Tutorial 9 May 2013

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Tonight we started off writing a prescription.

Candidate’s instructions.

Writing a prescription would only be part of a station and would probably not get more that 2 or 3 marks. But they are easy marks if you know what you are doing.

In this case, you would probably see her with a batch of results that show no abnormality other than infrequent or absent ovulation. You would be told to discuss the results, the diagnosis and to write a prescription if one is appropriate.

Or, more probably, you would have a structured viva about a series of results at the end of which the examiner would ask you about treatment and you would decide on clomiphene. The examiner would ask you to write a prescription. They might also ask you about the advice you would give about monitoring the effects of the treatment, the number of cycles, the doses to be used in each cycle and the possible side-effects.

Now, write a prescription for this patient.

Mrs. Mary Smith, DoB 15 August 90.

5 Mansion Row,

Richtown.

CR16 5PQ.

I can't get this software to take the prescription form that I have constructed. I have sent it to the MRCOG group by e-mail. If you don't have it, e-mail me.

Then we had two roleplays: one about a patient who wished to complain, the other about menorrhagia.
Complaint procedures are covered here:
http://www.drcog-mrcog.info/Topics%20not%20in%20the%20textbooks.htm

Then a viva about neonatal jaundice. http://www.drcog-mrcog.info/mcq%20P7,%20q12.htm. This is derived from MCQ paper 7, question 12.

Neonatal screening was mentioned:  http://www.drcog-mrcog.info/mcq%20p12,%20q10.htm and in MCQ paper 12, question 10