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Get ahead! Specialties: 100 EMQs for Finals PDF

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Fully updated, this new edition of the successful Get ahead! Specialties: 100 EMQs for Finals provides an invaluable revision for all medical students preparing for their final examinations. The book covers paediatrics, obstetrics, gynaecology, and psychiatry. specialties Written by experienced authors, and with Saran Shantikumar as the series editor, this book covers the entire syllabus in a clear and comprehensive style. The second edition has been completely updated according to the current curriculum, and the questions are written in a style similar to the Medical Schools Council Assessment Alliance (MSCAA) bank. Get ahead! Specialties: 100 EMQs for Finals builds 100 EMQs for Finals on the strengths of the first edition to provide reliable and effective revision practice to help achieve success in the final exams. Authors: Second edition Peter Cartledge BSc MBChB MRCPCH PCME MSc Leeds Children’s Hospital, Leeds, UK Fiona Bach MBChB, MRCOG, BSc Speciality Registrar in Obstetrics and Gynaecology, London, UK Rebecca Cairns General Practitioner, Horton Bank Practice, Bradford, UK Mahesh Jayaram MB BS, DPM, MMedSci, MRCPsych, FRANZCP Peter Cartledge Senior Lecturer, Department of Psychiatry, Fiona Bach University of Melbourne, Australia Rebecca Cairns Mary Watson G  eneral Practitioner, Warwickshire, UK Mahesh Jayaram Mary Watson Series Editor: Saran Shantikumar BA, BSc, MBchB, MRcS, Academic Clinical Fellow in Public Health, University of Warwick, UK Series Editor: Saran Shantikumar Visit http://www.crcpress.com/browse/series/crcgetahead to browse other titles in the Get ahead! series 6000 Broken Sound Parkway, NW K23905 Suite 300, Boca Raton, FL 33487 ISBN: 978-1-4822-5316-0 711 Third Avenue 90000 New York, NY 10017 an informa business 2 Park Square, Milton Park www.taylorandfrancisgroup.com Abingdon, Oxon OX14 4RN, UK 9 781482 253160 K23905_Cover1.indd All Pages 8/26/15 11:44 AM specialties 100 EMQs for Finals Second edition K23905_Book.indb 1 07-09-2015 12:07:58 PM K23905_Book.indb 2 07-09-2015 12:07:58 PM specialties 100 EMQs for Finals Second edition Peter Cartledge BSc MBChB MRCPCH PCME MSc Leeds Children’s Hospital, Leeds, UK Fiona Bach MBChB, MRCOG, BSc Speciality Registrar in Obstetrics and Gynaecology, London, UK Rebecca Cairns General Practitioner, Horton Bank Practice, Bradford, UK Mahesh Jayaram MB BS, DPM, MMedSci, MRCPsych, FRANZCP Senior Lecturer, Department of Psychiatry, University of Melbourne, Australia Mary Watson General Practitioner, Warwickshire, UK Series Editor Saran Shantikumar BA, BSc, MBChB, MRCS Academic Clinical Fellow in Public Health, University of Warwick, UK K23905_Book.indb 3 07-09-2015 12:07:58 PM K23905_FM.indd 2 8/20/15 10:01 AM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2016 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20150904 International Standard Book Number-13: 978-1-4987-4330-3 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not neces- sarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all mate- rial reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including pho- tocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http:// www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Preface ix Introduction to Get ahead! xi Practice Paper 1: Questions 1 Theme 1: Antenatal screening 1 Theme 2: Chronic pelvic pain 2 Theme 3: Cardiotocography 3 Theme 4: Sexually transmitted infections 4 Theme 5: Hormones of menstruation 5 Theme 6: Pain in pregnancy 6 Theme 7: Fetal presentation 7 Theme 8: Diabetes in pregnancy 8 Theme 9: Hormone replacement therapy 9 Theme 10: Premature labour 10 Practice Paper 1: Answers 11 Practice Paper 2: Questions 35 Theme 1: Antepartum haemorrhage 35 Theme 2: Menstrual dysfunction 37 Theme 3: Physiological changes in pregnancy 38 Theme 4: Vaginal bleeding 39 Theme 5: Contraindications to contraception 40 Theme 6: Rhesus disease 41 Theme 7: Classification of ovarian tumours 42 Theme 8: Management of endometrial and cervical cancer 43 Theme 9: Drug management of preeclampsia 44 Theme 10: Induction and augmentation of labour 45 Practice Paper 2: Answers 47 Practice Paper 3: Questions 67 Theme 1: Infection in pregnancy 67 Theme 2: Female anatomy 68 Theme 3: Obstetric emergencies 69 Theme 4: Contraception 70 Theme 5: Postpartum haemorrhage 71 Theme 6: Cervical screening 72 Theme 7: Mechanisms of labour 73 Theme 8: Complications of Caesarean section 74 K23905_Book.indb 5 07-09-2015 12:07:58 PM Theme 9: Gynaecological malignancies 75 s Theme 10: The infertility clinic 76 nt e nt Practical Paper 3: Answers 79 o C Practice Paper 4: Questions 101 Theme 1: Methods of delivery 101 Theme 2: Urogynaecology 102 Theme 3: Drugs in pregnancy 103 Theme 4: Perimenopausal hormones 104 Theme 5: Acute pelvic pain 105 Theme 6: Gametogenesis 107 Theme 7: Genital infections 108 Theme 8: Twins 109 Theme 9: Ectopic pregnancy 110 Theme 10: Ultrasound scanning in pregnancy 112 Practice Paper 4: Answers 113 Practice Paper 5: Questions 133 Theme 1: Abdominal pain 133 Theme 2: Apnoea 134 Theme 3: Immunization schedule 135 Theme 4: Child protection 136 Theme 5: Management of asthma 137 Theme 6: Investigating the febrile child 139 Theme 7: Obesity 140 Theme 8: Heart murmurs 141 Theme 9: Diarrhoea 142 Theme 10: Haematology and haematological malignancy 143 Practice Paper 5: Answers 145 Practice Paper 6: Questions 161 Theme 1: Vomiting 161 Theme 2: The child with a limp 163 Theme 3: Cough 164 Theme 4: Chromosomal disorders 165 Theme 5: Arthritis 166 Theme 6: Jaundice in the newborn 167 Theme 7: Seizures 168 Theme 8: Fever and a rash 169 Theme 9: Failure to thrive 170 Theme 10: Haematuria 171 Practice Paper 6: Answers 173 Practice Paper 7: Questions 195 Theme 1: Constipation 195 Theme 2: Anaemia 196 Theme 3: Stridor 197 vi Theme 4: Developmental assessment 198 K23905_Book.indb 6 07-09-2015 12:07:58 PM Theme 5: Oedema 199 Theme 6: Diagnosis of electrolyte imbalance 200 s nt Theme 7: Management of electrolyte imbalance 201 e Theme 8: Congenital heart disease 202 ont C Theme 9: Organisms associated with paediatric pathology 203 Theme 10: The crying baby 204 Practice Paper 7: Answers 205 Practice Paper 8: Questions 223 Theme 1: Scrotal pain and swelling 223 Theme 2: Acid–base disturbances 224 Theme 3: Sore throat 225 Theme 4: Illnesses protected against by immunization 226 Theme 5: The febrile child 227 Theme 6: Modes of inheritance 228 Theme 7: Headaches 229 Theme 8: Dysuria 230 Theme 9: Short stature 231 Theme 10: Petechiae and purpura 232 Practice Paper 8: Answers 235 Practice Paper 9: Questions 251 Theme 1: Dementia 251 Theme 2: First-rank symptoms 252 Theme 3: Causes of weight loss 253 Theme 4: Mood disorders 254 Theme 5: Descriptive psychopathology 1 255 Theme 6: Sleep disorders 256 Theme 7: Suicide 257 Theme 8: Psychiatric disorders relating to women’s health 258 Theme 9: Substance use 259 Theme 10: Syndromes in psychiatry 260 Practice Paper 9: Answers 261 Practice Paper 10: Questions 281 Theme 1: Neurotic disorders 281 Theme 2: Side effects of psychiatric medication 282 Theme 3: Descriptive psychopathology 2 283 Theme 4: Psychotic disorders 284 Theme 5: Psychiatry of sexuality 285 Theme 6: Management of depression 286 Theme 7: Transcultural psychiatric disorders 287 Theme 8: Psychiatric signs of physical illness 288 Theme 9: The Mental Health Act 289 Theme 10: Personality disorders 290 Practice Paper 10: Answers 291 Index 309 vii K23905_Book.indb 7 07-09-2015 12:07:58 PM K23905_Book.indb 8 07-09-2015 12:07:58 PM e c a ef r P Preface Welcome to Get ahead! Specialties. This book contains 100 extended matching questions (EMQs) covering various topics within obstetrics, gynaecology, paediatrics and psychiatry. These are arranged by spe- cialty as ten practice papers, each containing ten themes. Allow your- self 90  minutes for each paper. You can either work through the practice papers systematically or dip in and out of the book using the EMQ con- tents pages as a guide to where questions on a specific topic can be found. We have tried to include all the main conditions about which you can be expected to know, as well as some more detailed knowledge suitable for candidates aiming towards distinction. As in the real exam, these papers have no preset pass mark. Whether you pass or fail depends on the distri- bution of scores across the whole year group, but around 60% should be sufficient. We would like to acknowledge the help of Stephen Clausard, Editor at CRC Press, for his patience and proactivity in commissioning and supporting this edition and others in the Get ahead! series. Peter Cartledge Fiona Bach Rebecca Cairns Mahesh Jayaram Mary Watson ix K23905_Book.indb 9 07-09-2015 12:07:58 PM

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