3 April 2017
14.
|
Roleplay. Booking.
Previous SB
|
15.
|
Viva. Breastfeeding
|
16.
|
Roleplay. Pre-pregnancy counselling.
Phenylketonuria
|
17.
|
Viva. UTI & pregnancy
|
14. Role-play. Booking.
Previous SB.
Candidate's Instructions.
This is a roleplay station.
You are an SpR in the booking clinic. You are about to
see a woman who is at 10 weeks gestation in her second pregnancy. Her first
baby was stillborn.
She has had all the routine booking, including
investigations, dealt with by the midwife who has asked you to see her to
advise about her first pregnancy and its implications for the management of
this pregnancy.
Take an appropriate history, advise about the necessary
investigations and how the history of stillbirth will influence the management
of the pregnancy.
15. Viva. Breastfeeding.
Candidate’s instructions.
This is a viva station about breastfeeding.
The examiner will ask you 7 questions.
16. Role-play. Phenylketonuria.
Candidate’s instructions.
You are the SpR in the pre-pregnancy clinic. Your
consultant is off on sick leave and you are the most senior doctor in the
clinic.
You are about to see Jane White who is planning her first
pregnancy. Your task is to take a history and discuss the optimum management
now and during pregnancy.
The GP letter reads:
Prime Health Practice,
Primetown,
Sussex.
0298766543.
Practice Manager:
Mrs Willhelmina Bland.
Dear Doctor,
Please see Jane White, 35 years of age and planning her
first pregnancy. Her health is good – she seems only to attend the Practice for
routine checks such as cervical smears – the most recent of which was taken
last year and was normal. From talking to her and examining her records, it is
clear that she is very healthy and has always had good physical and mental
health. Her social circumstances are good. The one thing of concern is that she
told me she was on a diet in childhood supervised by the local paediatric team.
She can’t recall what it was about and she stopped the diet at about the age of
14. Both of her parents are dead – her mother fifteen years ago at the age of
40 and her father two years ago in a RTA, so cannot shed light on what the diet
was for. Fortunately, when I checked through her notes I came across correspondence
indicating that the problem was phenylketonuria. I have told her that I am no
expert in phenylketonuria and the implications for pregnancy, so have eschewed
the temptation to provide any advice.
I look forward to receiving your expert report.
Dr. John Worthy.
17. Viva. UTI.
Candidate’s
instructions.
This is a viva station.
The examiner will ask you 8 questions about UTI &
pregnancy.
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