Thursday, 17 September 2015

17th. September 2015

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17 September 2015.


6 Viva. Abusive GP letter.
7 Role-play. Break bad news. Primigravida. 8 weeks. Some bleeding. Scan = IUP. CRL = 12 mm. No fetal heart activity. Counsel.
8 Role-play. Woman attends for pre-pregnancy counselling as she plans her 1st. pregnancy. Her       sister recently had a baby with Down’s syndrome.
9 Viva station.
You are a year 4 SpR and have been asked by your consultant to assess Mrs Mimi Dresden on the orthopaedic ward. The examiner will ask questions,.

6.     Viva. Abusive GP letter. This is the topic we did not complete on Monday.

7.     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 a patient who has just had a scan in the EPU.
She is primigravid and the gestation is 8 weeks. She has had some bleeding.
An ultrasound scan = IUP. CRL = 12 mm. No fetal heart activity. No adnexal masses.

8.     Role-play.
Candidate’s instructions.
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.
Regards,
Dr. Jolly.

9.     Viva station.
         You are a year 4 SpR and have been asked by your consultant to assess Mrs Mimi Dresden on the orthopaedic ward.
She is 85 years old and has been admitted with a hip fracture after a fall in the nursing home where she lives. She has Alzheimer’s disease. The nursing staff have noted blood on her underwear.
The examiner will ask you a series of questions:
             


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