Monday, 26 March 2018

Tutorial 26th. March 2018



26 March 2018
23
Viva. Ovarian torsion.
24
Role-play. Pre-pregnancy counselling. Dad recently diagnosed with Huntington’s
25
Role-play. Explain, dyskaryosis, dysplasia, CIN etc.
26
Viva. Breastfeeding.

23. Ovarian torsion.
Candidate’s instructions.
This is a ‘structured conversation’ about ovarian torsion. The examiner will ask 19 questions. You are not allowed to return to earlier questions and will just waste time if you do as no marks will be awarded even for correct answers. The examiner may suggest that you move to the next question to ensure that you have the opportunity to answer all the questions.

24. Pre-pregnancy counselling. Dad recently diagnosed with Huntington’s
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.

25. Roleplay. Explain, dyskaryosis, dysplasia, CIN etc.
Candidate's Instructions.
This is a role-play station. You are a 4th. year SpR.
Jane Smith is a 1st. year student nurse who has joined the department. She has heard the following terms used in the gynaecology and colposcopy clinics:
mild, moderate and severe dyskaryosis in relation to cervical smears,
mild, moderate and severe dysplasia and CIN 1 – 3,
simple, complex and atypical endometrial hyperplasia,
She would like to know what they mean and their significance as the explanations given by the medical staff in the clinics were not clear and patients asked her for clarification. Her knowledge was insufficient for her to provide this, which she found very unsatisfactory for the patients and her. Your consultant has delegated the explanation to you.

26. Viva.
Candidate's Instructions.
This is a viva station about breastfeeding. The examiner will ask you 7 questions.


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