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1.A 14-year-old girl presents in the gynaecology OPD with a history of irregular bleeding per vaginam for the last 4–5 months. She has been rather stressed out with her school and theatre group activities which is adversely affecting her routine life and cannot recollect her dates or menstrual pattern well. She was on the pill for the past year. Of late she has loss of appetite with nausea and vomiting and fullness of the lower abdomen. She has lost weight in the last 3 months due to poor food intake. On examination vesicles are seen in the vagina close to the external cervical os. What is the most likely clinical diagnosis?CorrectIncorrect
2. Ms. XY is 64 years old and is postmenopausal. She has recently been diagnosed with a 4 cm ovarian cyst on a transabdominal scan. The scan could not identify the other ovary as the bowel obscured it. The scan was being undertaken for suspected gallstones with the cyst being an incidental fi nding. Ms. XY is very anxious that this may represent ovarian cancer. Which of the following investigations are best suited to her to further investigate the ovarian cyst?CorrectIncorrect
3. Ms. XY is 32 years old, otherwise fi t and well and using the progesterone-only pill for contraception. She has recently been diagnosed (incidentally) with a 55 mm simple right ovarian cyst with anechoic fl uid. Her CA-125 results are 5 u/ml. She is very anxious about the prospect of surgery. She has been risk assessed for VTE and is at low risk for using the COCP. Which of the following treatment options are best suited to her?CorrectIncorrect
4. A 26-year-old woman presents to her OPD with complaints of dyspareunia. She has been having a painful period for the past 1 year, and the pain has increased lately. She has some vaginal discharge which is not foul smelling or associated with pruritus. She also complains of becoming irritable during her periods in the past few months. Speculum examination reveals the presence of blue nodules in the vagina. What is the most likely diagnosis?CorrectIncorrect
5. The reported incidence of psychosexual disorders in women attending gynaecology clinics is around:CorrectIncorrect
6. Women with premature ovarian insuffi ciency are not at increased risk of:CorrectIncorrect
7. A 53-year-old woman who is amenorrheic for the past 1 year complains of vaginal dryness, superfi cial dyspareunia and urinary urgency. She has been treated for urinary infection 2 months back, and there is no active urinary infection now although symptoms persist. She has been on HRT for the past 6 months due to severe palpitations, hot fl ushes and night sweats, and she is relieved of those symptoms. Which of the following statements is appropriate for her?CorrectIncorrect
8. All of the following are causes of premature ovarian failure except:CorrectIncorrect
9. 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
10. 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