Gynaecology

Question 1

A 27-year-old woman with a regular menstrual cycle is referred to the gynaecology clinic by her GP with a six-month history of intermittent right-sided abdominal pain. An USS Pelvis is requested and the result is as follows:

Day 13 of menstrual cycle. Normal Uterus with ET 13mm. Normal left ovary. Within the right ovary is a cystic structure with dimensions 20 x 18mm. No free fluid seen.

What is the most likely nature of the structure in the right ovary?

A Dermoid Cyst
B Endometrioma
C Mucinous Cystadenoma
D Ovulatory follicle
E Serous cystadenoma

Answer 1

Ovulatory follicle

Question 2

A woman who is 11 weeks pregnant is referred to the gynaecology department with a two-week history of vomiting. She is prescribed intravenous rehydration and anti-emetics. She should also be prescribed which vitamin to reduce the chance of Wernicke’s encephalopathy?

A Vitamin A
B Vitamin B1
C Vitamin B6
D Vitamin B12
E Vitamin C

Answer 2

Vitamin B1 - Thiamine (Pabrinex)

Question 3

Most common site for a tubal ectopic pregnancy?

A Ampulla
B Isthmus
C Infundibulum
D Interstitial portion
E Fimbrial end

Answer 3

A Ampulla

Question 4

16 year old girl has recently become sexually active. She complains of intensely irritating greenish frothy vaginal discharge. The organism is seen under microscope in a drop of saline and pH is 6. What is the most likely causative organism?

A Candida albicans
B Chlamydia trachomatis
c Gardnerella vaginalis
D Trichomonas vaginalis
E Treponema palladium

Answer 4

D Trichomonas