General Gynaecology Extra Questions Batch C – MCQ

1. A 55-year-old patient presents with severely debilitating vasomotor symptoms. She was declined HRT treatment by her general practitioner as her mother had had a PE while taking the combined oral contraceptive pills. She is otherwise t and well with no signi cant previous medical or surgical history and has never had any gynaecologic surgery.

Which HRT would give her the lowest risk of VTE?

2. In 2013 the International Ovarian Tumour Analysis Group (IOTA) published the largest study investigating the use of ultrasound to differentiate between benign and malignant ovarian masses. e group developed simple ultrasound rules.

Which of the following rules would NOT suggest a malignant process?

3. A 15-year-old girl attended with her mother asking for the HPV vaccine as she missed the school immunization programme. What does she need to do next?

4. A 35-year-old para 2 presents with dysmenorrhoea over the preceding 12 months. She also reports some dyschesia (difficulty defecating) during her periods. A transvaginal ultrasound scan con rmed a 7-cm endometrioma. She undergoes a laparoscopic ovarian cystectomy and excision of pelvic endometriosis.Which is of the following should be your postsurgical management plan?

5. A 60-year-old para 4 on a continuous combined HRT regimen presents with a 2-week history of irregular vaginal bleeding. What is the most appropriate next step in her management?

6. A 35-year-old patient presents 6 months a er a normal vaginal delivery. e pregnancy was uncomplicated but, following delivery, a piece of placenta was apparently retained in the uterus. She was treated with antibiotics and later underwent a dilatation and curettage procedure. Now she presents with amenorrhoea. She is no longer breast feeding and is concerned.

What is the most appropriate next step in her management?

7. A 45-year-old patient presents to the A&E department 2 days a er UAE for a 20-weeks’ size fibroid uterus. She has di use abdominal pain, generalized malaise, anorexia, nausea, vomiting, low-grade fever and leucocytosis.

What is the most likely diagnosis?

8. The fluid(1.5% glycine) deficit during an operative hysteroscopy using monopolar diathermy is calculated at 1000 ml.What is the most appropriate step of action?