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WorksheetsYear 5 Obstetrics & Gynaecology (2)
Total questions: 15
Worksheet time: 9mins
A 20-year-old primigravida is complaining of abdominal pains at 8 weeks gestation. Ultrasound shows a missed miscarriage. What would support her diagnosis?
Absent gestational sac
Below 5th centile growth
Congenital anomaly of fetus
No fetal heart activity
A 23-year-old woman fainted at home earlier. She is now attending A&E with shoulder tip & abdominal pains. Her blood pressure is 95/50 mmHg and pulse rate 120bpm.
What is the most appropriate diagnostic test?
Culdocentesis
Diagnostic laparoscopy
Transvaginal ultrasound
Serum gonadotrophins
A 21-year-old student presents with offensive vaginal discharge. She is taking the combined contraceptive pills. There is tenderness and an inflammed cervix.
Which of the following would be an appropriate action?
Analgesics for symptom relief
Review of her contraceptive method
Screening her sexual partner(s)
Undergo a Pap smear testing
A 28-year-old has dysmenorrhoea & irregular menses. She has no living children despite trying.
What is the most appropriate investigation?
Day 21 progesterone
Dilatation and curettage
Menopausal serum markers
Pelvic ultrasound scan
An unmarried 37-year-old woman has abdominal pains. It worsens during her periods and when she opens her bowels.
What is the most appropriate treament for her?
Gonadotrophin releasing hormones analogues
Laparoscopic ovarian drilling
Laser cauterization of uterosacral ligaments
Oral progestogen medications
A 32-year-old woman is asking contraceptive advice. She has had two unwanted pregnancy terminations and previous PID. What is the best option for her?
Barrier method
Intramuscular progesterone
Copper intrauterine device
Combined oral contraceptives
A 31-year-old has been married to a 45-year-old with no children. Her periods are normal and recent HSG shows bilateral dye spillage.
What is the most likely cause for the couple’s infertility?
Anovulation
Male factor
Relationship problem
Tubal blockage
A 36-year-old has had 2 early miscarriages in the past with no living children. Lately she has heavy painful periods and occasionally irritable towards her husband.
What is the most likely cause?
Premature menopause
Ovarian cyst
Endometriosis
Uterine fibroids
A nulliparous 23-year-old has stopped her periods over the past 3 months.
Which is an appropriate first-line test?
CT pituitary gland
Serum prolactin
LH / FSH assays
Pelvic ultrasound
A 28-year-old has feels that she has put on some weight lately. She attained menarche at 13 and has regular periods since. Examination shows visible hair on her face with florid acne.
What initial treatment should be given to her?
Antibiotics
Clomifene
Combined contraceptive pills
Metformin
A 48-year-old has irregular heavy periods. Her last Pap smear was 5 years ago.
What is the most likely cause?
Benign neoplasm of the uterus
Dysfunctional uterine bleeding
Female genital tract carcinoma
Postmenopausal hormonal status
A 70-year-old is at the gynae clinic for an examination and an ultrasound scan. Which of these would be a worrying finding?
Fissures at the posterior fourchette
Uterine wall thickness of 2mm
Presence of dilated loops of bowel
Palpation of an adnexae mass
A 8-year-old has just begun menstruating. On examination she has axillary hair and secondary sexual characteristics.
What is the likely cause?
Hyperthyroidism
Mature teratoma
Stromal ovarian tumour
Renal hyperplasia
You are examining a 50-year-old at Klinik Kesihatan when you see a friable suspiscious lesion on her cervix. What is next step of management?
Pap smear
Colposcopy
Punch biopsy
Referral to hospital
A 60-year old has has severe post- menopausal symptoms. She is keen on the hormone replacement therapy (HRT).
What following advice is correct when counselling the patient?
Decresed risk breast cancer
Worsening cognitive function
Increased cardiovascular risk
More prevalent osteoporosis
