Pastest practice Flashcards
Why can you not discuss risks and benefits of endoscopy as an FY1?
- what should you do instead?
You are not qualified to perform this procedure; hence you cannot gain consent for it or discuss risks and benefits.
Instead, you should organise for your registrar/ consultant to have this conversation with the patient
Final year medical student has been missing days off placement and today failed to turn up to a teaching session you prepared. Who is it appropriate to talk to?
The student, his peers, your registrar/consultant
- Failing this, it may be necessary to notify the medical school
Child tells you they have not attended school in 5 months. What should you do? (3)
- Verify this is correct with the school
- Look for any signs of abuse/neglect
- Refer to school nurse
- Paediatric OP appt
Your proud mother asks you to look at her friend’s ECG that she had done at the GP practice. What is the most appropriate course of action?
- Explain that the GP is the best person to be looking at this, and explain to your mother that you shouldn’t be treating family and friends
Your consultant asks you to stay late to see her post-operative private patients. You have plans with friends. What should you do? (3)
- Explain politely that you have plans and are unable to stay tonight
- Speak to your educational supervisor if they ask you again
(note: it is sometimes right to help a colleague even when you don’t get paid for these duties)
35 year old woman presents with persistent headaches and you notice that she is covered in bruises on her arms and legs.
What should you do? (3)
- Ask her if there’s anything she’d like to talk to you about
- Inform her that there are places that she can go to talk about anything that has happened
- Review in a couple of weeks
Your FY1 colleague has been coming in later and later and you’ve seen her crying in the mess. She confides in you that her mother has been ill and she has been helping out at home. Her consultant wants her to assist in theatre but she needs to drive home to help her mum.
- What should you do? (3)
- Sit her down and ask her how she is coping and whether she might need some time off (SUPPORT YOUR COLLEAGUES EMOTIONALLY)
- Advise her to speak to her consultant about these issues (APPROPRIATE ESCALATION)
- Offer to help out in theatre (SUPPORT YOUR COLLEAGUES PRACTICALLY)
You have been given your FY1/FY2 rotations and have not received Obs/Gynae. You really want to do OG as a career. What should you do?
- See if your Foundation School has a ‘swap shop’ where FY2 rotations can be swapped with others
- Consider getting some taster sessions in obs and gynae during your FY1/FY2 years
- Get involved in other ways (e.g audit in obs/gynae)
Mother decides she doesn’t want her child to be vaccinated. What should you do? (3)
- Ask her what her concerns are regarding vaccination (PROBE for CONCERNS)
- Inform her on the risks of not getting her child vaccinated (INFORM and EDUCATE)
- Ask your senior colleague for advice (ASK for ADVICE)
8 year old in ED with pain in ankle. Able to weight bear, no bony tenderness or swelling. Mother demands an XR. What do you do? (3)
- Explain that X-rays carry risks
- Explain that an XR isn’t indicated here
- Speak to senior colleague for advice
A patient complains that one of your colleagues has bad body odour. What should you do?
- See if you can notice this yourself before taking any further action
- Speak to your colleague and tactfully explain the situation to them
- Do not gossip with the other doctors about this
A porter at the hospital asks you out on a date. You are nearing the end of your rotation at this hospital.
What should you do?
- Politely decline his request as relationships at work can interfere with patient care (PATIENT SAFETY)
- Wait until you move hospital before accepting his offer if you want to
You feel that your FY1 colleague is not demonstrating the knowledge required of his grade. What is the most appropriate course of action? (2)
- Have a tactful discussion with Julian
- Speak to the registrar for advice
You are called to a patient who has not opened their bowels in three days and is vomiting with abdominal pain and distention. They are unwell. What should you do? (3)
- ABCDE
- Call a senior
- Call the surgical team – note: she likely has SBO and she will likely need IV fluids and an NG tube pre-op
Young woman decides that she wants a TOP and doesn’t want to tell boyfriend. What should you do? (2)
- Ask her what her concerns are about telling boyfriend (PROBE about CONCERNS)
- Encourage her to speak to her boyfriend
- Signpost her to family planning clinic so she can be informed of all available options (INFORM / EDUCATE)
