Sept 2015 recall

Question 1

What is the risk of fibroid expulsion after UAE?

Answer 1

10%
(6% of which may need further treatment to remove)

Question 2

What is the risk of endometritis after UAE?

Answer 2

0.5%

Question 3

After UAE how long after can you have complications?

Answer 3

Unlike other surgical procedures, most complications present after 30 days (occasionally as late as 1-4 years after)

Question 4

What is the risk for need for further treatment after UAE?

Answer 4

25% within 5 years if <40yrs
10% if 40-50yrs

Question 5

How often do patients with HIV need a smear test?

Answer 5

Annually

Question 6

How is chlamydia diagnosed?

Answer 6

NAAT

Question 7

Primary infertility
Male is tall with azoospermia- likely diagnosis

Answer 7

Klinefelters

Question 8

What is the overall serious risk for women having a TAH?

Answer 8

4/100
4%

Question 9

Risk of haemorrhage req blood transfusion after TAH

Answer 9

23/1000

Question 10

Management for premenopausal woman, asymptomatic cyst 6cm, found incidentally?

Answer 10

Annual follow up

Question 11

When deciding between OAB medication what is first line for elderly frail patients?

Answer 11

Tolteridone or darifenacin.
*Oxybutinin crosses the BBB and can cause deterioration in frail elderly patients

Question 12

Side effects of anticholinergics used for OAB?

Answer 12

Dry mouth, constipation

Question 13

An alternative medication for women who suffer mostly from nocturia?

Answer 13

Desmopressin
(caution in >65 with heart conditions or those with cystic fibrosis)

Question 14

When would you consider using cystometry? (urodynamics)

Answer 14

When there is suspicion re detrusor activity
When there has been previous SUI surgery or anterior prolapse repair
Where there is concern re voiding difficulties

Question 15

Which cystoscopy findings are consistent with painful bladder syndrome?

Answer 15

Hunners lesions

Question 16

Which urodynamic findings are consistent (but not diagnostic) of BPS?

Answer 16

Reduced sensation to void
Pain on filling
Poor bladder capacity

Question 17

Amsels criteria for BV?

Answer 17

pH >4.5
Fishy odour
White discharge
Clue cells
(need 3/4)

Question 18

Risk of endometrial hyperplasia without atypia progressing into cancer?

Answer 18

<5% over 20 years

Question 19

Risk of endometrial hyperplasia with atypia progressing into cancer?

Answer 19

8-29%
Varying studies

Question 20

Non hormonal treatment for hot flushes in a patient with breast cancer. Not on tamoxifen

Answer 20

SSRI
(not to be used if taking tamoxifen!)

Question 21

Risk of breast cancer with BRCA 1 and BRCA 2?

Answer 21

60-85% and 40-85% respectively

Question 22

Risk of ovarian cancer with BRCA 1 and BRCA 2?

Answer 22

40-63% and 10-27% respectively

Question 23

Commonest type of incontinence in european women?

Answer 23

SUI

Question 24

Prevalance of OAB in young women?

Answer 24

16%

Question 25

What percentage of patients can you find a cause for their polyhydramnios?

Answer 25

50%

Question 26

proportion of IVF pregnancies having mild OHSS?

Answer 26

1/3

Question 27

% of IVF pregnancies having mod-severe OHSS?

Answer 27

3-8%

Question 28

Most common and second most common cause of premature ovarian failure?

Answer 28

Most common is idiopathic
Second most common is genetic, x chromosomal abnormalities eg turners

Question 29

Risk of ureteric injury if deep infiltrating endometriosis?

Answer 29

Usually only 0.06%
If deep endo= 20%

Question 30

What contraceptives can you have if you are on enzyme inducing drugs, e.g. antiepileptics?

Answer 30

Implant- FSRH 2
Depo, IUS, IUD all an FSRH 1