23 March 2015
Viva. Laboratory results
Viva. UTI & pregnancy.
Roleplay. Ante-natal booking.
Viva. Uses of magnesium sulphate in obstetrics.
15. Candidate’s instructions.
You have 15 minutes to consider the following results and the face the examiner who will not ask questions or respond in any way.
Your consultant is on annual leave.
Her secretary has asked you to look through the following results and decide what action should be taken in relation to each.
1. +ve MSSU at booking. No symptoms.
2. GTT at 34 weeks. Peak level 11.5.
3. FBC with MCV at booking.
4. Thrombocytopenia at booking. 50,000.
5. Hydatidiform mole after evacuation of suspected miscarriage.
6. Histology after ERPC for incomplete miscarriage: no trophoblastic tissue.
7. Endometrial cancer: hysteroscopy: thickened endometrium. Histology: Anaplastic malignancy.
8. Endometrial cancer: MR scan: reaching serosa and upper endocervical canal.
9. Consultant does lap drainage of normal-looking ovarian cyst. Malignant cells. Nulliparous. Wants children.
10. HVS: trichomonas.
11. Clue cells on smear. 12/52 pregnant.
12. Antenatal discharge: endocervical swab: chlamydia
13. Actinomyces on smear.
14. Herpes in pregnancy
15. Severe dyskaryosis on cervical smear at booking.
16. Primary infertility: FSH & LH at 25 on day 3 of cycle.
17. Primary infertility. FSH 3, LH 12 on day 3 of cycle.
18. On cabergoline for prolactin and pituitary adenoma. +ve β-hCG.
19. 3 cm. ovarian cyst. Ca 125.
16. Candidate’s instructions.
This is a viva station.
The examiner will ask you 7 questions about UTI & pregnancy.
17. Candidate's Instructions.
This is a roleplay station.
You are an SpR in the booking clinic. You are about to see a woman who is at 10 weeks gestation in her second pregnancy. Her first baby was stillborn.
She has had all the routine booking issues, including investigations, dealt with by the midwife who has asked you to see her to advise about her first pregnancy and its implications for the management of this pregnancy.
Take an appropriate history, advise about the necessary investigations and how the history of stillbirth will influence the management of the pregnancy.
18. Viva station. Magnesium sulphate.
This is an unstructured viva – the examiner does nothing apart from tick the mark sheet.
This is a role-play station.
You are a year-5 SpR. It is a quiet day on the labour ward.
The consultant has asked you to instruct a new trainee in the use of forceps.