Questions

Question 1

What does the health and disability commissioner do?

Question 2

Describe a situation of conflict with a patient or relative

Question 3

What are challenges facing O&G trainees in the future and potential solutions?

Question 4

Describe a recent near miss / adverse event and how this was handled

Question 5

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?

Question 6

Burnout is becoming a growing issue. How do you practise self-care?

Question 7

36y primiparous woman wanting a home birth. How would you council her?

Question 8

How would you approach consent for a Jehovah’s Witness? What are the key issues?

Question 9

What are the options around CF screening?

Question 10

Discuss screening tests in pregnancy for chromosomal abnormalities and briefly mention invasive testing of a woman receives a high risk result

Question 11

Describe the process of breaking bad news and what makes a good death

Question 12

Describe management of an acute asthma attack in pregnancy

Question 13

14y presents asking for contraception. How do you proceed?

Question 14

What is a new development that has improved care in O&G?

Question 15

What do you want to achieve by the end of year 1 training?

Question 16

Give an example of a commonly practised management that is not evidence based. Why do you think this is the case?

Question 17

Define professionalism and what it means to you

Question 18

40y presents to ED with HMB. Discuss your management

Question 19

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?

Question 20

Describe some statistics that reflect the health inequities faced by Māori

Question 21

Describe the changes that occurred with the 2019 abortion law being passed, and how this may benefit women

Question 22

How do you practise O&G in a culturally sensitive way?

Question 23

How does the MEWS score differ from the EWS?

Question 24

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?

Question 25

What do you think will be the most challenging part of Core training?

Question 26

Describe how you assess the quality of evidence to guide your practise

Question 27

What areas of research are you interested in?

Question 28

What are some current issues in women’s health?

Question 29

What is a difficult clinical situation you have been involved in and how do you deal with this?

Question 30

Get a call from a rest home about an 86y with post menopausal bleeding. She is stable. How do you proceed?

Question 31

Give an example of when you worked with a team and explain your role in the scenario

Question 32

Why do you want to do O&G?

Question 33

Describe a situation where applying your clinical judgment had a significant impact on patient health

Question 34

How do you feel about the rural placement?

Question 35

Where do you see yourself in 10 years?

Question 36

What is a difficult clinical situation you have been involved in and how did you deal with this?

Question 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?

Question 38

Describe a framework for improving public and global health

Question 39

Give an example of O&G in media

Question 40

Management of PET

Question 41

What is important in the future of woman’s health in NZ?

Question 42

How would you address a circumstance where a colleague was not keeping up with their workload?

Question 43

Have you encountered a situation of conflict with a patient or relative?

Question 44

You are on birthing suite and get called to see a 24y pregnant patient with chest pain. How do you proceed?

Question 45

How would you deal with a complaint and how would you resolve it?

Question 46

Management of APH. How would you proceed?

Question 47

Define open disclosure and why it is important

Question 48

How would you manage a difficult trainee intern?

Question 49

Describe a difficult paithta interaction and how you negotiated the outcome

Question 50

How would you describe your communication skills?

Question 51

What’s an area in O&G where more resources would be beneficial?

Question 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?

Question 53

Describe a difficult scenario you had with a colleague

Question 54

Describe a difficult situation you had to manage with a team member

Question 55

How would you manage a patient who wishes to self-discharge?

Question 56

What are some current issues in woman’s health

Question 57

How might you spend your 2 years of advanced training?

Question 58

Patient in ED who is 12 days late for her period presenting with pain. How would you manage this?

Question 59

How is O&G different to other specialities?

Question 60

How do you reduce health inequities in your day to day practise?

Question 61

What skills and qualities can you bring to the job?

Question 62

How would you manage a treatment error?

Question 63

What do you see as an area of change in O&G in the next 10 years?

Question 64

What are the principles of an audit? Have you ever done an audit?

Question 65

What are some of the challenges in the diagnosis and treatment of endometriosis?

Question 66

What’s your understanding of health inequities for Maori and how can it be improved?

Question 67

How do you counsel pregnant women about smoking?

Question 68

Management of PPROM

Question 69

Describe the Hui process

Question 70

What are the benefits of simulation training in O&G?

Question 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?

Question 72

Why is a Maori health workforce important?

Question 73

Management of Mg toxicity. How would you proceed?

Question 74

How has COVID affected woman’s health?

Question 75

Patient presents after sexual assault. How do you proceed?

Question 76

What do you think is the best way to teach trainees and give an example of an effective teaching you have had?

Question 77

What are you looking forward to most in Core training?

Question 78

28y 30 weeks pregnant collapses. Describe your management

Question 79

You have been asked to do an audit on mid-trimester loss. Describe how you would proceed?

Question 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?

Question 81

What factors leads to poorer health outcomes in O&G for Maori. How can this be overcome?

Question 82

O&G is a stressful occupation. How will you balance your professional and private life?

Question 83

What does leadership mean and what makes a good leader?

Question 84

What personal skills would make you a good trainee?

Question 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?

Question 86

Give an example of a challenging clinical situation you have been involved in and what you have learnt from it

Question 87

Management of term prolonged SROM

Question 88

What would you tell a student who is interested in O&G?

Question 89

Patient who is 6 weeks pregnant by dates presents with painless PV bleeding. Discuss your approach

Question 90

Have you had any research involvement and what are your plans for future research?

Question 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?

Question 92

What do you think can be done to improve diversity in O&G?

Question 93

What issues may arise with the increasing trend of instrumental delivery and CS over time?

Question 94

What considerations are importantly when dealing with different subgroups within NZ?

Question 95

What is the role of RANZCOG?

Question 96

What is your biggest achievement to date?

Question 97

Talk about someone you have admired or a medical role model and why you felt that way. How will you be like them?

Question 98

Give an example of a stressful situation you have been involved in

Question 99

How do you practise equity in your day to day practise?

Question 100

Discuss the overarching principles of the TOW and how it applies to your daily practise

Question 101

How do you deal with cultural differences and sensitivities of different ethnic populations in your day to day life?

Question 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?

Question 103

What are some of the challenges facing O&G?

Question 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?

Question 105

What scares you in O&G?

Question 106

Woman with incomplete miscarriage becomes hypotension very and bradycardic on the ward. How would you proceed?

Question 107

How would you manage a missed patient result?

Question 108

Discuss a situation you did not manage well

Question 109

Are there any barriers for you to complete the training programme?

Question 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?

Question 111

What is Gillick competency and the Fraser guidelines?

Question 112

What would stop you from doing O&G?

Question 113

In what way are you able to demonstrate your own skills and attributes for a career in this speciality?

Question 114

What are some of the challenges facing O&G in the next 5-15 years?

Question 115

What is the highlight of your career so far?

Question 116

What are the differences between rural and urban women?

Question 117

How do you ensure cultural safety in your practise

Question 118

What are the issues around abortion care?

Question 119

What are the most common causes for complaints in O&G and how do you avoid these?

Question 120

What makes a good team? Give examples of where teamwork is necessary in O&G?

Question 121

What are unprofessional workplace practises and how can this be addressed?

Question 122

How does the Maori relationship with land impact on health?

Question 123

What advice do you give pregnant women about the COVID vaccine?

Question 124

What are the advantages and disadvantages of the new cervical screening programme?

Question 125

Discuss mode of delivery in a woman who has had 1 previous LSCS

Question 126

What are the key ethical concepts in medicine and how do these apply to O&G?

Question 127

Sometimes adverse outcomes occur in O&G. What can we do to prevent this or improve on outcomes?

Question 128

What are the issues relating to IVF and fertility treatments?

Question 129

How will you ensure that you successfully complete the training requirements laid out by the college?

Question 130

Give an example of how clinical practise has changed as a result of research or evidence

Question 131

A friend asks for a prescription of the ECP. What do you do?

Question 132

Describe the Meihana model and how you apply it do day to day practise

Question 133

What is an example of conflict in decisions relating to care in O&G?

Question 134

What health inequities do ethnic minorities in NZ face?

Question 135

Management of breech at term

Question 136

How will you balance professional and personal life?

Question 137

Describe a situation you managed well

Question 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?

Question 139

Discuss the benefits of LARCS and barriers to their access

Question 140

What is clinical governance?

Question 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

Question 142

How would you manage a complication occurring in one of your surgeries?

Question 143

Counselling a patient around NIPT

Question 144

Management of female genital mutilation. How would you proceed?

Question 145

What is unconscious bias and how do you manage this?

Question 146

What are the principles of a screening programme?

Question 147

Patient with beta-hCG of 4000 and no IUP on USS. Asymptomatic and clinically stable. Discuss management options

Question 148

What is the most important advancement of O&G in the last 10 years?

Question 149

What is an area of O&G that interests you and why?

Question 150

What is the role of cultural competency in O&G?

Question 151

A 25y presents to you in your GP practise asking for emergency contraception. Describe your assessment

Question 152

What is the most important skill in O&G and why?

Question 153

Why is good communication in O&G important?

Question 154

Maori have worse health outcomes than non-Maori. Using your knowledge of Hauora and health equity, please explain this

Question 155

Management of preterm labour

Question 156

Describe a scary situation you were involved in and what you have learnt from it

Question 157

Discuss a recent critical event and what you learned

Question 158

Why is the rural attachment important?

Question 159

Identify someone who inspires you in O&G and why? How will you acquire the qualities of this person?

Question 160

How do you maintain balance and build resilience?

Question 161

If you could implement any kind of programme to improve O&G what would it be?

Question 162

How has the HealthNZ reforms affected woman’s health?

Question 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?

Question 164

What are the pros and cons of maternal request for CS?

Question 165

What cultural values are importantly in the delivery of care? Can you give an example?

Question 166

Describe your experience and practical experience in O&G

Question 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

Question 168

38y 40+5 who’s post-dates scan shows oligohydramnios. Wanting a home birth. How would you counsel her?

Question 169

What does land mean to iwi?

Question 170

What qualities make a good O&G doctor and why do you think you fit the bill?

Question 171

Describe your management of PPH

Question 172

How do you plan to improve access to healthcare, particularly focused on women’s health?

Question 173

What shows your commitment to O&G?

Question 174

ED, patient who had recent laparoscopic excision of endometriosis presenting with abdo pain. Discuss differentials and investigations

Question 175

Describe management of leg swelling in pregnancy

Question 176

Management of maternal sepsis

Question 177

What is confidentiality and when is it okay to breech it?

Question 178

Describe the Te Whare Tapa Wha model

Question 179

You are asked to see a 21y woman after NVD and counsel her about postpartum contraception. How do you proceed?

Question 180

What does leadership mean and what makes a good leader?

Question 181

Management of prolonged deceleration lasting 3 mins. Fully dilated, OP, at spines. How do you proceed?

Question 182

What would you do if a woman requested to see her medical notes?

Question 183

What are the features of a good clinical handover? What can be the consequences of a poor handover

Question 184

What will you plan to do if you are not accepted into training

Question 185

56y presents to ED with PMB. On examination there is active bleeding and the cervix appears friable. How do you proceed?

Question 186

What do you want to see in the Woman’s Health Strategy?

Question 187

What are the advantages and disadvantages of the current Women’s health model?

Question 188

17y with Jadelle and recurrent chlamydia. She would like Jadelle taken out for problematic bleeding. How do you proceed?

Question 189

Patient with low risk pregnancy but significant SPD pain, requesting IOL at 36 weeks. How would you handle the situation?

Question 190

Give an example of a recent change in practise in O&G

Question 191

Give an example of how clinical practise has changed as a result of research and evidence

Question 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

Question 193

Why are you motivated to pursue a career in O&G?

Question 194

What are the different types of teaching?

Question 195

What is the biggest public health issue relates to O&G and how do you propose to improve this?

Question 196

Management of shoulder dystocia

Question 197

Tell me about a mistake and what you have learnt from it?

Question 198

What is the law / considerations around providing abortion and contraception for minors and the mentally disabled?

Question 199

You see a young Maori woman who has been diagnosed with GDM. She has been a poor attender previously. How would you proceed?

Question 200

Where do you foresee yourself working when you complete your training?

Question 201

Assessment of HMB in a 14 year old girl?

Question 202

You are called to see a woman 4 hours post-CS with ongoing trickling. How would you manage this?

Question 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?

Question 204

What is gender diversity, why is it important and how can we improve it?

Question 205

If you had to undertake a future research project what would it be?

Question 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

Question 207

What is your stance on social media and its role in O&G?

Question 208

Discuss the TOW and its impact on your practise

Question 209

Patient 38/40 presents with a seizure. Your boss is in OT. How would you proceed?

Question 210

What do you think will be major issues or areas for concern in O&G in the future?

Question 211

35y with missed miscarriage. Conceived with IVf after years of trying. How would you manage this?

Question 212

What advice would you give local paramedics about safely managing transfers between your rural hospital and the base hospital?

Question 213

Describe the complexities around informed consent

Question 214

Describe a difficult situation you have had to manage with a patient?

Question 215

What inequities are present with indigenous health?

Question 216

What are the features of a good clinical handover?

Question 217

A patient 2 days post-CS develops a fever. How would you proceed?

Question 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?

Question 219

What is the biggest issue that O&G is facing?

Question 220

How do you plan to deal with the stress of training?

Question 221

Management of a raised MSS1 test at 15 weeks gestation for T18

Question 222

How does research fit into the O&G training programme?

Question 223

What do you understand about the process of informed consent? Give an example in clinical practise

Question 224

Management of SGA or FGR fetus

Question 225

What are your strengths and weaknesses?

Question 226

Woman has just come in from the community and has bradycardia on the CTG with FHR of 60. How would you proceed?

Question 227

What issues with access and healthcare inequities occur for women in rural communities? What can be done to address these?

Question 228

What do you think about research?

Question 229

Describe the Pacifica model of health

Question 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?

Question 231

Describe a time you had to deal with an emergency

Question 232

What is your understanding of the RANZCOG training programme?

Question 233

What are the benefits of laparoscopy over laparotomy? Have you ever experienced or witnessed a complication from a laparoscopic surgery?

Question 234

How do you propose to reduce the inequities in health care between Maori and non-Maori?

Question 235

What have you done outside of your regular schedules activities that demonstrates your interest in the speciality?

Question 236

How do you manage medico-legal practises in terms of risk management?

Question 237

Management of GDM

Question 238

Who do you think are the most disadvantaged population in woman’s health, why and what can be done about this?

Question 239

What do you think women look for in a gynaecologist?

Question 240

Why is clinical handover an important part of patient care? What are the benefits other than just transfer of information?