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Flashcards in Gyne questions Deck (14):
1

Granulosa cells tumour follow up for recuurence is by
A- LDH
B- Inhibin
C- Alpha fetoprotein
D- biopsy
E- ca- 125

B- Inhibin

2

- Young girl
- Large warty sessile growth- painless
A- warts
B- syphillis
C- Chlamydia
D- VIN
E- Squamous cell carcinoma

A- warts
painless wart
sessile growth key words for warts
Chlamydia no growth

3

- vulval HPV 16, 18
- Vulval carcinoma
- negative cervical smear
- she is more prone to
A- Basaloid carcinoma
B- Melanoma
C- VIN
D- Lichen planus
E- squamous cell carcinoma

For 42 basaloid type occurs in young people and by HPV
Reference tog HPV infections non cervical
2016

4

postoperative 18 hours
- on PCA
- collapsed with pinpoint pupil
- RR: 12
O 2 sat: normal
BP: 90/60

What med to be given
A- adrenaline
B- Naloxone
C- Hydrocortisone
D- Interlipid
E- calcium gluconate 10 %

B- Naloxone

5

28Y/O, PCOD and BMI 33 with 2 yrs H/O secondary infertility. There are no other factors affecting fertility
1 metformin
2 climefin citrate
3 lap ovarian drilling

2
- If mentioned patient ovulating not conceiving then IVF
- CC or Metformin or combination of both.
- BMI >30, encouraged to lose weight.
- metformin may be more successful in ovulation induction with raised BMI
NICE

6

35 yrs woman with right sided pelvic pain and high fever and went thru TVS & it was a case of suspecting tub ovarian abscess which test is not required
ESR
Pregnancy test
CRP
WBC count
Mid stream urine

E

7

PID : what is the most serious complication of it
Sub fertility
Tubal damage
TOA
Chronic pelvic pain

C

8

Bulk-forming agents all except

Bran
ispaghula
sorbitol
methylcellulose
sterculia

C

9

How Clinicians should do estimation of peripartum blood loss @

Monitor & Pv her hourly
Checking hemoglobin status
Communication with multidisciplinary care
Counting pad soaking onl

Pt’s history & communication with multidisciplinary care

10

Topical steroid are recognised cause of allergic contact dermatitis t/f

True

11

Which Vulval lesion

Probable diagnosis for the following vulval lesions?

1)16 yr old with acute retention of urine with swollen vulval doesn’t allow for examination

2)35 yrs Sexually active women with multiple shallow ulcers in the vulva & inner thigh

3)20 yr old just returned from Australia trip, complained “Some lumps like feeling from down” O/E multiple sessile lesions 1 cm in size over the vulva & perineum which is neither ulcerated nor painful .

a) listeriaosis

b) herpes simplex

c) lymphogranuloma venerum

d)cutaneous leishmaniasis

e) Vulval warts
f) Dubin Johnson syndrome

g) Steven Johnson syndrome
h) Candidiasis
i) Primary Syphilis
j) secondary syphilis k)chancroi

But 1)HSV 3)viral wart confirmed
Only 2) ?
Dr Mohamed Hassan Elramly plz help ... 😊is it lymhogranuloma venerum or candiasi

12

You are performing an outpatient hysteroscopy on a 62-year old woman who presents with postmenopausal bleeding. Her menstrual cycles ceased at the age of 50. She used combined HRT for 2 years afterwards.

A transvaginal scan reveals an endometrial thickness of 8 mm with a hyper-echoic intracavitary shadow suggestive of an endometrial polyp. The size of the polyp was 16 mm in diameter.

What finding on hysteroscopy would make you consider the polyp as a malignant lesion?

Broad-based avascular lesion
Haemorrhagic lesion with pus-like discharge
Multiple projections with mucous-like content
Smooth surface pedunculated polyp
Vascular surface

vascular surface

13

Malignant growth involving hood of clitoris
1- local excision
2-wLE and ipsilateral GND
3-WLE and bilateral GND

3

14

Young patient with history of lower abdominal pain more intense near periods, intense dyschezia and relieved after that she wants to know whether it is IBS or endometriosis. What is your investigation?

A. Laparotomy
B. Dx Laparoscopy
C. OCPs
D. Pelvic U/S
E. TVS

C