Website
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34
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Viva.
PPH. Review of management in the Unit
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35
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Role-play. Anencephaly
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36
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Role-play.
Pre-op clinic. Hysterectomy
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37
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Viva.
Parvovirus
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34. PPH. Review of management
in the Unit.
Candidate’s instructions.
You are a new consultant with a main interest in
obstetrics and the labour ward.
A patient had a major PPH 2 months ago and almost died.
She made a good recovery after intensive treatment and has gone home.
The lead consultant for the delivery unit has asked you
to conduct an in-depth review of management of PPH in the unit and make
recommendations.
This is an unstructured viva: it is up to you to decide
what to include.
The examiner will not assist you in any way.
35. Anencephaly.
Candidate’s instructions.
You are an SpR5 and running the ante-natal clinic – your
consultant has been called to help a consultant colleague with an emergency on
the labour unit and is not available for advice.
You are about to see Jean Hathersage. She is 25 years old
and had a 10-week scan last week that showed anencephaly. She stated that she
did not want TOP. She was counselled, given information leaflets and asked to
return to the antenatal clinical today for further discussion.
It is your task to conduct that discussion.
36. Role-play. Pre-op clinic. Hysterectomy.
Candidate’s instructions.
You are a fifth-year SpR and are running the pre-op
clinic. You are about to see Mary Smith.
The notes say that her uterus is enlarged to the size of
a 16 week pregnancy by fibroids and she has been listed for hysterectomy. She
has menorrhagia and medical treatments have not worked.
Your task is to complete the tasks you feel are
appropriate in the pre-op clinic.
37. Candidate’s instructions.
This is a structured “conversation” about parvovirus
infection and pregnancy. The examiner will ask 22 questions. When you have
answered a question you will not be allowed to return as subsequent questions
may yield the answer. If you do return no marks will be allocated, even for
correct answers..
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