill & DVT risk – sister has had DVT

March

2005

Labour pre-term at 28 weeks

March

2005

Pregnancy Severe dyskaryosis +

March

2005

Pregnancy. Breech at 36 weeks

March

2005

Pregnancy. Infection. MRSA

March

2005

Pregnancy. VBAC. Mode of delivery in next pregnancy

March

2005

Pregnancy: breech at 36 weeks

March

2005

Vault prolapse after hysterectomy

March

2005

Vulva. Pruritus + lichen sclerosus

March

2005

Cancer. HRT + risks of breast cancer

September

2004

Fibroid (4 cm) + menorrhagia. Investigations, treatment

September

2004

HRT + risks of breast cancer

September

2004

Miscarriage recurrent: value of investigations

September

2004

Ovarian cyst. Symptomatic. ? laparoscopy / ? laparotomy

September

2004

Pregnancy. Diabetes. Abnormal GTT at 30 weeks

September

2004

Pregnancy. Diabetes: abnormal GTT at 30 weeks

September

2004

Pregnancy. Hyperemesis. Diagnosis, severity, management

September

2004

Pregnancy. Infection. HIV

September

2004

Pregnancy. PPH. Organise team. Tasks in next 30 minutes

September

2004

Premature ovarian failure at 29 years

September

2004

Pre-pregnancy counselling. Epilepsy

September

2004

Cancer. Endometrial hyperplasia. Age 50. Abnormal bleeding

March

2004

Contraception. Pill: breakthrough bleeding

March

2004

Endometrial hyperplasia. Age 50. Abnormal bleeding

March

2004

Miscarriage threatened. Crown-rump 4 mm. No FH

March

2004

Pelvic infection: severe. Not pregnant

March

2004

Pregnancy. 16 years. How does age alter management

March

2004

Pregnancy. Anaemia at 28 weeks. Hb 7.8

March

2004

Pregnancy. Anti-D immunoglobulin administration

March

2004

Pregnancy. Pruritus at 32 weeks. No rash

March

2004

Rape. Does not wish police involvement. Mgt.

March

2004

Urinary retention after forceps delivery / epidural

March

2004

Consent in gynae practice

September

2003

Contraception. IUCD. Lost threads. Age 38. Management

September

2003

Labour. Shoulder dystocia. Maternal + neonatal consequences

September

2003

Laparoscopy: safe entry techniques

September

2003

PCO + obese. Age 19. Key points to discuss

September

2003

Pregnancy. C. section on social grounds

September

2003

Pregnancy. Choroid plexus cyst

September

2003

Pregnancy. Infection. Parvovirus exposure at 15 weeks

September

2003

Pregnancy. Obesity

September

2003

Vulva. Pruritus. Lichen sclerosus

September

2003

Cancer. Palliative care in gynae oncology

March

2003

Ectopic pregnancy. Haemodynamically stable. Mgt.

March

2003

PMB. Roles of U/S, biopsy & hysteroscopy

March

2003

Pregnancy. Air travel & pregnancy

March

2003

Pregnancy: Chickenpox.

March

2003

Pregnancy. Infection. Chickenpox exposure

March

2003

Pregnancy. Perineal tear: 3rd. degree. Management

March

2003

Pregnancy. Placenta previa. Critically evaluate management

March

2003

Pregnancy. SROM at 17 weeks. I week after amniocentesis. Mgt.

March

2003

Premenstrual tension. Management

March

2003

Urinary frequency / nocturia / urge incontinence

March

2003

Blood transfusion. How to reduce incidence/ risk at surgery

September

2002

Cancer cervix. Why does it still occur?

September

2002

Hirsutism. 24 years old. C/o excessive hair. Mgt.

September

2002

Hysterectomy for DUB: merits of sub-total operation

September

2002

PMB. Age 90. Endometrium 15 mm. Mgt.

September

2002

Pregnancy. Diabetes. GTT in early pregnancy. Dubious result.

September

2002

Pregnancy. DVT? Swollen leg at 16 weeks

September

2002

Pregnancy. Infection. Herpes? Vulval vesicles at 28 weeks. Ist. episode

September

2002

Pregnancy. Psychiatric illness + maternal mortality

September

2002

Pregnancy. Rhesus Negative. How to assess fetus. Recent advances

September

2002

Anovulation: causes, investigations & treatment

March

2002

Dysmenorrhoea. Analgesics do not help

March

2002

Miscarriage threatened. 10 mm fetus. No FH

March

2002

Molar pregnancy. Hydatidiform

March

2002

Osteoporosis: strong family history. Management

March

2002

Pregnancy. Drug abuse. Antenatal care

March

2002

Pregnancy. Eclampsia. Fit after delivery

March

2002

Pregnancy. Eclampsia: fit after delivery

March

2002

Pregnancy. Multiple. How to reduce perinatal risks?

March

2002

Pregnancy. Scan dating: role

March

2002

Pregnancy. Soft marker. Echogenic bowel

March

2002

Cancer vulval. Invasive squamous. 70 yrs. Surgical mgt.

September

2001

Fibroid. 8 cm. preconception clinic

September

2001

Fistula? after Burch colposuspension

September

2001

Pregnancy. Collapse 15 mins after normal delivery

September

2001

Pregnancy. Infection. HIV routine a/n testing. Evaluate underlying factors

September

2001

Pregnancy. IUGR? at 30 weeks

September

2001

Pregnancy. PET. 36+4. Previous C. section Guideline = delivery

September

2001

Pregnancy. Screening for Down’s syndrome. Age 35. 8 weeks

September

2001

Pre-pregnancy counselling. Fibroid 8 cm.

September

2001

Vault prolapse after hysterectomy. Age 75

September

2001

Amenorrhoea: 1ry. Age 15. Normal development

March

2001

Cancer. Endometrial hyperplasia. 49. Menstrual problems

March

2001

Dyspareunia. 3 months after 1st babe. Vaginal delivery

March

2001

Endometrial hyperplasia. 49. Menstrual problems

March

2001

Infertility. Primary. Bilateral tubal adhesions.

March

2001

Labour. Fetal distress. C. palsy 1st babe. Discuss C section

March

2001

Pregnancy. C section. Cerebral palsy 1st babe. Fetal distress. Discuss

March

2001

Pregnancy. Domestic violence. Bruises. Normal haematology.

March

2001

Pregnancy. Stillbirth. Parents decline post-mortem. Investigation

March

2001

Pregnancy. Thyrotoxicosis in early pregnancy

March

2001

Pre-pregnancy counselling. Thalassaemia. Beta F. history

March

2001

Progestogens & menstrual cycle disorders

March

2001

Hysterectomy abdominal. Bleeding 1 year after

September

2000

Hysterectomy. Bleeding 1 year after abdominal

September

2000

Hysterectomy. BSO at time of for benign disease. ? factors

September

2000

Miscarriage. Recurrent. Usefulness of investigation

September

2000

Pregnancy. Breech. ECV. Discuss role

September

2000

Pregnancy. ECV. Discuss role

September

2000

Pregnancy. Infection. Gp B streptococcus

September

2000

Pregnancy. PPH 15 mins after normal delivery

September

2000

Pregnancy. Pruritus at 32 weeks. Primip. No rash. Scratchmarks

September

2000

Pregnancy. SROM at 30 weeks. Immediate mgt.

September

2000

Puberty. Precocious at age 8

September

2000

Triplets after IVF. Reasons for triplets & mgt options

September

2000

Vulva. Lichen sclerosus –clinical diagnosis. Pruritus

September

2000

Vulva. Pruritus. Clinical diagnosis of lichen sclerosus

September

2000

Cancer. HRT & breast cancer risk

March

2000

Chlamydia: routine screening in gynae practice

March

2000

HRT & breast cancer risk

March

2000

Ovarian cyst. 4 cm. confirmed on scan. Asymptomatic

March

2000

PCO. Obese. Oligomenorrhoea. Implications

March

2000

Pregnancy. Choroid plexus cyst at 18 weeks

March

2000

Pregnancy. Congenital heart disease +

March

2000

Pregnancy. Diabetes. Outcome to match non-diabetic

March

2000

Pregnancy. Postmaturity. 7 days. No risk factors

March

2000

Pregnancy. Thrombocytopenia. 28 weeks. Primip

March

2000

Urinary urgency, frequency, nocturia

March

2000

Cancer. CIGN. Multip. Asymptomatic

September

1999

Contraception. Emergency. 17. Ist coitus.

September

1999

Dysmenorrhoea. Primary. 16. Virgin. With mother

September

1999

Labour. Slow progress in active phase of 1st. stage primigravida

September

1999

Laparoscopy. Bowel damage. How to recognise & prevent

September

1999

Pregnancy. CIGN. Multip. Asymptomatic

September

1999

Pregnancy. Eclampsia. Fit after delivery. Principles underlying mgt.

September

1999

Pregnancy. Hydrops. Non-immune at 20 weeks. Primip.

September

1999

Pregnancy. Obesity. Antenatal & intrapartum care

September

1999

Pulmonary embolism. Steps to reduce risk

September

1999

TOP. Measures to reduce risk to physical health.

September

1999

Cancer ovarian. Morbidity of chemotherapy. How to reduce

March

1999

Cancer. Ovarian. Morbidity of chemotherapy. How to reduce

March

1999

Contraception. Effect on subsequent fertility

March

1999

Ectopic? Pain bleeding missed K

March

1999

Incisions: how to optimise in gynae surgery

March

1999

Menorrhagia. Endometrial ablation in

March

1999

Pelvic floor. Effects on it of vaginal delivery. How to reduce?

March

1999

Pregnancy. Abdominal wall defect. 17 weeks. Raised AFP

March

1999

Pregnancy. Drug abuse. 24 weeks. Specific risks

March

1999

Pregnancy. Hydramnios. Idiopathic. 26. Treatment options

March

1999

Pre-pregnancy counselling. Epilepsy.

March

1999

Cancer ovary. Objectives of surgery

September

1998

Cancer. Ovarian. Objectives of surgery

September

1998

Contraception. IUCD, Copper. 5 yrs in situ. Occ missed K. Age 47

September

1998

Ectopic. Stable. Sub-fertile. Options

September

1998

Hysterectomy. Urological consequences. How to avoid

September

1998

Labour. Shoulder dystocia

September

1998

Pelvic pain. 20. Sexually active. 1 year history

September

1998

Pregnancy. Infection. Herpes simplex at 36 weeks. Labour & delivery

September

1998

Pregnancy. Infection. Risk in school canteen worker

September

1998

Pregnancy. Multiple. Twins. Dead twin at 32 weeks

September

1998

Pregnancy. Rhesus disease. Thing of the past

September

1998

Cancer. Choriocarcinoma. Prognostic factors

March

1998

Cancer. VIN. Treatment with regard to natural history

March

1998

Contraception. Pill. Non-contraceptive advantages

March

1998

Labour. CTG not necessary in low risk labours

March

1998

Labour. Forceps. OP. Prolonged 2nd. stage. Critically appraise use

March

1998

Labour. Induction. Social

March

1998

Menorrhagia. Hormone treatments

March

1998

Molar pregnancy. Choriocarcinoma. Prognostic factors

March

1998

Pregnancy. C. section rates. Comment on rise

March

1998

Pregnancy. VBAC

March

1998

VTE & gynae surgery. Reduce risk in high risk pt

March

1998

Cancer Endometrial & HRT

September

1997

Cancer. HRT after endometrial cancer

September

1997

Endometriosis. 5 cm ov cysts. Discuss GnRH

September

1997

Endometriosis. GnRH analogues. Endometriomas 5cm. Dysmen

September

1997

HRT after endometrial cancer

September

1997

Hysterectomy. Sub-total hyst. Pros & cons. Fibroids

September

1997

OHSS

September

1997

Pregnancy. Antenatal beds: need for them

September

1997

Pregnancy. Bicornuate uterus. Pregnancy in 1 horn. 8 weeks.

September

1997

Pregnancy. PET. Severe. 32 weeks. Ist pregnancy

September

1997

Pregnancy. Renal transplant &

September

1997

Pregnancy. Severe dyskaryosis. Loop. Justify.

September

1997

Pre-pregnancy counselling. Haemophilia A. Father. Para 8

September

1997

 

 

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Recent short essay topics.

    

Amenorrhoea 1ry. Normal BMI. Inv. & mgt. ? cyclical pain

March

2009

Contraception. LARC. Long-acting, reversible. Advantages & disadvantages.

March

2009

Labour. Failure to progress. Requests C.s. Counsel & mgt. Causes.

March

2009

Menorrhagia & Dysmen. Reasons for referral, management principles.

March

2009

Molar pregnancy. Hydatidiform. Complete. Management. At 4/12 she bleeds. Counsel.

March

2009

Pregnancy. PET.  28/52. BP 150/115. Assessment and treatment

March

2009

Pregnancy. Renal transplant. Pre pregnancy and antenatal

March

2009

Pregnancy. Rhesus. Unbooked 30/52. High anti-D. Counselling & how to ¯ fetal risk

March

2009

Cancer. Colposcopy. ? ca cervix.

September

2008

Ectopic. Tubal pregnancy. Expectant / medical / surgical mgt.

September

2008

Labour. Delay. in 1st. stage. Diagnosis / management

September

2008

Ovarian cysts. ? endometriosis. 29. nullip

September

2008

Pregnancy. Cardiomyopathy hypertrophic at booking

September

2008

Pregnancy. Infection. HIV at booking. A/N, labour, delivery, neonate

September

2008

Pregnancy. Obesity. BMI 40. A/n, delivery, postnatal

September

2008

Vault prolapse after hysterectomy

September

2008

Infertility. Male. Azoospermia

March

2008

Miscarriage threatened. 7 weeks. No FH activity visible

March

2008

Pregnancy. Amniotic fluid embolism

March

2008

Pregnancy. Multiple. Twin-twin transfusion syndrome

March

2008

Pregnancy. Pruritus. Obstetric cholestasis

March

2008

Pregnancy. VBAC

March

2008

Urinary frequency. Bladder overactive. Non-pharmacological treatments

March

2008

Vulva. Itching, atrophy, ulceration

March

2008

Cancer cervical. Why successful? Recent advances. Limits

September

2007

Dysmenorrhoea. Age 25. COC and NSAI not helpful

September

2007

OHSS ?

September

2007

Pregnancy. Perineal tear. Anal sphincter injury

September

2007

Pregnancy. SROM? 30 weeks. Diagnosis. Tests. Monitoring. Therapies

September

2007

Pregnancy. Von Willebrand’s in pregnancy

September

2007

Pre-pregnancy counselling. Diabetes. Type 1.

September

2007

Suture materials in pelvic floor surgery

September

2007

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Things to read up the night before.

Primary amenorrhoea is one of those things you should always read up the night before.

It last appeared in the essays in 2001, so it is a probable until it has reappeared.

Similarly you won't remember the facts about intersex for more than a day or two.

Hirsutism is worth reading again.

Cancer staging is a must.

 

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Other topics.

Folic acid has never featured in an essay.

Fortification of flour is almost certain to be introduced in the UK in the next few years.

This will make folic acid too historic for an essay.

If I were on the exam committee, I'd get it in now before it is too late.

 

Adolescent pregnancy appeared in the 2007 British Congress.

There has also been a 2007 TOG article.

It last featured as an essay in 2004, so will resurface soon.

 

You need to know the key facts from the maternal mortality report.

But I think it will be in the MCQs rather than the essays as the report it only came out late last year.

See MCQ 13 and MCQ paper 5, question 18.

 

Fragile X syndrome has to come sometime and cell-free fetal DNA.

 

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