23
|
Role-play. Booking clinic. Previous SB.
|
24
|
Viva. Website critique. Menozac.
|
25
|
Role-play. PMB.
|
26
|
Viva. Waiting list prioritisation.
|
27
|
Viva. Maternity Dashboard.
|
23. Booking
clinic. Previous SB.
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 all the 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.
24. Viva.
Menozac website critique.
Candidate's Instructions.
This is a viva station.
You are to provide a critique of a website.
The document provided is an extract from the website.
25. PMB. Role-play.
Candidate’s Instructions.
You are an SpR in the “one-stop” PMB clinic. You are
about to see a woman with bleeding some years since her menopause.
A 55 year old woman is referred by her General
Practitioner.
Your task is to take an appropriate history and advise
her about the investigations you feel are appropriate and why.
Referral letter from the General
Practitioner.
Manor Lodge,
High Street,
Bestown.
BE5 S00
Re: Mrs. Mary Smith,
Age 55.
5b High Street,
Bestown.
BE5 SO1
Dear Doctor,
Please see Mrs. Smith who has had bleeding down below. It
is a number of years since she reached the menopause.
Yours sincerely,
James Fewords,
General Practitioner.
26. Waiting List Prioritisation.
Your consultant
is away. The waiting-list manager comes to see you.
The following
patients have been listed by junior staff.
The waiting-list
manager wants you to:
confirm the appropriateness of the proposed treatment,
decide the degree of urgency,
confirm the appropriateness of the proposed venue,
decide any special requirement(s) for each patient.
Name
|
Age
|
Clinical Problem
|
Proposed operation
|
Venue
|
Special Needs
|
Urgency
|
JK
|
5
|
chronic
discharge.
? foreign body
|
EUA
|
Main theatre
|
||
JM
|
32
|
1ry.
infertility
|
Laparoscopy +
tubal patency tests
|
Main theatre
|
||
GN
|
77
|
Vulval cancer.
Coronary thrombosis x 2. Unstable angina.
|
Radical
vulvectomy agreed at
|
Main theatre
|
||
RU
|
55
|
PMB x1. Weight
20 stones. (127 kg.)
1 kg. = 2.2 lb.
1 stone = 14
lb.
|
D&C.
|
|||
LD
|
32
|
Menorrhagia.
Fibroids. Anaemia.
|
Vaginal
hysterectomy.
|
Main theatre.
|
||
DT
|
22
|
Does not want
children.
|
Lap. Steril.
|
|||
HB
|
14
|
Unwanted
pregnancy at 10/52.
|
TOP
|
.
|
||
JY
|
44
|
GSI.
|
Anterior
colporrhaphy.
|
Main theatre.
|
||
JS
|
23
|
Vaginal
discharge. Cervical ectropion.
|
Diathermy
to cervix.
|
|||
DT
|
55
|
3 cm. ovarian
mass.
|
Laparoscopy
? proceed to Hyst + BSO.
|
Main theatre.
|
||
EV
|
32
|
Cone
biopsy.
|
||||
UW
|
34
|
Endometriosis
|
Laparoscopic
ablation
|
|||
HT
|
88
|
Cystocoele/
rectocoele/ 2nd. degree uterine prolapse
|
Manchester
Repair.
|
Main theatre.
|
||
KN
|
58
|
Haematuria
|
Cystoscopy
|
|||
JW
|
18
|
Menorrhagia
& copes badly with menstrual hygiene. Has Down’s syndrome. Sexually
active.
|
Hysterectomy
|
Main theatre
|
||
TB
|
30
|
Menorrhagia. 2nd.
degree uterine descent. Been sterilised. Jehovah’s witness.
|
Vaginal
hysterectomy and repair.
|
Main theatre.
|
||
BM
|
55
|
Stage Ib cancer
cervix. Been discussed at MDT. For Wertheim’s hysterectomy. Factor V Leiden.
VTE on Pill. On warfarin.
|
Wertheim’s
hysterectomy.
|
Main theatre.
|
||
NU
|
60
|
Recurrent rectocoele.
|
Posterior
colporrhaphy.
|
Main theatre.
|
27. Maternity Dashboard.
Candidate’s instructions.
This is a viva station about the Maternity Dashboard.
The examiner will ask you 4 questions.
When you have finished a question, you will not be
allowed to return to it as later questions may indicate the answer. If you
return, no marks will be awarded, even for correct answers.
