24th. September 2015

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24 September 2015

15	Viva. Laboratory results
16	Viva. UTI & pregnancy
17	Roleplay. Booking. Previous SB on holiday in Mongolia. No records
18	Viva. Uses of magnesium sulphate in obstetrics.

15.   Laboratory results.

         Your consultant is on annual leave.

Her secretary has asked you to look through the following results and decide what administrative action should be taken in relation to each.

1.	+ve MSSU at booking. No symptoms.
2.	GTT at 34 weeks. Peak level 11.5.
3.	FBC with ­ MCV at booking.
4.	Thrombocytopenia at booking. 50,000.
5.	Hydatidiform mole after evacuation of suspected miscarriage.
6.	Histology after ERPC for incomplete miscarriage: no trophoblastic tissue.
7.	Endometrial cancer: hysteroscopy: thickened endometrium. Histology: Anaplastic malignancy.
8.	Endometrial cancer: MR scan: reaching serosa and upper endocervical canal.
9.	Consultant does laparoscopic drainage of normal looking ovarian cyst. Malignant cells. Nulliparous. Wants children.
10.	HVS: trichomonas.
11.	Clue cells on smear. 12/52 pregnant.
12.	Antenatal discharge: endocervical swab: chlamydia
13.	Actinomyces on smear.
14.	Herpes in pregnancy
15.	Severe dyskaryosis on cervical smear at booking.
16.	Primary infertility: FSH & LH ­ at 25 on day 3 of cycle.
17.	Primary infertility. FSH 3, LH 12 on day 3 of cycle.
18.	Treated with cabergoline for ­ prolactin and pituitary adenoma.
19.	+ve beta HCG.
20.	3 cm. ovarian cyst. ­ Ca 125.

16.   Viva. UTI & pregnancy.

Candidate’s  instructions.

This is a viva station.

The examiner will ask you 8 questions.

17. Role-play. Booking. Previous SB on holiday in Mongolia. No records

Candidate's Instructions.

This is a viva station.

You are in the booking clinic and are about to see a woman who is at 10 weeks gestation in her second pregnancy. Her first baby was stillborn. She has no records as the birth took place in Mongolia. She had booked  for antenatal care but then had to go to Mongolia to look after a sick relative.

The examiner will ask you a series of questions about how you will proceed.

18. Viva. Uses of magnesium sulphate in obstetrics.

Candidate’s instructions.

This is a viva station about the uses of MgSO₄ in O&G.

The examiner will not ask questions, prompt or otherwise assist. It is up to you to give as full an account of the uses as you can muster.