4th Year Gynaecology Additions

Question 1

short-term complications of PID

Answer 1

tubo-ovarian abscess
peritonitis
Fitz-Hugh curtis

Question 2

long-term complications of PID

Answer 2

chronic pelvic pain
infertility
ectopic pregnancy

Question 3

what is Asherman’s syndrome?

Answer 3

scar tissue in uterus or cervix
reduces size
post-op risk

Question 4

what is globozoopsermia?

Answer 4

rounded head of sperm without acrosome so cannot penetrate zona pellucida

Question 5

what is mittelschmerz?

Answer 5

ovulation pain (unilateral abdo pin due to ovulation)

Question 6

endometrial hyperplasia management options

Answer 6

progestogens
mirena
hysterectomy

Question 7

why is aspirin CI in breastfeeding

Answer 7

Reye disease

Question 8

what causes a winged scapula?

Answer 8

damage to serratus anterior

Question 9

management of cyclical breast pain

Answer 9

reassure
gamolenic acid (primrose oil)
danazol
bromocriptine

Question 10

criteria for colposcopy?

Answer 10

three consecutive inadequate smear samples
three borderline smears
mild, mod or severe dyskaryosis
suspected invasive disease

Question 11

what blood test to check in menorrhagia/heavy flow?

Answer 11

TFTs

Question 12

management of menorrhagia?

Answer 12

tranexamic acid + mefanamic acid

first line mirena unless pregnancy soon

Question 13

benign cause of post-coital bleeding

Answer 13

cervical ectropion

Question 14

severe form of PMS management

Answer 14

SSRIs

Question 15

what is adenomyosis?

Answer 15

endometrial tissue in myometrium

Question 16

presentation of adenomyosis?

Answer 16

boggy uterus
menorrhagia
pain

Question 17

what is chancroid caused by?

Answer 17

haemophilus duyrcrei

Question 18

presentation of chancroid

Answer 18

papule > pustule > ulcer with inguinal lymphadenopathy

Question 19

what is donovanosis caused by?

Answer 19

klebsiella

Question 20

presentation of donovanosis

Answer 20

multiple nodules that burst into painless ulcer