Tutorial 16 August 2018

16 August 2018

19	Viva. Tentorium cerebelli.
20	Viva. Clinical governance
21	Role-play. Pre-pregnancy counselling. Dad recently diagnosed with Huntington’s disease
22	Role-play. Explain, dyskaryosis, dysplasia, CIN etc.
23	Viva. Trophoblastic disease. Genetics.

19.  Tentorium cerebelli.

Candidate’s instructions.

This is a viva. Do the origami and make the model. Tell the examiner what you know about the mechanics of tentorial tears. The examiner will just listen and not guide you in any way.

20.  Clinical governance.

Candidate’s instructions.

This is a structured clinal discussion station about clinical governance. The examiner will ask you 5 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.

21.  Huntington’s disease.

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.

22.  Dyskaryosis, dysplasia, CIN etc.

Candidate's Instructions.

This is a role-play station. You are a 4^th. year SpR.

Jane Smith is a 1^st. 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.

23. Trophoblastic disease. Genetics.

Candidate's Instructions.

This is a structured clinical discussion. The examiner will ask you questions about the genetics of trophoblastic diseases. When you have answered a question and moved on you are not allowed to return and if you do, you are wasting time as you will earn no marks, even for correct answers.