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1.A parous 35-year-old woman complains of cyclical heavy and painful menstrual bleeding. On examination she is found to have an enlarged, ‘boggy’ uterus and a TVUSS suggests the possibility of adenomyosis. She has completed her family and currently relies on condoms for contraception. She smokes 10 cigarettes per day but is otherwise fit and well. Which treatment would you consider most appropriate? Choose the single best answer.CorrectIncorrect
2.Submucous fibroids are not associated with which of the following presentations? Choose the single best answer.CorrectIncorrect
3.A 40-year-old woman is found on pelvic examination to have an enlarged uterus. Ultrasound reveals a well-circumscribed intramural mass consistent with the leiomyoma. The patient asks: what is the incidence of sarcomatous degeneration in a uterine leiomyoma?CorrectIncorrect
- A 36-year-old woman is complaining of having had heavy menstrual bleeding (HMB) for two years. Abdominal examination reveals a 20-week sized uterus and her pelvic scan shows multiple interstitial fibroids. Her haemoglobin level is 9 gm/dL. She is nulliparous and wishes to preserve her fertility. What management option would you recommend?
5.A 24-year-old woman is counselled regarding surgical treatment of a 7-cm symptomatic fibroid. She is keen to know all the facts and particularly wants to hear about new techniques. She wants to know the effect of the procedures on her future fertility. What information can you give her?CorrectIncorrect
6.A 30-year-old woman comes to see you because of her symptomatic fibroid uterus. She has read about uterine artery embolization. She wants to know how it may compare to other methods of treatment. Which is the best statement you can give her regarding the complications of this procedure?CorrectIncorrect
7.One of your junior colleagues comes to ask you about the pharmacological treatments for fibroid uterus. He wants to know the mechanism of action for some of these medications. What is your best explanation?CorrectIncorrect
8.A 26-year-old woman is complaining of HMB and dysmenorrhea for six months. She has used tranexamic acid and mefenamic acid without any improvement and now she has a LNG-IUS that was fitted one month previously. She is still having slight irregular bleeding, although the pain has improved. Menstruation How long should she expect to have this irregular bleeding?CorrectIncorrect
9.A 20-year-old female student attends the gynaecology clinic complaining of HMB and dysmenorrhoea. She is otherwise healthy and well. Currently, she has no concerns about her fertility. What is the first line of management for this patient according to the NICE guidelines?CorrectIncorrect
10.A 48-year-old woman attends the gynaecology clinic complaining of heavy menstrual bleeding (HMB) and occasional intermenstrual bleeding. Her haemoglobin level is 112 g/l. An ultrasound scan demonstrated no obvious abnormality. What other investigation is required?CorrectIncorrect