Women's Health Flashcards
(25 cards)
Which of the following is not a product license restriction on the OTC sale of tranexamic acid?
a. A woman with polycystic ovary syndrome
b. A woman older than 45 years
c. A woman with a 2-day variation in a menstrual cycle lasting 30 days
d. A woman taking unopposed tamoxifen
e. A woman taking an oral contraceptive
c. A woman with a 2-day variation in a menstrual cycle lasting 30 days
Which of the following would you not recommend as suitable OTC treatment for vulvovaginal candidiasis?
a. Clotrimazole, 10% vaginal cream
b. Fluconazole, 150mg oral capsule
c. Clotrimazole, 500mg pessary
d. Ketoconazole, 2% cream
e. Clotrimazole, 1% topical cream
d. Ketoconazole, 2% cream
A 39 year old woman presents with what she describes as ‘period pain’. On further questioning, you ascertain that the aching, which can be quite severe, seems to be worse about 1 week before her period and is also worse during intercourse. Which condition is she most likely to be suffering from?
a. Pelvic inflammatory disease
b. Primary dysmenorrhoea
c. Endometrial carcinoma
d. Endometriosis
e. Cervical carcinoma
d. Endometriosis
Which of the following symptoms are not commonly associated with premenstrual syndrome?
a. Sleep disturbances
b. Breast tenderness
c. Vaginal discharge
d. Headache
e. Fluid retention
c. Vaginal discharge
Which set of symptoms most closely matches that of vaginal discharge?
a. Itch and discharge described as having an offensive odour
b. Itch, burning sensation, and curd-like discharge
c. Little itching but frothy yellow discharge
d. Little or no itch but increased urgency and pain on passing urine
e. Little itching but associated with blood-stained discharge
b. Itch, burning sensation, and curd-like discharge
Which of the following symptoms is commonly associated with trichomoniasis?
a. Frothy, green-yellow, vaginal discharge
b. Clear, watery, vaginal discharge
c. Cottage cheese-like vaginal discharge
d. White, fishy-smelling, vaginal discharge
e. Small ulcers on the external genitalia
a. Frothy, green-yellow, vaginal discharge
A woman presents with what she thinks is cystitis. Which of the following symptoms would cause you to refer her to a doctor?
a. Pain when passing urine
b. Increased frequency of urination
c. Increased urgency of urination
d. Pain in the loin area
e. Voiding small amounts of urine
d. Pain in the loin area
Which patient group is not considered at risk of developing an upper UTI?
a. patient with gout
b. diabetic patients
c. those who have an indwelling catheter
d. Immunocompromised patients
e. Patients with history of kidney stone
a. patient with gout
Dysuria accompanied by fever and flank pain is indicative of which of the following?
a. Cystitis
b. Trichomoniasis
c. Pyelonephritis
d. vaginitis
e. salpingitis
c. Pyelonephritis
Jane Williams, a 53 year old woman, asks for fluconazole. You remember her from about 1 month ago when she also had thrush. On questioning, you discover that this is her fourth attack of thrush in the last 12 months. Jane uses a beclomethasone inhaler (200mcg twice a day) for her asthma and takes the minipill. You inform Jane that she should see her GP. Jane asks why she cannot buy it because she knows it will relieve her symptoms. Please select the most appropriate response to Jane’s question.
a. Due to her age, she will have less oestrogen, which will make her more prone to fungal infection. Her GP needs to review her.
b. Due to her inhaler, she is more prone to thrush, and her GP needs to be aware of these symptoms
c. Fluconazole can interfere with the minipill, and she would be better off using a clotrimazole pessary.
d. Repeated thrush may indicate diabetes, so her GP will need to check her blood glucose level.
e. Tell her that the guidelines suggest referral to a doctor but, on this occasion, you will sell her the pessary as long as she books an appointment with her GP within 3 days.
d. Repeated thrush may indicate diabetes, so her GP will need to check her blood glucose level.
Sarah Hart has just purchased some clotrimazole 1% cream, and clotrimazole 500mg pessary, to treat her thrush. Sarah asks how long should she wait following treatment before visiting her GP if she sees no improvement in her symptoms. Which would be the most appropriate answer to Sarah’s question ?
a. 3 days
b. 5 days
c. 7 days
d. 10 days
e. 14 days
c. 7 days
When should you refer a patient with cystitis?
a. If the urine is cloudy
b. If the patient is suffering from dysuria
c. If pain is felt in the loin area
d. The onset of the attack is sudden
e. Micronutrition is frequent
c. If pain is felt in the loin area
Which symptom is least likely experienced in vulvovaginal candidiasis?
a. Superficial dyspareunia
b. Vaginal itching and soreness
c. Dysuria
d. A thin white discharge
e. Discharge associated with a strong odour
e. Discharge associated with a strong odour
In which circumstances involving PMS would you consider that referral is required?
a. Symptoms in a 21 year old woman
b. Cyclic episodes of anxiety and tension
c. Breast tenderness
d. Fluid retention
e. Sleep disturbances
a. Symptoms in a 21 year old woman
Which of the following statements is false with regard to primary dysmenorrhoea?
a. It is most common in adolescents and woman in their early 20s
b. Pain typically starts just before the period starts.
c. Pain is described as dull and continuous
d. Pain tends to decrease once the period has begun
e. Back pain is often experienced.
c. Pain is described as dull and continuous
Which condition is most common in sexually active women 15 and 24 year olds?
a. primary dysmenorrhoea
b. pelvic inflammatory disease
c. endometriosis
d. menorrhagia
e. endometrial carcinoma
f. bacterial vaginosis
g. thrush
f. bacterial vaginosis
Which condition is caused by the overproduction of uterine prostaglandins?
a. primary dysmenorrhoea
b. pelvic inflammatory disease
c. endometriosis
d. menorrhagia
e. endometrial carcinoma
f. bacterial vaginosis
g. thrush
a. primary dysmenorrhoea
Which condition’s key symptom is blood loss perceived to be more than normal?
a. primary dysmenorrhoea
b. pelvic inflammatory disease
c. endometriosis
d. menorrhagia
e. endometrial carcinoma
f. bacterial vaginosis
g. thrush
d. menorrhagia
Which condition’s pain that typically presents shortly before, and for, 2 to 3 days after commencement of menses?
a. primary dysmenorrhoea
b. pelvic inflammatory disease
c. endometriosis
d. menorrhagia
e. endometrial carcinoma
f. bacterial vaginosis
g. thrush
a. primary dysmenorrhoea
Which condition is usually seen in postmenopausal women?
a. primary dysmenorrhoea
b. pelvic inflammatory disease
c. endometriosis
d. menorrhagia
e. endometrial carcinoma
f. bacterial vaginosis
g. thrush
e. endometrial carcinoma
Which condition is associated with strong odour?
a. primary dysmenorrhoea
b. pelvic inflammatory disease
c. endometriosis
d. menorrhagia
e. endometrial carcinoma
f. bacterial vaginosis
g. thrush
f. bacterial vaginosis
Which condition has a frothy greenish-yellow discharge?
a. cystitis
b. vulvovaginal candidiasis
c. trichomoniasis
d. bacterial vaginosis
e. atrophic vaginosis
f. endometriosis
c. trichomoniasis
Which condition can be treated with topical imidazoles?
a. cystitis
b. vulvovaginal candidiasis
c. trichomoniasis
d. bacterial vaginosis
e. atrophic vaginosis
f. endometriosis
b. vulvovaginal candidiasis
Which condition is commonly caused by Escherichia coli?
a. cystitis
b. vulvovaginal candidiasis
c. trichomoniasis
d. bacterial vaginosis
e. atrophic vaginosis
f. endometriosis
a. cystitis
