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Polycystic Ovarian Syndrome
A 28 year old nulliparous woman with a 2 year history of primary infertility is referred by her GP to the Gynaecology Out-Patient Clinic. The GP has performed investigations which show classic appearances of PCO.
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Labour Ward
You are the labour ward Reg arriving for work in a level 2 unit (obstetric and neonatal) delivering 3500 women per year…
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Heavy Menstrual Bleeding Management
The Management of heavy menstrual bleeding & the levonorgestrelreleasing intrauterine system (LNG-IUS)
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Post Op PE
Mrs Kumar collapsed suddenly earlier today after recent surgery. You have just reviewed her on ITU. She has asked you to speak to her husband and has given her permission to discuss her case. Discuss the post operative management of Mrs Kumar and answer any questions Mr Kumar might have.
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Pelvic Pain
You are about to meet Louise Cook who has been referred by her General Practitioner for pelvic pain. Obtain a relevant history and discuss investigations and her treatment options.
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HPV
You are about to meet Georgina West, a 26 year old woman whose mother has cancer. She has come to see you as she wants to know if she can have the HPV vaccine.
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Peak Flow Technique
Explain and demonstrate peak flow technique to a patient who suffers from asthma.
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Oral Drug Administration
Prepare and administer their oral medication. Explain each stage of the process to your mentor (a registered nurse) who will act as the secondary signature.
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Blood Pressure Technique
Take the patient’s blood pressure and document the reading
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Male Catheterisation
This is a simulated model of a male patient who is in urinary retention. Insert a urinary catheter into the model showing your understanding throughout the procedure.
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Communication Skills
How to maximise your communication skills. A filmed sequence of exercises to help you prepare for effective communication in your MRCOG exams.
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Communication Skills Troubleshooting
A series of simple filmed exercises to tackle diminished breath, resonance and speech clarity in your communication.
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Talk me through your CV
“Talk me through your CV” – THIS CLIP IS FREE TO VIEW
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Communication Skills (with Chinese Subtitles)
This video “How to troubleshoot your communication skills” shows a sequence of exercises subtitled in simplified Chinese, to help you prepare for effective communication in your MRCOG exams.
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Nasogastric Tube Insertion
This is a simulated model of a patient. The patient is being prepared for surgery and you have been asked to insert a naso – gastric tube. Demonstrate and explain how you would do this.
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Clinic review following a maternal death
A filmed Successful Clinic Review scenario following a Maternal Death: You are about to see the husband in clinic, following the peripartum death of his wife. A fatal PE occurred on day 2 post caesarean section for maternal request.
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Maternal VBAC Request
You are the registrar in antenatal clinic and your patient is a 40 year old Para 2, with a history of two previous caesarean sections, performed in another hospital.
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Why Obstetrics & Gynaecology?
Question2 – Why Obstetrics & Gynaecology
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Maternal VBAC Request (with Chinese Subtitles)
Maternal request for a VBAC following 2 previous LSCS in Low Risk midwifery led unit with simplified Chinese subtitles
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Inhaler technique
You are working in a GP surgery and you have been asked to see Ellie whose asthma has recently worsened. Ellie has come to the surgery to see her GP about her changing condition. After the consultation the GP has asked you to explain and demonstrate inhaler technique.
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Clinical Risk Management
In this scenario the examiner is Medical Director of your hospital. You are the Lead Consultant for the Labour Ward, and you have been asked to brief him on an obstetric case for which your hospital is being sued for professional negligence.
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Haemophilia
You are about to meet Sally Walker who is in your antenatal clinic having just had a dating scan showing that she has an ongoing 12 week pregnancy. This is her first pregnancy and she has opted for the combined test for Down syndrome, and a detailed scan.
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Endometriosis
A 24 year old nulliparous women attends for follow up after a recent day case laparoscopy for dysmenorrhoea and dyspareunia. She was found to have moderate (stage III R-AFS) endometriosis.
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Why this Deanery?
Question3 – Why this Deanery?
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Booking visit of a 17 year old cannabis user (With Chinese Subtitles)
The booking visit of a 17 year old woman P1 (adopted) who is a cannabis user.
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Domestic Violence & Pregnancy
Felicity comes to the antenatal day clinic with unexplained abdominal pain. The GP has written that this is the third time this month and he can find no cause. He has asked for the hospital’s advice…
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Uterine Balloon Therapy System
You will be provided with a THERMACHOICE III uterine balloon therapy system and asked to describe the component parts, describe how it is performed using the supplied uterine model, its indications, its effectiveness, possible side effects and contraindications.
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Abdominal Examination
Mr Green is a 65 year old gentleman with 3 week history of intermittent abdominal pain. Please examine the abdominal system to establish the physical signs and attempt a differential diagnosis.
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Hand Washing
An elderly patient who has suffered a recent stroke requires some assistance with their breakfast. Demonstrate the correct hand washing procedure that should be undertaken before commencing this task.
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What personal attributes do you have?
Question4 – What personal attributes do you have?
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Domestic Violence & Pregnancy (with Chinese Subtitles)
Felicity Brown has two children aged 3 and 5 and is 30 weeks pregnant. Felicity presents at the ante-natal day clinic via her GP with unexplained abdominal pain.
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What Courses Have You Done?
Question5 – What courses have you done?
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Hypothyroidism in pregnancy
You are about to see a 28 year old primip with treated hypothyroidism (secondary to Hashimoto’s thyroiditis) in the antenatal clinic. It’s a booking consultation. Describe your management for the pregnancy and how you would counsel the patient.
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Antenatal screening pass
You are about to see a woman in ANC who has just had a first trimester scan. The nuchal translucency is increased, increasing the risk of T21 to 1 in 20.
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booking visit of a 17 year old cannabis user
The booking visit of a 17 year old woman P1 (adopted) who is a cannabis user. She has already met her community midwife and the referral to you simply states that she smokes cannabis and that she had a normal birth at 35 weeks gestation two years previously.
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Abbreviated Mental State Examination
Mr Brown is a 67 year old gentleman who has been referred by his GP because of memory problems over the last 6 months. Please perform a mini mental state examination using the 10-point scale.
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Chest Pain History
Mr Davidson a 55 year old gentleman has been presented to the Medical Admissions Unit complaining of chest pain. Take a history from him.
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ONTD
You are about to meet Ms Jane London who underwent normal delivery of a live male infant 2 days ago at a gestation of 38 weeks…However, the baby was born with a large open lumbo-sacral spina bifida.
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Oral Hygiene
You are asked to undertake an oral assessment, document and discuss your findings. Then assist Mr.Thomas with oral hygiene, explaining the rationale for your actions.
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Clinical Risk Management (With Chinese Subtitles)
The examiner is Medical Director of your hospital. You are the Lead Consultant for the Labour Ward, and you have been asked to brief him on an obstetric case for which your hospital is being sued for professional negligence.
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What Teaching Have You Done?
Question6 – What teaching have you done?
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Bad Communication – Fail
Mrs Tate is coming to see you to discuss Alice’s return home from her perspective as the main carer.
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Oxygen Therapy
Please administer the prescribed humidified oxygen. Discuss the role of humidification and oxygen safety with the examiner.
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Gynaecological case history (with Chinese Subtitles)
The examiner will discuss with you the case history and care of a gynaecological patient. The relevant clinical information and questions will be presented to you by the examiner in four parts…
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Antenatal screening Fail
You are about to see a woman in ANC who has just had a first trimester scan. The nuchal translucency is increased, increasing the risk of T21 to 1 in 20. She is a Para 1 + 1 26 year old women with no past medical history of note. However her son has cerebral palsy…
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What Audit Have You Done?
Question7 – What audit have you done?
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Good Communication – Pass
Mrs Tate is coming to see you to discuss Alice’s return home from her perspective as the main carer. An example of Good Communication
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Urinalysis
Test the urine sample and document the result.
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Stress Incontinence (With Chinese Subtitles)
The management of a 35yr old P1 woman who presents with symptoms of stress incontinence 9 mths post partum, having had no improvement from physiotherapy.
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Uterine Perforation Complicating ERPC (with Chinese subtitles)
You are about to see a patient who you operated on. She underwent suction evacuation of the uterus under general anaesthesia, laparoscopy (following uterine perforation) laparotomy and suturing of the uterus. It has been 36 hours since you performed the operation.
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Cranial Nerve Examination
Lisa Collins is a twenty five year old woman. Please examine her cranial nerves numbers V, VII, IX, X, XI and XII and report any abnormal findings.
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Tell Me About A Mistake You Made
Question8 – Tell Me About A Mistake You Made?
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Couple Referred for Infertility (with Chinese subtitles)
Mr and Mrs Jones have come to see you in the general gynaecology clinic. You have no notes available but the clinic sister has been able to give you a print out of their results, which are all normal except for a progesterone of 18 picomol/litre, as well as the previous clinic letter from another registrar who organised the investigations…
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The Abnormal smear
A 38 year old, nulliparous woman with previously normal smears is referred to the colposcopy clinic with moderate dyskaryosis. Explain the significance of this result and outline initial treatment.
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Personal & Professional Development
Miss Haynes has come alone and asked to see one of the doctors in the clinic. Her father, Mr Haynes, was diagnosed with unstable angina two months ago for which he has been taking treatment.
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Heavy Menstrual Bleeding (with Chinese Subtitles)
Tracy Cook is a 38 years women who has been referred by her GP with heavy menstrual bleeding. The referral letter states that tranxamic acid was initially helpful but her periods have since hot worse. Take a history and outline her treatment choices. On the table you will be provided with a sheet of paper, a pen, a placebo LNG-IUS and a model uterus.
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Couple referred for infertility
Mr and Mrs Jones have come to see you in the general gynaecology clinic. You have no notes available but the clinic sister has been able to give you a print out of their results, which are all normal except for a progesterone of 18 picomol/litre, as well as the previous clinic letter from another registrar…
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Gynaecological Case History
The case history and care of a gynaecological patient. The relevant clinical information and questions will be presented to you by the examiner in four parts
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