1.

Role play station

A primigravida at 24 weeks gestation at the antenatal clinic. She's complaining of

painful blisters in the vulval area. The GP has examined her and says they are
characteristic of herpes lesions. Take a history, advise her and answer her questions.

She wanted to know what treatment she could have, whether it would affect the
baby, could the infection be passed on to the baby, would it affect her delivery, had
she got it from her boyfriend.

2. and 3. Prep station and viva

Labour ward board. When you'd explained your management, they then gave you the
board three hours later and you had to say what you would do then. They had said in
the prep this was going to happen.

4. Role play station

A 38 year old lady has come for her booking scan and has a non-viable pregnancy at
8 weeks gestation. Explain the scan results and discuss the management options
with her.

5. Viva

Your consultant is away and you are doing their Gynae clinic. A GP has referred a four
year old girl who has had an episode of vaginal bleeding. She attends the clinic with
her parents who are social workers and her 2 year old sister. What is your differential
diagnosis and what do you want to ask? Then you get the next bit of information and
it's all very suspicious of abuse. I can't remember the next bits but it was all about
how to manage suspected child abuse.

6. Viva

A 49 year old woman has urinary incontinence. What would you want to know in the
history? She has a mixed picture of incontinence. What is your advice and initial
management? It turns out she has a 20 week size fibroid uterus. What do you
suggest?

7. Role play station

Your patient is a political refugee from the Congo who is HIV+ve as aresult of having
been raped whilst a political prisoner. Her husband is HIV-ve. They have an 8-year-old
daughter who is lost in the Congo, they don't know what her fate is. She was found
whilst being investigated for abdo pain in Hull to have bilateral hydrosalpinges. She
feels her only way of moving on is by starting a new family and wants IVF. Counsel
her. Shocked
8. and 9. Prep station and viva

You were given the scenario that your consultant had been involved in giving
evidence to a legal case in which a woman was suing and as a learning exercise, you
had to look at the notes and say what the risk management issues were. It was a
woman with a BMI of 40 who had a planned vaginal breech delivery that all went
wrong.

10. Role play station

The patient has just discovered she is pregnant and is 14 weeks gestation. She has
epilepsy and is on carbamazepine and is normally well controlled but had a fit 2
weeks ago. Take a history and make a management plan.

She was worried about risks to the baby, not having taken folic acid. She also wanted
a home birth

11. Viva

A 30 year old woman with menorrhagia (I think). What history and initial
investigations do you want? What are her options? She has a 7cm fibroid prolapsed
through the cervix. What do you tell her and how would you manage this? What are
the risks?

12. Viva

You had an actress pretending to be an FY2 (actually I think she probably was an FY2)
who was interested in O&G asking you about some surgical instruments. There was a
small Spencer-Wells and some curved Mayo scissors and you had to tell her about
them and answer her questions. Then you had to teach her how to tie a knot. So it
was testing your teaching skills.