Table Of Content450 Single Best Answers in the
CLINICAL
SPECIALTIES
Dedications
To my parents and brother, who during the darkest nights have forever remained
the brightest stars
Sukhpreet S Dubb
Dedicated to Abba and Mum for your loving support
Jeffrey Ahmed
To Arcadia and Indigo, and of course Bundle
Edward Maclaren
450 Single
Best Answers
in the
CLINICAL
SPECIALTIES
Sukhpreet Singh Dubb, Foundation Year 1 Doctor
Alex Bailey, Teaching Fellow and Honorary Lecturer in Psychiatry
Charlene M.C. Rodrigues, Academic Clinical Fellow in Paediatric Infectious
Disease
Margaret P. Rhoads, Academic Clinical Fellow in Paediatric Infectious Disease
Jeffrey Ahmed, Foundation Year 2 Trainee
Edward MacLaren, Specialist Registrar in Obstetrics and Gynaecology
Editors
Martin Lupton, Consultant in Obstetrics and Gynaecology
Gareth Tudor-Williams, Consultant in Paediatric Infectious Diseases
James Warner, Consultant in Older Adults Psychiatry
PART OF HACHETTE LIVRE UK
First published in Great Britain in 2012 by
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Contents
Foreword ix
Preface xi
Acknowledgements xiii
How to prepare for a single best answer examination xv
List of abbreviations used xvii
Common reference intervals xxi
Part I ObstetrICs anD gynaeCOlOgy
seCtIOn 1: antenatal Care anD Maternal MeDICIne
Questions 1–35 5
Answers 16
seCtIOn 2: early PregnanCy
Questions 1–11 31
Answers 35
seCtIOn 3: researCH, etHICs anD ClInICal gOVernanCe
Questions 1–10 41
Answers 45
seCtIOn 4: general gynaeCOlOgy
Questions 1–13 51
Answers 55
seCtIOn 5: ManageMent OF labOUr anD DelIVery
Questions 1–14 62
Answers 67
seCtIOn 6: POst-PartUM PrObleMs
Questions 1–9 74
Answers 77
seCtIOn 7: seXUal anD rePrODUCtIVe HealtH anD
UrOgynaeCOlOgy
Questions 1–24 82
Answers 90
seCtIOn 8: sUrgICal gynaeCOlOgy anD OnCOlOgy
Questions 1–23 101
Answers 108
vi Contents
Part II PaeDIatrICs
seCtIOn 9: grOWtH, DeVelOPMent anD PUberty
Questions 1–10 120
Answers 124
seCtIOn 10: PaeDIatrIC eMergenCIes
Questions 1–10 129
Answers 134
seCtIOn 11: genetIC anD MetabOlIC DIsOrDers
Questions 1–10 139
Answers 143
seCtIOn 12: neOnatal MeDICIne
Questions 1–10 147
Answers 151
seCtIOn 13: gastrOenterOlOgy
Questions 1–15 155
Answers 161
seCtIOn 14: InFeCtIOUs DIseases
Questions 1–10 168
Answers 172
seCtIOn 15: allergy anD IMMUnOlOgy
Questions 1–10 176
Answers 180
seCtIOn 16: resPIratOry
Questions 1–10 185
Answers 189
seCtIOn 17: CarDIOVasCUlar
Questions 1–15 193
Answers 198
seCtIOn 18: nePHrOlOgy
Questions 1–10 205
Answers 209
seCtIOn 19: HaeMatOlOgy
Questions 1–10 214
Answers 217
seCtIOn 20: sKIn DIsOrDers
Questions 1–10 222
Answers 226
Contents vii
seCtIOn 21: enDOCrInOlOgy
Questions 1–10 231
Answers 235
seCtIOn 22: bOne anD rHeUMatOlOgy
Questions 1–10 240
Answers 244
seCtIOn 23: neUrOlOgy
Questions 1–15 249
Answers 254
Part III PsyCHIatry
seCtIOn 24: PsyCHOPatHOlOgy anD ClassIFICatIOn In
PsyCHIatry
Questions 1–15 262
Answers 267
seCtIOn 25: OrganIC PsyCHIatry
Questions 1–15 275
Answers 280
seCtIOn 26: sCHIZOPHrenIa anD PsyCHOsIs
Questions 1–13 293
Answers 298
seCtIOn 27: aFFeCtIVe DIsOrDers
Questions 1–17 308
Answers 313
seCtIOn 28: anXIety anD sOMatOFOrM DIsOrDers
Questions 1–10 319
Answers 322
seCtIOn 29: OlD age PsyCHIatry
Questions 1–15 329
Answers 334
seCtIOn 30: PersOnalIty DIsOrDers
Questions 1–10 345
Answers 349
seCtIOn 31: PsyCHOtHeraPIes
Questions 1–8 354
Answers 357
viii Contents
seCtIOn 32: PsyCHOseXUal, sleeP anD eatIng DIsOrDers
Questions 1–10 363
Answers 366
seCtIOn 33: sUbstanCe MIsUse DIsOrDers
Questions 1–13 371
Answers 375
seCtIOn 34: PsyCHOPHarMaCOlOgy
Questions 1–9 381
Answers 383
seCtIOn 35: CHIlD PsyCHIatry anD learnIng DIsabIlIty
Questions 1–10 388
Answers 391
Index 396
Foreword
Practice makes perfect? I’m not sure this is always the case, but practice
certainly helps in knowledge acquisition and exam preparation. This book has
been created by a group of enthusiastic young teachers and senior experts
in their fields who both practise and teach these specialties as part of their
weekly lives. As such the book not only represents an account of key features
of contemporary clinical practice, but also offers an insight into the thinking
of experienced educators who are continuously assessing whether those in their
charge have reached the required standard to pass the dreaded assessments.
In my opinion, the clinical specialties covered in this book are fascinating
and exciting areas of the medical curriculum. However, these specialties
also represent some of the most intimidating areas of medicine. A student
approaching their first sick child or entering the labour ward is surely always
inwardly trembling. Furthermore, every qualified doctor also realises just how
much specialties such as psychiatry play a part in their working lives, regardless
of their particular area of practice. Thus, knowledge and understanding of these
areas of medicine are essential, and what better way to check your knowledge
than by answering questions on the subject? Use this book to help guide you,
and good luck!
Professor Jenny Higham
Deputy Principal and Director of Education
Faculty of Medicine
Imperial College London
