Gynae questions Flashcards
What is this a classic presentation of: 60 year old obese, nulliparous woman with vaginal bleeding
Endometrial cancer
What treatment may be started before surgery to reduce the size of fibroids?
GnRH agonist
What is the treatment of thrush in pregnancy?
Clotrimazole pessary
What is the treatment of BV and trichomonas vaginalis?
Metronidazole
What is the typical presentation of ectopic pregnancy?
Woman with 6-8 week hx of amenorrhoea who presents with lower abdominal pain and later develops vaginal bleeding. May be cervical excitation and shoulder tip pain
What is the presentation of miscarriage?
Vaginal bleeding and crampy lower abdominal pain following a period of amenorrhoea
What is first line imaging for suspected adenomyosis?
Transvaginal ultrasound
What is the treatment for infertility in PCOS?
Clomifene
How are medical abortions undertaken?
Oral mifepristone and vaginal prostaglandins (such as misoprostol)
What are risk factors for hyperemesis gravidarum?
Increased levels of beta hCG (multiple pregnancies, trophoblastic disease), nulliparity, obesity, FHx/personal hx
How does smoking affect the risk of hyperemesis?
Reduces the risk
What is the management of two inadequate cervical cancer samples?
Refer for colposcopy
What is the first line imaging in ectopic pregnancy?
Transvaginal ultrasound
What HRT increases the risk of endometrial cancer?
Oestrogen only HRT
Is it possible to reinfibulate (redo FGM) after vaginal delivery?
No: this is illegal. Any sort of FGM is illegal in the UK and can’t be done under any circumstance
What is it called when hair/bone/teeth arise from a teratoma?
Rokintasky protuberance
How long after a first cervical cancer sample will a woman return for the second one, if it was inadequate?
3 months
What is Meig’s syndrome?
Benign ovarian tumour, ascites, pleural effusion
What is the marker for pancreatic cancer?
CA 19-9
How often is normal recall for screening in cervical cancer?
Every 3 years until 59 years old
How is premature ovarian insufficiency diagnosed?
Repeated FSH levels, which will be raised: second one should be taken 4-6 weeks later
What is first line investigation of a woman who cannot get pregnant after a year of trying?
Day 21 progesterone (checks if actually ovulating)
What area is most associated with increased risk of rupture in ectopic pregnancy?
Isthmus: least able to expand to accomodate the growing embyro, so most likely to rupture
What area is most likely to have an ecoptic pregnancy?
Ampulla
What is Fitz-Hugh-Curtis syndrome?
Pelvic inflammatory disease that has progressed to perihepatitis (shown by RUQ pain that radiates to the shoulder)
How does ovarian cancer spread?
Local invasion
