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1
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How to prepare. What to read. Revision
system. Study buddies. Statistics. Urogynaecology.
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2
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RCOG’s sample questions & TOG CPD questions. The RCOG website has sample obstetric & gynae questions, both
EMQs and SBAs. They have featured in the exam. Go through
all of them as they make for easy marks. TOG has CPD questions in every
issue. They are written by the authors of the TOG articles and likely to be
used in the exam. Make sure you can answer all of them from the last 2 – 3 years.
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3
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4
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Role-play.
Healthy, nulliparous. Brother with cystic fibrosis. Pre-pregnancy
counselling.
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5
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EMQ. Cystic
fibrosis.
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6
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EMQ. Montgomery
& consent.
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7
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SBA. Cowden syndrome.
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1. How
to prepare.
2. RCOG’s
sample questions & TOG CPD questions.
3. Role-play.
How to introduce oneself.
4. Role-play.
Candidate's
Instructions.
This
is a roleplay station. You are a year 4 SpR and are in the gynaecology clinic.
The
consultant has just left you in charge as she is feeling unwell and has gone to
lie down.
Your
task is to deal with the patient as you would in real life.
GP
referral letter.
Best Medical Centre,
High Road,
Anytown.
Phone:
01882 78998. E-mail: besthealth@gmail.com
Practice
Manager: Mary Wright. B.SC.,
RGN.
Phone: 01882
78998 ext. 23.
E-mail: MWbesthealth@gmail.com
Re. Mrs. Bonnie Black,
25 Low Road,
Anytown.
DOB: 28 January 1990.
Phone: 07889 888 132.
Dear Doctor,
Please see Mrs Black who is planning her
first pregnancy. Her main concern is that her brother has cystic fibrosis.
This was the first time I had met her
although she has been registered with us for 5 years – her health is good and
she has no history of serious illness or surgery.
I have explained that I don’t know much about
the implications of the brother’s cystic fibrosis for her potential pregnancies
and that she needs to talk to an expert. I have stressed that the risk of her
having a child with cystic fibrosis is high and that she needs to be aware that
there is a distinct likelihood that any pregnancy would be likely to be
affected and need TOP.
Yours sincerely,
John P. Clatter.
5. EMQ.
Cystic
fibrosis.
There is no option list, so you have to decide the
correct answer, thus behaving in a model fashion.
Question 1.
A woman is 8 weeks pregnant and known to be a
carrier of cystic fibrosis.
Her husband is Caucasian. What is the risk of the
child having cystic fibrosis?
Question 2.
A healthy woman attends for pre-pregnancy
counselling. Her brother has cystic fibrosis.
Her husband is Caucasian. He has been screened for
cystic fibrosis. The test was negative.
What is the approximate risk of them having a child
with cystic fibrosis?
Question 3.
A healthy woman is a known carrier of cystic
fibrosis. She attends for pre-pregnancy counselling. Her husband has cystic
fibrosis.What is the risk of them having a child with CF?
Question 4.
A healthy woman attends for
pre-pregnancy counselling. Her sister has had a child with cystic fibrosis. What
is her risk of being a carrier?
Question 5.
A woman attends for pre-pregnancy counselling. Her
mother has cystic fibrosis.
What is the risk that she is a carrier?
Question 6.
A woman attends for pre-pregnancy counselling. Her
mother has cystic fibrosis.
The partner’s risk of being a carrier is 1 in X. What
is the risk that she will have a child with CF?
Question 7.
A healthy Caucasian woman is 10 weeks pregnant. Her
husband is a known carrier of cystic fibrosis. Which test would you arrange?
Question 8.
A woman attends for pre-pregnancy counselling. She
has read about diagnosing CF using cffDNA from maternal blood. Is it possible
to test for CF in this way?
Question 9.
A woman and her husband are known carriers of
cystic fibrosis.
What is the risk of them having an affected child?
Question 10.
A woman and her husband are known carriers of
cystic fibrosis.
What can they do to reduce the risk of having an
affected child?
Question 11.
A woman and her husband are known carriers of
cystic fibrosis.
Can CVS exclude an affected pregnancy?
Question 12.
A woman with cystic fibrosis is planning pregnancy.
Her husband is a carrier of cystic fibrosis. What is the risk of having an
affected child?
Question 13.
A woman with cystic fibrosis has a normal delivery
of a healthy, 3.2 kg. baby at term. She has been advised not to breastfeed
because her breast milk will be protein-deficient due to malabsorption.
Is this advice correct?
Question 14.
A woman with cystic fibrosis has a normal delivery
of a healthy, 3.2 kg. baby at term. She has been advised not to breastfeed
because her breast milk will contain abnormally low levels of sodium.
Is this advice correct?
6. Montgomery.
Abbreviations.
BMA: British
Medical Association.
GMC: General
Medical Council.
Question
1.
Which, if any, of the following statements
are true?
Lead-in
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A.
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The Montgomery ruling largely replaces
the Bolam ruling
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B.
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The Montgomery ruling largely replaces the Chester ruling
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C.
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The Montgomery ruling largely replaces the Sidaway ruling
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D.
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The Montgomery ruling is being contested in the European Court
by the GMC as it infringes the rights of doctors
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E.
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The Montgomery ruling is being contested in the European Court
by the BMA as it infringes the rights of doctors
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Question
2.
Which, if any, of the following statements
are true?
Lead-in
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A.
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the level of risk, however
small, must be disclosed if a patient requests it
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B.
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the level of risk of damage from a procedure need not be
disclosed if < 1%
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C.
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the level of risk of damage from a procedure need not be
disclosed if < 10%
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D.
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a material risk is one that would be reflected in damages >
£100,000 if negligence were proved in court
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E.
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a material risk is one that would be reflected in damages >
£1,000,000 if negligence were proved in court
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F.
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a material risk is one that involves anatomical damage, not
emotional or psychological
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G.
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a material risk is one that a reasonable person in the patient’s
situation would be likely to regards as significant
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7. Cowden
syndrome.
Scenario 1.
Lead in.
Which feature is associated with Cowden syndrome?
Option list.
A. albinism
B. hamartoma
C. hammer-toe
D. hypertrichosis
E. stammer
Scenario 2.
Lead in. Which condition has
the highest risk of occurrence in women with Cs?
Option list.
A. breast cancer
B. bowel cancer
C. congenital absence of Müllerian tract
derivatives
D. hypertension
E. hypothyroidism
Scenario 3.
Lead in. Which gynaecological
cancer is a particular risk for women with Cs?
Option list.
A. Bartholin’s gland cancer
B. cervical cancer
C. choriocarcinoma
D. endometrial cancer
E. vulval cancer
Scenario 4.
Lead in. Which cancer is more
common in men with Cs?
Option list.
A. breast cancer
B. colon cancer
C. melanoma
D. renal cancer
E. thyroid cancer
F. all of the above
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