Women’s Health 3

Question 1

First thing to do for patient with heavy vaginal bleeding

Answer 1

Pregnancy test

Question 2

HPV vaccine for patients with genital warts

Answer 2

Will protect against the other strains

Question 3

Postcoital testing for infertility

Answer 3

Intercourse on day 14.

Endometrial biopsy on day 26

Question 4

If two periods are missed for a patient on the pill

Answer 4

Consider pregnancy

Question 5

Sertoli-Leudig tumour = androblastoma

Answer 5

Makes testosterone

Acne
Hirsurism
Deepening of voice
Breast atrophy

Question 6

Tissue with immature cerebellar and cortical tissue

Answer 6

Immature teratoma

Question 7

Complication of hysterectomy

Answer 7

Vesicovagina fistula

-> loss of urine

Question 8

Investigation for preoperative staging for endometriosis

Answer 8

MRI

Question 9

HPV test positive

Answer 9

Cone Biopsy

Treatment with cryotherapy and laser ablation

Question 10

PCOS hormones

Answer 10

LH high

FSH low or normal

Testosterone high

Question 11

Least likely site of endometriosis

Answer 11

Cervix

Question 12

Treatment of hot flashes in patient with thromboembolic disease

Answer 12

Oestrogen dermal patch since oral oestrogens are contraindicated

Question 13

Endometriosis post surgical treatment

Answer 13

Danazol

Question 14

Investigation for ectopic pregnancy

Answer 14

Transvaginal ultrasound

Then laparoscopy

Question 15

Postpartum endometritis

Answer 15

Lower abdominal pain
Fever
purulent lochia
Tachy cardia

Question 16

Contraception for patients above 35 and history of smoking

Answer 16

Pop

Question 17

Least effective form of contraception

Answer 17

Depot injection

(Medroxyprogesterone acetate)

Question 18

PCOS first line treatment

Answer 18

Diet and lifestyle modification

Question 19

Contraceptive not to be used in patient with ovarian cysts

Answer 19

Pop

Question 20

Investigation to predict ovulation

Answer 20

Progesterone

Question 21

Contraception for patients on carbamazepine

or other anticonvulsants

Answer 21

Depo injection
IUD
Or higher dose coc

Question 22

Endometrial thickness more than 4 mm

in postmenopausal women

Answer 22

Biopsy to rule out cancer

Question 23

Couple can’t get pregnant less than 12 m

Answer 23

Teach timed intercourse

Question 24

Best time to insert iud

Answer 24

First 7 days of cycle

Question 25

Investigation for abnormal uterine bleeding

Answer 25

Hysteroscopic with dilatation and curettage

Question 26

If on cervical screening non 16 and 18 HPV type are found two years in a row Next step

Answer 26

Another HPV test recommended prior to referral unless Over 50 Aboriginal Overdue by 2 years

Question 27

Management after treatment of high grade squamous epithelial lesion

Answer 27

Colposcopy at 6 m HPV typing at 12 months and annually until two consecutive negative results

Question 28

Premenstrual dysphoric disorder

Answer 28

Severe pms for at least 12 months which interferes with daily activities

Question 29

Most common type of cervical cancer

Answer 29

SCC 80% Adenocarcinoma 20%

Question 30

Most common ovarian tumour in young women

Answer 30

Benign cystic teratoma Calcifications Can coexist with pregnancy

Question 31

Contraception for lactating women

Answer 31

Pop

Question 32

Irregular bleeding before Menopause

Answer 32

Anovulatory cycles