Clinical Governance

1. Ms. Sonia is a surrogate mother for couple Mr & Mrs. Adams. Mrs. Adams is known case of MRKH. Ms. Sonia delivered a healthy baby boy 1 week back. Mr & Mrs. Adams need to obtain parental orders.
Within what time frame after delivery must these be made?

A. 6 months
B. 12 months
C. 18 months
D. 24 months
E. 36 months

2. Mrs. Rebecca is second gravida at 24 weeks gestation has come to the antenatal clinic requesting for elective caesarean section. Her previous delivery was forceps delivery in hospital. She was referred by midwifery unit because of abnormal heart rate.What would be the recommended management?

A. It’s her autonomy -agree for her elective Caesarean section
B. Advise for vaginal delivery as she had normal delivery before
C. Referral to consultant obstetrician for second opinion
D. Explore her fears and refer to perinatal mental health team for further counselling
E. Referral to her midwife for further counselling

3. Mrs. Sara, mother of 13-year-old Tina, is here to see you. You have prescribed her oral contraceptive pill. Mrs. Sara is here to discuss regarding treatment you have given to her.What is the correct management option?

A. You discuss regrading her daughter’s treatment.
B. You explain to her mother in detail what happens if contraceptive pill not given to her daughter.
C. You tell mother that you are not responsible to talk to her.
D. You won’t discuss anything regarding Tina, as to maintain her confidentiality as well as Tina was competent enough to make decision.
E. You refer mother to consultant to discuss further.

4. Mrs. Sane, 36 year old has undergone emergency cesarean section.She was unhappy about the care she received on the ward following the procedure and has mentioned this to you a few times on your daily ward rounds. You tried to explore her concerns and tried to resolve it.She is still unhappy. What would you do in this situation?

A. Fill the incident form
B. Encourage staff to behave well with her
C. Encourage Mrs. Sane to lodge a complaint.
D. Provide details of the Patient Advice and Liaison Service (PALS)
E. Reassure that you will talk to consultant and solve it as soon as possible.

5. Revalidation is a process of relicensing that allows continuation in clinical practice.Doctors who wish to keep their licence to practise in the UK will need to revalidate, i.e. they will need to demonstrate to the GMC periodically, that they are fit to practise and up to date, by complying with the relevant professional standards.
How frequently the Doctors need to be revalidated?

A. 6 months
B. Yearly
C. Alternate years
D. Once in 3 years
E. Once in 5 years

6. 34 year old Maricon, primigravida is admitted in active labour. She has persistent occiptoposterior. Second stage of labour was prolonged, at the time of pushing, prolonged Bradycardia with abnormal CTG. You decided for forceps and delivered baby quickly. Baby was born floppy and needed advance resuscitation. Baby developed seizures, and suspected to have Hypoxic ischemic Encephalopathy. How long CTG and paired Ford blood samples of the baby needs to be preserved as this case can come up for claim anytime?

A. 6 months
B. 3 years
C. 25 years
D. 1 Year
E. Needs to be stored indefinitely

7. For consent to be valid, which of the following statements are incorrect?

A. The woman should have capacity,
B. She should be given all the information
C. She should do this out of her volition.
D. When the lady is unconscious her next of kin should be asked for consent.

8. A 30 year old lady has been blue lighted in an ambulance from home with cord prolapse at 41 weeks.On arrival the FHR is present. The on call registrar decides to do a crash CS.She is rushed to theatre following a verbal discussion and agreeing for this.
Which of the following statements is true?

A. Verbal consent is invalid
B. Written consent should be taken in all cases irrespective of emergency
C. Next of kin can give consent as the lady is in pain
D. If the lady refuses a CS, her wishes must be respected.

9. General principles of consent include, which of the following statement is correct

A. When taking consent in English from a non‐English speaker, using a family friend who speaks the same language is a simple and acceptable alternative if a professional interpreter is not available.
B. Research projects that patients are included in need not be discussed as part of the consent process if they do not affect the outcome of a procedure.
C. It is advised that women who refuse a cesarean section, putting an unborn child's life at risk, are referred for assessment under the Mental Health Act.
D. Treatment options should include the option of not treating at all.

10. A 50 year old lady has been suffering from HMB since 3 years. She has tried all medical methods , but none of them seem to have worked. She has been consented for hysterectomy. With regard to consenting her for the procedure,which of the following aspects is incorrect?

A. She should be given the option of not doing anything at all.
B. Possibility of oophorectomy especially if ovaries appear unhealthy must be discussed.
C. On the day of the surgery while conforming the consent , the lady says that she hasn’t tried MIRENA. It is too late to cancel surgery especially when your consultant has been involved with the decision.
D. The chance of needing blood transfusion in these women is 23/1000.

Clinical Governance

Clinical Governance

Quiz Summary

Information

Results

Results

Categories

1. Question

2. Question

3. Question

4. Question

5. Question

6. Question

7. Question

8. Question

9. Question

10. Question