Women’s Health 2

Question 1

Mastalgia treatment in PMS

Answer 1

Danazol

Question 2

Taking oral contraceptive for more than 5 years causes risk of

Answer 2

Cervical cancer

Question 3

Smoking decreases risk of

Answer 3

Uterine fibroids

Question 4

HPV causing cervical cancer

Answer 4

16 and 18, 31

Question 5

If unscheduled bleeding on COC

Answer 5

Prescribe COC with higher estrogen

Question 6

No periods

Ovaries have connective tissue and no follicles

Answer 6

Turner syndrome

Question 7

HRT for women who had hysterectomy

Answer 7

Oestrogen alone

Question 8

Ovarian cyst management

Answer 8

5 cm - ultrasound follow-up in four months

More than 7 cm - laparoscopic cystectomy

Aspiration not effective

Question 9

Uterine myoma treatment

Answer 9

GnRH agonist for three months (goserelin)

Then surgery, if many myomas and fertility issues

Question 10

Clear fluid after hysterectomy

Answer 10

Reactional fluid from vagina wall for up to 6 weeks

Question 11

Oral contraceptive are a protective factor against

Answer 11

Ovarian cancer

Question 12

Contraception for patient with history of DVT

Answer 12

Levonorgestrel IUD (progesterone only)

Question 13

Migraine one day before Menses

Answer 13

Menstrual migraine

Question 14

Ovarian cancer is the most common cause of gynaecological cancer death in Australia

Answer 14

Begins in the epithelium

Presents with abdominal mass or ascites

Trans vaginal ultrasound

Question 15

Uterine prolapse is the weakening of

Answer 15

Uterosacral ligament

Question 16

How to reduce risk of a irregular bleeding

Answer 16

Strict daily commitment to take oral contraceptive

Question 17

If on cervical screening there are

low-grade lesions 2 years in a row,

do colposcopy if

Answer 17

50+ years
Aboriginal
Overdue screening for two years

Otherwise, another HPV test

Question 18

Contraceptive for epileptic patient

Answer 18

Levonorgestrel iud

Question 19

Hormones in menopause

Answer 19

Low oestrogen

High FSH and LH

Question 20

Three follicles on ultrasound, however no ovulation means

Answer 20

Primary ovarian failure

Early menopause

Inv: high fsh

HRT

Question 21

Treatment for hot flushes in patients with breast cancer history

Answer 21

Paroxetine

HRT is contraindicated

Question 22

Contraceptive in epilepsy and hypertension

Answer 22

Progesterone only

Question 23

Danazol mechanism of action

Answer 23

Acts as an antiestrogen and causes endometrial atrophy

Induces pseudo menopause

Question 24

Dysfunctional uterine bleeding treatment

Answer 24

First line tranexamic acid

Danazol
second line endometrial ablation

Question 25

Infertility issue easiest to treat

Answer 25

Polycystic ovarian syndrome = stein-leventhal syndrome

Question 26

Emergency contraception within 48 hours

Answer 26

1. Copper IUCD. 2. Ulipristal acetate. 3. Levonorgestrel

Question 27

Endometrial cancer risk is higher in

Answer 27

Nulliparous women Polycystic ovarian syndrome with chronic anovulation

Question 28

Grey fishy discharge Clue cells KOH test or whiff test positive

Answer 28

Bacterial vaginosis Clindamycin or metronidazole

Question 29

Frothy yellow green discharge

Answer 29

Trichomonas

Question 30

Risk factors for ovarian cancer

Answer 30

Nulliparity Early monarchy Late menopause Obesity