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Repro week 11 200423

Total questions: 5

Worksheet time: 3mins

Name
Class
Date
1.

Sandra, a 60 year old woman presents to her GP with a 6 month history of new onset symptoms.

Which of the following symptoms can be associated with ovarian cancer?

a)

Abdominal bloating and change in bowel habit

b)

Increased fullness after eating

c)

Pelvic and/or abdominal discomfort

d)

Urinary frequency and urgency

2.

On examination, the GP can palpate a mass arising from the pelvis.

What would be the most appropriate investigation(s) to assess the risk of this mass being an ovarian cancer?

Select all that apply.

a)

Abdominal X-ray

b)

CA 125 blood test

c)

HPV test

d)

Pelvic ultrasound

3.

You do your clinical placement in Accident and Emergency.

You see a 40 year lady, Shara, who presents with oligouria and acute kidney injury.

She has not had a cervical smear for 8 years.

What is your next step in this case?

a)

Advise her to contact her GP practice to have her smear taken upon discharge

b)

Contact the Renal Reg - cervical smear info is not relevant as her main problem is urinary related.

c)

Discuss with Shara the reasons for not attending for a smear

d)

Perform a pelvic examination

4.

The commonest sign of Endometrial cancer is_______?

a)

Abdominal and pelvic pain

b)

Abnormal vaginal bleeding

5.

Winnie, a 25 yr old female, at 9 weeks pregnant, experienced vaginal bleeding. She had a pelvic ultrasound scan and was told that the current pregnancy was likely a Molar pregnancy based on the scan findings.

Which of the following are true of a molar pregnancy?

a)

An abnormal growth of the trophoblastic cells which, due to the hyperplasia of these cells, produces copious HCG.

b)

A genetic abnormality that occurs when the sperm and ovum meet

c)

If left untreated, the baby when it is born will be classified as high risk.

d)

HCG levels need to monitored after the uterine products of conception have been removed to help ensure a Choriocarcinoma has not developed.