EBCOG Part 1 2 Weeks Crash Course General Gynaecology,Urogynaecology,Reproductive Medicine Day 2 EMQ

A. Lichen sclerosis
B. Atrophic vaginitis
C. Lichen planus
D. Seborrhoeic dermatitis
E. Familial chronic benign pemphigus
F. Psoriasis
G. Thread worms
H. Herpes simplex
I. Behcet’s syndrome

1.A 58-year old woman complains of superficial dyspareunia, repeated urinary tract infections and vulval itch. On examination, the vulva is pale and thin in appearance, but without any obvious plaques or lesions.

2.A 38-year old woman complains of her third episode of painful vulval ulcers. She also has ulcers in the mouth, stiff joints in the mornings and several recent episodes of iritis.

3.A 24-old type 1 diabetes presents with a 6-week history of smooth, pink, well-demarcated plaques on the vulva. There are no lesions involving the vagina. She also has similar plaques on the skin of her upper limbs.

A. Cataract
B. Caudal regression syndrome
C. Coarctation of the aorta
D. Contracture deformities of the limbs
E. Hypoplastic left ventricle
F. Hydrops fetalis
G. Intracranial calcifications
H. Micrognathia
I. Phocomelia
J. Renal agenesis
K. Scarring of the limbs
L. Spina bifida
M. Splenomegaly
N. Stippled epiphysis
O. Thrombocytopenia


Instructions: For each of the following infections in pregnancy, select the single most likely congenital malformation that it may cause during the first trimester from the option list above. Each option may be selected once, more than once or not at all.

4.Toxoplasma gondii.

5.Cytomegalovirus (CMV).

6.Parvovirus B19

For each of the cases below (ieiii) choose the most suitable first line therapy (AeH) for the menstrual dysfunction case described:
A. Tranexamic acid
B. Oral contraceptive pills
C. Naproxen
D. Total abdominal hysterectomy
E. Endometrial ablation
F. Uterine artery embolization
G. Transcervical resection of fibroid polyp
H. Depot Medroxyprogesterone Acetate

7. A 16-year girl who has recently become sexually active with her boyfriend suffers from migraines and heavy, painful periods.

8. A 52-year old woman with a BMI of 42 who is no longer sexually active suffers from heavy, regular periods. An ultrasound reveals a thick, regular endometrium and a hysteroscopic biopsy is normal.

9.A 34-year para 2 woman presents with a 1 year of heavy, irregular menstrual bleeding. An ultrasound scan demonstrates a 3 cm fibroid indenting the uterine cavity

Each of the following are potential complications of outpatient hysteroscopy. Match each of the stems below (ieiii) to the most likely complication in each case (A-H)


A. Infection
B. Uterine perforation
C. Cervical stenosis
D. Bleeding
E. Pain
F. Incomplete procedure
G. Vasovagal attack
H. Cervical damage


10. A 52-year old woman attends for investigation of postmenopausal bleeding. The uterus is acutely retroverted and retroflexed, making entry difficult. Polyp removal is attempted by the clinician from a difficult position

11.A 32-year old woman with Von Willebrand’s disease attends for outpatient hysteroscopy. The clinician attempts resection of a small fibroid polyp

12.A 78-year old woman with a history of low blood pressure undergoes outpatient hysteroscopy, during which the operator chooses to distend the cavity with carbon dioxide