A Combined active and passive immunization
B Confirm primary genital herpes by serological tests
C Emergency caesarean section
D HVS for GBS at 36 weeks and if –ve no further action
E HVS every 4 weeks from 24 weeks of pregnancy and Intra-partum benzyl penicillin if +ve
F If she gives a history of having suffered from chickenpox before, no further action is required
G IV acyclovir before and during labour
H Neonatal hepatitis B vaccine
I The neonate should be given neonatal VZIG
J The neonate should be tested for VZ IgM before initiating any treatment
K Prophylactic IV Benzyl penicillin in labour without testing
L Start immunoglobulins only if serological tests are negative
M Start immunoglobulins while awaiting serological test results
N Tocolysis for 24 hours with IV acyclovir and then planned CS
O Teat mother with lamivudine theraphy
For each of the following clinical scenario, choose the single most likely action from the list provided. Each option may be used once, more than once or not at all.
- A 29-yr old school teacher at 8 weeks of pregnancy comes to her GP saying a few children in her class have recently been diagnosed with chickenpox. What will be the GP’s next course of action?
- A 32-yr old woman whose previous pregnancy was complicated by neonatal GBS infection is worried about the same happening in this pregnancy. How will you councel her?
- A 26-yr old woman attends the AN clinic at 19 weeks of pregnancy. Her AN screening bloods shows her to be HBs Ag +ve, HBe Ag –ve and anti-HBe Ag reactive. Her liver function tests are as follows; bilirubin 25mg/dl, AST 96 IU, ALT 70 IU, and alkaline phosphatase 900 IU. What is the most appropriate intervention in preventing mother to child transmission?
- A 26-yr old woman develops chickenpox rash 2 days after giving birth. Her booking bloods had shown her to be non-immune to varicella. Her baby appears healthy and is breastfeeding. What will be the next step in your management?
5. A 30-yr old woman in her first pregnancy is admitted in labour with ruptured membranes at term. During speculum examination she found to have vulval lesions highly suggestive of herpetic
A. Accept infertility
E. Cryopreservation of semen
F. Donor insemination
G. Electro-ejaculation for insemination
J. Natural intercourse
K. Ovarian stimulation and IUI
L. Testicular sperm aspiration
For each of the following clinical scenario, choose the single most likely treatment from the list provided. Each option may be used once, more than once or not at all.
- A 30-yr old man with Klinefelter syndrome is seen at the infertility clinic accompanied by a female partner with normal investigation.
- A 35-yr old man with oligo-azoospermia with low FSH, low LH and low testosterone.
- A 25-yr old man with spinal cord injury with a normal semen analysis attends the infertility clinic along with his healthy female partner; they have a 3yr history of infertility.
- An 18-yr old man diagnosed with leukaemia requiring chemotherapy.
- A 35-yr old man with oligo-azoospermia noted to have a first-grade varicocele.