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Textbook for MRCOG-1: Basic Sciences in Obstetrics and Gynaecology
First Edition: 2016
9789385891281
Printed at
5Dedicated to
My mother Mrs Bharati Saxena
For always being there…‥
“My mother was the most beautiful woman I ever saw. All I am I owe to my mother. I attribute all my success in life to the moral, intellectual and physical education I received from her.”
-George Washington
7Preface
“I wanted a perfect ending. Now I have learnt, the hard way, that some poems don't rhyme and some stories don't have a clear beginning, middle, and end.
Life is about not knowing, having to change, taking the moment and making the best of it, without knowing what is going to happen next.
It is a delicious ambiguity.”
−Gilda Radner
Years ago, after acquiring the MD (Obstetrics and Gynaecology) degree, similar to many young Indian doctors, I too wanted to add a foreign qualification in my credentials. Though I had completed part of the process, I could not complete it in entirety because of some health-related issues which prevented me in pursuing my career as a surgeon. However, life has its own ways and here I am writing a book for the doctors wishing to obtain the degree “Membership of Royal College of Obstetricians and Gynaecologists”, (MRCOG, UK). For more details related to the MRCOG examination, kindly refer to the Royal College of Obstetricians and Gynaecologists (RCOG) website, https://www.rcog.org.uk/. For details related to the Part 1 examination, kindly click on the link, https://www.rcog.org.uk/en/careers-training/mrcog-exams/part-1-mrcog/format/
This book, “Textbook for MRCOG-1” is intended for the doctors who are planning to appear in MRCOG Part 1 examination. The MRCOG examination is meant for those doctors (undergraduates as well as postgraduates) who wish to pursue their specialisation in obstetrics and gynaecology in the UK. This comprises of a two-part examination. Part 1 MRCOG is a written examination, which helps in the evaluation of basic and clinical sciences relevant to the subject.
Fundamental aspects of all the important subjects related to basic sciences in medicine have been covered in this book. This is inclusive of subjects such as anatomy, physiology, biochemistry and nutrition, pathology, microbiology and immunology, embryology, genetics, biophysics, epidemiology, endocrinology and pharmacology. There are also separate chapters on “Principles of Clinical Practice”, “Obstetrics” and “Gynaecology”. The text has been covered in accordance with the latest curriculum and examination format as described by the RCOG and has been written in an easy-to-understand manner, well-illustrated with pictures. Though it is not possible to cover the entire subject in a single chapter, most topics, which are important from the point of view of examination, have been adequately described.
According to the latest RCOG layout, the questions for the MRCOG examination would be in the “single best answer” or SBA format. For the purpose of self-assessment, a list of SBAs along with their answer keys has been provided at the end of each chapter. In total, approximately 1,000 SBAs are enlisted in this book. Therefore, the students preparing for this examination do not need to buy a separate book on SBAs.
Writing a book is a colossal task. It can never be completed without divine intervention and approval. Therefore, I have decided to end this preface with a small prayer of thanks to the Almighty, which I was taught in my childhood.
“Father, lead me day by day, ever in thy own sweet way.
Teach me to be pure and good and tell me what I ought to do.”
—Amen
Simultaneously, I would like to extend my thanks and appreciation to all the related authors and publishers whose references have been used in this book. Book creation is teamwork, and I acknowledge the way the entire staff of M/s Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, India, worked hard on this manuscript to give it a final shape. I believe that writing a book involves a continuous learning process. Though extreme care has been taken to maintain the accuracy while writing this book, constructive criticism would be greatly appreciated. Please e-mail me your comments at the e-mail address: richa@drrichasaxena.com. Also, please feel free to visit my website www.drrichasaxena.com for obtaining information related to various other books written by me and to make use of the free resources available for the doctors.
Richa Saxena