Rx for Gynaecological Disease

Question 1

An infertile nullipara with chronic anovulation due to polycystic ovarian syndrome which has failed to
respond to either Clomiphene or to ovarian diathermy

Answer 1

Gonadatrophin Therapy

Question 2

A 29 year old nulliparous woman with anovulation due to polycystic ovarian syndrome presents with failure
to conceive.

Answer 2

Clomiphene

Question 3

A 30 year old para 2 who bleeds heavily for eight days every four weeks and whose only abnormality on
ultrasound appears to be a 1cm fundal fibroid.

Answer 3

Tranexamic Acid

Question 4

A 54 year old who has been taking combined sequential hormone replacement therapy but who wishes to
have no withdrawal bleeds.

Answer 4

Topical Oestradiol

Question 5

An 18 year old presenting for medical pregnancy termination for psycho social reasons, whose chlamydial
swab is positive.

Answer 5

Doxycycline

Question 6

A 63 year old woman with atrophic vaginitis.

Answer 6

Topical Oestradiol

Question 7

A 25 year old with troublesome hirsutes of the face and trunk, and with ↑serum androgen levels.

Answer 7

Cyproterone Acetate (Dianette)

Question 8

A 26 year old with dysmenorrhoea who also requires contraception.

Answer 8

Combnined Oral Contraceptive Pill