Website
30 April 2018
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52
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Role-play.
Androgen insensitivity syndrome
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53
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Role-play.
Shoulder dystocia
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54
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Viva. Website critique. Menozac
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55
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Viva.
Pertussis
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52. Androgen insensitivity syndrome.
Candidate's Instructions.
This is a role-play station.
The patient is Anastasia Johnstone. She is 17 years old.
She attended the gynaecology clinic 1 month ago with primary amenorrhoea.
Clinical examination showed an apparently normal young
woman with normal breast development but absent pubic and axillary hair. The
external genitalia appeared normal. Vaginal examination was not attempted.
She has come today for the results of the ultrasound scan
and blood results.
The scan has shown absence of the uterus. There are no
ovaries in the pelvis. There are bilateral groin masses that could be gonads.
The blood tests which were done are reported as:
Karyotype. 46XY.
Your tasks are to explain the results and their
implications and to answer her questions.
53. Teach shoulder dystocia.
Candidate’s instructions.
You are the on-call SpR for the labour ward. It is an
unusually quiet afternoon, with only one patient in labour and she is a healthy
para 1 with a previous normal delivery.
There is a new FY1 in the department. She was on call
yesterday when there was a difficult delivery due to shoulder dystocia. The
baby needed to be resuscitated and the mother sustained a 4th.
degree tear. The FY1 felt completely useless and would like an introduction to
shoulder dystocia so that she can be of some practical use the next time she is
involved with a case.
The examiner will not react,
respond to questions or offer advice.
54. Website critique.
Candidate’s instructions.
Patients may attend a consultation with information
obtained from a website. You must be able to provide a balanced critique of the
information on the website.
Read the document provided, which is an extract from the
Menozac website as it was a few years ago, and formulate a critique.
This is an unstructured viva and the examiner will not
ask any questions or make any comments.
55. Pertussis.
Candidate’s instructions.
The examiner will ask you 5 questions about pertussis and
pregnancy.
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