Tutorial 10th. April 2017

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10 April 2017

23.	Viva. Labour ward 2. RCOG & electronic fetal monitoring training
24	Role-play. Fragile X syndrome
25	Viva. Diathermy
26	Role-play. Teach an FY1 the basics of audit

23. Viva. Labour ward 2. RCOG & electronic fetal monitoring training.

Candidate’s instructions.

Monday. 0900 hours.  You have just come on duty.

1	Mrs A	Para 0+0	25 yrs	41 weeks. In labour 12 hours. Cx 8 cm. No progress for 4 hours. "Dips" reported on CTG
2	Mrs B	Para 1+2	31 yrs	28 weeks. Just admitted. "Show" + contractions
3	Mrs C	Para 5+3	40 yrs	In labour 8 hours. Cx 6 cm. dilated
4	Mrs D	Para 1+3	27 yrs	37 weeks. Diabetes. Admitted ½ hour previously. Previous Caesarean section.
5	Mrs E	Para 1+2	32 yrs	40 weeks. Previous 9 lb. baby. In the second stage for 1 ½ hours.
6	Miss F	Para 0+0	15 yrs	34 weeks. Concealed pregnancy. In labour. Just admitted. Breech presentation
7	Mrs G	Para 1+2	34  yrs	26 weeks. Admitted with severe abdominal pain
8	Mrs H	Para 2+1	32  yrs	39 weeks. In early labour.
9	Mrs I	Para 1+0	29 yrs	Delivered two hours previously by Caesarean section for severe pre-eclampsia. Diastolic BP / 110. Urine output 50 ml. since delivery
10	Mrs J	Para 1+0	30 yrs	Normal delivery + PPH >1,500 ml. one hour ago

Medical staff:

Consultant:                      in his Rooms.

You:                                   Registrar.

Foundation Year 2          six months’ experience.

Registrar in anaesthetics.

Midwifery staff:

Senior Sister.

Two staff midwives.

One community midwife.

Two student midwives.

24. Roleplay. Fragile X syndrome.

Candidate's Instructions.

You are about to see Mary White who has been booked in with her first pregnancy by the midwife in the antenatal clinic. The midwife has asked you to see her as Mary has told her that there is a family history of Fragile X syndrome.

Your task is to discuss Fragile X syndrome and the implications for Mary, the pregnancy and her father.

25. Viva. Diathermy

Candidate's Instructions.

This is a viva station about diathermy and its uses and complications.

The examiner will ask you 8 questions.

26. Role-play. Teach an FY1 the basics of audit.

Candidate’s instructions.

You are the SpR on call for the labour ward.

It is a quiet afternoon: all the patients are healthy and in normal labour.

Dr. Jane Jones has started in the department as a new FY1. She is keen to specialise in O&G and has already passed the Part 1 examination.

A measure of her enthusiasm is that she has asked her consultant if she can be involved in doing an audit, but she is aware that she knows little about it.

Her consultant happens to be the consultant on duty for the labour ward and has asked you to ensure that she has enough knowledge to be a useful member of a team conducting an audit.