Website
Contact.
We started with an incomplete audit.
In
a recent exam there was an "incomplete" audit.
The
audit was about ECV.
The
data was that:
Consultant A offered ECV to one group of
women and had an 70% success rate,
Consultant B offered ECV to a different group
and had a 30% success rate,
Consultant C did not offer ECV at all.
You
were given this data and were asked to discuss how you would go about
completing the audit process.
We followed this with 3 vivas:
uterine inversion
the uses of magnesium sulphate in obstetrcs
vitamin supplementation in obstetrics.
The data for the uterine inversion viva was:
Candidate’s
instructions.
You are the SpR on call for the labour ward.
You are called urgently to deal with the patient for whom
a brief history is given below.
Basic clinical
information.
Para 2 +0.
25 years old. Previous elective Caesarean section for breech
presentation. 40 weeks. Normal
pregnancy, labour and delivery of child. Active management of the 3rd.
stage Syntocinon and CCT. As the placenta emerges from the vulva she complains
of severe lower abdominal pain. CCT stopped. Pulse rate 120 beats per minute;
BP 90/50 mm. Hg. Cold and sweaty.
Justify your
immediate actions.
You were then asked question of given information by the examiner.
No comments:
Post a Comment