21 - clinical gynaecology

Question 1

What age group?

Answer 1

14+ to post menopause

Act to promote a womens health across her lifespan

Question 2

PAP smear?

Answer 2

Test done for cervical screening

Question 3

Cervical screening summary?

Answer 3

Participation in the screening program reduces the risk of cervical cancer by 60-80% and risk of advanced cervical cancer by 90%. It is one of the most effective screening tests and has been crucial to the signfiicant reduction of incidence and mortality of cervical cancer

Question 4

Progression of screening?

Answer 4

PAP (early 1900s)
HPV virus screening once every 5 years
Vaccine for HPV
In the future will likely change from a smear to a swab you can do yourself and will be HPV screen

Question 5

What does gynacealogy look after?

Answer 5

• disease and discomfort of female genital tract
• prevention of disease
• reproduction and contraception

Question 6

IVF?

Answer 6

2% of the worlds babies = 5 000 000 IVF babies worldwide

Question 7

OCP is currently used by … women worldwide

Answer 7

100 milion

Question 8

Common presenting problems?

Answer 8

Urinary incontinence (90% of women)
Heavy menstrual periods
Lower abd pain every month

Question 9

What 3 things do you do when faced with a scenario?

Answer 9

1. Take a proper history
2. Do a gynaecological examination
3. Order further investigations
   > the tests will be tailored towards the differential diagnosis based off of the history