15 October 2015
36
|
Roleplay. Cystic fibrosis.
|
37
|
Viva. Waiting list
prioritisation.
|
38
|
Roleplay. Teach a FY1
about shoulder dystocia.
|
39
|
Viva. HPV vaccination.
|
40
|
Viva. Whooping cough
& pregnancy.
|
36. Roleplay. Cystic fibrosis. Teenager. Early
pregnancy.
Candidate’s instructions.
You are a
year-5 SpR and are running the antenatal clinic as your consultant is on sick
leave.
You are
about to see Helen Smith. She has an early pregnancy and has attended for
booking. The midwife started to take the history, found that she had cystic
fibrosis and has asked you to see her.
The
midwife has taken a general, family and social history. She has not found any
major issues apart from her age, she is 17 years old, and her BMI, which is 20
kg/m2. Your tasks are to take a history relevant to the CF and
advise about management.
37. Viva. Waiting list prioritisation.
Your consultant is away.
The waiting-list manager comes to see you.
The following patients have been listed by junior staff.
The waiting-list manager wants you to:
confirm the appropriateness of the proposed treatment,
decide the degree of urgency,
confirm the appropriateness of the proposed venue,
decide any special requirement(s) for each patient.
Name
|
Age
|
Clinical Problem
|
Proposed operation
|
Venue
|
Special Needs
|
Urgency
|
JK
|
5
|
chronic discharge.
? foreign body
|
EUA
|
Main theatre
|
||
JM
|
32
|
1ry. infertility
|
Laparoscopy + tubal patency tests
|
Main theatre
|
||
GN
|
77
|
Vulval cancer. Coronary thrombosis x 2. Unstable angina.
|
Radical vulvectomy agreed at
|
Main theatre
|
||
RU
|
55
|
PMB x1. Weight 20 stones. (127 kg.)
1 kg. = 2.2 lb.
1 stone = 14 lb.
|
D&C.
|
|||
LD
|
32
|
Menorrhagia. Fibroids. Anaemia.
|
Vaginal hysterectomy.
|
Main theatre.
|
||
DT
|
22
|
Does not want children.
|
Lap. Steril.
|
|||
HB
|
14
|
Unwanted pregnancy at 10/52.
|
TOP
|
.
|
||
JY
|
44
|
GSI.
|
Anterior colporrhaphy.
|
Main theatre.
|
||
JS
|
23
|
Vaginal discharge. Cervical ectropion.
|
Diathermy to cervix.
|
|||
DT
|
55
|
3 cm. ovarian mass.
|
Laparoscopy ? proceed to Hyst + BSO.
|
Main theatre.
|
||
EV
|
32
|
Cone biopsy.
|
||||
UW
|
34
|
Endometriosis
|
Laparoscopic ablation
|
|||
HT
|
88
|
Cystocoele/ rectocoele/ 2nd. degree uterine prolapse
|
Manchester Repair.
|
Main theatre.
|
||
KN
|
58
|
Haematuria
|
Cystoscopy
|
|||
JW
|
18
|
Menorrhagia & copes badly with menstrual hygiene. Has Down’s
syndrome. Sexually active.
|
Hysterectomy
|
Main theatre
|
||
TB
|
30
|
Menorrhagia. 2nd. degree uterine descent. Been sterilised.
Jehovah’s witness.
|
Vaginal hysterectomy and repair.
|
Main theatre.
|
||
BM
|
55
|
Stage Ib cancer cervix. Been discussed at MDT. For Wertheim’s
hysterectomy. Factor V Leiden. VTE on Pill. On warfarin.
|
Wertheim’s hysterectomy.
|
Main theatre.
|
||
NU
|
60
|
Recurrent rectocoele.
|
Posterior colporrhaphy.
|
Main theatre.
|
38. Roleplay.
Teach a FY1 about shoulder dystocia.
Candidate’s instructions
It is a quiet day on the labour ward. You are working alongside a new
FY1. There was a case of shoulder dystocia on her last labour ward on-call and
she had very little idea of what was going on. She asked the consultant about
the management and she has asked you to teach the FY1 the basics.
39. Viva.
HPV vaccination.
Candidate’s instructions.
This is a viva station about the UK programme for routine
HPV immunisation.
The examiner will ask you 18 questions.
When you have finished a question, you will not be
allowed to return to it as later questions may indicate earlier answer. If you
return, no marks will be awarded, even for correct answers.
40. Viva.
Whooping cough & pregnancy.
Candidate’s instructions.
The examiner will ask you 4 questions about pertussis and
pregnancy.
No comments:
Post a Comment