Women’s Health 4

Question 1

Ovarian tumour with signet cells

Answer 1

Krukenberg tumour

Metastasis from stomach or intestine

Question 2

EcTopic Pregnancy

plus

shoulder tip pain

Answer 2

Free blood in peritoneum

-> urgent intervention

Question 3

High grade CIN during pregnancy

Answer 3

Do colposcopy anyway

Question 4

Bartholin abscess 4 cm

Answer 4

Word catheter

Question 5

2 recommended regiments for combined hrt

Answer 5

Daily oestrogen and MPA

Or

Daily oestrogen and MPA for 12 days each month

Question 6

Asherman syndrome

Answer 6

Scars inside uterus

No periods, pelvic pain or infertility

Question 7

True hermaphroditism

Answer 7

Congenital adrenal hyperplasia

Androgen secreting ovarian tumours

Autosomal recessive

Heel prick test in newborn

Question 8

Dysfunctional uterine bleeding treatment

Answer 8

First line mefeNamic acid

Question 9

Acute menorrhagia treatment

Answer 9

IV oestrogen

Then norethisterone for 14 days

Question 10

Irregular and heavy bleeding

Hyperplasia of endometrium on ultrasound

Next investigation

Answer 10

Hysteroscopy and curettage

Question 11

Long anovulatory cycles -prone to which cancer?

Answer 11

Breast cancer

Due to high oestrogen circulating

Question 12

Patient with retroverted uterus cant conceive

Next step

Answer 12

Manual correction

And pessary

Question 13

Most common site of endometriosis

Answer 13

Ovary

Question 14

HRT for perimenopause

Answer 14

Daily oestrogen plus cyclical progesterone

Question 15

Risk of breast cancer on HRT

Answer 15

Women on oestrogen only have no risk up to 15 years

For combined therapy, no risk if less than five years

Question 16

Endometriosis diagnosis delay

Answer 16

10 years