EBCOG P1 – 3 Month – General gynecology – Day 2 EBCOG P1 – 3 Month – General gynecology – Day 2 Name EBCOG P1 – 3 Month – General gynecology – Day 2 Q1 Options Q1-3 A.Chronic vulvovaginal candidiasis B.Eczema C.Idiopathic D.Lichen planus E.Lichen sclerosus F.Lichen simplex G.Paget’s disease H.Psoriasis I.Recurrent herpes infection J.Systemic lupus erythematosus K.Vestibulodynia L.Vulval intraepithelial neoplasia (VIN) M.Vulvodynia For each of the following clinical descriptions, what is the most likely diagnosis from the option list above? Each option may be used once, more than once or not at all. Q1. A 58-year-old woman presents with dyspareunia, vulval itching and soreness. A biopsy is taken from atrophic areas on the vulva. The histology report states: ‘There is epidermal atrophy, hyperkeratosis with subepidermal hyalinisation of collagen and lichenoid infiltrate.’ Please select your answer A.Chronic vulvovaginal candidiasis B.Eczema C.Idiopathic D.Lichen planus E.Lichen sclerosus F.Lichen simplex G.Paget’s disease H.Psoriasis I.Recurrent herpes infection J.Systemic lupus erythematosus K.Vestibulodynia L.Vulval intraepithelial neoplasia (VIN) M.Vulvodynia EBCOG P1 – 3 Month – General gynecology – Day 2 Q2 Q2. A 23-year-old woman with schizophrenia presents with vaginal itch and soreness. On examination, there are marked excoriations and lichenification. Most of her pubic hair is absent. Please select your answer A.Chronic vulvovaginal candidiasis B.Eczema C.Idiopathic D.Lichen planus E.Lichen sclerosus F.Lichen simplex G.Paget’s disease H.Psoriasis I.Recurrent herpes infection J.Systemic lupus erythematosus K.Vestibulodynia L.Vulval intraepithelial neoplasia (VIN) M.Vulvodynia EBCOG P1 – 3 Month – General gynecology – Day 2 Q3 Q3. A 40-year-old woman presents with vaginal soreness, discharge and dyspareunia. On examination, the mucosal surfaces of the vagina are eroded. At the edges of the erosions, the epithelium is mauve/grey, and Wickham’s striae are noted. Please select your answer A.Chronic vulvovaginal candidiasis B.Eczema C.Idiopathic D.Lichen planus E.Lichen sclerosus F.Lichen simplex G.Paget’s disease H.Psoriasis I.Recurrent herpes infection J.Systemic lupus erythematosus K.Vestibulodynia L.Vulval intraepithelial neoplasia (VIN) M.Vulvodynia EBCOG P1 – 3 Month – General gynecology – Day 2 Q4 Options A Skin patch testing B Clobetasol C Immunomodulators D Topical anti-fungal cream E CO2 laser vaporisation F Local excision G Simple vulvectomy H Radical vulvectomy I General measures J Laser therapy K HPV vaccination L Immunosuppressants M Interferon therapy N Photodynamic therapy Match the most appropriate management to each scenario: Q4. A 53-year-old woman presents with severe pruritus and thinning of the vulval skin, which bleeds on scratching. There is pain, discomfort and dyspareunia and adhesion of the labial margins on examination. She also suffers from diabetes. Please select your answer A Skin patch testing B Clobetasol C Immunomodulators D Topical anti-fungal cream E CO2 laser vaporisation F Local excision H Radical vulvectomy I General measures J Laser therapy K HPV vaccination L Immunosuppressants M Interferon therapy N Photodynamic therapy EBCOG P1 – 3 Month – General gynecology – Day 2 Q5 Q5. A 33-year-old woman presents with recent onset of irritation and soreness of the vulva but with a long-standing history of vaginal discharge. There is also evidence of an inflamed area on the inner side of the thigh. Please select your answer A Skin patch testing B Clobetasol C Immunomodulators D Topical anti-fungal cream E CO2 laser vaporisation F Local excision G Simple vulvectomy H Radical vulvectomy I General measures J Laser therapy K HPV vaccination L Immunosuppressants M Interferon therapy N Photodynamic therapy EBCOG P1 – 3 Month – General gynecology – Day 2 Q6 Q6. A 42-year-old woman presents with recurrent oral and genital ulcers, which are quite painful. There is extensive evidence of scarring from previous lesions. Please select your answer A Skin patch testing B Clobetasol C Immunomodulators D Topical anti-fungal cream E CO2 laser vaporisation F Local excision G Simple vulvectomy H Radical vulvectomy I General measures K HPV vaccination L Immunosuppressants M Interferon therapy N Photodynamic therapy EBCOG P1 – 3 Month – General gynecology – Day 2 Q7 Q7. Significant pruritus in a 52-year-old smoker with red plaques and some warty lesions. Please select your answer A Skin patch testing B Clobetasol C Immunomodulators D Topical anti-fungal cream E CO2 laser vaporisation F Local excision G Simple vulvectomy H Radical vulvectomy I General measures J Laser therapy K HPV vaccination L Immunosuppressants M Interferon therapy N Photodynamic therapy EBCOG P1 – 3 Month – General gynecology – Day 2 Q8 Q8. A 32-year-old woman presents with vulval lesions that are smooth and discrete, red in colour, but not affecting the vaginal mucosa. The patient also complains of discrete lesions in the flexural areas of the body. Please select your answer A Skin patch testing B Clobetasol C Immunomodulators D Topical anti-fungal cream E CO2 laser vaporisation F Local excision G Simple vulvectomy H Radical vulvectomy I General measures J Laser therapy K HPV vaccination L Immunosuppressants M Interferon therapy N Photodynamic therapy EBCOG P1 – 3 Month – General gynecology – Day 2 Q9 Q9. A 44-year-old woman complains of a long-standing history of inflammatory bowel disease and complains of recent onset swelling and ulceration of the vulva and occasionally something draining out of these swollen areas. Please select your answer A Skin patch testing B Clobetasol C Immunomodulators D Topical anti-fungal cream E CO2 laser vaporisation F Local excision G Simple vulvectomy H Radical vulvectomy I General measures J Laser therapy K HPV vaccination L Immunosuppressants M Interferon therapy N Photodynamic therapy EBCOG P1 – 3 Month – General gynecology – Day 2 Q10 EMQ A.MRI B.CT scan C.PET-CT D.TVUS E.Abdominal ultrasound F.scan G.X ray H.Doppler I.MRI with contrast J.Imaging modality Each option can be used once, more than once or not at all. What is the next step in the management? Q10. In a postmenopausal lady with a large abdomino-pelvic mass, not completely visualized by TVUS Please select your answer A.MRI B.CT scan C.PET-CT D.TVUS E.Abdominal ultrasound F.scan G.X ray H.Doppler I.MRI with contrast EBCOG P1 – 3 Month – General gynecology – Day 2 Q11 Q11. Multiloculated Ovarian cyst with solid areas and ascites, in a postmenopausal lady with Ca- 125 level 125 IU/ml Please select your answer A.MRI B.CT scan C.PET-CT D.TVUS E.Abdominal ultrasound F.scan G.X ray H.Doppler I.MRI with contrast J.Imaging modality EBCOG P1 – 3 Month – General gynecology – Day 2 Q12 Q12. Not to be used in patients with pacemakers or cochlear implants Please select your answer A.MRI B.CT scan C.PET-CT D.TVUS E.Abdominal ultrasound F.scan G.X ray H.Doppler I.MRI with contrast J.Imaging modality EBCOG P1 – 3 Month – General gynecology – Day 2 Q13 Q13. TVUS in a post menopausal lady was suggestive of a complex lesion with low risk of malignancy, for a more confident diagnosis Please select your answer A.MRI B.CT scan C.PET-CT D.TVUS E.Abdominal ultrasound F.scan G.X ray H.Doppler I.MRI with contrast J.Imaging modality EBCOG P1 – 3 Month – General gynecology – Day 2 Q14 A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOS E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cystQ14 Please select your answer A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOS E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cyst EBCOG P1 – 3 Month – General gynecology – Day 2 Q15 Q15. Please select your answer A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOS E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cyst EBCOG P1 – 3 Month – General gynecology – Day 2 Q16 Q16. 24-year-old female with a partial molar pregnancy. Please select your answer A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOS E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cyst EBCOG P1 – 3 Month – General gynecology – Day 2 Q17 Q17. Please select your answer A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOS E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cyst EBCOG P1 – 3 Month – General gynecology – Day 2 Q18 Q18. Please select your answer A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOS E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cyst EBCOG P1 – 3 Month – General gynecology – Day 2 Q19 Q19. Please select your answer A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOS E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cyst EBCOG P1 – 3 Month – General gynecology – Day 2 Q20 Q20 Please select your answer A.Reticular pattern Haemorrhagic cyst B.Corpus luteal cyst C.Hyperreactio luteinalis D.PCOSE.tubo- ovarian mass E.tubo- ovarian mass F.hydrosalpinx G.Ovarian torsion H.Dermoid cyst Time's up Sajith P V2022-02-27T18:52:02+00:00