women

Question 1

risk malignancy index (RMI) components

Answer 1

S findings, menopausal status and CA125 levels (ovarian)

Question 2

ovarian cancer risk factors

Answer 2

family history: mutations of the BRCA1 or the BRCA2 gene

many ovulations*: early menarche, late menopause, nulliparity

Question 3

feature of overian cancer?

Answer 3

abdominal distension and bloating
    abdominal and pelvic pain
    urinary symptoms e.g. Urgency
    early satiety
    diarrhoea

Question 4

ovarian cancer investigation

Answer 4

CA125

NICE recommends a CA125 test is done initially. Endometriosis, menstruation, benign ovarian cysts and other conditions may also raise the CA125 level
if the CA125 is raised (35 IU/mL or greater) then an urgent ultrasound scan of the abdomen and pelvis should be ordered
a CA125 should not be used for screening for ovarian cancer in asymptomatic women

ultrasound

Question 5

Mx of ovarian cancer

Answer 5

usually a combination of surgery and platinum-based chemotherapy

Question 6

hoe often id depo injection gievn?

Answer 6

every 12 weeks

Question 7

usually a combination of surgery and platinum-based chemotherapy

Answer 7

ovarian torsion

Question 8

features of ovrain torsion?

Answer 8

Usually sudden onset of deep seated colicky abdominal pain.
Associated with vomiting and distress
fever may be seen in a minority (possibly secondary to adnexal necrosis)
Vaginal examination may reveal adnexial tenderness

Question 9

On which day would you carry out mid-luteal progesterone level?

Answer 9

7 days before the end of the lady’s regular cycle when progesterone levels should be tested