Gynae passmed correction (exam2)

Question 1

cervical cancer smear screening timing:

Answer 1

if above 50, every 5 years is routine
if 25-49: every 3 years is routine
if after twice rechecking every 12 months, cytology is negative= then can put back into routine recall. if after twice, still positive (hrHPV): refer for colposcopy.

Question 2

Most common cause of post-menopausal bleeding?

Answer 2

• most COMMON: is vaginal atrophy
• most dangerous: is endometrial cancer: so need to be careful about that.

Question 3

Cervical cancer screening: if smear inadequate then repeat in?

Answer 3

3 months
- repeat the sample in 3 months, if still inadequate: then colposcopy

Question 4

Medical management of an incomplete miscarriage involves?

Answer 4

Just giving vaginal misoprostol alone.

Question 5

Medical management of a missed miscarriage involves:

Answer 5

Giving oral mifepristone (good if there is no cardiac activity) + 48 hours later, misoprostol (vaginal, oral or sublingual) unless the gestational sac has already been passed

Question 6

Medical management of ectopic pregnancy?

Answer 6

Methotrexate is the drug of choice.