Clinical

Question 1

Puberty staging system?

Answer 1

Tanner

Question 2

Hirsutism staging system?

Answer 2

Ferriman-Gallwey

Question 3

Maximum years between thelarche and menarche?

Answer 3

4

Question 4

Age puberty typically begins in girls?

Answer 4

10

Question 5

How long can it take to establish regular ovulatory cycles after puberty?

Answer 5

7 years

Question 6

When to investigate primary amenorrhoea?

Answer 6

Age 16 or 4y after thelarche

Question 7

Usually autosomal dominant?

Answer 7

Structural disorders e.g. Marfan’s, achondroplasia

Question 8

Usually autosomal recessive?

Answer 8

Metabolic disorders e.g. CF, sickle cell, Tay-Sachs, haemochromatosis

Question 9

Which organism in not classically associated with BV?

Answer 9

Histoplasma capsulatum

Question 10

Which organisms are associated with BV?

Answer 10

Gardnerella vaginalis, Bacteroides sp, Mobiluncus sp, Mycoplasma hominis

Question 11

Most common cyanotic congenital heart disease?

Answer 11

Tetralogy of Fallot

Question 12

Reason for facial nerve injury of baby during delivery?

Answer 12

Underdeveloped mastoid process

Question 13

Most useful Ix in recurrent miscarriage?

Answer 13

Thrombophilia screen

Question 14

Vasectomy failure rate?

Answer 14

0.5/1000

Question 15

BRCA1 lifetime risks?

Answer 15

Breast cancer 60-90%
Ovarian cancer 40-60%

Question 16

BRCA2 lifetimes risks?

Answer 16

Breast cancer 45-85%
Ovarian cancer 10-30%

Question 17

Chances of having affected baby in CMV primary infection?

Answer 17

20-30%

Question 18

Chances of having affected baby in CMV primary infection?

Answer 18

20-30%

Question 19

Delayed puberty definitions?

Answer 19

Girls - absence of breast development >13y, amenorrhoea >16y
Boys - absence of testicular development (vol <4mL) >14y