Monday, 30 January 2023

Tutorial 26 January 2023

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11

Role-play. Break bad news. Non-viable early pregnancy

 12

Role-play. Topic to be announced on the day

13

Role-play. Explain balanced translocation to FY1

14

SBA. Fitz-Hugh-Curtis Syndrome

 

11.   Role-play. Break bad news. Non-viable early pregnancy.  Role-player Riffat.

Candidate’s instructions.

You are the SpR in the ante-natal clinic. The consultant who was in clinic has been asked to assist her consultant colleague in the labour ward theatre. She is unlikely to return for some time as the case is one of massive PPH and hysterectomy may be necessary. 

One of the midwives asks you to see Jane Brown, who has just had a scan in the early pregnancy unit.  She is primigravid and the gestation is 8 weeks. She has had some bleeding.   

Ultrasound scan report: “Intra-uterine pregnancy. Single pregnancy. CRL = 12 mm.  No fetal heart activity.  No adnexal masses”.

 

12.   Role-play. Role-player: Ammara.

Candidate’s instructions.

You are a SpR5 in the gynae clinic and about to see Caroline Faulkner. Your tasks are to take an appropriate history and advise about investigation and management.

GP referral letter. This will be read out on the day.

 

13.   Role-play. Explain balanced translocation to FY1. Role-player: Dhwany.

Candidate’s instructions.

You are the registrar on duty for the labour ward. It is quiet and the consultant has asked you to explain balanced translocation to the FY1, saying it will be good preparation for the Part 3 exam that you have applied to sit.

 

14.   Fitz-Hugh-Curtis Syndrome. SBA.

Scenario 1.    Which one of the following best fits with FHCs?

Option List

A

It is a complication of Caesarean section

B

It is a complication of Crohn’s disease

C

It is a complication of ovarian fibroma

D

It is a complication of pelvic inflammatory disease

E

None of the above.

Scenario 2.    Which of the following is a key feature of FHCs?

Option List

A

ascites + unilateral hydrothorax

B

amenorrhoea

C

anlagen

D

unilateral ‘Coast of Maine’ pigmentation

E

none of the above

Scenario 3.    Which of the following is a common feature in the development of FHCs?

Option List

A

auto-immunity

B

Chlamydia trachomatis infection

C

Mycoplasma genitalium infection

D

TB

E

none of the above

 

 

 

 

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