Gynaecology

Question 1

adding what to HRT increases the risk of breast cancer?

Answer 1

progesterone

Question 2

investigation for endometriosis

Answer 2

laparotomy

Question 3

treatment for endometriosis

Answer 3

NSAIDS / paracetamol / COCP

Question 4

diagnosis if there is raised FSH / LH in primary amenorrhea?

Answer 4

turners syndrome

Question 5

how to test for ovulation?

Answer 5

day 21 progesterone

Question 6

classic picture of hypothalamic hypodonadism?

Answer 6

athletic and loss of periods

Question 7

how to treat pregnancy induced N+V?

Answer 7

antihistamines eg cyclizine

Question 8

which hormone is raised in menopausal women?

Answer 8

FSH

Question 9

treatment for primary dysmenorrhoea?

Answer 9

mefanamic acid

Question 10

how to treat vaginal thrush?

Answer 10

one dose of fluconazole

Question 11

what does unopposed oestrogen increase the risk of?

Answer 11

endometrial cancer

Question 12

how to treat PCOS infertility?

Answer 12

clomifene

Question 13

drug to give for ectopic?

Answer 13

methotrexate

Question 14

what is the most common cause of post coital bleeding?

Answer 14

cervical ectopion

Question 15

how to treat postmenopausal women with atypical endometrial hyperplasia

Answer 15

total hysterectomy with bilateral salpingo-oophereectomy due to malignant transformation

Question 16

when can cervical ectropion worsen?

Answer 16

high oestrogen eg COCP
preganncy

Question 17

what should you rule out in all post menopausal bleeding women and how do you do this?

Answer 17

endometrial cancer TVUS

Question 18

investigation for PID and what does it show?

Answer 18

hysterosalpingo-graphy shows blocked fallopinan tubes bilaterally

Question 19

what is shehans syndrome?

Answer 19

reduction of pituitary gland following ishcaemic necrosis due to hypovolaemic shock following birth

Question 20

if patient has had a hysterectomy, what must their HRT comprise of?

Answer 20

oestrogen and progesterone

Question 21

how to treat BV

Answer 21

metronidazole

Question 22

how to treat gonorhoea

Answer 22

IM ceftriaxone

Question 23

what is fitz cruitz syndrome?

Answer 23

RUQ pain secondary to inflammation of liver capsule following PID

Question 24

classic presentation of adenomyosis?

Answer 24

painful periods which ar refractive to traetment

Question 25

what is the conservative management for ectopic pregnancy?

Answer 25

remeasure BHCG in 48 hours

Question 26

which medications comprise HAART?

Answer 26

2 NRTIs +1 NNRTI, PI or INSTI

Question 27

how to give PEP?

Answer 27

wihtin 72 hours raltegravir and truvada for 28 days

Question 28

which criteria is used for PCOS?

Answer 28

rotterdam

Question 29

most common functional ovarian cyst?

Answer 29

follicular

Question 30

what is meigs syndrome?

Answer 30

benign ovarian tumor ascites pleural effusion

Question 31

symptoms of androgen insensitivity syndrome?

Answer 31

external female genitalia absent uterus short vagina primary amenorrhoea + lack of pubic hair

Question 32

outcome of mild dyskaryosis at cervical screening

Answer 32

test for HPV

Question 33

outcomeof positive HPV test

Answer 33

colposopy in 6 weeks

Question 34

outcome of negative HPV test

Answer 34

back to 3 year screening

Question 35

outcome of moderate / severe dyskaryosis?

Answer 35

colposcopy within 2 weeks

Question 36

how long should you wait post partum for HPV screening?

Answer 36

3 months

Question 37

biochem of anorexia?

Answer 37

hypokalaemia low sex hormones raised Gh and cortisol hypercholesterolaemia

Question 38

urge incontinence management

Answer 38

bladder retraining, antimuscarinics, mirabegron