OBS / GYNAE

Question 1

Turner Syndrome Investigation?

Answer 1

Karyotyping
[45 XO]

Question 2

Primary Dysmenorrhoea Management?

Answer 2

1) NSAID or COCP
2) Both

Question 3

Menorrhagia Management?

Answer 3

1) Mirena Coil [Levonorgestrel Releasing Intrauterine System - LNG IUS]
2) Trial TXA / Mefenamic Acid / COCP

Question 4

Endometriosis Investigation?

Answer 4

Laparoscopy
[Chocolate Cysts]

Question 5

Urgency Incontinence Management?

Answer 5

1) Bladder Training Programme
2) Oxybutynin
3) Mirabegron

Question 6

Stress Incontinence Management?

Answer 6

1) Pelvic Floor Exercises
2) Surgery
3) Duloxetine [Surgery Contraindicated]

Question 7

Hormone Replacement Therapy + No Uterus?

Answer 7

Oestrogen Only HRT

Question 8

Hormone Replacement Therapy + LMP < 1 Year [With Uterus]?

Answer 8

Sequential Combined HRT

Question 9

Hormone Replacement Therapy + LMP > 1 Year [With Uterus]?

Answer 9

Continuous Combined HRT

Question 10

Hormone Replacement Therapy + Genitourinary Symptoms?

Answer 10

Low Dose Vaginal Oestrogen

Question 11

Tubal Patency Test + No Comorbidities?

Answer 11

Hysterosalpingography

Question 12

Tubal Patency Test + PID / Endometriosis?

Answer 12

Diagnositic Laparoscopy with Dye

Question 13

Ashermans Syndrome Investigation?

Answer 13

Hysteroscopy

Question 14

Bartholins Cyst Management?

Answer 14

Marsupialisation

Question 15

Pregnancy + Bunch Of Grapes @ US?

Answer 15

Molar Pregnancy

Question 16

Labour Induction + Bishops < 7?

Answer 16

Dinoprostone [Prostaglandin E2]

Question 17

Ovarian Cancer Investigation?

Answer 17

Ca 125

[>35 = Urgent US Abdo Pelvis]

Question 18

Primary Amenorrhoea + Short + Web Neck + Wide Spaced Nipples?

Answer 18

Turner Syndrome

[Complication = Coarctation of Aorta]

Question 19

Hirsutism + Acne + Obesity + Impaired Fertility?

Answer 19

Polycystic Ovarian Syndrome
[PCOS]

Question 20

Polycystic Ovarian Syndrome Investigation + Management?

Answer 20

Investigations
Bloods = Increased LH:FSH Ratio
Imaging = US Pelvis

Management
Hirsutism / Acne = COCP
Infertility = Weight Loss + Clomifene

Question 21

Abdo Cramp Pre Period + 6 Months Post Menarche?

Answer 21

Primary Dysmenorrhoea

Question 22

Secondary Dysmenorrhoea + Chronic Pelvic Pain + Subfertility?

Answer 22

Endometriosis
[Endometrial Tissue Outside of Uterus]

Question 23

Pelvic Leiomyoma on US?

Answer 23

Fibroids

Question 24

Urinary Urgency + Incontinence?

Answer 24

Urgency Incontinence

Question 25

Urinary Incontinence with Raised Abdominal Pressure?

Answer 25

Stress Incontinence

Question 26

Infertility Investigations?

Answer 26

1 Year Failure to Conceive [UPSI 3x Week]
[6 Months if > 35]

Mid Luteal Phase Progesterone [21 of 28 Day Cycle]