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Syncope occurs frequently in children, and the differential includes situational syncope, specifically micturition syncope. We report the youngest child to our knowledge to have micturition syncope associated with a prolonged asystolic pause. He underwent a neurological and cardiovascular evaluation without additional findings. Behavioural modifications were instituted with no recurrent syncope.
Part 1 MRCOG is a UK-based examination for postgraduate trainees in obstetrics and gynaecology. It is the first step in a series of three examinations, which leads to the award of membership of the Royal College of Obstetricians and Gynaecologists (RCOG) in the UK. This examination is based on basic sciences related to obstetrics and gynaecology. Historically, the examination paper was focused on molecular biology, cellular mechanisms and other aspects of basic sciences, which did not quite have relevance in current clinical practice. Over the years, the examination has transitioned into a new style with questions that are relevant to clinical practice. The questions are currently SBAs and there are two papers, which aim to assess knowledge in all areas of obstetrics and gynaecology, consisting of 100 questions each, over two-and-a-half hours. The examination in future will be conducted electronically.
We present a 5-year-old child with pulmonary atresia palliated at infancy with midline shunt now for complete repair with aneurysmally dilated aorta. Patient underwent a combined Rastelli procedure with supra-coronary ascending aorta replacement with hemi-arch repair. Patient was discharged on post-operative day 10 and was asymptomatic on follow-up.
This concise yet comprehensive guide is focused on the curriculum and current exam style of the MRCOG Part 1 examination. It integrates clinical knowledge with basic science, providing readers with a deeper understanding of pathophysiology of medical disorders in obstetrics and gynaecology. The lead editor is a member of the Part 1 Examination Committee and her insights are skilfully woven into the book's revision notes, sample Single Best Answer (SBA) question and answer explanations, and tips on exam technique. The book encourages a structured thought process to develop, making it easier for clinicians to make differential diagnoses and conduct relevant investigations and treatment plans. The focus on basic sciences also endows readers with the ability to develop research ideas and evaluate findings. Featuring easy-to-read text, highlighted key points, illustrations, and plenty of practice papers, this succinct guide is essential preparation reading for trainee obstetricians and gynaecologists taking the challenging Part 1 MRCOG exam.