OSCEs for MRCOG: Part 2: A Self-Assessment Guide

200 Pages·2005·0.71 MB·English

by  Antony Hollingworth

OSCEs for MRCOG Part 2
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OSCEs for MRCOG Part 2
A self-assessment guide
Antony Hollingworth
Consultant in Obstetrics & Gynaecology,Whipps Cross University
Hospital Trust;and Honorary Senior Lecturer at Queen Mary and
Westfield College,London,UK
Janice Rymer
Professor in Obstetrics & Gynaecology at Guy’s & St Thomas’NHS
Foundation Trust,London;and Senior Lecturer at Guy’s,King’s and
St Thomas’School of Medicine,London,UK
Hodder Arnold
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First published in Great Britain in 2005 by
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© 2005 Antony Hollingworth and Janice Rymer
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ISBN-10 0 340 814950
ISBN-13 978 0 340 814 950
1 2 3 4 5 6 7 8 9 10
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Dedication
This book is dedicated to our support systems:Ann,Roger,Victoria,Chloe and Adam
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Contents
Dedication v
Foreword by Roger Baldwin ix
Preface x
Acknowledgements xi
Abbreviations xii
Introduction 1
Review Stations 5
1 Gynaecology history 6
2 Early pregnancy problem – management 11
3 Prioritization on delivery suite 16
4 Surgical skills – placenta praevia 21
5 Communication skills – ectopic pregnancy 25
6 Premenstrual syndrome 29
7 Breaking bad news – anencephaly 35
8 Infertility – case notes 40
9 Audit 48
10 Obstetric history 52
Circuit A 58
1 Breaking bad news – cancer 59
2 Preoperative ward round 63
3 Obstetric history and management 67
4 Management problem – gynaecology 71
5 Prenatal counselling 75
6 Obstetric emergency – uterine inversion 79
7 Operating list – prioritization 82
8 Bereavement 87
9 Emergency contraception 91
10 Intermenstrual bleeding 95
Circuit B 99
1 Labour ward prioritization 100
2 Abdominal pain – premature labour 105
3 Urinary incontinence 109
4 Urinary incontinence viva 113
vii
CONTENTS
5 Operative – Caesarean section 117
6 Abnormal smear 121
7 CTG abnormality 125
8 Down’s syndrome 129
9 Ectopic pregnancy – explain laparoscopy 133
10 Breech delivery 137
Circuit C 140
1 Vicar’s daughter – ethics 141
2 Shoulder dystocia 145
3 Breaking bad news – ovarian cancer 149
4 Uterine perforation 153
5 Postpartum haemorrhage – collapse 157
6 Air travel and pregnancy 161
7 Risk management 165
8 Twin pregnancy 169
9 Molar pregnancy – counselling 173
10 Results interpretation 176
Index 185
viii
Foreword
Achieving success in the MRCOG marks the beginning of joining a profession in
which there must be continued professional development and learning. It is a
hurdle to be conquered.Knowledge is not enough,technique is important.
The authors, Antony Hollingworth and Janice Rymer, are respected and
experienced examiners used to setting marking schemes for the OSCE.This work
will be an invaluable aid to study and self assessment. The scenarios used are all
comparable to those met in the exam,and the properly prepared candidate would
be well advised to consider using this book.
Roger Baldwin
ix