Worksheets6th MO Conference 2020 - GYNAECOLOGY
Total questions: 20
Worksheet time: 4mins
Madam Meno is a 48 yrs lady , currently on sequential HRT for her vasomotor symptoms, after 4 months on treatment she had few episode breakthrough PV bleeding. She was anxious and came to see you for further management.
Following options are can be offer except,
Immediately stop her HRT
Check the endometrial thickness by TVS
Get a hysteroscopy appointment to exclude endometrial pathology
Consider adjust the hormone dosage accordingly
Which preparation of Hormonal replacement therapy has the least risk of getting breast cancer in 20 yrs time period?
Sequential/Cyclical HRT
Progesterone HRT
Continuous Combined HRT
Estrogen HRT
Which is NOT the criteria of IVF referral to SWACH?
BMI < 30 kg/m²
Age < 38
Negative of Hepatitis B
At least one of the partner is a Malaysian with legal marriage certificate
Kallmann syndrome will cause
Hypergonadothropic hypogonadism
Hypogonadothropic hypogonadism
Normogonadothropic hyperestrogen
None of the above
LNG-IUS is recommended as the first line treatment for heavy menstrual bleeding in which case(s)?
Fibroid < 3cm with suspected adenomyosis
Adenomyosis
No identified pathology
All the above
What is the mean percentage of hyperplasia without atypia progressing into malignancy in 20 years?
5 - 10%
6%
10%
< 5%
What is the frequency of cervical cancer screening for women age 30-65?
Cytology every 3 years
Co testing every 5 years
Cytology x2 negative then screening every 3 years
No need screening
Management of ASC-US based on ASCCP?
HPV testing
Repeat cytology in 3 years
Colposcopy
No need to treat
Describe the cervix observed in VIA
Normal cervix
Low grade lesion
High grade lesion
Nabothian cyst
Describe the cervix observed in VIA
Normal cervix
Low grade lesion
High grade lesion
Nabothian cyst
Describe the cervix observed in VIA
Normal cervix
Low grade lesion
High grade lesion
Nabothian cyst
Describe the cervix observed in VIA
Normal
Low grade lesion
High grade lesion
Nabothian cyst
What is the commonest type of Ovarian Tumour
Epithelian
Germ cell
Sex cord stromal
Metastatic tumour
The Risk Malignancy Index includes everything as below, except:
Ultrasound features
Menopausal status
Age
CA 125 level
How many structure(s) that support(s) the vagina and uterus
1
2
3
4
Which are the support Pessaries?
Ring and Gehrung
Ring and Gellhorn
Shaatz and Donut
Gehrung and Cube
Which of the following is true of urge incontinence?
Increased innervation and control of bladder function resulting in involuntary bladder contraction
Decreased innervation and control of bladder function resulting in involuntary bladder contraction
Decreased innervation and loss of bladder control resulting in voluntary bladder contraction
Decreased innervation and loss of bladder control resulting in bladder atrophy
All the followings are associated with an increased incidence of urinary incontinence except:
Age
Obesity
Chronic cough
Indwelling catheter
Peripheral nerve injury
A 29-year-old, who is at 6 weeks’ gestation, presents with slight vaginal spotting. Transvaginal pelvic ultrasound shows no evidence of any intrauterine or extrauterine pregnancy.
A serum βhCG is measured at initial presentation and repeated 48 h later. Which one of the following βhCG results is suspicious for a clinically significant ectopic pregnancy?
500 -> 1200
800 -> 200
1000 -> 400
1000 -> 3000
2000 -> 2500
A patient with a positive pregnancy test, small amount of PV bleeding and no abdominal pain present has a single transvaginal ultrasound scan, showing an intrauterine gestational sac, with a crown-rump length (CRL) of 5 mm, with no fetal heart beat.
Which of the following would be the most appropriate management plan?
Advise a to carry out a pregnancy test in 3 weeks
Offer medical management of miscarriage
Offer rescan after a minimum of 7–10 days.
Offer rescan in 48 hr
Offer surgical management of miscarriage
