Gynae

Question 1

When to treat BV

Answer 1

If symptomatic

Met-7d

Question 2

Tx of candida

Answer 2

Fluconazole

Clotrimazole if pregame’s

Question 3

HPV tx

Answer 3

Imiquidod- keratin

Podophylin - non keratinsied

Question 4

Mild dyskeratosis Mx

Answer 4

If HPV +- coli and CIN 1- 12m

HPV - -routine

Question 5

When to smear after hysterectomy

Answer 5

vault smear 6m and 18m

Question 6

Stage and treatment of cervical cancer

Answer 6

1- cervix
2- vagina not lower 1/3 or pelvic wall
3- lower or pelvic
4- distant

Tx- Trachelotomy if fertility
RH- if 1
2+- chemoradiation

Question 7

Endometrial cancer stage and Tx

Answer 7

1- endo
2- cervix
3- pelvic
4- diastant

1- TH + BSO
2- RH and radio

Question 8

Ovarian stage and Tx

Answer 8

1- ovary
2- pelvis
3- abdo
4- diastant

Surgery and chemoradio

Question 9

Tx of ovarian cyst

Answer 9

If pre menopause
measure LDH, AFP, bHCG
if <5 leave, if 5-7 monitor, >7 MRI/surgery

Post menopausal
RMI- Ca125
>200- CT- surgery
<200- monitoring

Question 10

Treatment of endometriosis

Answer 10

NSAIDs 3m or COCP 3m

Then laparoscopic

Question 11

Diagnosis of PCOS

Answer 11

Rotterndam

>12, >2y oligo, androgen

Question 12

When to investigate period cessation

Answer 12

<45- FSH, LH, progesterone

40- POF

Question 13

Investigations for sub fertility

Answer 13

Semen- x2 3m apart
STI
Tubal- HSG
Hormone

Question 14

Vulvar cancer Mx

Answer 14

vulvectomy + bilateral inguinal lymphadenectomy

Question 15

Cant use COCP

Answer 15

Breastfeed <6w
Breast cancer- current
VTE
>35 >15smoke
Migraine with aura

Question 16

What contraceptive With breast cancer

Answer 16

IUD

Question 17

When to use pipelle

Answer 17

Use if >55 with PMB

If under 55 with 12+ after LMP

Question 18

When to use emergency with POP

Answer 18

Desogesterl- 12hrs after, all others micronor, nivo- 3hrs

Question 19

Complication of PID

Answer 19

Fitz Hugh curtis

Question 20

HRT management

Answer 20

Cyclical- if period <12
irregular- 3m 14d progest
regular- monthly

Trasndermal- VTE or BMI >30

Question 21

Management of PCOS

Answer 21

COCP- acne, oligo

Infertility- clomiphene/laterozole and then metformin

Question 22

Mx of overreactive baldder

Answer 22

Urge- bladder training 6w, oxybutynin

Stress- WL >30, pelvic floor 3m, surgery/duloxetine

Question 23

Management of VZV around birth

Answer 23

<7d- IV aciclovir neonate

Check eye after

Question 24

HSV delivery

Answer 24

> 6w SVD- IV acyclovir to mother and neonate

<6w CS

Question 25

Management of PP pyrexia

Answer 25

Clindamycin and gentamycin

Question 26

Scans for HTN

Answer 26

28-30w

Severe 32-34

Question 27

When to stop methyldopa

Answer 27

2d after since causes depression

Question 28

Treatment of migraine in pregnancy

Answer 28

No triptans

Question 29

Plt targets for delivery and epidural

Answer 29

50 delivery 70 epi

Question 30

When to do fetal sample

Answer 30

8-9cm dilated

Pathological

Question 31

Cause go high uterine resistance on dopplper

Answer 31

PEC

Abruption

Question 32

When can’t you use ventouse

Answer 32

<34w

Question 33

Define uterine hyperstimulation

Answer 33

Contaction >2m or >5 in 10m

Question 34

Treatment of acne in PCOS

Answer 34

COCP, co cyprindiol

Question 35

What is raised in PCOS

Answer 35

LH and androgen

Question 36

Which contraceptives should you swap or stop after 50

Answer 36

Depot and COCP