gyn breast

Question 1

Hormonal treatments containing the —- may exacerbate hirsutism, and should be avoided.

Answer 1

progestogens levonorgestrel or norethisterone

Question 2

women should hav eincreased cervical screening surveillance if?

Answer 2

they have HIV

Question 3

In severe or prolonged cases of contact dermatitis, —- may occur.

Answer 3

Lichen simplex chronicus

Question 4

thickening of the skin due to persistent scratching, creating a vicious cycle of itch-scratch-itch

Answer 4

Lichen simplex chronicus

Question 5

which cancers are reduced in women taking combined hormonal contraception (CHC)

Answer 5

endometrial and ovarian cancer, colorectal

Question 6

option for suspected, confirmed or recurrent endometriosis

Answer 6

Desogestrel or other hormonal treatment (progestogen only if smoker or have risks)

Question 7

What is the SINGLE MOST common gynaecological cancer in the United Kingdom?

Answer 7

Endometrial cancer

Question 8

strawberry cervix

Answer 8

Trichomonas vaginalis

Question 9

MOST likely to coexist with chronic pelvic pain?

Answer 9

Interstitial cystitis

Question 10

most important determinant of prognosis in invasive ductal breast cancer?

Answer 10

Axillary lymph node positivity

Question 11

drugs that are recognised cause of amenorrhoea

Answer 11

Dopamine antagonists including phenothiazines (e.g. chlorpromazine), metoclopramide and domperidone

Question 12

If a cervical smear is postponed due to pregnancy it should be performed when

Answer 12

12 weeks after delivery

Question 13

up to what age does starting combined hormone replacement therapy (HRT) NOT increase a woman’s atherosclerotic cardiovascular disease (CVD) risk

Answer 13

60 years old

Question 14

designed for women who are struggling with pelvic organ prolapse and stress urinary incontinence

Answer 14

Ring with knob pessaries

Question 15

suspecting POF, test?

Answer 15

FSH x2 6 weeks apart

Question 16

least likely to cause chronic PID

Answer 16

candida

Question 17

vaginal examination - posterior wall bulge

Answer 17

Rectocele

Question 18

vaginal examination - anterior wall bulge

Answer 18

cystocele and urethrocele

Question 19

first line management for endometriosis

Answer 19

COC

Question 20

risk factor for ovarian cancer

Answer 20

late menopause, first child after age 35, white women

Question 21

mastitis on fluclox no improvement for 48 hours, next step?

Answer 21

send milk C&S and change to co-amox

Question 22

Continuous combined preparations for hrt are only recommended if a woman has had

Answer 22

amenorrhoea for more than one year, is aged 54 or older, or has been on sequential combined HRT for at least three years

Question 23

second-line alternative to continuous combined HRT, particularly if women develop bloating, poor libido or have a history of endometriosis.

Answer 23

Tibolone

Question 24

Women of a particular age group in the UK are eligible for routine breast screening.

Answer 24

50–70 years

Question 25

cervical screening age group and every when which age group

Answer 25

25 to 64, 25-49 every 3 years, 50-64 every five years, if in scotland all every 5 years

Question 26

when can women aged 65 and above have cervical screening

Answer 26

if one of the last three smears are abdonormal

Question 27

A year’s supply of topical 10mcg vaginal oestrogen has an oestrogen content approximately equivalent to HOW MANY standard oral hormone replacement therapy (HRT) tablets?

Answer 27

1

Question 28

INIMUM duration that women should be encouraged to complete bladder a diary

Answer 28

3 days

Question 29

non-lactational mastitis abx

Answer 29

Co-amoxiclav 10-14 days

Question 30

Pelvic organ prolapse of more than 1cm beyond the hymenal ring

Answer 30

Refer to secondary care

Question 31

PCOS associated with increasd risk of what cancer

Answer 31

Endometrial cancer

Question 32

post coital bleeding and dyspareunia for menopause women, management?

Answer 32

oestrogen cream

Question 33

how long to wait before conceiving if patient had metotrexate

Answer 33

3 momths

Question 34

The use of testosterone therapy is CONTRAINDICATED in women with a history of which cancer?

Answer 34

Hepatocellular

Question 35

Which of the following is most useful for determining the severity of heavy menstrual bleeding?

Answer 35

Impact on quality of life

Question 36

lichen sclerosus management

Answer 36

very potent topical steroids - Clobetasol proprionate 0.05%

Question 37

single most useful blood test for PCOS

Answer 37

Free testosterone

Question 38

how soon after starting HRT should she be advised to return for a review?

Answer 38

3 months

Question 39

missed miscariage - what is the maximum length of time in days for which expectant management should be tried?

Answer 39

14

Question 40

cervix superficial vessels that bleed on contact --- management?

Answer 40

cervical ectropion, refer to secondary care for cautery or boric acid or stopping COC

Question 41

extra hair mgt for PCOS

Answer 41

Eflornithine cream

Question 42

vagina bleeds on contact

Answer 42

vulvoginal atrophy

Question 43

benefits of oral COC for perimenopausal women

Answer 43

prevention of mineral bone density loss and improved vasomotor symptoms

Question 44

Which SINGLE speculum is MOST appropriate to use to examine the anterior and posterior vaginal walls?

Answer 44

Sims’ speculum

Question 45

breast screening age group and what interval

Answer 45

50-70 every 3 years

Question 46

first trimester miscarriage - investigations

Answer 46

lupus/phospholipid, pelvic ultrasound to assess for uterine abnormalities, TFTs/TPO

Question 47

may be considered for any second trimester miscarriage.

Answer 47

Factor V Leiden, prothrombin gene mutation and protein S deficiency