715

Question 1

Age for cervical screening

Answer 1

25-69

Question 2

Primary dysmenorrhoea tends to be limited to day X and Y of period

Answer 2

1 and 2

Question 3

First line in alternative prescribing in menopause

Answer 3

Gabapentin 100 TDS

Question 4

In cyclical MHT: how many days per month do you give progestogens?

Answer 4

10-14

Question 5

Over how many cycles should you keep a PMS symptom diary?

Answer 5

2 cycles

Question 6

what does BV do to the vaginal pH

Answer 6

increases

Question 7

if there is an unsatisfactory smear sample, what is the time for repeat?

Answer 7

after 4-6 weeks, less than 3 months

Question 8

when there is treatment smear abnormality, what is the depth aim

Answer 8

7mm

Question 9

breast cancer risk increase or decrease with HRT

Answer 9

increase

Question 10

osteoporosis fracture risk increase or decreas with HRT

Answer 10

decrease

Question 11

bowel cancer risk increase or decrease with HRT

Answer 11

decrease

Question 12

how much does gabapentin and SSRI decrease vasomotor sx

Answer 12

50%

Question 13

how much does HRT decrease vasomotor stymptoms

Answer 13

75-88%

Question 14

dose of urtogestgan when using as cyclical

Answer 14

10-14 days per month, 200mg nocte (used at night as s/e = sedation)

Question 15

how do you diagnose premature ovarian failure

Answer 15

2x elevated FSH levels 4-6 weeks apart, FSH >40

Question 16

how long does perimenopause last on average

Answer 16

4-8 years

Question 17

risks associated with premature ovarian failure

Answer 17

increased risk of osteoporosis / CVD / cognitive impairment / parkinsons / decreased life expectancy

Question 18

triggers for vasomotor hot flushes to consider avoiding in menopause

Answer 18

spicy food, alcohol, smoking

Question 19

does oestrogen therapy alone increase breast cancer risk

Answer 19

no. the breast cancer risk is from progestogen

Question 20

risks of oestrogen only HRT

Answer 20

VTE
stroke
gallbladder disease

Question 21

side effects of progestogen therpay

Answer 21

mood cahnge
bloating
breast pain
headache

Question 22

irregular bleeding is accepted as normal for up to X months of using combined HRT

Answer 22

6 monthd

Question 23

what is the chance of fibroid recurrence in 10 years after myomectomy

Answer 23

27%

Question 24

when is the use of preoperative GnRH analogue recommended pre fibroid surgery

Answer 24

preoperative anaemia or >18/40

Question 25

treatment for contacts of chlamydia

Answer 25

azithromycin 1g stat

Question 26

how long does HIV serology take to become positive

Answer 26

6 weeks

Question 27

how long does syphilis serology take to become positive

Answer 27

12 weeks

Question 28

how long for test of cure for sti in pregnancy

Answer 28

5 weeks post treatment

Question 29

first line treatment for chlamydia

Answer 29

doxy 100mg po bd

Question 30

how does lichen sclerosis most commonly present

Answer 30

itch

Question 31

first line pharmaceutical treatment for PMS

Answer 31

Drospirenone containing COCs

Question 32

timing of PMS

Answer 32

present in the luteal phase, abate as menses begins and then a symptom free week

Question 33

treatment of a primary herpes outbreak

Answer 33

valaciclovir 500mg po bd 7/7

Question 34

herpes suppression in pregnancy

Answer 34

valaciclovir 500mg po bd from 36/40 until birth

Question 35

is contact tracing recommended for HSV

Answer 35

no

Question 36

contraindications for carboprost

Answer 36

active PID asthma active cardiac / renal / hepatic / pulmonary disease

Question 37

depth of lesions for diagnosis of deep endometriosis

Answer 37

5mm under the peritoneal surface

Question 38

what is the first line hormonal management for proven or presumed endo

Answer 38

POPs or progestins