Woman's Health

Question 1

Lactation mastitis

Answer 1

Manage with oral flucloxacillin and encourage continued breast feeding

Question 2

Postnatal depression

Answer 2

Ongoing and needs assessment with tools such as Edinburgh depression scale

Question 3

Endometriosis

Answer 3

Laparoscopy is the gold standard investigation

Question 4

Cervical smear

Answer 4

• if HPV positive then repeat smear in 24 months

- if HPV negative repeat smear in 3 years

Question 5

Hysterectomy

Answer 5

Complications include vaginal vault prolapse

Question 6

Depo-provera

Answer 6

Contraceptive depo injection that is associated with weight gain

Question 7

COCP

Answer 7

If two pills missed in week 1 consider emergency contraception

Question 8

Endometrial hyperplasia

Answer 8

In postmenopausal woman offer laparoscopic total hysterectomy with bilateral salpingo-oophorectomy

Question 9

COCP

Answer 9

High levels of oestrogen can cause cervical ectropion

Question 10

Pre-eclampsia

Answer 10

Raised blood pressure and proteinuria that needs hospital admission

Question 11

Pre-eclampsia

Answer 11

If symptoms then plan for immediate delivery and give IV magnesium sulfate

Question 12

HRT

Answer 12

Contraindicated in vaginal bleeding, endometrial cancer and previous DVT

Question 13

Gestational diabetes

Answer 13

Fasting glucose greater than 7 needs insulin

Question 14

Urinary incontinence

Answer 14

First urinalysis to test for UTI and diabetes mellitus

Question 15

Eclampsia

Answer 15

Give magnesium sulfate

Question 16

Uterine fibroids

Answer 16

GnRH agonists can be used to reduce fibroid size before surgery

Question 17

Tamoxifen

Answer 17

Can increase the risk of breast cancer

Question 18

Levonorgestrel

Answer 18

Morning after pill that needs to be taken within 72 hours