29 March 2018
27
|
Role-play.
Fragile X
syndrome.
|
28
|
Role-play. PMB
|
29
|
Viva. Waiting list prioritisation.
|
30
|
Viva.
HPV immunisation.
|
27. Fragile X syndrome.
Candidate’s instructions.
You are about to
see Mary White who has been booked in with her first pregnancy by the midwife
in the antenatal clinic. The midwife has asked you to see her as Mary has told
her that there is a family history of Fragile X syndrome.
Your task is to
discuss Fragile X syndrome and the implications for Mary, the pregnancy and her
father.
28. PMB.
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.
29. Waiting list prioritisation.
Candidate’s
instructions.
Your consultant is away. The
waiting-list manager comes to see you. The following patients have been listed
and 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.
|
30. HPV immunisation.
Candidate’s instructions.
This is a viva station about the UK programme for routine
HPV immunisation.
The examiner will ask you 18 questions.
When you have finished a question, you will not be
allowed to return to it as later questions may indicate earlier answers. If you
return, no marks will be awarded, even for correct answers.
