Website
30 August
2018
36
|
Viva.
Waiting
list prioritisation
|
37
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Role-play. Caesarean
section on maternal request
|
38
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Role-play. Premenstrual syndrome
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39
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Viva.
Maternity
Dashboard
|
40
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Viva. Cochrane Collaboration
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36.
Waiting list prioritisation.
Candidate’s instructions.
Your
consultant is away. The waiting-list manager comes to see you. The following
patients have been listed by junior staff. 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.
|
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JS
|
23
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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.
|
37.
Caesarean section on maternal request.
Candidate’s instructions.
You are a SpR5 in the antenatal clinic. Your consultant
is feeling unwell and has gone to lie down.
The midwife has just seen a primigravid woman who has
requested Caesarean section. She is healthy, with no significant medical
history and the pregnancy has been normal.
The gestation is 36 weeks, the head is engaged and the
baby seems to be of an average size.
The midwife has done all the routine investigations and
has asked you to see her to discuss the request for Caesarean section.
It is your task to discuss her request as you would in a
normal clinic.
38. Premenstrual
syndrome.
Candidate's Instructions.
This is a roleplay station.
Your task is to take a history and advise about initial
investigations and management.
GP Letter.
The Medical Centre,
Haversham Way,
Lasttown.
XS89 9JH.
Re Jenny Smith,
55 Town Street, Lasttown.
Dear Doctor,
Please see this woman who complains of pre-menstrual
syndrome. I don’t really believe in this condition so have not attempted to
treat it.
Regards, Dr. N.O.G. Ood.
39. Candidate’s instructions.
This is a viva station about the RCOG’s Maternity Dashboard.
The examiner will ask you 14 questions.
When you have finished a question, you will not be
allowed to return to it as later questions may indicate the answer. If you
return, no marks will be awarded, even for correct answers.
40.
Viva. Cochrane Collaboration..
Candidate’s instructions.
This is a viva about the Cochrane Collaboration.
The examiner will ask 8 questions and give one
instruction.
Forest plot used for Cochrane logo
I tried to copy the plot, but the software would not allow it.
You will need to download it from the 'Materials for the tutorials' folder on Dropbox.
