Gynae MCQs Flashcards

1
Q

How is HSIL managed?

A

Proceed to colposcopy
LEEP/cold coagulation/cone biopsy

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2
Q
A
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3
Q

How is LSIL managed?

A

If HPV - → routine recall
If HPV + → colposcopy

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4
Q

How is ASCUS managed?

A

If HPV - → routine recall
If HPV + → colposcopy

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5
Q

What nodes does cervical cancer metastasise to?

A

Parametrial nodes

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6
Q

What is the stage of cervical carcinoma causes hydronephrosis?

A

Stage 3B

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7
Q

What stage of cervical carcinoma involves the lower 1/3 of the vagina?

A

Stage 3A

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8
Q

What are the risk factors for cervical cancer?

A

Multiple sexual partners
Early onset of sexual activities
High risk sexual partner
Immunosupression
Smoking

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9
Q

What type of epithelium lines the vulva?

A

Squamous

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10
Q

How is vulvar carcinoma diagnosed?

A

Punch biopsy plus staging scans (CXR, CT-TAP)

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11
Q

What are the risk factors for endometrial cancer?

A

Unopposed oestrogen (HRT, tamoxifen, obesity, early menarche, nulliparity)
Genetics (HNPCC)
Diabetes

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12
Q

What is the likely diagnosis in a 72yo female presenting with PV bleeding?

A

Endometrial cancer

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13
Q

What are the risk factors for ovarian cancer?

A

Increased age
Increased ovulation
Genetic (BRCA)

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14
Q

What is the most common type of benign ovarian neoplasm?

A

Serous cystadenoma

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15
Q

What is the most common type of malignant ovarian neoplasm?

A

Serous carcinoma (surface derived epithelial tumours)

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16
Q

What is the tumour marker in ovarian cancer?

A

CA-125

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17
Q

Is granuloma inguinale caused by chlamydia?

A

No

18
Q

What are the symptoms of gonorrhoea?

A

Urethritis (dysuria)
Purulent discharge
Fever

19
Q

How is chlamydia treated?

A

Azithromycin 1g/doxycycline and treat the partner

20
Q

How is gonnorhoea treated?

A

Ceftriazone 500mg and azithromycin 1g
Treat partner

21
Q

What are the features associated with PID?

A

Multiple sexual partners
Cervical motion tenderness
Muco-purulent discharge

22
Q

What is the most common pelvic cause of primary amenorrhoea?

A

Gonadal dysgenesis

23
Q

What is the most common cause of primary amenorrhoea?

A

Idiopathic hypothalamic (weight loss, exercise)

24
Q

What type of visual disturbance is caused by a pituitary adenoma?

A

Bitemporal hemianopia

25
Q

What is the most common cause of anovulatory subfertility?

A

PCOS

26
Q

How is PCOS managed?

A

Fertility (metformin, clomifene)
Fertility not desired (weight loss, COCP)

27
Q

What is the clinical presentation of endometriosis?

A

Chronic pelvic pain
Dysmenorrhoea
Dyspareunia
Frozen pelvis
Nodules in rectum and pouch of Douglas

28
Q

What is procidentia?

A

Complete pelvic prolapse below the introitus

29
Q

What are the symptoms of rectocele?

A

Sensation of pressure in the pelvis
Lower abdo pain
Dyspareunia
Tenesmus

30
Q

How is a woman with stress incontinence 4 weeks postpartum managed?

A

Normal up to 6 months - reassure and reassess

31
Q

What type of urinary incontinence is caused by detrusor instability?

A

Urge incontinence

32
Q

What are the first and second line treatments for a woman with stress incontinence?

A

1st → pelvic floor exercises
2nd → duloxetine

33
Q

What ligament supports the ovary?

A

Broad ligament

34
Q

What is the most common and highest death rate for women in all cancers?

A

Breast cancer

35
Q

Which gynaecological cancers has the highest rate of new cases?

A

Endometrial cancer

36
Q

Which gynaecological cancer has the highest death rate?

A

Ovarian cancer

37
Q

What is the first-line treatment for endometrial hyperplasia without atypia?

A

Progesterone therapy (Mirena IUS)

38
Q

What is the treatment of atypical endometrial hyperplasia?

A

Hysterectomy

39
Q

What are the tumours associated with Lynch syndrome?

A

Colon, endometrial, ovarian

40
Q

What factors are protective in uterine cancer?

A

COC, POP, smoking

41
Q

Which nodes does endometrial spread to?

A

Pelvic then para-aortic