Gynae MCQs

Question 1

How is HSIL managed?

Answer 1

Proceed to colposcopy
LEEP/cold coagulation/cone biopsy

Question 3

How is LSIL managed?

Answer 3

If HPV - → routine recall
If HPV + → colposcopy

Question 4

How is ASCUS managed?

Answer 4

If HPV - → routine recall
If HPV + → colposcopy

Question 5

What nodes does cervical cancer metastasise to?

Answer 5

Parametrial nodes

Question 6

What is the stage of cervical carcinoma causes hydronephrosis?

Answer 6

Stage 3B

Question 7

What stage of cervical carcinoma involves the lower 1/3 of the vagina?

Answer 7

Stage 3A

Question 8

What are the risk factors for cervical cancer?

Answer 8

Multiple sexual partners
Early onset of sexual activities
High risk sexual partner
Immunosupression
Smoking

Question 9

What type of epithelium lines the vulva?

Answer 9

Squamous

Question 10

How is vulvar carcinoma diagnosed?

Answer 10

Punch biopsy plus staging scans (CXR, CT-TAP)

Question 11

What are the risk factors for endometrial cancer?

Answer 11

Unopposed oestrogen (HRT, tamoxifen, obesity, early menarche, nulliparity)
Genetics (HNPCC)
Diabetes

Question 12

What is the likely diagnosis in a 72yo female presenting with PV bleeding?

Answer 12

Endometrial cancer

Question 13

What are the risk factors for ovarian cancer?

Answer 13

Increased age
Increased ovulation
Genetic (BRCA)

Question 14

What is the most common type of benign ovarian neoplasm?

Answer 14

Serous cystadenoma

Question 15

What is the most common type of malignant ovarian neoplasm?

Answer 15

Serous carcinoma (surface derived epithelial tumours)

Question 16

What is the tumour marker in ovarian cancer?

Answer 16

CA-125

Question 17

Is granuloma inguinale caused by chlamydia?

Answer 17

No

Question 18

What are the symptoms of gonorrhoea?

Answer 18

Urethritis (dysuria)
Purulent discharge
Fever

Question 19

How is chlamydia treated?

Answer 19

Azithromycin 1g/doxycycline and treat the partner

Question 20

How is gonnorhoea treated?

Answer 20

Ceftriazone 500mg and azithromycin 1g
Treat partner

Question 21

What are the features associated with PID?

Answer 21

Multiple sexual partners
Cervical motion tenderness
Muco-purulent discharge

Question 22

What is the most common pelvic cause of primary amenorrhoea?

Answer 22

Gonadal dysgenesis

Question 23

What is the most common cause of primary amenorrhoea?

Answer 23

Idiopathic hypothalamic (weight loss, exercise)

Question 24

What type of visual disturbance is caused by a pituitary adenoma?

Answer 24

Bitemporal hemianopia

Question 25

What is the most common cause of anovulatory subfertility?

Answer 25

PCOS

Question 26

How is PCOS managed?

Answer 26

Fertility (metformin, clomifene) Fertility not desired (weight loss, COCP)

Question 27

What is the clinical presentation of endometriosis?

Answer 27

Chronic pelvic pain Dysmenorrhoea Dyspareunia Frozen pelvis Nodules in rectum and pouch of Douglas

Question 28

What is procidentia?

Answer 28

Complete pelvic prolapse below the introitus

Question 29

What are the symptoms of rectocele?

Answer 29

Sensation of pressure in the pelvis Lower abdo pain Dyspareunia Tenesmus

Question 30

How is a woman with stress incontinence 4 weeks postpartum managed?

Answer 30

Normal up to 6 months - reassure and reassess

Question 31

What type of urinary incontinence is caused by detrusor instability?

Answer 31

Urge incontinence

Question 32

What are the first and second line treatments for a woman with stress incontinence?

Answer 32

1st → pelvic floor exercises 2nd → duloxetine

Question 33

What ligament supports the ovary?

Answer 33

Broad ligament

Question 34

What is the most common and highest death rate for women in all cancers?

Answer 34

Breast cancer

Question 35

Which gynaecological cancers has the highest rate of new cases?

Answer 35

Endometrial cancer

Question 36

Which gynaecological cancer has the highest death rate?

Answer 36

Ovarian cancer

Question 37

What is the first-line treatment for endometrial hyperplasia without atypia?

Answer 37

Progesterone therapy (Mirena IUS)

Question 38

What is the treatment of atypical endometrial hyperplasia?

Answer 38

Hysterectomy

Question 39

What are the tumours associated with Lynch syndrome?

Answer 39

Colon, endometrial, ovarian

Question 40

What factors are protective in uterine cancer?

Answer 40

COC, POP, smoking

Question 41

Which nodes does endometrial spread to?

Answer 41

Pelvic then para-aortic