Get Through MRCOG Part 1

Rekha Wuntakal, Ziena Abdullah, Tony Hollingworth

• Verlag: CRC Press
• Jahr: 2020
• ISBN:
  9780429639265
• Auflage: 2
• Thema: Medicine
• Thema: Medical Theory, Practice & Reference

Get Through MRCOG Part 1, Second Edition, provides a selection of questions covering the basic and applied sciences relevant to the clinical practice of obstetrics and gynaecology and mapped to the RCOG Knowledge Areas in the MCQ style. With appropriate explanations of the answers and references to the relevant guidelines, this is a definitive resource for those taking the MRCOG Part 1 examination.

KNOWLEDGE AREA 1: CLINICAL SKILLS

QUESTIONS

1. How many appraisals are there in one revalidation cycle?

a. One

b. Two

c. Three

d. Four

e. Five

2. You are the senior house officer (SHO) on labour ward, and you have just managed your first major post-partum haemorrhage case. The patient lost 1500 mL of blood and is now well. You want to be assessed on how you managed the case. Which assessment tool would you use?

a. Case-based discussion

b. Mini-CEX

c. Team observation 1

d. Write an essay

e. OSAT

3. A model that is used regularly to break bad news is Kaye’s 10-point model (1996). Which of the following is not one of the 10 points?

a. Allow denial

b. Do not encourage ventilation of feelings at this stage

c. Give a warning shot

d. Preparation

e. What does the woman know?

4. A 14-year-old girl presents to accident and emergency (A&E) department with abdominal pain and dizziness. She is accompanied by her parents. The pregnancy test is positive, and the FAST scan reveals blood in the abdomen. She is becoming tachycardic and hypotensive. The consultant believes she has a ruptured ectopic, and the patient needs to go to theatre for a salpingectomy. She refuses, and her parents do not know that she is sexually active. What is the correct course of action?

a. Discuss with another consultant

b. Discuss with the patient’s general practitioner (GP)

c. Proceed to go to theatre and perform a salpingectomy

d. Respect the patient’s decision

e. Take consent from the parents

5. You are about to teach five medical students how to perform neonatal resuscitation. Which method of teaching would you adopt?

a. Bedside training

b. Problem-based learning

c. Lecture based

d. Self-directed learning

e. Simulated training

ANSWERS

1. e. Five

Revalidation occurs every 5 years and an appraisal occurs every year, hence five appraisals in one revalidation cycle.

Further reading

• RCOG online learning resource. StratOG: Appraisal. https://elearning.rcog.org.uk/appraisal/appraisal

• Fox R, Kane S. Appraisal for postgraduate trainees. The Obstetrician & Gynaecologist 2004; 5:7–10.

2. a. Case-based
discussion

A case-based assessment should be undertaken. It will allow the trainee and the assessor to discuss the management of the case, what went well and what can be improved upon. It will allow the trainee to reflect upon and learn from any potential mistakes.

Further reading

• RCOG online learning resource. StratOG: Assessment. https://elearning.rcog.org.uk/assessment/assessment

• RCOG eLearning Workplace Behaviour and Skills tutorial on Step up. https://elearning.rcog.org.uk/tutorials/workplace-behaviour-and-skills

3. b. Do not encourage ventilation of feelings at this stage

Kaye’s 10-point model for breaking bad news (BBN)
Kay’s model includes the following:	• Preparation • What does he/she know • Is more information wanted? • Give a warning shot • Allow denial • If requested explain • Listen to the concerns • Ventilation of feelings should be encouraged • Always summarize and plan • Further information should be offered

Further reading

• Kaye P. Breaking Bad News (pocket book) A 10-step Approach. Northampton, UK: EPL Publications, 1996.

• Buckman R. Breaking Bad News: A Guide for Health Care Professionals. Baltimore, MD: Johns Hopkins University Press, 1992.

4. c. Proceed to go to theatre and perform a salpingectomy

In the case of a minor, they can agree to treatment but cannot refuse it if it is believed to be in their best interest.

Further reading

• GMC. 0–18 years: Guidance for all doctors. Sections 30–33.

• Royal College of Obstetricians and Gynaecologists. Obtaining Valid Consent for Complex Gynaecological Surgery: Clinical Governance Advice No.6b. London, UK: RCOG Press, 2010.

5. e. Simulated training

Simulated training will allow each student to see how ...