REPRO 2

Question 1

functional cysts are related to what
presentation
treatment

Answer 1

ovulation F/L cysts
asymp. may bleed and rupture -> pain & period changes
resolve spontaneously

Question 2

endometriosis symptoms
ix
rx

Answer 2

pain, dysparunia, subferility, tender mass behind uterus, can be asymptotic till rupture

laproscopy

COCP, mirena, surgery

Question 3

stromal tumours granulosa

theca/lydic

Answer 3

secretes oestrogen (precasious puberty, PMB)
secretes androgens (hirsutism/virilisation)

Question 4

secondary endometrial tumours

Answer 4

breast, pancreas, stomach, GI

Question 5

hydrosalpinx

Answer 5

longstanding/incidental

blocked tube with serous/clear fluid

Question 6

pydrosalpinx

Answer 6

acute/inflam

pus

Question 7

paratubal cysts are what

Answer 7

small and incidental

embryological remnants

Question 8

uterine causes of a pelvic mass

Answer 8

pregnancy, fibroids, endometrial cancer, cervical cancer

Question 9

non-gynae causes of a pelvic mass

Answer 9

bowel, bladder, mets from breast/GI

Question 10

ix for pelvic mass

Answer 10

examine

USS. UPT. Ca125. CEA. bHCG. AFP. lactate dehydrogenase (CGT). MRI/CT

Question 11

difference between acute and chronic salpingitis

and what does both increase the risk of

Answer 11

chronic if lymphocytes

ectopic

Question 12

what is endometriosis

Answer 12

presence of endometrial glands outside the uterine cavity

Question 13

causes of endometriosis

Answer 13

reterograde menstruation. genetics. altered immune function

Question 14

commonest areas for endometriosis

Answer 14

ovaries. posterior broad ligament. POD.

Question 15

ix for endometriosis

Answer 15

exam. USS. MRI pelvis

gold standard - laparoscopy

Question 16

risk factors for endometriosis

complications

Answer 16

family history
inflammation can lead to scarring which can lead to tube obstruction. pain. cyst formation. adhesions. ectopic pregnancy.

Question 17

what cancer is associated with endometriosis

Answer 17

endometroid cancer

Question 18

HSA1

Answer 18

2 registered medical practitioners

Question 19

HSA2

Answer 19

doctor within 24 hours of emergency TOP

Question 20

HSA4

Answer 20

doctor competes within 7 days of TOP and send to chief medical officer

Question 21

cut off for TOP

Answer 21

23+6 and 18+6 in tayside

Question 22

medical what are the two steps

Answer 22

oral mifepristone (anti prog) 200mg
24-48 h later vaginal/oral prostaglandin - misoprostal/gemeprost

Question 23

where does medical take place

Answer 23

0-9w both steps at home

9-24w repeated dose of prosa 3 hourly max 5/24h

Question 24

surgical what are the two types

Answer 24

6-12w vacuum aspiration

13-24w dilatation evacuation

Question 25

what steps need to be taken for surgical

Answer 25

cervical priming. vaginal prostaglandin

Question 26

aftercare of TOP

Answer 26

anti D
contraception
UPT at 3w

Question 27

Levonelle how much and when
what does it do 
if vom then what 
can it be taken more than once in a cycle 
failure rate

Answer 27

1/5mg within 72h of UPSI
inhibits ovulation and implantation 
if mom within 2h take another dose
yes
1-2%

Question 28

EllaOne how much and when
what does it do bad stuff as well
can it be taken more than once in a cycle
failure rate

Answer 28

20mg within 120h
inhibits ovulation 
decreases effectiveness of hormonal contraceptives so restart or start 5 d after. also delay breastfeeding for 1w
yes
<1%

Question 29

IUD when

Answer 29

within 5 d of UPSI or 5d after likely ovulation date

Question 30

UPT when

Answer 30

at 3w post all methods