gynaecology

Question 1

gold standard investigation for endometriosis

Answer 1

laparoscopy

Question 2

what contraception is preferred in a patient who has hypertension

Answer 2

intrauterine system - mirena coil

Question 3

hydratidiform mole presentation

Answer 3

large for date uterus
severely elevated bhCG

Question 3

hydratidiform mole presentation

Answer 3

large for date uterus
severely elevated bhCG

Question 4

medication that can be given for management of ectopic pregnancy

Answer 4

methotrexate

Question 5

post menopausal bleeding is what till proven otherwise

Answer 5

endometrial cancer

Question 6

hyperemesis gravidarum with diplopia and ataxia is suggestive of

Answer 6

wernickes encephalopathy
- give thiamine (vitamin B1)
- vitamin B and C (pabrinex)

Question 7

unopposed oestrogen is a risk factor for

Answer 7

endometrial cancer

Question 8

management of stress incontinence

Answer 8

duloxetine

Question 9

management of urge incontinence

Answer 9

oxybutynin

Question 10

what is meigs syndrome

Answer 10

benign ovarian tumour
ascites
pleural effusion

Question 11

what can cystocele lead to

Answer 11

stress incontinence

Question 12

procedure done for cystocele

Answer 12

anterior colporrhaphy

Question 13

mid cyclical ovulatory pain is likely to be

Answer 13

mittelschmerz

Question 14

HPV screens for patients with HIV are how regularly

Answer 14

annually

Question 15

bulky uterus in young female is likely to be

Answer 15

fibroids

Question 16

risk factor for cervical cancer

Answer 16

HPV

Question 17

1st line investigation for infertility in women

Answer 17

serum progesterone 7 days prior to expected next period this should be day 21 of a 28 day cycle
progesterone on day 21 of cycle

Question 18

most common site for vulval cancer

Answer 18

labia majora

Question 19

management of lichen scleorsis

Answer 19

topical dermovate

Question 20

ectopic pregnancy in what location is most associated with increased risk of rupture

Answer 20

isthmus

Question 21

how long is routine HPV call

Answer 21

repeat smear every 5 years

Question 22

enlarged boggy uterus

Answer 22

adenomyosis

Question 23

definitive treatment for adenomyosis

Answer 23

hysteroscopy

Question 24

management of women with severe pre-menstrual symptoms

Answer 24

SSRI

Question 25

management of vasomotor symptoms in menopause

Answer 25

fluoxetine citalopram venlaflaxine

Question 26

what HRT increases risk of endometrial cancer

Answer 26

oestrogen only HRT - unopposed oestrogen

Question 27

management of mild premenstrual symptoms

Answer 27

COCP

Question 28

young women taking COCP and has post coital bleeding what is most common

Answer 28

cervical ectropion

Question 29

what ovarian tumour is associated with endometrial hyperplasia

Answer 29

granulosa cell tumours

Question 30

1st line non hormonal treatment for menorrhagia

Answer 30

tranexamic acid

Question 31

after termination how long can pregnancy test be positive for

Answer 31

4 weeks

Question 32

urge incontinence in elderly what is best treatment

Answer 32

mirabegron

Question 33

what do germ cell tumours secrete

Answer 33

AFP and beta HCG

Question 34

who is more likely to get germ cell tumours

Answer 34

younger women

Question 35

who is more likely to get epithelial cell tumours

Answer 35

older women

Question 36

management of fibroids >3cm

Answer 36

myomectomy

Question 37

what is a risk factor for ectopic pregnancy

Answer 37

endometriosis pelvic inflammatory disease

Question 38

potential side effect of ovulation induction

Answer 38

ovarian hyperstimulation syndrome

Question 39

HRT adding a progesterone increases risk of

Answer 39

breast cancer

Question 40

investigation of choice for ectopic pregnancy

Answer 40

transvaginal ultrasound

Question 41

risk factors for premature ovarian failure

Answer 41

- FH - exposure to chemotherapy/radiation - autoimmune disease

Question 42

ovarian torsion what is seen on ultrasound

Answer 42

whirlpool sign

Question 43

person urinating more frequently and suffer and intense need to urinate

Answer 43

overactive bladder syndrome

Question 44

cervical motion tenderness is a specific sing for

Answer 44

PID

Question 45

management of PID

Answer 45

orał doxycycline + orał metronidazole + IM ceftriaxone

Question 46

management of symptomatic Bartholin cyst

Answer 46

marsupialisation

Question 47

what benign ovarian tumour is associated with Meigs syndrome

Answer 47

fibroma

Question 48

when is ectopic pregnancy managed surgically

Answer 48

>35mm in size of B-hCG >5000 should be managed surgically

Question 49

management of recurrent vaginal candidiasis

Answer 49

oral fluconazole

Question 50

management of thrush in pregnancy

Answer 50

clotrimazole pessary

Question 51

how does ovarian cancer initially spread

Answer 51

local invasion

Question 52

what HRT is safest for VTE risk

Answer 52

transdermal HRT

Question 53

management of overactive bladder

Answer 53

bladder re-training exercise

Question 54

management of vaginal vault prolapse

Answer 54

sacrocolpoplexy

Question 55

what does combined HRT reduce the risk of

Answer 55

osteoporosis

Question 56

most common type of ovarian cyst

Answer 56

follicular cyst

Question 57

most common type of ovarian cancer

Answer 57

serous carcinoma

Question 58

what contraception works the quickest

Answer 58

progesterone only pill