Osce stop hrt. What you need to know about hormone replacement during the perimenopause and menopause. Find out what the patient/family knows already and try to gauge their level of understanding. no additional progestogen). Oct 21, 2021 · Mueck AO. Updated 2024 with viva questions & Gynaecological swabs OSCE stations OSCEstop Clinical examination guide to Medical Student OSCE Pelvic examination. It is important you do not forget the general communication skills which are relevant to all patient encounters. The WHI studies included women within a fairly wide age range of 50 to 79. 📟 OSCE stations. Updated 2024 with viva questions & Contraception counselling OSCE stations. OSCE Checklist: Hormone Replacement Therapy (HRT) Counselling OPENING THE CONSULTATION 1 Introduce yourself 2 Confirm patient details 3 Check the patent’s understanding of HRT 4 Explore the reasons why the patient wants HRT 5 Assess the patient’s ideas, concerns and expectations (ICE) EXPLANATION 6 Explain what HRT is 7 Explain how HRT can OSCEstop Communication guide to Medical Student OSCE Contraception counselling. Jan 5, 2024 · If people decide to stop taking hormone replacement therapy (HRT), they should reduce the dosage gradually. Where possible, to help you prepare for the UK Medical Licensing Assessment (MLA), we’ve also organised our OSCE content by area of clinical practice. See full list on geekymedics. In many cases, you can limit the side effects by slowly lowering your dose over time. no periods for >1 year or been on cyclical HRT for >1 year) → continuous combined HRT(continuous oestrogen and progesterone – no bleed) Updated 2024 with viva questions & Common gynaecological histories OSCE stations Menopause / premature ovarian failure. 2 The average age of menopause in the UK is 52. Past Medical / Surgical History. 60,000+ monthly users. Updated 2024 with viva questions & Gynaecological swabs OSCE stations This practice POST MENOPAUSAL BLEED station will help you develop your OSCE exam skills. It contains a condensed, printed version of all the OSCE learning content from the site. Risk factors include age, female gender, family history, BRCA1/BRCA2 mutations, early menarche, late menopause, and hormone replacement therapy (HRT). A comprehensive collection of diagnosis counselling OSCE guides to help you prepare for OSCEs, including PLAB and the UKMLA CPSA. Wash your hands and don PPE if appropriate. Stopping abruptly may cause a return of menopause symptoms, such as hot flashes and Alternative options for women taking continuous combined HRT preparations with transdermal oestradiol; HRT - equivalence options for different doses of transdermal oestradiol; Alternative options for women taking transdermal oestradiol only HRT in the form of (25/50/75/100) patches and do not require taking progestogen Menopause + Premature Menopause + Menopause Symptoms + Bleeding Problems + Vaginal Problems + Bladder Matters Menopause and HRT after Hysterectomy Treatments + Diet, Lifestyle & Exercise + Menopause at Work Hormone Replacement Therapy + Estrogens Progestogens Route Benefits Risks Balancing Risks & Benefits Contra - indications Side Effects When Menopause is usually a clinical diagnosis made retrospectively after 1 year of amenorrhoea (1) most women do not require measurement of their serum hormone levels to make the diagnosis (1) If not using hormonal contraception then: if under 50 years can stop contraception after two years amenorrhoea (1,2,3,4) If using contraception: Innovative OSCE learning 📖, OSCE stations 📋 and Qbank 💡 subscription service. Opening the consultation. Mar 22, 2022 · What’s the safest way to stop hormone replacement therapy? Be sure to discuss reducing or stopping your menopausal HRT with your healthcare provider. Vaginal ; Caesarean section. 1 st day of last menstrual period; Menarche (usually 12-13 years) ± menopause (usually 48-55 years) Regularity and cycle length (range from 21-35 days) Duration of periods (range from 3-7 days) Character of periods (heaviness, number of pads per day, flooding, pain) Obstetric history – GMC. Updated 2024 with viva questions & Exploring symptoms OSCE stations Dec 14, 2016 · This intramuscular injection guide provides a step-by-step approach to performing an intramuscular injection in an OSCE setting, with an included video demonstration. 2, 5, 6 “Are you currently taking any regular medications or over-the-counter medicines?” Drug History: Use of hormone replacement therapy (HRT) or oral contraceptives may increase risk. In this clinical OSCE you will be asked to take a history and then complete a number of other tasks. 1 Menopause is the final menstrual period, indicating the start of a non-pathological state of permanent amenorrhoea. Updated 2024 with viva questions & Hormone replacement therapy OSCE stations. Hormone replacement therapy (HRT) is usually the first-line treatment to improve symptoms of the perimenopause and menopause [1]. Key viva Qs for subscribers, MLA-mapped, with clinical pearls. Covered in OSCE Stations Menstrual history. OSCEstop History taking guide to Medical Student OSCE Exploring symptoms. Apr 4, 2023 · Hormone replacement therapy: oestrogen, progesterone, testosterone; Ask if the patient is taking any insulin or other anti-diabetic medications, as the risk of hypoglycaemia can be increased when metformin is used in combination. This article focuses on counselling patients about the combined oral contraceptive pill (COCP), including the common questions patients ask, the information you’ll be expected to give and how best to structure the consultation. Experience questions that closely resemble those you'll encounter in your written medical school exams. Updated 2024 with viva questions & Cardiac examination OSCE stations A comprehensive collection of medication counselling OSCE guides to help you prepare for OSCEs, including PLAB and the UKMLA CPSA. Demonstrating these skills will ensure your consultation remains patient-centred and not checklist-like (just because you’re running through a checklist in your head doesn’t mean this has to be obvious to the patient). This should not be used as a guide to administering injections to actual patients without first consulting your local medical school or hospital guidelines and undertaking the necessary training. Full unlimited access to 200+ OSCE stations. Most of these women were postmenopausal, something the authors didn’t take A comprehensive collection of communication skills guides (history taking and counselling) to help you prepare for OSCEs, including PLAB and the UKMLA CPSA. hypertension, diabetes etc. Menopausal symptoms, e. This article focuses on counselling patients about emergency contraception, including the common questions patients ask, the answers you’ll be expected to articulate and how best to structure the consultation. QUESTIONS? CALL 1-800-448-4919 M-F 9AM-6PM EST Mar 22, 2024 · Introduction. The online subscription contains all the information in the book in an online format plus additional online-only content: Access to a bank of over 200 OSCE stations with detailed mark schemes OSCEstop Clinical examination guide to Medical Student OSCE Cardiac examination. Student feedback from every UK Medical School How does it work - Menapouse is when ovaries stop producing eggs - So when menopause occurs there is low hormones oestrogen and progesterone - This leads to hot flushes, vaginal dryness - HRT replaces these hormones and reduces symptoms 20 Age at menarche / Age at menopause (if appropriate) 21 Last menstrual period 22 Duration / Regularity 23 Menstrual flow - light / heavy 24 Menstrual pain 25 Post-coital bleeding 26 Intermenstrual bleeding 27 Contraceptive use / HRT use Feb 26, 2023 · Learn what to expect when getting off of hormone replacement therapy and how to minimize symptoms when you stop HRT. for cardiac chest pain) For relevant conditions, find out more information OSCEstop History taking guide to Medical Student OSCE Exploring symptoms. Jun 26, 2024 · Contraceptive counselling often features in OSCEs, and it’s important to be familiar with the various methods of contraception available. May 3, 2023 · Menopause usually occurs between the ages of 45 and 55; Typical age is 51. Learn about evidence-based guidelines for when to start HRT, when to stop HRT, and what side effects to expect from stopping hormone replacement therapy, including stopping HRT after hysterectomy. Social History: Smoking, alcohol use, and obesity are risk factors for breast cancer. Recommended if: multiple pregnancy, labour doesn’t progress, placenta praevia/accreta, 2 or more previous Caesarean sections, malpresentation (breech/transverse), cephalopelvic disproportion, pelvic cyst/fibroid, maternal infection (Herpes simplex/HIV), severe hypertensive disease, fetal A huge range of obstetrics and gynecology / OBGYN OSCE stations with interactive mark schemes to help you smash your OBGYN OSCEs! We are building the ultimate clinical OSCE database. High yield stations and questions based on over 10 years worth of past OSCE exams from years 1-5! 📖 All OSCE Lerning. How the treatment works – Statins stop the liver making cholesterol – High cholesterol causes problems with your arteries, which increases your risk of heart disease, stroke, and kidney disease – It is important to also address other cardiovascular risk factors… Innovative OSCE learning 📖, OSCE stations 📋 and Qbank 💡 subscription service. Check for contraindications – Pregnancy. com OSCE Checklist: HRT Counselling. Introduce yourself to the patient including your name and role. Innovative OSCE learning 📖, OSCE stations 📋 and Qbank 💡 subscription service. 7. Causes include vaginal atrophy, hormone replacement therapy and malignancy (e. Taking a social history can help highlight what lifestyle advice you can signpost your patient to (e. Updated 2024 with viva questions & Genetic counselling OSCE stations Apr 9, 2018 · General communication skills. Students from 120 countries. 2012 Apr; 15 Suppl 1:11-7. L’Hermite M. Management of bradyarrhythmias. OSCEstop Communication guide to Medical Student OSCE Hormone replacement therapy. 5; Premature menopause is defined as menopause before the age of 40 – aka premature ovarian insufficiency; The process of going through the menopause can be split into the premenopause – a time of irregular periods, and menopause – the time when the periods cease Study with Quizlet and memorize flashcards containing terms like Menopause HPI Findings - 6, Menopause PMH - Conditions - 10, Menopause PMH - Tests/Treatments - 7 and more. 2. Treat cause; If life threatening features present → atropine; If ongoing haemodynamic compromise or there is risk of asystole → transvenous/permanent pacing is required OSCEstop Documentation guide to Medical Student OSCE Venous thromboembolism assessment. If on oral contraceptive pill or HRT, stop this for 6 weeks pre-test (resume after test) If on prednisolone, change this to dexamethasone 2 weeks pre-test May 20, 2023 · Some women stop HRT suddenly and have absolutely no symptoms of hormone imbalance. 8. Our clinic’s waiting room is often full because most women who stop HRT experience all the symptoms of menopause again, sometimes with more aggression, and they don’t know where to go for relief and support. 📖 All OSCE Lerning. e. Want to find out how 99% of people passed their exams? Modes of delivery. hysterectomy) as they do not require the endometrial protection provided by progestogens. It works by topping up or replacing your missing hormones. Our 2000+ question bank is a compilation of 8+ question books published by our partner Taylor Francis, the experts in medical education, and complemented with updates and questions from our OSCEstop experts. Classification Invasive ductal carcinoma (most common) The key to all of these stations is good communication. They are, however, the lucky few. 1300+ OSCE Stations OSCE Checklist: Gynaecological History Taking Opening the consultation 1 Wash your hands and don PPE if appropriate 2 Introduce yourself to the patient including your name and role 3 Confirm the patient's name and date of birth 4 Explain that you'd like to take a history from the patient 5 Gain consent to proceed with taking a history Preparation. Updated 2024 with viva questions & Venous thromboembolism assessment OSCE stations Feb 2, 2024 · The Geeky Medics OSCE Revision Checklist is a one-stop checklist to help you prepare for OSCEs. The conversations should be conducted in an appropriate setting and should not be interrupted by bleeps etc. The word “Menopause” comes from the Greek word “Men”, meaning the moon or the months and another Greek word “pauein”, meaning stop. We’ve included links to relevant Geeky Medics OSCE guides for more information. OSCE prep made easy: Bite-sized summaries, infographics, memory tricks. no periods for >1 year or been on cyclical HRT for >1 year) → continuous combined HRT(continuous oestrogen and progesterone – no bleed) Perimenopausal → cyclical HRT (oestrogen given every day, and progesterone given for 12 days of each 28 day cycle – to induce bleed) Post-menopausal (i. g. Updated 2024 with viva questions & Exploring symptoms OSCE stations The key to all of these stations is good communication. . Postmenopausal hormone replacement therapy and cardiovascular disease: the value of transdermal estradiol and micronized progesterone. Dec 14, 2023 · 4/8 Oestrogen-only HRT Oestrogen-only HRT refers to the use of unopposed oestrogen therapy (e. Climacteric. 5 star rating from subscribers. OSCEstop Communication guide to Medical Student OSCE Emergency contraception. Oestrogen-only HRT is recommended for women without a uterus (e. Ask generally about medical conditions and past operations; Ask specifically about conditions/risk factors relevant to differentials (e. Updated 2024 with viva questions & Pelvic examination OSCE stations Please click here if you are not redirected within a few seconds. OSCE Checklist: HRT Counselling Opening the consultation 1 Introduce yourself to the patient including your name and role 2 Confirm the patient's name and date of birth 3 Explain the reason for the consultation OSCEstop Clinical Procedures guide to Medical Student OSCE Gynaecological swabs. sweats/flushes Innovative OSCE learning 📖, OSCE stations 📋 and Qbank 💡 subscription service. discussing smoking cessation if they are a smoker). Abnormal vaginal discharge: causes include bacterial vaginosis, chlamydia and gonorrhoea. Updated 2024 with viva questions & Emergency contraception OSCE stations Mar 11, 2024 · Contraceptive counselling often features in OSCEs, and it’s therefore important to be familiar with the various methods of contraception available. OSCEstop Clinical Procedures guide to Medical Student OSCE Gynaecological swabs. Possible Investigations 🌡️ Jun 3, 2024 · A Reassessment of HRT and the WHI trials. HRT optimization, using transdermal estradiol plus micronized progesterone, a safer HRT. 🔋 Qbank. 3 It is accompanied by a fall in oestrogen levels, which may result in Our OSCE book is the number-one selling medical exam book on Amazon. 💡 Conditions. Ace your medical exams with OSCE sense. Perimenopausal → cyclical HRT (oestrogen given every day, and progesterone given for 12 days of each 28 day cycle – to induce bleed) Post-menopausal (i. 2013 Aug; 16 suppl 1: 44-53. Aug 9, 2020 · It is helpful to screen for osteoporosis risk factors including smoking, alcohol, steroid use and being post-menopause. Sep 8, 2021 · Hormone replacement therapy is beneficial for many menopausal women, but there are limitations to its use. uterine cancer, cervical cancer and vaginal cancer). OSCEstop Communication guide to Medical Student OSCE Genetic counselling. Gravida Average age of menopause in the UK is 51 years; Around 1% of women experience premature menopause (<40 years) Menopause affects all women globally, but the age of onset can vary based on genetics, lifestyle, and health factors; Higher incidence of premature menopause in women who smoke or have certain medical conditions Sep 20, 2010 · Post-menopausal bleeding: bleeding that occurs after the menopause. This station is a mock for real clinical exams. mnmiw pxco mqe vyna nxjhr wecl lixs ccjka bozswca pkz