23 April 2018
46
|
Viva. Suspected bowel injury at laparoscopy
|
47
|
Role-play.
Suspected bowel injury at laparoscopy: follow-on
|
48
|
Viva. Diathermy
|
49
|
Role-play.
Teach breech delivery to new trainee
|
46. Suspected bowel injury at
laparoscopy
Candidate’s instructions.
This is a viva station.
You are an SpR. You are in the process of performing
laparoscopy for a patient with 1ry. infertility. On inserting the laparoscope
you suspect that the cannula is in the bowel.
Your task is to explain to the examiner all the steps you
will consider taking from recognising the possibility through to the woman’s
discharge.
This is an unstructured viva and the examiner will not
ask any questions.
47. Suspected bowel injury at laparoscopy: follow-on
Candidate’s instructions.
This is a follow-on from the
previous station.
It is now 4 hours since the
operation: the woman had a laparotomy to repair the bowel defect. The woman has
asked why she has not been allowed to go home. Her sister has come to collect
her. The patient is still feeling drowsy and has some pain, so has asked her
sister to find out what happened, when she can go home and what it means for
her fertility.
48. Diathermy.
Candidate's Instructions.
This is a viva station about diathermy and its uses and
complications.
The examiner will ask you 8 questions.
When you have completed an answer you are not allowed to
return.
49. Teach breech delivery to a new trainee.
Candidate’s instructions.
You are
the SpR on call for the delivery unit. It is still unusually quiet. The on-call
consultant has been told that you did a brilliant job of explaining normal
labour and delivery on a previous occasion. She has asked you to explain vaginal
breech delivery to a new FY2, who is keen on a career in O&G.
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