Sept 2020 recall

Question 1

What % of adults will get pregnant in the first year of trying

Answer 1

80%
90% by the second year

Question 2

What % of adults will get pregnant with artificial insemination?

Answer 2

50% by 6 cycles and 75% by a further 6 cycles

Question 3

Risk of CA progression in endometrial hyperplasia with atypia?

Answer 3

~25%

Question 4

Risk of infraumbilical adhesions after midline incision?

Answer 4

50%
(23% after lower transverse)

Question 5

What is the risk of reoperation for HMB after UAE?

Answer 5

30% over 5 years

Question 6

5 year survival of stage 1 ovarian ca?

Answer 6

90%

Question 7

Smear follow up for hysterectomy with completely excised CIN?

Answer 7

6 months

Question 8

Pos HPV, Low grade cytology- referred to colp which is normal, what next?

Answer 8

Routine recall, see in 36 months

Question 9

Most common cause of discharge in child bearing age?

Answer 9

BV

Question 10

What is the preferred way to test for trichomonas?

Answer 10

NAAT

Question 11

What is the most common cause of incontinence in european women?

Answer 11

Stress incontinence

Question 12

What is second line mx after steroids for lichen sclerosus?

Answer 12

Tacrolimus
(~4-10% with anogenital sclerosus wont respond to potent steroids)

Question 13

Most common ureteric injury at laparoscopy

Answer 13

Transection

Question 14

When to check for STI after rape?

Answer 14

2-3 weeks

Question 15

Patient on long term GnRH analogue for PMS (add back tibilone), what needs to be monitored?

Answer 15

Annual dexa scan

Question 16

First line chemo treatment following BSO and TAH for ovarian cancer?

Answer 16

carboplatin and paclitaxal

Question 17

What is considered to be the best treatment for a caesarean scar pregnancy?

Answer 17

Currently minimal data to recommend medical over surgical, but tend to opt for a surgical management

Question 18

How do you predict a patient’s response to IVF?

Answer 18

AMH (<5 bad, >25 good)
AFC (<4 bad, >16 good)
FSH (>9 bad, <4 good)

Question 19

Which organisation do you report mesh complications to?

Answer 19

MHRA

Question 20

What is the strongest risk factor to developing ovarian cancer?

Answer 20

Family history with genetic component

Question 21

What is the age cut off for precocious puberty in a girl?

Answer 21

8 years old