Website
|
32
|
Viva. Breastfeeding.
|
|
33
|
Role-play. Anencephaly
|
|
34
|
Role-play. Forceps: teach
a junior
|
|
35
|
Viva. HPV
immunisation
|
|
36
|
Viva.
Waiting
list prioritisation
|
32. Viva.
Breastfeeding.
Candidate’s instructions.
This is a viva station.
The examiner will ask you 6 questions.
33.
Anencephaly.
Candidate’s instructions.
You are an SpR5 and running the ante-natal clinic – your
consultant has been called to help a consultant colleague with an emergency on
the labour unit and is not available for advice.
You are about to see Jean Hathersage. She is 25 years old
and had a 10-week scan last week that showed anencephaly. She stated that she
did not want TOP. She was counselled, given information leaflets and asked to
return to the antenatal clinical today for further discussion.
It is your task to conduct that discussion.
34. Forceps.
Candidate’s instruction.
This is a role-play station.
You are a year-5 SpR. It is a quiet day on the labour
ward.
The consultant has asked you to instruct a new trainee in
the use of forceps.
35.
HPV immunisation.
Candidate’s instructions.
This is a viva station about the UK programme for routine
HPV immunisation.
The examiner will ask you 19 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.
36. Waiting
list prioritisation.
Candidate’s
instructions.
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.
|
|
|
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