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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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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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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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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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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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Heavy Menstrual Bleeding Management
The Management of heavy menstrual bleeding & the levonorgestrelreleasing intrauterine system (LNG-IUS)
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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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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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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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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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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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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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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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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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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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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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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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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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Communication Skills Troubleshooting
A series of simple filmed exercises to tackle diminished breath, resonance and speech clarity in your communication.
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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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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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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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