Rcog exams 16th May am

1-15 yr old.EC.partner same age

History taking
Discuss options
Concerns ‘re parents so inform confidentiality
2-day post lap for 5cm dermoid cyst
In pain
Sat 94
Hr 100
ECG sinus tachy
History taking
Seemed like dvt/ pe
Discuss manager and fu plan for pt and future prev avoid chc
3-mixed urinary incontinence stress more than urge
BMI 38
Discuss min surgical option
Cons life style medical m&s
4-discuss steps of hysterectomy
Concerns in mx of 14 week fibroid ut
Instruments
5-reaudit dw consultant ‘re shoulder dystocia
Critical appraisal
Good vs bad points
Describe cycle of audit
6-19 yr old type 1 diabetes noncompliant
Raised hbaic
Normal bg
Scan off
32weeks
Discuss results and mx plan with implications
7-36 weeks
Renal transplant
Worsening urea creat
Proteinuric
Consultant decide for cs today at 36 weeks
Growth on 15th centile
Is it right decision
Can she have nvd
Measures in labour
What are your worries at cs
8-fy1 wants to learn discharge summary
Go thru steps
Feedback sign discharge summary
9-recurrent misc
1 live child than ectopic , miscarriage surg evac and 10 weeks medical mx
Discuss with constant
Further info req
In
Mx
Aspirin lmwh reassurance
10-Pri infertility10-Pri
Semen normal
Ovulating and tubes blocked at hsg
Discusd further mx hycosy.lap and dye specific risks at laparoscopy folic acid ..tubal surgery
Ivf
11-young girl cpp for 1 yr
Sti scan normal scan normal
Gp worried re endometriosis
Hx suggestive of ibs
12-3b tear 4 weeks post natal review symptomatic with fecal flatus in incontinence
Angry
Apologize as consultant away
Mx ‘re colorectal fu
13-46 yr
Spotting
ETt 7mm endometrial
Pmb
Hx of breast cancer prev tamoxifen use
Sister had endo cancer
Plan hysteroscopy bx and end o polyectomy
14- antenatal hiv screening
Discuss method of screening
Implications for her employer..works as a waitress
Implications for pt and baby

Rcog exams 16th May am

1-15 yr old.EC.partner same age
History taking
Discuss options
Concerns ‘re parents so inform confidentiality
2-day post lap for 5cm dermoid cyst
In pain
Sat 94
Hr 100
ECG sinus tachy
History taking
Seemed like dvt/ pe
Discuss manager and fu plan for pt and future prev avoid chc
3-mixed urinary incontinence stress more than urge
BMI 38
Discuss min surgical option
Cons life style medical m&s
4-discuss steps of hysterectomy
Concerns in mx of 14 week fibroid ut
Instruments
5-reaudit dw consultant ‘re shoulder dystocia
Critical appraisal
Good vs bad points
Describe cycle of audit
6-19 yr old type 1 diabetes noncompliant
Raised hbaic
Normal bg
Scan off
32weeks
Discuss results and mx plan with implications
7-36 weeks
Renal transplant
Worsening urea creat
Proteinuric
Consultant decide for cs today at 36 weeks
Growth on 15th centile
Is it right decision
Can she have nvd
Measures in labour
What are your worries at cs
8-fy1 wants to learn discharge summary
Go thru steps
Feedback sign discharge summary
9-recurrent misc
1 live child than ectopic , miscarriage surg evac and 10 weeks medical mx
Discuss with constant
Further info req
In
Mx
Aspirin lmwh reassurance
10-Pri infertility10-Pri
Semen normal
Ovulating and tubes blocked at hsg
Discusd further mx hycosy.lap and dye specific risks at laparoscopy folic acid ..tubal surgery
Ivf
11-young girl cpp for 1 yr
Sti scan normal scan normal
Gp worried re endometriosis
Hx suggestive of ibs
12-3b tear 4 weeks post natal review symptomatic with fecal flatus in incontinence
Angry
Apologize as consultant away
Mx ‘re colorectal fu
13-46 yr
Spotting
ETt 7mm endometrial
Pmb
Hx of breast cancer prev tamoxifen use
Sister had endo cancer
Plan hysteroscopy bx and end o polyectomy
14- antenatal hiv screening
Discuss method of screening
Implications for her employer..works as a waitress
Implications for pt and baby