Clinical Governance Extra Questions
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1. A 32-year-old is in labour for the last 8 h. She had a previous uneventful vaginal birth at term. She has just broken her waters and there is meconium staining of the liquor amnii. The CTG shows late decelerations. Per vaginam examination shows that the cervix is 6 cm dilated with presenting part at −3 station. You suggest an emergency caesarean section in view of fetal distress, but she declines the same and wants to continue trying for a vaginal birth as she believes she will be fine as it is her second delivery. What should you do?CorrectIncorrect
2. Ethics is the understanding of the nature of conflicts arising from duties and obliga- tions. The four-principle approach provides a way of thinking about ethical issues/ problems in a simple and accessible way that should cut across cultural differences. Which of the following is not included in these ‘four principles’?CorrectIncorrect
3. A clinical teacher plays all roles except:CorrectIncorrect
4. A 17-year-old girl attends the gynaecology outpatient with complaints of irregular periods. She migrated to the UK with her family a year back and gives history sug- gestive of female genital mutilation (FGM). As a doctor practising in the UK, which of the following is an appropriate action for you as a gynaecologist?CorrectIncorrect
5. A 30-year-old primigravida receives her 12th week booking blood test results and finds that she has hepatitis C infection. She abused psychotropic drugs in the past and relates that to her infection. After consulting the gastroenterologist, she wants to opt for interferon therapy and hence wants a termination of pregnancy. She has told you that she wants to keep the information about the infection confidential. Her husband and her mother do not understand why she wants a termination and want an answer from you. Which of the following is applicable to this situation?CorrectIncorrect
6. Which of the following is not an essential component of elements that fulfil the criteria of a valid consent?CorrectIncorrect
7. The mental capacity act applies to people over the age of:CorrectIncorrect
8. Which is not a component of five steps of ‘the 1-min preceptor’?CorrectIncorrect
9. What is the most appropriate statement regarding a lawsuit on medical negligence?CorrectIncorrect
10. The primary duty of the Caldicott guardian in any NHS trust is:CorrectIncorrect
11. If involved in a serious incident requiring investigations (SIRI),initial steps would involve completing an incident form, ensuring comple- tion of notes accurately and participating in team debrief.If a trainee is involved in an SIRI, what action should be taken as soon as possible?CorrectIncorrect
12. An early reporting system ensures that trainees get the right support and they are advised to meet with their educational supervisor as soon as possible to discuss the case.
In surrogacy arrangement ,the commissioning couple to obtain parental orders. Within what time frame after delivery must these be made?CorrectIncorrect
13. When managing a patient with surrogate pregnancy, who decides about the treatment required for any clinical situation that may affect the pregnancy?CorrectIncorrect
14. A primigravida at 24 weeks gestation has come to the antenatal clinic with a fear of childbirth and is asking for elective caesarean section as a mode of delivery.
What would be the recommended management?CorrectIncorrect
15. Women requesting caesarean section on maternal request might have posttraumatic stress disorder (PTSD) after previous childbirth. What is the incidence of PTSD after childbirth?CorrectIncorrect
16. Among those receiving gynaecological treatment, what is the reported incidence of domestic violence in the United Kingdom?CorrectIncorrect
17. When obtaining consent for a procedure, a doctor should take rea- sonable care in communicating with the patients, as their inability to recall from such discussion is often evident.
What percentage of the information that is discussed during the pro- cess of obtaining consent before surgery is retained at 6 months?CorrectIncorrect
18. One of the main challenges faced by clinical trials is a lower than expected rate of recruitment.
What is the key to successful recruitment?CorrectIncorrect
19. Improved outcomes are often observed in women participating in a clinical trial. What is the reason behind this improved outcome, irrespective of study findings?CorrectIncorrect
20. On completing a consent form with a patient for a diagnostic laparoscopy, you mention that the chances of suffering a bowel injury is ‘uncommon’.How would you define ‘uncommon’ in this context in numerical terms?CorrectIncorrect
21. Your hospital is taking part in a large multicentre clinical trial into the management of reduced fetal movements. One of your consultants is the nominated lead for the conduct of the trial in your hospital.
What’s the name of the consultant’s role?CorrectIncorrect
22. A RCOG Green-top Guideline makes a recommendation based on a well-conducted systematic review of RCTs. e evidence is directly applicable to the target population of the recommendation.
Whatistheclassifcationo thislevelo evidence?CorrectIncorrect
23. The operating department of your hospital runs a teaching day on human factors. Which is a department of Health‘NeverEvent’?CorrectIncorrect
24. You are asked to teach gynaecologic emergencies at the emergency department monthly teaching. Unfortunately you have not been able to ascertain the grade or level of previous gynaecology experience of those who are attending. You start by getting the casualty doctors to discuss basic pelvic anatomy and then the basics of early pregnancy. Next you base the level of your further teaching on the level of knowledge they displayed in these initial basic subjects.
What would best describe this teaching method?CorrectIncorrect
25. A ST1 colleague is confused at the array of assessments available in the electronic training portfolio and asks you which are formative and which are summative.
Which of the following is an example of a formative assessment?CorrectIncorrect
26. A consultant is nding it cumbersome preparing for an appraisal. How frequently should the appraisal normally take place?CorrectIncorrect