Mental Health, Sexual Health and Obstetric/Gynaecological Care
Provide safe, respectful emergency assessment across mental health, sexual health and obstetric or gynaecological presentations.
How to prepare for FRCEM SBA
Protect the full Emergency Medicine curriculum, prioritise the published item counts and practise the decisions expected of a clinician approaching independent practice.
Core concepts
Concept 1
Establish immediate physical risk, pregnancy possibility, safeguarding concerns, capacity, consent and the need for confidential specialist pathways.
Exam cue: Act on suicide risk, severe behavioural disturbance, ectopic pregnancy, major haemorrhage, sepsis, torsion and hypertensive pregnancy emergencies.
Concept 2
Treat physical threats, use least-restrictive lawful care and coordinate mental-health, sexual-health, obstetric, gynaecology and safeguarding services.
Exam cue: Use trauma-informed history, pregnancy testing, targeted examination and proportionate investigations while preserving dignity and evidence where relevant.
Risk pitfalls and guardrails
Allowing diagnostic overshadowing, stigma or assumptions about capacity to obscure an acute physical or safeguarding problem.
Guardrail: Do not substitute assumptions for a decision-specific assessment, proportionate information sharing and explicit documentation.
Choosing an answer that is generally true but does not fit the patient's physiology, urgency, evidence or current decision point.
Guardrail: Do not select an option because it is technically true; select the one that best fits the patient's current physiology, evidence, urgency and decision point.
Memory anchors
What frames decisions in mental health, sexual health and obstetric/gynaecological care?
Establish immediate physical risk, pregnancy possibility, safeguarding concerns, capacity, consent and the need for confidential specialist pathways.
Which mental health, sexual health and obstetric/gynaecological care findings change urgency?
Act on suicide risk, severe behavioural disturbance, ectopic pregnancy, major haemorrhage, sepsis, torsion and hypertensive pregnancy emergencies.
How should investigation be planned in mental health, sexual health and obstetric/gynaecological care?
Use trauma-informed history, pregnancy testing, targeted examination and proportionate investigations while preserving dignity and evidence where relevant.
What makes management complete in mental health, sexual health and obstetric/gynaecological care?
Treat physical threats, use least-restrictive lawful care and coordinate mental-health, sexual-health, obstetric, gynaecology and safeguarding services.
What common error should be avoided in mental health, sexual health and obstetric/gynaecological care?
Allowing diagnostic overshadowing, stigma or assumptions about capacity to obscure an acute physical or safeguarding problem.
Checkpoint rule
Do the check-up only after you can summarize each concept in one sentence and identify one dangerous pitfall from memory.
Knowledge Check (after reading)
Short check-up to confirm understanding of this module.
Check-up Questions
A 32-year-old woman at 35 weeks' gestation has a generalised tonic-clonic seizure, blood pressure 178/116 mmHg and proteinuria. Which anticonvulsant treatment is preferred?
A 27-year-old woman at 30 weeks' gestation has painless bright-red vaginal bleeding. The uterus is soft and non-tender, and fetal heart rate is normal. Placenta praevia is possible. Which examination should be avoided until placental location is known?
Answer all questions to submit.
Next step personalized recommendations
Continue learning
Move forward only after this module is stable.
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