Gynaecology

Question 1

Thick white cottage cheese discharge is indicative of?

Answer 1

Candida albicans (thrush)

Question 2

First line treatment of menorrhagia?

Answer 2

Mirena IUS (if no histological or structural abnormality)

Question 3

What medication be given prior to surgery for uterine fibroids?

Answer 3

GnRH analogues may reduce size

Question 4

What hormone can be measured at day 21 of the menstrual cycle for ovulation?

Answer 4

Progesterone
Released by the corpus luteum if ovulation is successful
21 day progesterone is the most reliable test to confirm ovulation

Question 5

Indications for an ultrasound with menorrhagia?

Answer 5

• Abnormal exam findings
• Pelvic pain
• IMB or PCB

Question 6

What is the most important aetiological factor for cervical cancer?

Answer 6

HPV 16 and 18

Question 7

What is the first-line medication in PCOS?

Answer 7

Clomifene

Ovulation inducing drug

Question 8

What is the most common cause of PID?

Answer 8

Chlamydia thracomatis

Question 9

First line medical treatment of stress urinary incontinence?

Answer 9

Duloxetine

If patient does not respond to pelvic floor muscle exercises

Question 10

33 year-old woman investigated for infertility. Hysterosalpinography shows blocked Fallopian tubes bilaterally.
Diagnosis?

Answer 10

Pelvic inflammatory disease

Question 11

26-year old women sudden onset right iliac fossa pain whilst playing sports. Feels nauseated and has vomited twice. Tender in RIF. Diagnosis?

Answer 11

Ovarian torsion

Question 12

Factors associated with increased risk of hyperemesis gravidarum?

Answer 12

• Obesity
• Trophoblastic disease
• Nulliparity
• Multiple pregnancy

Question 13

What factor is associated with decreased incidence of hyperemesis gravidarum?

Answer 13

Smoking

Question 14

Ectopic pregnancy in which location in which location is associated with increased risk of rupture?

Answer 14

Isthmus