Obstetrics and Gynecology – Pregnancy and Postpartum Conditions
1. Management of Recurrent Miscarriage
- Key Topics Discussed:
- Underlying diagnoses
- Initial investigations
- Non-pharmacological advice
- Candidate Performance:
- Lack of current guideline knowledge for managing recurrent miscarriages
- Improvement Areas:
- Updated knowledge on miscarriage management
- Incorporation of evidence-based non-pharmacological advice
2. Postpartum Fatigue and Weight Loss, Wrist Lump Management
- Key Topics Discussed:
- Differential diagnoses for postpartum symptoms
- Initial investigations
- Management of wrist lump
- Candidate Performance:
- Gaps in managing dermatological presentations and postpartum conditions
- Improvement Areas:
- Broaden knowledge on postpartum health issues and dermatological conditions, focusing on evidence-based management strategies
3. Management of Breast Redness in a Breastfeeding Woman
- Key Topics Discussed:
- Pharmacological and non-pharmacological management of breast redness
- Breastfeeding advice
- Candidate Performance:
- Lack of specificity in management strategies, inadequate knowledge about breastfeeding
- Improvement Areas:
- Provide targeted management advice for breast conditions in breastfeeding women
- Specific breastfeeding support and education
4. Immunization Advice During Pregnancy and Postpartum Vaginal Discharge Management
- Key Topics Discussed:
- Immunization in the context of previous reactions
- Differential diagnosis for postpartum discharge
- Candidate Performance:
- Gaps in immunization program knowledge
- Improvement Areas:
- Update knowledge on national immunization schedules
- Manage postpartum conditions with evidence-based approaches
5. Postpartum Fatigue and Breastfeeding Advice
- Key Topics Discussed:
- Diagnosis of postpartum fatigue
- Initial investigations
- Breastfeeding advice for working mothers
- Candidate Performance:
- Overemphasis on pharmacological management for non-pharmacological scenarios
- Improvement Areas:
- Focus on non-pharmacological support for postpartum fatigue
- Practical breastfeeding advice for working mothers
6. Management of Early Pregnancy and Complications
- Key Topics Discussed:
- Initial investigations for pregnancy
- Management of vaginal bleeding
- Differential diagnoses
- Candidate Performance:
- Inappropriate consideration of gestational stage in management
- Improvement Areas:
- Tailor management strategies to the stage of gestation and specific clinical presentation
7. Elevated Fasting Blood Glucose and Pregnancy
- Key Topics Discussed:
- Non-pharmacological management of elevated blood glucose
- Immediate management actions after a positive pregnancy test
- Candidate Performance:
- Holistic patient management overlooked
- Failure to connect past medical history with current clinical presentation
- Improvement Areas:
- Focus on comprehensive patient care
- Integrate non-pharmacological management with patient’s overall health and pregnancy considerations
8. Antenatal Care and Emergency Obstetrics
- Key Topics Discussed:
- Nutritional advice during pregnancy
- Interpretation of first trimester genetic screening tests
- Management of severe abdominal pain and vaginal bleeding in the third trimester
- Candidate Performance:
- Inappropriate emphasis on pharmacological responses to nutritional advice
- Misinterpretation of genetic screening results
- Improvement Areas:
- Provide specific, nutritional guidance tailored to pregnancy
- Accurately interpret genetic screening tests
- Appropriate emergency management for obstetric emergencies
9. Unexpected Pregnancy and Pediatric Concern in a Young Aboriginal Woman
- Key Topics Discussed:
- Investigations and advice for unexpected pregnancy
- Assessment of a child with inward eye movements
- Candidate Performance:
- Incorrect advice regarding pregnancy
- Lack of specificity in examination findings
- Improvement Areas:
- Provide accurate, culturally sensitive advice for pregnancy
- Detailed examination findings for pediatric concerns
10. Fatigue and Weight Gain
- Key Topics:
- Diagnosis and management of fatigue and weight gain in early pregnancy
- Candidate Performance:
- Not considering the pregnancy context in management plans
- Improvement Areas:
- Pregnancy-specific diagnosis and management
- Consider the unique physiological changes during pregnancy
11. Third-Trimester Bleeding
- Key Topics:
- Management of vaginal bleeding in late pregnancy
- Newborn care
- Candidate Performance:
- Providing adult-focused responses for newborn issues
- Improvement Areas:
- Tailored management of obstetric emergencies and neonatal care
12. Pregnancy Complications
- Key Topics:
- Management of acute dizziness and nausea in pregnancy
- Addressing domestic violence
- Candidate Performance:
- Over-answering beyond what was requested
- Failing to adequately address the issue of domestic violence as it related to the patient’s care
- Improvement Areas:
- Greater specificity in history taking
- More focused approach to identifying and managing the psychosocial aspects of patient care, especially in sensitive areas such as domestic violence
13. Medical Termination of Pregnancy
- Key Topics:
- Contraindications for medical termination
- Management of retained products of conception
- Candidate Performance:
- Inappropriate topic selection
- Inadequate management of complications
- Improvement Areas:
- Appropriate management of medical termination and its complications
14. Postpartum Concerns
- Key Topics:
- Infant weight gain
- Breastfeeding issues
- Postpartum mental health
- Candidate Performance:
- Inadequate initial management of breastfeeding issues
- Failure to recognize acute mental health deterioration
- Improvement Areas:
- Accurate reading of questions
- Urgent management of postpartum mental health issues
15. Breastfeeding Issues and Mastitis
- Medical Heading: Obstetrics
- Key Topics:
- Breastfeeding challenges
- Early signs of mastitis
- Candidates Did Well On:
- Providing initial breastfeeding support and identifying mastitis
- Improvement Areas:
- Being concise in management strategies without over-justification or listing multiple treatment options
16. Lower Abdominal Pain
- Topic Discussed:
- Differential diagnosis of right-sided lower abdominal pain in a female patient
- Emphasis on excluding ectopic pregnancy
- Candidates Did Well On:
- Considering ectopic pregnancy as a differential
- Improvement Areas:
- Including pregnancy tests in the initial investigation list to exclude pregnancy-related conditions
17. Breast Lump Management
- Specifics:
- The need for a translator was often overlooked
- Some candidates incorrectly prioritized palliative care over curative treatments based on the patient’s age
- Improvement Areas:
- Recognize the importance of using professional translators in patient consultations
- Accurately assess the need for curative versus palliative care, ensuring decisions are patient-centered and informed
18. Vaginal Bleeding in Early Pregnancy
- Medical Heading: Obstetrics
- Key Topics:
- Differential diagnoses for early pregnancy bleeding
- Relevant investigations
- Dietary advice during pregnancy
- Candidate Performance:
- Challenges in focusing on scenario-provided details for differential diagnosis
- Leading to irrelevant history considerations
- Improvement Areas:
- Sharpen focus on clinical scenario details to guide differential diagnoses and investigation choices
- Offer specific, evidence-based dietary advice