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Q1. Following a spontaneous miscarriage at 8/40 gestation, a woman is referred to the gynaecology clinic with persistent irregular vaginal bleeding. What initial investigation should be performed?CorrectIncorrect
Q2. A 30-year-old woman attends the gynaecology clinic with discomfort in the left iliac fossa and clinical examination suggests a pelvic mass. An ultrasound scan is arranged, which demonstrates a simple cyst in the left ovary with a diameter of 45 mm. The right ovary and uterus appear normal. What other investigation is required?CorrectIncorrect
Q3. A 40-year-old woman with BMI 32 kg/m2 is referred to the gynaecology clinic with secondary Amenorrhoea. She has two children and her partner had a vasectomy 5 years ago. An ultrasound scan is performed, which shows a normal uterus with endometrial thickness 6 mm. Both ovaries have a typical polycystic appearance. What would be the recommended management?CorrectIncorrect
Q4. A 55-year-old woman attends the gynaecology clinic. She is suffering with terrible menopausal symptoms and cannot sleep because of the frequency of hot flushes. She is requesting hormone replacement therapy (HRT) for symptom relief. She is currently healthy but has a history of a deep venous thrombosis in her calf following a fractured femur as a result of an accident 10 years ago. Her last menstrual period was 2 years ago and her uterus is intact. What would you recommend?CorrectIncorrect
Q5. A woman opts to take oral continuous combined HRT for 5 years after the menopause. In which year of HRT use will her risk of venous thromboembolism (VTE) be greatest?CorrectIncorrect
Q6. What is the karyotype of a woman with Mayer–Rokitansky– Kuster–Hauser (MRKH) syndrome (mullerian agenesis)?CorrectIncorrect
Q7. A 20-year-old girl attends the Gynaecology clinic with her mother. She presents with primary amenorrhoea. On examination she is tall with a BMI of 19 kg/m2. She has normal breast development, but a short blind-ending vagina. There is no axillary or pubic hair. What is the most likely diagnosis?CorrectIncorrect
Q8. 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
Q9. A 42-year-old woman with oligomenorrhoea and hirsutism presents to the gynaecology clinic. She recently had a prolonged episode of vaginal bleeding, but an ultrasound scan and endometrial biopsy performed in primary care both reported normal results. She is obese with a BMI of 40 kg/m2. She has mild hypertension but does not require antihypertensive therapy. She has no other medical problems. Her father suffered from Type 2 Diabetes mellitus. What further investigation is required?CorrectIncorrect
Q10. A 35-year-old woman attends the gynaecology clinic complaining of worsening HMB. Investigations have been performed in primary care. Her haemoglobin level is 123 g/l and a pelvic ultrasound scan showed no obvious abnormality. What is the most appropriate first-line pharmacological treatment?CorrectIncorrect
Q11. What percentage of women experience severe premenstrual symptoms?CorrectIncorrect