|
21 |
Talk. Neonatal jaundice |
|
22 |
EMQ. Coroner and Medical Examiner. |
|
23 |
EMQ. Education |
|
24 |
SBA. Kisspeptin |
21. Neonatal jaundice. Talk.
22. EMQ. Coroner and Medical
Examiner.
The Coroner.
This topic has featured in the exam and makes for
easy marks if you know the basics.
CC: Chief Coroner.
CJA9: Coroners and Justice Act 2009.
MCCD: medical
certificate of the cause of death.
NOD: notification
of deaths.
SB: stillbirth
Option list 1.
A.
an independent judicial officer
B.
a barrister acting for the Local Police Authority
C.
the regional representative of the Home Office
D.
the regional representative of the Queen.
E.
an employee of the High Court.
F.
the Local Authority
G.
the Local Police Authority
H.
the Home Office
I.
the High Court
J.
the Queen
Use option list 1 for
scenarios 1 - 3.
What is the best description
of the status of the Coroner?
Scenario
2.
Who
appoints the Coroner?
Scenario
3.
Who
pays for the Coroner and the coronial service?
Scenario
4.
Which,
if any, are current titles for coroners?
Option
list.
|
A |
area
coroner |
|
B |
assistant
coroner |
|
C |
district
coroner |
|
D |
deputy
coroner |
|
E |
lead
coroner |
|
F |
national
coroner |
Scenario
5.
Which,
if any, of the following is a function of the Chief Coroner?
Option list.
|
A |
to
appoint coroners |
|
B |
to
approve coronial appointments |
|
C |
to
negotiate coroners’ salaries |
|
D |
to
negotiate coroners’ terms and conditions |
|
E |
to
oversee the disciplinary procedures for coroners |
|
F |
to
keep an eye on coronial investigations that have taken too long |
|
G |
to
organise advice from coroners about how deaths may be prevented |
Option list 2. Use for
scenarios 6-8.
A.
must have had experience as a detective with the rank of Inspector
or above
B.
must be a barrister, lawyer or doctor with at least 5 years’
experience
C.
must be a legally qualified individual with at least 5 years’
experience
D.
must be a trained bereavement counsellor
E.
must be able to play the bagpipes
F.
Monday - Friday; 09.00 - 17.00 hours, including bank holidays
G.
Monday - Friday; 09.00 - 17.00 hours excluding bank holiday
H.
All the time
I.
to arrest people suspected of unlawful killing
J.
to manage traffic in the vicinity of the Coroner’s court
K.
to make enquiries on behalf of the Coroner
L.
to make enquiries on behalf of the Coroner and provide
administrative support
Scenario
6.
What
qualifications must the Coroner have?
Scenario
7.
What
are the hours of availability of the Coroner?
Scenario
8.
What
is the role of the Coroner’s Officers?
Scenario
9.
Who
or what is responsible for appointing medical examiners?
Option
list.
|
A |
Local
authorities |
|
B |
the
Chief Coroner |
|
C |
the
Chief Medical Examiner |
|
D |
the
local Senior Coroner |
|
E |
the
Lord Chancellor |
|
F |
NHS
Trusts |
|
G |
the
Queen |
Scenario
10.
Which,
if any, of the following are applicable to the role of medical examiner?
Option
list.
|
A |
to
decide if a post-mortem is required |
|
B |
notification
of deaths to the coroner |
|
C |
supervision
of the quality of MCCDs |
|
D |
attendance
at post-mortems |
|
E |
performance
of post-mortems |
Scenario
11.
When
was the Chief Medical Examiner for England & Wales appointed?
Option
list.
|
A |
2005 |
|
B |
2010 |
|
C |
2015 |
|
D |
2017 |
|
E |
2019 |
|
F |
the
post does not exist |
|
G |
none
of the above |
Scenario
12.
What
was the specialty of the 1st. appointee to the post of the lead
medical examiner for England & Wales?
Option
list.
|
A |
accident
and emergency medicine |
|
B |
forensic
medicine |
|
C |
forensic
pathology |
|
D |
forensic
psychiatry |
|
E |
obstetrics
& gynaecology |
|
F |
pathology |
Scenario
13.
Which,
if any, of the following are requirements for those wishing to become a medical
examiner?
Option
list.
|
A |
full
registration with the General Medical Council |
|
B |
consultant
status |
|
C |
>
10 years’ experience as a fully-registered doctor |
|
D |
to
have the Diploma of the Faculty of Medical Examiners |
|
E |
to
have membership of the RCP |
|
F |
none
of the above |
Option list 3. Use for the
remaining scenarios, unless they have an option list.
A.
the death must be reported to the Coroner
B.
the death does not need to be reported to the Coroner
C.
the Coroner must order the return of the body for an inquest
D.
the Coroner must order a post-mortem examination
E.
the Coroner must hold an inquest
F.
the Coroner should arrange for the death to be investigated by the
Home Office
G.
the death must be reported to the authorities of the country in
which it took place in order that a certificate of death can be issued
H.
a certificate of live birth
I.
a certificate of stillbirth
J.
a certificate of miscarriage
K.
yes
L.
no
M.
none of the above
Scenario
14.
A resident of Manchester
dies suddenly while visiting the town of his birth in Scotland. His family
decides that he will be buried in the town of his birth. His body is held at
the premises of a local funeral director to arrange the funeral and burial.
What actions should be taken with regard to the Manchester coroner?
Scenario
15.
A resident of
London dies suddenly while visiting Manchester, where he was born. His family
decides that he will be buried in Manchester. His body is held at the premises
of a Manchester funeral director who will arrange the funeral and burial. What
actions should be taken with regard to the Manchester coroner?
Scenario
16.
A
resident of Manchester dies on holiday in his native Greece. The family decide
that he will be buried in Greece. What steps must be taken to obtain a valid
death certificate?
Scenario
17.
A man
of 65 dies of terminal lung cancer. The GP who had visited daily up to three
weeks before the death has been on holiday for three weeks. He has now returned
and says that he will sign a death certificate, but needs to visit the funeral
director to see the body first. Will
this be a valid death certificate?
Scenario
18.
A man
of 65 dies of terminal lung cancer. The GP, who has visited daily up to the day
of his death and attended to confirm the death, is on holiday. However, he says
that he will sign a death certificate and put it in the post, so that it will
arrive in the morning. Will this be a valid death certificate?
Scenario
19.
A man
of 65 dies of terminal lung cancer. The GP who has visited daily up to the day
before his death has been on holiday since. However, he says that he will sign
a death certificate and put it in the post, so that it will arrive in the
morning. Will this be a valid death certificate?
Scenario
20.
A
65-year-old man dies suddenly 12 hours after admission to the local coronary care
unit with chest pain, despite apparently satisfactory insertion of a coronary
artery stent after a diagnosis of coronary artery thrombosis. What action
should be taken with regard to the Coroner?
Scenario
21.
A
16-year-old girl is admitted at 36 weeks’ gestation in her first pregnancy with
placental abruption. She is given the best possible care but develops DIC and
hypovolaemic shock and dies after 48 hours. What action should be taken with
regard to the coroner?
Scenario
22.
A
28-year-old woman is admitted with placental abruption at 36 weeks. She has
bruising on the abdominal wall and the admitting midwife suspects that she has
been the victim of domestic violence, though the woman denies it. Despite best
possible care she dies as a consequence of bleeding. What action should be
taken with regard to the coroner?
Scenario
23.
A
30-year-old woman delivers normally at home attended by her husband, but has a
PPH. The husband practises herbal medicine. He applies various potions but her
condition deteriorates. She is admitted to hospital by emergency ambulance. She
is given best possible care and is admitted to the ICU. She dies 7 days later
of multi-organ failure and ARDS attributed to hypovolaemic shock. What action
should be taken with regard to the coroner?
Scenario
24.
A
woman is admitted at 23 weeks in premature labour. There is evidence of fetal
heart activity throughout the labour, with the last record being 5 minutes
before the baby delivers. The baby shows no evidence of life at birth. The
mother requests a death certificate so that she can register the birth and
arrange a funeral. What form of certificate should be issued?
Scenario
25.
A
woman is admitted at 26 weeks’ gestation in premature labour after being kicked
in the abdomen by her partner. The presentation is footling breech. At 8 cm.
cervical dilatation the trunk is delivered and the cord prolapses. There is
good evidence of fetal life with fetal movements and pulsation of the cord. The
head is trapped and it takes 5 minutes to deliver it. The baby is pulseless,
apnoeic and without visible movement at birth. Intubation and CPR are carried
out for 20 minutes when the baby is declared dead. What action should be taken
with regard to the coroner?
Scenario
26.
A
woman is admitted at 26 weeks’ gestation in premature labour after being kicked
in the abdomen by her partner. She says that he did not want the pregnancy to
continue.
Pick
the best option from the option list.
Option
list.
A. dial 999
B. get advice from the BMA
C. get advice from the Department of Health
D. get advice from the legal department
E. get advice from the police
F. none of the above.
A 65-year-old man dies 2
hours after admission to hospital with an apparent stroke. The coroner requests
access to the notes. What access should be provided?
Option list.
|
A |
provide access to the
records by the Coroner in person |
|
B |
provide unrestricted
access to the medical records by the coroner’s officers |
|
C |
provide a copy of the
hospital records to the coroner or her officers |
|
D |
provide a medical
report, but no access to the medical records |
|
E |
provide a copy of the
letter to the GP about the recent admission |
|
F |
none of the above |
Scenario
28.
You
have been swimming in the sea at Broad Beach, Rhosneigr. As you walk back to the
shore your foot hits something in the sand. You explore and find a number of
gold coins that look ancient. What should you do?
Option
list.
|
A |
put
them back as they may have been an offering to the Gods |
|
B |
put
them in a safe place with a view to having them valued and sold |
|
C |
take
them to the local museum for identification and advice about informing the
coroner |
|
D |
take
them to the nearest police station for advice |
|
E |
take
them to your favourite pub and trade them for a meal and round of drinks |
When was the Chief Medical
Examiner for England & Wales appointed?
Option list.
|
A |
2005 |
|
B |
2010 |
|
C |
2015 |
|
D |
2017 |
|
E |
2019 |
|
F |
the post does not exist |
|
G |
none of the above |
Scenario 30.
What was the specialty of
the 1st. appointee to the post of the lead medical examiner for
England & Wales?
Option list.
|
A |
accident and emergency
medicine |
|
B |
forensic medicine |
|
C |
forensic pathology |
|
D |
forensic psychiatry |
|
E |
obstetrics &
gynaecology |
|
F |
pathology |
Scenario 31.
Which, if any, of the
following are requirements for those wishing to become a medical examiner?
Option list.
|
A |
full registration with
the General Medical Council |
|
B |
consultant status |
|
C |
> 10 years’ experience
as a fully-registered doctor |
|
D |
to have the Diploma of
the Faculty of Medical Examiners |
|
E |
to have membership of
the RCP |
|
F |
none of the above |
23. EMQ. Education.
Education.
Option list.
- brainstorming.
- brainwashing
- cream cake circle.
- Delphi technique.
- demonstration &
practice using clinical model.
- doughnut round.
- interactive lecture with
EMQs.
- lecture.
- 1 minute preceptor method.
- teaching peers / junior
colleagues
- schema activation.
- schema refinement.
- small group discussion.
- snowballing.
- snowboarding.
- true
- false
Scenario 1.
A woman is admitted with an
eclamptic seizure. The acute episode is dealt with and she is put on an
appropriate protocol. You wish to use the case to outline key aspects of PET
and eclampsia to the two medical students who are on the labour ward with you.
Which would be the most appropriate approach?
Scenario 2.
You have been asked to provide
a summary of the key aspects of the recent Maternal Mortality Meeting to the
annual GP refresher course. There are likely to be 100 attendees. Which would
be the most appropriate approach?
Scenario 3.
You have been asked to teach a
new trainee the use of the ventouse. Which would be the most appropriate
approach?
Scenario 4.
You have been asked to teach a group of medical students
about PPH. To your surprise you find that they have good basic knowledge. Which
technique will you apply to get the most from the teaching session?
Scenario 5.
Your consultant has asked you to get the unit’s medical
students to prepare some questions about breech delivery which they can ask of
their peers when they next meet. Which technique will you use?
Scenario 6.
You have been asked to discuss
2ry. amenorrhoea with your unit’s medical students. You are uncertain about the
amount of basic physiology and endocrinology they remember from basic science
teaching. Which technique will you use?
Scenario 7
The RCOG has asked you to chair
a Green-top Guideline development committee. You find that there is very little
by way of research evidence to help with the process. The College has assembled
a team of consultants with expertise and interest in the subject. Which
technique would be best to reach consensus on the various elements of the GTG?
Scenario 8
Which of the listed teaching
techniques is least likely to lead to deep learning?
Scenario 9
An interactive lecture with
EMQs is the best method of teaching. True or false.
Scenario 10
Only 20% of what is taught in a lecture is retained. True
or false.
Scenario 11.
The main role of the teacher is information provision. True
or false.
Scenario 12.
The main role of the teacher is to be a role model. True or false.
24. SBA. Kisspeptin.
Which, if any, of the following options are true?
Option
list.
|
A |
is a pheromone released by
the salivary glands during passionate embraces |
|
B |
is a digestive enzyme
released by the salivary glands during passionate embraces |
|
C |
is a digestive enzyme found
in human carnivores but not vegetarians |
|
D |
is thought necessary for
trophoblastic invasion and low levels have been linked to miscarriage,
recurrent miscarriage and ↑ risk of PET |
|
E |
is named after “Kiss me
quick” chocolate |
|
F |
does not exist and this
question is a very poor joke by someone who should know better |
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