Pass Test Gynae

Question 1

Symptoms similar to PCOS in a post menopausal woman

Answer 1

Ovarian stromal hyperthecosis

Question 2

What is the diagnostic criteria for PCOS?

Answer 2

Oligomenorehoea or amenorrhoea
Clinical signs or biochemical signs of hyperandrogenism
US evidence including at least 12 follicles in one ovary varying from 2-9mm and an ovarian volume >10mls

Question 3

Most common type of vulval cancer

Answer 3

SCC

Question 4

Ovarian pain refers to which region of the abdo

Answer 4

Peri umbilical

Question 5

What is mittelschmerz

Answer 5

Pain from ovulation occurring as mid cycle pain

Question 6

Delayed puberty and inability to smell

Answer 6

Kallmans syndrome

Question 7

What do NICE recommend for treatment of a gonococcal PID

Answer 7

Ceftriaxone IM one off 500mg and then 14 days 400mg metronidazole twice daily and 100mg doxycycline orally twice daily

Question 8

Which form of HRT should a woman go on if they have had a hysterectomy and have a BMI over 30

Answer 8

Prescribe an oestrogen patch

Question 9

Give a differential to PCOS

Answer 9

Late onset 21 hydrocylase deficiency

Question 10

Treat hirsuitism

Answer 10

Eflornithine

Question 11

Treat hirsuitism and acne

Answer 11

OCP and cyproterone acetate

Question 12

Treat irregular menses in PCOS

Answer 12

Metformin clomifene

Question 13

In PCOS treat and androgenic symptoms that are treatment resistant

Answer 13

Spironactone or finasteride

Question 14

PCOS patients have a high risk of developing what

Answer 14

T2DM

Question 15

Drug used in stress incontinence

Answer 15

Duloxetine

Question 16

First line for vulvodynia seen in fibromyalgia

Answer 16

Amitryptyline

Question 17

What is cyclical HRT

Answer 17

Have oestriadiol one tablet daily for a 3 month period with norethisterone on the last 14 days - given to women needing HRT who are still having periods

Question 18

When can women change from cyclical to continuous HRt

Answer 18

Completed a year on cyclical or has established menopause (stopped periods completely)

Question 19

What is FSH testosterone and LH like in pregnancy

Answer 19

FSH low
LH high
Normal testosterone

Question 20

What is FSH testosterone and LH like in PCOS

Answer 20

Low FSH
High LH
High testosterone and insulin resistance

Question 21

What is FSH and LH like in turners

Answer 21

High FSH
High LH
Primary ovarian failure

Question 22

What is FSH and LH like inanorexia

Answer 22

Low to both

Functional amennorhoea

Question 23

What is FSH and LH like in hyperprolactinaemia

Answer 23

Low FSH low LH high prolactin

Question 24

Premenstrual syndrome occurs in what phase of the cycle

Answer 24

Luteal phase

Question 25

Menorrhagia secondary to fibroids treat with

Answer 25

Tranexamix acid

Question 26

Acute onset lower abdo pain which resolved within 6 hours of admission

Answer 26

Could it be a ruptured ovarian cyst

Question 27

HRt and at risk of clottin

Answer 27

Transdermal form (patches)

Question 28

Combined oestrogen and progesterone like HRT increases your risk of what cancer

Answer 28

Breast cance r

Question 29

What is endometriosis of the uterine musculature called

Answer 29

Adenomyosis (only clinical features are cyclical pain and an enlarged uterus)

Question 30

What is haematometra

Answer 30

What you get with an imperforate hymen if they have been menstratinh for a while