27 October
2016
39
|
Role-play.
Hydatidiform mole
|
40
|
Role-play. Maternity Dashboard
|
41
|
Viva. Laparoscopy & bowel injury.
|
42
|
Role-play. Laparoscopy & bowel injury. See patient.
|
39. Role-play.
Hydatidiform mole.
Candidate's Instructions.
You are the SpR in the gynae clinic. The consultant has
said that it will be a good experience for you to see the next patient.
She was recently an inpatient for evacuation of retained
products after an apparent miscarriage at 8 weeks.
The histology report showed a complete mole.
The GP was contacted and asked to see her. An appointment
was sent to her to attend today.
Your task is to take a history and explain the
implications of the diagnosis
40. Viva.
Maternity Dashboard.
Candidate’s instructions.
This is a viva station about the RCOG’s maternity
dashboard.
The examiner will ask you 14 questions.
When you have finished a question, you will not be
allowed to return to it as later questions may indicate the answer. If you
return, no marks will be awarded, even for correct answers.
41. Viva. Laparoscopy & bowel injury.
Candidate’s instructions.
This is a
viva station.
You are a
SpR. You are in the process of performing laparoscopy for a patient with 1ry.
infertility. On inserting the laparoscope you suspect that the cannula is in
the bowel.
Your task
is to explain to the examiner all the steps you will consider taking from
recognising the possibility through to the woman’s discharge.
This is an
“open” viva and the examiner will not assist you.
It is up
to you to ensure that all the relevant issues are discussed.
42. Role-play. Laparoscopy & bowel injury.
Candidate’s instructions.
This is a
follow-on from the previous station.
It is now
4 hours since the operation: the woman had a laparotomy to repair the bowel
defect. The woman has asked why she has not been allowed to go home. Her sister
has come to collect her. The patient is still feeling drowsy and has some pain,
so has asked her sister to find out what happened, when she can go home and
what it means for her fertility.
are Mary
White. Your sister Jane had laparoscopy as investigation of 1ry. infertility
this morning. Something went wrong and she is to stay in hospital. She has
delegated you to find out what happened, when she can go home and what it means
for her fertility.
You are a
solicitor and specialise in medical litigation. You also want to know whether
the doctor was qualified to do the operation, what investigation will be done
and what will be done to assist her in making a complaint, which you are sure
she will want to do.
You want
answers to the following questions, but don’t ask them until it is clear that
the doctor is not going to give any answers.
1. what went wrong?
2. why did it go wrong?
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