Thursday, 7 April 2016

Tutorial 7th. April 2016

7 April 2016

Roleplay. Booking. Previous SB on holiday in Mongolia. No records.
Viva. Uses of magnesium sulphate in obstetrics.
Role-play. Pre-pregnancy counselling. Dad recently diagnosed with Huntington’s.
Viva. Incomplete ECV audit.

18. Roleplay. Candidate's Instructions.
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 routine booking, 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.

19. Viva. The uses of Magnesium sulphate in obstetrics.
Tell the examiner about the uses of MgSO4 in obstetrics. This is an unstructured viva, the worst kind, as the examiner will not ask any questions or respond in any way. The content is entirely up to you.

20. Candidate's Instructions.
You are the SpR in the pre-pregnancy counselling clinic. Mary Smith has been referred.
The GP referral letter is brief. “Please see this woman who is considering becoming pregnant. Her father has Huntington’s chorea, about which I know very little.”
Your task is to take a history and advise about appropriate investigations.

21. Viva. Incomplete ECV audit.
In a recent exam there was a station about an "incomplete" audit.
The audit topic was ECV.
The data was that:
Consultant A offered ECV to one group of women and had an 70% success rate,
Consultant B offered ECV to a different group and had a 30% success rate,
Consultant C did not offer ECV at all.
You were given this data and were asked to discuss how you would go about completing the audit process.

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