week 3 menti

Question 1

Answer 1

once symptoms
-abdo exam

after abdo exam
-bimanual examination

after bimanual examination
-USS

Question 2

Answer 2

surgery + chemotherapy (either neoadjavent or adjavent)

Radiotherapy is almost never used

Question 3

Answer 3

Surgery

It is not sensitive to chemotherapy

Question 4

Answer 4

Ca125
alpha- feto protein
HCG

Question 5

Answer 5

Transvaginal US

if endometrial thickness >4mm = endometrial biopsy

endometrial thickness <4mm= no further investigations

Question 6

Answer 6

-surgery
-chemotherapy
-radiotherapy

Question 7

Answer 7

Dermoid cyst

Question 8

Answer 8

USS

Question 9

Answer 9

360

Question 10

Answer 10

Score= 90 = intermediate
10 x 9
3 because post menopausal
3 because of US findings

(high is >200)

Question 11

Answer 11

Probably malignant

Young patient, just started menstruation should not have a mass this big

Question 12

Answer 12

malignant

Question 13

Answer 13

submucosal
-think submucosal when it is intermenstrual bleeding

Question 14

Answer 14

haemorrhagic ovarian cyst!

-Severe nause and pain will not go away for torsion ovarian cyst

-Ovarian ectopic pregnancy very rare

Question 15

Answer 15

laparascopic

Question 16

Answer 16

Ca125 +/- USS (nice guidelines)

Question 17

Answer 17

25

Question 18

Answer 18

5

Question 19

Answer 19

Cervical screening, HPV vaccine, stop smoking

Question 20

Answer 20

surgery

(only use radical hysterectomy for cervical cancer)