23 February 2023.
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9 |
Role-play. Woman attends for pre-pregnancy counselling as she plans her 1st.
pregnancy. Her sister recently had a baby with Down’s syndrome. |
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10 |
Role-play. Break bad news. Non-viable early pregnancy. |
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11 |
Viva. Mayer-Rokitansky-Küster-Hauser syndrome |
9. Role-play.
You are the SpR in the gynaecology clinic. You have been asked to see
Jenny Williams, who has come for pre-pregnancy counselling.
Letter from the General Practitioner.
5 High Street,
Deersworthy,
Kent.
DO9 1JY.
Re Mrs. J. Williams,
Manor Place,
Deersworthy.
Dear Dr.,
Please see this woman who is
planning pregnancy. I understand that her sister has had a baby with Down’s
syndrome. I have explained that this increases her risk of having a
similarly-affected baby to a significant degree.
Regards,
Dr. Jolly.
10. Role-play.
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”.
11. Viva.
The topic
will be revealed during the tutorial so that you don’t do any preparation.
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