Menopause and PMB

Question 1

Average age of menopause?

Answer 1

50

Question 2

What should be used for vaginal symptoms in menopause?

Answer 2

topical oestrogen

Question 3

What are the two types of endometrial cancer?

Answer 3

Mucinous (80%)

Serous clear cell (20%)

Question 4

Which type of endometrial cancer is related to unopposed oestrogen?

Answer 4

mucinous/endometroid

Question 5

Symptoms of endometrial cancer?

Answer 5

PMB

Intermenstrual if pre menopausal

Question 6

Investigations for endometrial cancer?

Answer 6

Trans vaginal ultrasound

Hysteroscopy with endometrial biopsy

Question 7

Management of endometrial cancer?

Answer 7

total hysterectomy + bilateral salpingoophrectomy

Question 8

If high risk disease what else should be added to management?

Answer 8

post op radiotherapy

Question 9

What treatment for endometrial cancer if frail/elderly/not suitable for surgery?

Answer 9

progesterone

Question 10

Is COCP bad or good for endometrial?

Answer 10

Good

Question 11

What does endometrial hyperplasia present with?

Answer 11

PMB, DUB

Question 12

What type of endometrial hyperplasia is a precursor for endometrial cancer?

Answer 12

atypical

Question 13

What is Lynch syndrome?

Answer 13

autosomal dominant condition with high risk of colorectal, ovarian and endometrial cancer

Question 14

Ovarian cancer investigations?

Answer 14

CA125 and Ultrasound to diagnose
CT to stage
Tissue diagnosis

Question 15

Management of ovarian cancer?

Answer 15

surgical resection and chemotherapy