6 September
2018
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45
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Role-play. Complaints
|
|
46
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Role-play. Androgen insensitivity syndrome
|
|
47
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Role-play. Shoulder dystocia
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48
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Viva. Enhanced recovery
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49
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Viva. Diathermy
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45. Complaints.
Candidate’s instructions.
You are a 5th. year SpR. The consultant
responsible for risk management has asked you to teach a new O&G trainee
about complaints.
46. 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 are reported as: Karyotype. 46XY.
Your tasks are to explain the results and their implications
and to answer her questions.
47. 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.
48. Enhanced
recovery.
Candidate's instructions.
You are a newly-appointed consultant. The Clinical
Director has asked you to develop a programme for enhanced recovery for
inpatient gynaecological surgery.
As a first step, she has asked you to deliver a talk to a
unit meeting (all staff can attend) to outline the key features of enhanced recovery.
She suspects that little is known by most of the staff about the subject and
hopes that your talk will encourage their enthusiastic participation. The
examiner will ask you 9 questions pertinent to your talk.
49. Diathermy.
Candidate’s instructions.
This is a structured viva station about diathermy and its
uses and complications.
The examiner will ask you 8 questions.
When you have completed an answer you are not allowed to
return.
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