Diploma Pactice MCQs Flashcards
A four-year-old previously toilet-trained girl develops enuresis and, on examination, is found to have labial fusion. The most appropriate recommendation is that :
A ~she requires surgical division of the labia
B ~No specific therapy is needed as she will grow out of it.
C ~she needs daily local oestrogen cream for three to four weeks
D ~she could have an intersex problem and should be seen by a paediatrician
C ~she needs daily local oestrogen cream for three to four weeks
A 40 year old para 2 women presents with a cystic structure at the fourchette in the midline. Which of the following is the MOST LIKELY diagnosis:
A ~Epidermoid cyst
B ~Bartholin’s cyst
C ~Gartner’s duct cyst
D ~Sebaceous cyst
A ~Epidermoid cyst
due to previous episiotomy
A 35-year-old smoker has had increasingly heavy menstrual periods for the past three years. Her cycle length has remained constant and she has had no intermenstrual bleeding. Her uterus is within the normal limits of size and shape for her parity. Office endometrial sampling shows secretory endometrium and hysteroscopic examination shows no polyps or submucous leiomyomas. Which of the following is MOST APPROPRIATE for long-term reduction of blood loss in this patient:
A ~Aspirin administered during menses
B ~Cyclic combined oral contraceptive pills
C ~Cyclic luteal phase progestogen therapy
D ~Levonorgestral containing IUD (Mirena)
D ~Levonorgestral containing IUD (Mirena)
A 20 year old woman who has never been pregnant suffers heavy, irregular menstrual bleeding. She has been diagnosed with Polycystic Ovarian Syndrome (PCOS). When counselling her about risks of PCOS which of the following conditions is NOT relevant:
A ~Endometrial Hyperplasia
B ~Osteoporosis
C ~Impaired Glucose tolerance
D ~Hyperlipidaemia
B ~Osteoporosis
A 25-year-old woman with a history of severe asthma has regular heavy periods, using 10 pads per day on the first 3 days of her menses. General and gynaecological examination are normal. She wishes to conceive. What is her BEST treat ment option:
A ~Tranexamic acid
B ~Norethisterone 5 mg tds from day 5 to day 25 of the menstrual cycle
C ~Combined oral contraceptive pill
D ~NSAID (e.g. mefenamic acid)
A TXA
A 45 year old woman has regular heavy periods, with a haemoglobin level of 100 g/l. General and gynaecological examination are unremarkable. She has a normal size uterus. Hysteroscopy reveals a normal endometrial cavity with normal endometrium. She has had a DVT and a gastric ulcer. She wishes to have as little time off work as possible, but wants a safe and effective long term treatment. What option is MOST LIKELY to be suitable for her:
A ~Vaginal hysterectomy B ~Endometrial resection C ~Endometrial balloon ablation D ~Progestagen-releasing intrauterine system (Mirena) E ~Laparoscopic hysterectomy
D ~Progestagen-releasing intrauterine system (Mirena)
A 40 year old woman presents with severe menorrhagia and a slightly enlarged and tender uterus. Which one of the following investigations would you carry out FIRST:
A ~Hysteroscopy, dilatation and curettage
B ~Pelvic ultrasound C ~Abdomino-pelvic CT scan
D ~Full blood count and ferritin
E ~Chlamydia swabs
D
Which of the following is NOT a risk factor for osteoporosis:
A ~Asian race
B ~Chronic alcoholism
C ~Obesity
D ~Hypothyroidism
D ~Hypothyroidism
hyperthyroidism is a risk factor
Combined hormone replacement therapy compared with no treatment is of proven benefit in the prevention of :
A ~Alzheimer’s disease.
B ~heart attack.
C ~osteoporosis.
D ~all of the above
C osteoporosis
A couple attends your clinic for investigation of infertility. The woman is 30 years old, and confirmed to be ovulating. The next test advised is a semen analysis. The woman is keen to know what percentage of infertility is contributed to by the male factor. Your response to this woman is: :
A ~5%
B ~25%
C ~15%
D ~50%
D ~50%
A 22-year-old primigravid woman is seen for evaluation one week following a termination of pregnancy at 6 weeks gestation. A urine pregnancy test is still positive and her uterus is 6-weeks-size on bimanual examination. She reports no abnormal uterine bleeding nor pelvic pain. Her medical records indicate that the suction curettage performed to terminate the pregnancy yielded a small amount of tissue but was otherwise uneventful. The pathology report indicated that the tissue was decidua only. The next most appropriate step in the evaluation of this patient is :
A ~to repeat curettage.
B ~a qualitative pregnancy test.
C ~a laparoscopy.
D ~a transvaginal ultrasound.
B ~a qualitative pregnancy test.
