Website.
Contact us.
https://soundcloud.com/drtmcf/4-november-2013
This was the last tutorial in this cycle.
We start the next cycle on Monday 18th. November
Tonight we had 2 roleplays and 2 vivas.
Roleplay 1.
Candidate's Instructions.
You are a SpR and delivered this patient, Mrs Janice
Idlewit, of her first baby using the ventouse six weeks ago.
She has been referred back to the clinic and there is no
one else to see her.
The GP letter says: “Please see Mrs. Idlewit.
Unfortunately some incompetent left a swab behind when she had her recent
delivery and repair of episiotomy. She saw me a couple of weeks later
complaining of discharge. I must say that when I examined her the stench nearly
knocked me over and quite put me off my food for days. I removed what looked
like a clot or swab and took swabs for bacteriology. I sent the removed object
to the laboratory and they confirmed that it was a surgical swab. The swabs I
took did not identify a pathogen. I had prescribed antibiotics and I am pleased
to say that she is now well. I have told her that somebody has been incompetent
and should be shot. She is hopping mad”.
Viva 1.
Candidate’s instructions.
You have been asked to see a woman whose baby was
stillborn.
You will discuss the key issues with the examiner.
Examiner’s instructions.
1.
What training should a doctor have before being
allowed to obtain consent?
2.
What are the benefits of PM?
3.
What are the issues that stop mothers agreeing
to PM?
4.
What steps should you take before seeing the
mother?
5.
What arrangements should you make about seeing
the mother?
6.
What types of PM can be agreed?
7.
What limits are there on the mother changing her
mind about consent?
8.
What options are there in relation to individual
organs that may be specifically examined?
9.
What are the options for disposal of the
remains.
Roleplay 2.
Candidate's Instructions.
This patient has attended for follow-up after recent
laparoscopy for pelvic pain. The operation findings were entirely normal.
A friend has recently been diagnosed with breast cancer. She
wants to know about how to reduce her risk of this disease.
Viva 2.
Examiner's questions
In relation to coeliac disease and pregnancy.
1. What is coeliac disease and how common is it?
2. What are the clinical features in the
non-pregnant?
3. How is coeliac disease diagnosed?
4. What are the implications of coeliac disease
for the pregnant woman?
5. Evaluate the management options in relation
to pregnancy.
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