Questions Flashcards
1
Q
What does the health and disability commissioner do?
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2
Q
Describe a situation of conflict with a patient or relative
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3
Q
What are challenges facing O&G trainees in the future and potential solutions?
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4
Q
Describe a recent near miss / adverse event and how this was handled
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5
Q
O&G can be stressful. It can be busy with often more than one high stake emergency happening at a time and outcomes are not always good. How do you cope?
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6
Q
Burnout is becoming a growing issue. How do you practise self-care?
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7
Q
36y primiparous woman wanting a home birth. How would you council her?
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8
Q
How would you approach consent for a Jehovah’s Witness? What are the key issues?
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9
Q
What are the options around CF screening?
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10
Q
Discuss screening tests in pregnancy for chromosomal abnormalities and briefly mention invasive testing of a woman receives a high risk result
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11
Q
Describe the process of breaking bad news and what makes a good death
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12
Q
Describe management of an acute asthma attack in pregnancy
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13
Q
14y presents asking for contraception. How do you proceed?
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14
Q
What is a new development that has improved care in O&G?
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15
Q
What do you want to achieve by the end of year 1 training?
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16
Q
Give an example of a commonly practised management that is not evidence based. Why do you think this is the case?
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17
Q
Define professionalism and what it means to you
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18
Q
40y presents to ED with HMB. Discuss your management
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19
Q
You are looking after a primiparous woman 23+0 with PPROM. She has abdominal pain and is found to be in early labour. What important topics do you need to discover with the woman and her partner?
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20
Q
Describe some statistics that reflect the health inequities faced by Māori
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21
Q
Describe the changes that occurred with the 2019 abortion law being passed, and how this may benefit women
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22
Q
How do you practise O&G in a culturally sensitive way?
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23
Q
How does the MEWS score differ from the EWS?
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24
Q
26 year old woman with a pelvic mass. How do you proceed? What special considerations should you take to ensure that the patient is not discriminated against?
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25
What do you think will be the most challenging part of Core training?
26
Describe how you assess the quality of evidence to guide your practise
27
What areas of research are you interested in?
28
What are some current issues in women’s health?
29
What is a difficult clinical situation you have been involved in and how do you deal with this?
30
Get a call from a rest home about an 86y with post menopausal bleeding. She is stable. How do you proceed?
31
Give an example of when you worked with a team and explain your role in the scenario
32
Why do you want to do O&G?
33
Describe a situation where applying your clinical judgment had a significant impact on patient health
34
How do you feel about the rural placement?
35
Where do you see yourself in 10 years?
36
What is a difficult clinical situation you have been involved in and how did you deal with this?
37
Respond to emergency bell - 23y with LMP 12 weeks ago who presents via ambulance with heavy bleeding. HR 42, BP 60/42, RR 18, O2 99%, 37C. What is your approach and management of tis patient?
38
Describe a framework for improving public and global health
39
Give an example of O&G in media
40
Management of PET
41
What is important in the future of woman’s health in NZ?
42
How would you address a circumstance where a colleague was not keeping up with their workload?
43
Have you encountered a situation of conflict with a patient or relative?
44
You are on birthing suite and get called to see a 24y pregnant patient with chest pain. How do you proceed?
45
How would you deal with a complaint and how would you resolve it?
46
Management of APH. How would you proceed?
47
Define open disclosure and why it is important
48
How would you manage a difficult trainee intern?
49
Describe a difficult paithta interaction and how you negotiated the outcome
50
How would you describe your communication skills?
51
What’s an area in O&G where more resources would be beneficial?
52
An African Muslim woman presents with her husband in clinic for infertility and during an examination you discover she has undergone female genital mutilation. What do you do?
53
Describe a difficult scenario you had with a colleague
54
Describe a difficult situation you had to manage with a team member
55
How would you manage a patient who wishes to self-discharge?
56
What are some current issues in woman’s health
57
How might you spend your 2 years of advanced training?
58
Patient in ED who is 12 days late for her period presenting with pain. How would you manage this?
59
How is O&G different to other specialities?
60
How do you reduce health inequities in your day to day practise?
61
What skills and qualities can you bring to the job?
62
How would you manage a treatment error?
63
What do you see as an area of change in O&G in the next 10 years?
64
What are the principles of an audit? Have you ever done an audit?
65
What are some of the challenges in the diagnosis and treatment of endometriosis?
66
What’s your understanding of health inequities for Maori and how can it be improved?
67
How do you counsel pregnant women about smoking?
68
Management of PPROM
69
Describe the Hui process
70
What are the benefits of simulation training in O&G?
71
A woman 30/40 with previous CS and TPTL has some bleeding. On examination you know that she is 9cm dilated with a breech presentation. You are unable to get ahold of your SMO. What do you do?
72
Why is a Maori health workforce important?
73
Management of Mg toxicity. How would you proceed?
74
How has COVID affected woman’s health?
75
Patient presents after sexual assault. How do you proceed?
76
What do you think is the best way to teach trainees and give an example of an effective teaching you have had?
77
What are you looking forward to most in Core training?
78
28y 30 weeks pregnant collapses. Describe your management
79
You have been asked to do an audit on mid-trimester loss. Describe how you would proceed?
80
You are asked to see a woman on the postnatal ward who is unhappy with her perineal repair. How would you assess her and handle the situation?
81
What factors leads to poorer health outcomes in O&G for Maori. How can this be overcome?
82
O&G is a stressful occupation. How will you balance your professional and private life?
83
What does leadership mean and what makes a good leader?
84
What personal skills would make you a good trainee?
85
A woman 8 weeks by LMP had some PV bleeding which had now settled. Not sure she wants to continue the pregnancy. How would you proceed?
86
Give an example of a challenging clinical situation you have been involved in and what you have learnt from it
87
Management of term prolonged SROM
88
What would you tell a student who is interested in O&G?
89
Patient who is 6 weeks pregnant by dates presents with painless PV bleeding. Discuss your approach
90
Have you had any research involvement and what are your plans for future research?
91
You see a 20y in GOPC with 3 months of abdominal pain, wanting a laparoscopy. You explain you would like to do an USS and bloods first. She seems happy with this however later her mother rings you, angry that you have not arranged a laparoscopy as this is what the GP said would happen. What do you do?
92
What do you think can be done to improve diversity in O&G?
93
What issues may arise with the increasing trend of instrumental delivery and CS over time?
94
What considerations are importantly when dealing with different subgroups within NZ?
95
What is the role of RANZCOG?
96
What is your biggest achievement to date?
97
Talk about someone you have admired or a medical role model and why you felt that way. How will you be like them?
98
Give an example of a stressful situation you have been involved in
99
How do you practise equity in your day to day practise?
100
Discuss the overarching principles of the TOW and how it applies to your daily practise
101
How do you deal with cultural differences and sensitivities of different ethnic populations in your day to day life?
102
The number of female trainees in O&G significantly outnumber their male counterparts. Why do you think this might be? Do you foresee any issues either this? How can the college address this?
103
What are some of the challenges facing O&G?
104
You see a patient in GDU 8 weeks pregnant with an ongoing viable IUP with PV bleeding. You note on a recent smear that she had CIN2/3. How do you proceed?
105
What scares you in O&G?
106
Woman with incomplete miscarriage becomes hypotension very and bradycardic on the ward. How would you proceed?
107
How would you manage a missed patient result?
108
Discuss a situation you did not manage well
109
Are there any barriers for you to complete the training programme?
110
Called into DS room for a multi patois women with a previous CS in labour. Sweaty, pale and severe lower abdominal pain over her scar. What do you do?
111
What is Gillick competency and the Fraser guidelines?
112
What would stop you from doing O&G?
113
In what way are you able to demonstrate your own skills and attributes for a career in this speciality?
114
What are some of the challenges facing O&G in the next 5-15 years?
115
What is the highlight of your career so far?
116
What are the differences between rural and urban women?
117
How do you ensure cultural safety in your practise
118
What are the issues around abortion care?
119
What are the most common causes for complaints in O&G and how do you avoid these?
120
What makes a good team? Give examples of where teamwork is necessary in O&G?
121
What are unprofessional workplace practises and how can this be addressed?
122
How does the Maori relationship with land impact on health?
123
What advice do you give pregnant women about the COVID vaccine?
124
What are the advantages and disadvantages of the new cervical screening programme?
125
Discuss mode of delivery in a woman who has had 1 previous LSCS
126
What are the key ethical concepts in medicine and how do these apply to O&G?
127
Sometimes adverse outcomes occur in O&G. What can we do to prevent this or improve on outcomes?
128
What are the issues relating to IVF and fertility treatments?
129
How will you ensure that you successfully complete the training requirements laid out by the college?
130
Give an example of how clinical practise has changed as a result of research or evidence
131
A friend asks for a prescription of the ECP. What do you do?
132
Describe the Meihana model and how you apply it do day to day practise
133
What is an example of conflict in decisions relating to care in O&G?
134
What health inequities do ethnic minorities in NZ face?
135
Management of breech at term
136
How will you balance professional and personal life?
137
Describe a situation you managed well
138
You are on a night shift and consulted about a primiparous, OP pushing for 90 mins. Epidural on board. You call the consultant who says to do a Keillands forceps and call if any issues. What do you do?
139
Discuss the benefits of LARCS and barriers to their access
140
What is clinical governance?
141
40y referred to gynaecology clinic with pain and pressure symptoms. USS by GP shows a multi fibroid uterus. Has had 2 children and family complete. Discuss management options
142
How would you manage a complication occurring in one of your surgeries?
143
Counselling a patient around NIPT
144
Management of female genital mutilation. How would you proceed?
145
What is unconscious bias and how do you manage this?
146
What are the principles of a screening programme?
147
Patient with beta-hCG of 4000 and no IUP on USS. Asymptomatic and clinically stable. Discuss management options
148
What is the most important advancement of O&G in the last 10 years?
149
What is an area of O&G that interests you and why?
150
What is the role of cultural competency in O&G?
151
A 25y presents to you in your GP practise asking for emergency contraception. Describe your assessment
152
What is the most important skill in O&G and why?
153
Why is good communication in O&G important?
154
Maori have worse health outcomes than non-Maori. Using your knowledge of Hauora and health equity, please explain this
155
Management of preterm labour
156
Describe a scary situation you were involved in and what you have learnt from it
157
Discuss a recent critical event and what you learned
158
Why is the rural attachment important?
159
Identify someone who inspires you in O&G and why? How will you acquire the qualities of this person?
160
How do you maintain balance and build resilience?
161
If you could implement any kind of programme to improve O&G what would it be?
162
How has the HealthNZ reforms affected woman’s health?
163
A hospital midwife tells you that a private midwife has a patient with DCDA twins in early labour at 37 weeks. She has not informed you or the consultant and plans to do the delivery herself. What would you do?
164
What are the pros and cons of maternal request for CS?
165
What cultural values are importantly in the delivery of care? Can you give an example?
166
Describe your experience and practical experience in O&G
167
Define the following terms and how you use them in your daily practise
- Tikanga
- Manaakitanga
- Kaitiakitanga
- Mana
- Tapu
- Mauri
- Tohunga
- Whakawhanaungatanga
- Mihi
- Kotahitanga
- Rangatiratanga
- Mohiotanga
- Maramatanga
- Taonga
- Karakia
168
38y 40+5 who’s post-dates scan shows oligohydramnios. Wanting a home birth. How would you counsel her?
169
What does land mean to iwi?
170
What qualities make a good O&G doctor and why do you think you fit the bill?
171
Describe your management of PPH
172
How do you plan to improve access to healthcare, particularly focused on women’s health?
173
What shows your commitment to O&G?
174
ED, patient who had recent laparoscopic excision of endometriosis presenting with abdo pain. Discuss differentials and investigations
175
Describe management of leg swelling in pregnancy
176
Management of maternal sepsis
177
What is confidentiality and when is it okay to breech it?
178
Describe the Te Whare Tapa Wha model
179
You are asked to see a 21y woman after NVD and counsel her about postpartum contraception. How do you proceed?
180
What does leadership mean and what makes a good leader?
181
Management of prolonged deceleration lasting 3 mins. Fully dilated, OP, at spines. How do you proceed?
182
What would you do if a woman requested to see her medical notes?
183
What are the features of a good clinical handover? What can be the consequences of a poor handover
184
What will you plan to do if you are not accepted into training
185
56y presents to ED with PMB. On examination there is active bleeding and the cervix appears friable. How do you proceed?
186
What do you want to see in the Woman’s Health Strategy?
187
What are the advantages and disadvantages of the current Women’s health model?
188
17y with Jadelle and recurrent chlamydia. She would like Jadelle taken out for problematic bleeding. How do you proceed?
189
Patient with low risk pregnancy but significant SPD pain, requesting IOL at 36 weeks. How would you handle the situation?
190
Give an example of a recent change in practise in O&G
191
Give an example of how clinical practise has changed as a result of research and evidence
192
Called to ED to see a lady 6 days post CS for breech complaining of abdo pain. On examination she has a tender abdomen and a high fundus. Discuss your approach and differentials
193
Why are you motivated to pursue a career in O&G?
194
What are the different types of teaching?
195
What is the biggest public health issue relates to O&G and how do you propose to improve this?
196
Management of shoulder dystocia
197
Tell me about a mistake and what you have learnt from it?
198
What is the law / considerations around providing abortion and contraception for minors and the mentally disabled?
199
You see a young Maori woman who has been diagnosed with GDM. She has been a poor attender previously. How would you proceed?
200
Where do you foresee yourself working when you complete your training?
201
Assessment of HMB in a 14 year old girl?
202
You are called to see a woman 4 hours post-CS with ongoing trickling. How would you manage this?
203
A woman is failing to progress in labour and is clinically obstructed. The CTG is beginning to develop non-reassuring features. You call the consultant as you wish to do an emCS. The consultant refuses to come in. What do you do?
204
What is gender diversity, why is it important and how can we improve it?
205
If you had to undertake a future research project what would it be?
206
You see a 45y Down syndrome female in clinic with her mother. Patient has menorrhagia and failed multiple medical treatments and wants a hysterectomy
207
What is your stance on social media and its role in O&G?
208
Discuss the TOW and its impact on your practise
209
Patient 38/40 presents with a seizure. Your boss is in OT. How would you proceed?
210
What do you think will be major issues or areas for concern in O&G in the future?
211
35y with missed miscarriage. Conceived with IVf after years of trying. How would you manage this?
212
What advice would you give local paramedics about safely managing transfers between your rural hospital and the base hospital?
213
Describe the complexities around informed consent
214
Describe a difficult situation you have had to manage with a patient?
215
What inequities are present with indigenous health?
216
What are the features of a good clinical handover?
217
A patient 2 days post-CS develops a fever. How would you proceed?
218
Veiled Muslim women is having a PPH and actively haemorrhaging. She speaks no English. How does informed consent apply and how do you proceed?
219
What is the biggest issue that O&G is facing?
220
How do you plan to deal with the stress of training?
221
Management of a raised MSS1 test at 15 weeks gestation for T18
222
How does research fit into the O&G training programme?
223
What do you understand about the process of informed consent? Give an example in clinical practise
224
Management of SGA or FGR fetus
225
What are your strengths and weaknesses?
226
Woman has just come in from the community and has bradycardia on the CTG with FHR of 60. How would you proceed?
227
What issues with access and healthcare inequities occur for women in rural communities? What can be done to address these?
228
What do you think about research?
229
Describe the Pacifica model of health
230
You are doing a routine postnatal discharge and a patient discloses to you she is a victim of domestic violence. How do you proceed?
231
Describe a time you had to deal with an emergency
232
What is your understanding of the RANZCOG training programme?
233
What are the benefits of laparoscopy over laparotomy? Have you ever experienced or witnessed a complication from a laparoscopic surgery?
234
How do you propose to reduce the inequities in health care between Maori and non-Maori?
235
What have you done outside of your regular schedules activities that demonstrates your interest in the speciality?
236
How do you manage medico-legal practises in terms of risk management?
237
Management of GDM
238
Who do you think are the most disadvantaged population in woman’s health, why and what can be done about this?
239
What do you think women look for in a gynaecologist?
240
Why is clinical handover an important part of patient care? What are the benefits other than just transfer of information?
