Pass Med Gynae

Question 1

What is the mechanism of action of Metformin in PCOS

Answer 1

Increases perioheral insulin sensitivity

Question 2

What can be given to reduce the size of the fibroid is before surgery

Answer 2

GnRH agonist eg leuprolide

Question 3

Treat grichomonas vaginalis with

Answer 3

Oral metronidazole

Question 4

What is the first initial investigation in diagnosing endometrial cancer

Answer 4

US transvaginal to measure thickness

Question 5

When do you prescribe cyclical and when do you prescribe continuous HRt

Answer 5

Cyclical if LMP was less than one year ago
Continuous if they have taken cyclical for a year, it has been one year since LMP or it has been two years since LMP but they had a menopause before age 40

Question 6

Post menopausal ovarian mass

Answer 6

Refer urgently

Question 7

Treat uterine fibroids that are causing difficulty with fertility

Answer 7

Myomextomy

Question 8

What ovarian cyst ruptures to cause pseudomyxoma peritonei

Answer 8

Mucinois cystadenoma

Question 9

Which is the most common epithelial cell tumour

Answer 9

Serious cystadenoma

Question 10

Presence of foetal HR in an ectopic is an indication for

Answer 10

Surgical management

Question 11

Continuous dribbling in continence after prolonged labour

Answer 11

Suspected vesicovaginal fistulae and fo urinary dye studies

Question 12

Pregnant women who are <6 weeks gestation and present with vaginal bleeding and no pain can be managed

Answer 12

Expectantly

Question 13

In patients with urinary incontinence make sure to rule out

Answer 13

UTI and diabetes

Question 14

How often are woman aged 25-49 screened for cervical cancer

Answer 14

Every 3 years

Question 15

How often are women screened aged 50-64

Answer 15

Every 5 years

Question 16

If a cycle is 35 days when would you do a progesterone level

Answer 16

7 days earlier day 28

Question 17

What is recommended for treatment of women diagnosed with endometrial hyperplasia

Answer 17

Total hysterectomy with bilateral salpingo ophrectony

Question 18

If a patient has 3 inadequate smears in a row what do you do

Answer 18

Refer to colposcopy

Question 19

What is licences for the use of the progesterone component for HrT for 4 years

Answer 19

Mirena coil

Question 20

What is the treatment for vaginal vault prolapse following hysterectomy

Answer 20

Sacrocolpoppexy

Question 21

What can be used for menopausal women suffering from vasomotor symptoms I

Answer 21

SSRI like fluoxetine

Question 22

Most common ovarian cancer

Answer 22

Serous carcinoma

Question 23

The most common ovarian cancer

Answer 23

Serious carcinoma

Question 24

Definitive treatment for adenomyosis

Answer 24

Hysterectomy

Question 25

What is the gold standard for diagnosis of endometriosis

Answer 25

Laparoscopy

Question 26

What type do ovarian pathology is associated with meigs syndrome

Answer 26

Fibroma

Question 27

Most common benign ovarian tumour in women under 25

Answer 27

Dermoid cyst

Question 28

Most common cause of ovarian enlargement in women of reproductive age

Answer 28

Follicular cyst

Question 29

What is the diagnostic criteria for hyperemesis

Answer 29

5% pre pregnancy weight loss Dehydration Electrolyte imbalance

Question 30

Diagnose adenomyosis

Answer 30

MRI pelvis

Question 31

How often are HIV positive women screened for cervical cancer r

Answer 31

Get a cervical cytology anuallu

Question 32

When in uterine fibroids can you treat menorrhagia with an IUD

Answer 32

If less than 3 cm