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09/24/2023
You are a junior registrar in a surgical unit. You are operating with the fellow today, doing an inguinal hernia repair. You have seen and consented t…
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09/24/2023
You are a senior registrar, new to a surgical unit in a particular hospital. Your junior registrar and resident have been in this hospital and unit in…
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09/24/2023
You are a resident in a mental health unit. A newly admitted patient is a national celebrity. They have been admitted after attempted suicide, and hav…
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09/24/2023
You are a senior surgical registrar in a busy hospital. Your team consists of an international fellow, yourself, a female junior registrar, and two re…
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09/24/2023
You have recommended conservative management to a patient with asymptomatic carotid stenosis, but she decided to see a cardiologist and was booked for…
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09/24/2023
You are a vascular registrar and you are on call. You get called in and are in the hospital til 2 AM doing an emergency case. The next morning, you ha…
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09/24/2023
You are a registrar doing a carotid with the boss. You identify what you think is the hypoglossal nerve. The boss says it is the ansa and cuts it. You…
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09/24/2023
You go to the staff room and find one of the junior doctors in a distressed state. She feels that for the last couple of months she has been bullied b…
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09/24/2023
During a total thyroidectomy, your surgical fellow inadvertently divides the right recurrent laryngeal nerve. Post-operatively, the patient has a hoar…
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09/24/2023
A 57 year old woman is admitted under your care with gallstone pancreatitis. She is from India, and was visiting her son who is a University student h…
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09/24/2023
You are looking after a 45 year old woman who has come in with acute calculous cholecystitis. She is febrile and looks unwell. She tells you that she …
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09/24/2023
You are the evening surgical registrar about to finish your shift after a busy day on-call and you are handing over to the night registrar who is reli…
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09/24/2023
You are a general surgery registrar on a rotation in a regional hospital. You and the other registrar (who are at the same level of seniority) regular…
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09/24/2023
You are a general surgery trainee and you have recently noticed that a colleague of yours have been using the Twitter platform to badmouth several nur…
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09/24/2023
You are finishing a theatre list when you see the anaesthetist slip several vials of morphine into her pocket. You have also noticed that your complai…
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09/24/2023
You are a SET registrar working at a new hospital and you have been rostered to attend a list next week assisting a surgeon who you’ve never met befor…
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09/24/2023
You are a GSET1 and have organised your first mid-term assessment with your Hospital Surgical Supervisor. What areas of feedback would you be loo…
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09/24/2023
Please explain your understanding of informed consent and material risk.What are the most important aspects of consent and what is your approach?
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09/24/2023
Consent a patient for a laparoscopic appendicectomy
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09/24/2023
Consent a patient for a laparoscopic cholecystectomy
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09/24/2023
Consent a patient for a lower limb angiogram/plasty
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09/24/2023
Consent a patient for a minor amputation [toe/ray/forefoot]
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09/24/2023
Consent a patient for a major amputation [BKA/AKA]
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09/24/2023
Consent a patient for a fistula
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09/24/2023
You assist in an elective hernia repair on a well 41yr old male as a day surgery case. You are called to the ward by the nurses due to him complaining…
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09/24/2023
At the end of a laparotomy, your consultant un-scrubs & leaves you close the abdomen with the assistance of the medical student. During the proces…
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09/24/2023
An 88 year old man with cognitive impairment is transferred from his high level care nursing home with 3 weeks of increasing abdominal pain and disten…
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09/24/2023
You are a very busy and hardworking SET registrar. You are called into a meeting with your supervisor who explains that one of your patients has filed…
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09/24/2023
You are a general surgery registrar and in a busy hospital, and you have been on a unit for 1 month. The way the roster is, you seem to be doing an un…
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09/24/2023
You are a trauma registrar who is on call, you are extremely exhausted to the point that it is affecting your ability to care for patients. Ther…
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09/24/2023
You are attending an elective list – the first case in an inguinal hernia. You get a call from your consultant who says he’s running half an hour late…
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09/24/2023
Explain your understanding of the WHO Surgical Safety Checklist. What is the purpose of the checklist? Describe it’s components and put it i…
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09/24/2023
During an elective list, you are about to call for the next patient (an inguinal hernia) when the on-call registrar tells you that there is an unstabl…
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09/24/2023
You are a general surgery registrar doing a rotation in breast surgery. You’re in clinic with a 50 year old woman who has a newly diagnosed breast can…
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09/24/2023
You are the senior surgical registrar on the team and you have two interns. Describe what you see as your responsibilities towards your interns?
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09/24/2023
You are the senior surgical registrar on the team and you have noticed that one of the interns is underperforming. They are always late, don’t complet…
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09/24/2023
Your patient mentions their plan to seek natural therapy for a recently discovered cancer. They are excited about the prospect of their treatment as t…
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09/24/2023
A company rep has come to your theatre and is asking you to try out a new type of energy source for the operation you are about to perform. What do yo…
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09/24/2023
You are a practicing general surgeon in a country hospital. You have recently returned from an international conference in which you witnessed a new p…
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09/24/2023
You are a consultant coming back from an overseas conference and want to start performing a procedure that you learned about during a wokshop. What ar…
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09/24/2023
You are the only surgeon in rural Victoria. How would you assess and maintain your surgical skills and outcomes in your day-to-day practice?
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09/24/2023
Describe what is meant by quality and safety in surgery. What systems do you use to ensure that you're providing safe patient care? List some formal a…
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09/24/2023
A 65 year old man is day 6 post Hartmann operation for perforated diverticulitis. He is a morbidly obese smoker. He has had a prolonged ileus and the …
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09/24/2023
A 55 year old man is day 5 post anterior resection for an early stage sigmoid cancer. His bowels have still not opened, and this morning you noted tha…
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09/24/2023
A 44 year old woman is day 1 post left mastectomy. On the round she tells you she has been in severe pain all night but no nurses atteneded when she p…
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09/24/2023
You see a frequrnt flyer in ED who has knwon bilateral CLTI and chronically pulseless lower limbs. He doensn't haev any new ulcers and the existing on…
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09/24/2023
Apatient returns with recurrent thyroid cancer after a total thyroidectomy. They are angry and want you to explain why this has happened. What do you …
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09/24/2023
You're in the outpatient clinic seeing a 42 year old patient 1/52 post e/o BCC right nasal bridge. You look at the histology and unfortunately the dee…
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09/24/2023
You're in the outpatient clinic seeing a 92 year old patient 1/52 post e/o BCC right nasal bridge. You look at the histology and unfortunately the dee…
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09/24/2023
You're in the outpatient clinic seeing a 42 year old patient who has a recurrent SCC that has arisen within a flap from a previous excision on her R c…
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09/24/2023
A core needel biopsy of a breast lump initially came back negative, but it has now been repeated (some time later) and demonstrates the patient has ca…
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09/24/2023
You are looking after a patient who is day 3 of their admission for ETOH pancreatitis. While initially moderate, the patient is now decompensating, ha…
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09/24/2023
Your outpatients clinic is running very late. You bring a patient into your room who is angry and aggressive that they have waited over two hours to s…
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09/24/2023
You are seeing a 52 year old female who has a history of breast cancer managed with a lumpectomy and post-operative radiotherapy. She has now been dia…
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09/24/2023
You have jsut unscrubebd from a REVAR where the patient died. He was a 65 year old man who had previously been healthy. Break this bad news to his fam…
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09/24/2023
You are lookign after a 65 year old comorbid patient who is 1/52 post REVAR who is still intubated, on CRRT, and not showing any sign of improvement. …
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09/24/2023
An 80 year old non English speaking lady has been diagnosed with metastatic cholangiocarcinoma. Her son is her primary carer. He tells you not to info…
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09/24/2023
You do a left hemicolectomy and the patient attends for postoperative review and pathology results. You find out that the pathology has been lost and …
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09/24/2023
You do a left hemicolectomy for biopsy proven CRC and the patient attends for postoperative review and pathology results. You find out that the pathol…
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09/24/2023
There is a patient on the ward who is septic with an unknown source. You go to chase the blood cultures you sent the day before because they are deter…
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09/24/2023
One of your fellow registrars approached you very stressed and would like to talk to you about a problem he has been experiencing. He has been bullied…
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09/24/2023
One of your fellow registrars approached you very stressed and would like to talk to you about a problem she has been experiencing. She has been bulli…
New Card
09/24/2023
You go to the staff room and find one of the junior doctors in a distressed state. He feels that for the last couple of months he has been bullied by …
New Card
09/24/2023
You are a surgical registrar and feel that the consultants on your current unit rotation have been consistently putting you down, not listening to you…
New Card
09/24/2023
You are a surgical registrar and feel that the consultants on your current unit rotation have been consistently putting you down, not listening to you…
New Card
09/24/2023
You are a surgical registrar and feel that the consultants on your current unit rotation have been consistently putting you down, not listening to you…
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09/24/2023
During an operation when your consultant doesn't approve of your hand movements, he hits you on your knuckles. The last time he does this it hurts.Wha…
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09/24/2023
You are accused of bullying your resident who is working with you on the unit. They accuse you of always making them carry the phone even though they …
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09/24/2023
Your term supervisor tells you that the ward nurses have made a complaint about you that you are bullying the interns.How do you respond to the situat…
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09/24/2023
After a particularly stressful ward round, the ward NUM takes you aside and tells you that he thinks you need to change the way you speak to his nursi…
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09/24/2023
What is clinical governance and why is it important in surgery?
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09/24/2023
Can you describe the systems that your hospital has in place to manage clinical risk in a surgical setting?
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09/24/2023
You are asked to assess a 22yo patient who presented with 4 days of obstipation and abdominal distention. The patient has cerebral palsy and is non-ve…
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09/24/2023
You are a surgical registrar on a new ward and you have noticed that the NUM consistently calls the consultant directly with problems that you think y…
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09/24/2023
The theatre ANUM tells you that her neice is on the waitlist for an oepration as a category 2, and asks if you can re-triage her as a cat 1. What woul…
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09/24/2023
How would you deal with a patient seeking a second opinion from you?
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09/24/2023
You are a SET1 trainee joining a team where the unaccredited registrar has worked there for a long time. You feel that the consultant always preferenc…
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09/24/2023
Why is handover important? How do you perform handover to the surgical registrar on the evening shift from day shift and what are the barriers to effe…
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09/24/2023
You are a surgical registrar doing night shifts and the person doign evening shifts has repeatedly not handed over important jobs to you. They seem qu…
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09/24/2023
You are on call for surgery and there are three cases on the emergency list. One is gen surg, one is ortho and one is PRS. Ortho and PRS both say that…
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09/24/2023
You are on call for surgery and there are three cases on the emergency list. One is vascular, one is gens surg and one is PRS. Gen surg and PRS both s…
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09/24/2023
Explain the findings of diverticulosis on colonoscopy to a patient?
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09/24/2023
You are in the outpatient clinic and a 60 year old man mentions that he has never done a 'poo test' before. He has no symptoms. Explain the NBCSP to t…
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09/24/2023
You are in the outpatient clinic and a 60 year old woman mentions that she has never had a mammogram before. She has no symptoms, and on examination y…
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09/24/2023
Explain the findings of colonic polyps on colonoscopy to a patient? They have no symptoms, were found after a postive screening FOBT and there were on…
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09/24/2023
You see a patient in ED with an irreducible, painful inguinal hernia. You consent them for an inguinal hernia repair. You explain TEP to them as you t…
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