Gyne

Question 1

Diagnostic criteria for premenstural syndrome

Answer 1

Affective and somatic symptoms 5 days before in each of the 3 prior menstrual cyclces

Question 2

6 Affective symptoms of PMS

Answer 2

Depression
Anger
Irritability
Confusion
Anxiety
Social withdrawal

Question 3

4 Somatic symptoms of PMS

Answer 3

breast tenderness
bloating
headache
swelling of extremities

Question 4

Premenstural dysphoric disorder definition

Answer 4

severe PMS lasting for 12 months

Question 5

9 characterestics of premenstural dysphoric syndrome

Answer 5

sadness
emotional lability with frequent tearfulness
loss of interest in ADL
decreased concentration
fatigue
insomnia
overwhelmed

Question 6

Gold standard for investigation of AUB

Answer 6

Hysterosocopy with DNC

Question 7

First line treatment of menorrhagia with acute flooding

Answer 7

TXA 10mg IV Q6

Question 8

Second line treatment for bleeding

Answer 8

NES 5-10mg Q4 til bleeding stops then 5mg BID x 14 days
MPA 10mg Q4 until bleeding stops for 7 days then 20mg OD x 21 days
COCP until bleeding stops

Question 9

Best next step of management for simple cysts <10cm

Answer 9

Repeat ultrasound in 6-12 weeks

Question 10

Most common cause of gyne cancer deaths

Answer 10

Ovarian cancer

Question 11

Most common type of ovarian cancer

Answer 11

Epithelial

Question 12

Age group of ovarian cancer

Answer 12

50-60

Question 13

Most common presentation of ovarian CA

Answer 13

Abdominal mass or ascites

Question 14

5 risk factors for cervical CA

Answer 14

All women who are or has ever been sexually active
Early age at first sexual intercourse
Multiple sexual partners
Genital warts / HPV
Cigarette smoking

Question 15

Amsels criteria

Answer 15

3/4
ph > 4.5
whiff test +
clue cells, thin white discharge

Question 16

First line medications of Bac Vag

Answer 16

Clindamycin

Question 17

Second line treatment for Bac Vag

Answer 17

Metronidazole

Question 18

SFX NSDAIS in preganancy

Answer 18

• avoided especially at 32 AOG if used >48 hours
• Premature closure of ductus arteriosus
  oligohydramnios

Question 19

Gold standard for diagnosis of trichomonas

Answer 19

culture

Question 20

Gold standard for diagnosis of candida

Answer 20

Gramstain or wet mount

Question 21

DOC for premenstrual dysmorphic disorder

Answer 21

Fluoxetine

Question 22

TAHBSO + clear fluid discharge in the vagina, continuous, no odor or itching

Answer 22

Reactionary fluid from the vaginal wall

Question 23

Reactionary fluid from the vaginal wall up to how many weeks post op?

Answer 23

6 weeks

Question 24

TAHBSO + thick whitish greenish or greyish odour

Answer 24

Localized vaginal infection

Question 25

S/P TAHBSO + Painless continuous urinary leakage from the vagina

Answer 25

Vesicovaginal fistula

Question 26

S/P TAHBSO + Intermittent positional leakage

Answer 26

Ureterovaginal fistula