Gynaecological Sx

Question 1

A 23-year old para 0+1 presents with lower abdominal pain, hypotension and light vaginal bleeding after 7
weeks amenorrhoea. She has also noticed some shoulder tip pain.

Answer 1

Ruptured ectopic pregnancy

Question 2

A 49-year old para 2 has become significantly anaemic. She describes increasingly heavy and irregular
periods for the past four months. Pelvic examination reveals a normal uterus.

Answer 2

Anovulatory dysfunctional uterine bleeding

Question 3

A 45-year old para 4, who has never had a smear, report post-coital and intermenstrual bleeding for the
past 6 months.

Answer 3

Cervical CA

Question 4

An 18-year old, who five days ago had casual unprotected intercourse, presents with acute lower abdominal
pain, pelvic tenderness and pyrexia.

Answer 4

Pelvic inflammatory disease

Question 5

A 70-year old obese nulliparus lady, who has diabetes and hypertension, presents with an abdominal swelling and ascites.

Answer 5

Ovarian CA