EBCOG -Part 1 -Urogyneacology- Day 1(E.M.Q)

A  stress incontinence
B  overactive bladder
C  drug-induced diuresis
D  urodynamic stress incontinence
E  outflow tract obstruction
F  urinary tract infection
G  sensory bladder
H  mass compressing the bladder
I  uterine incarceration
J  vesicovaginal fistula
K  neuropathic bladder
L  nocturnal enuresis
M  colovesical fistula
N  interstitial cystitis
O  spinal cord compression

For each description below, choose the single most appropriate answer from the above list of options. Each option may be used once, more than once, or not at all.

1. A 36-year-old Afro-Caribbean lady presents with a pregnancy at 12 weeks’ gestation with severe abdominal pain and not having voided for the past 10 hours. On examination the uterus is retroverted. What is the most likely diagnosis?

2.A 64-year-old Asian lady presents with heavy postmenopausal bleeding. She has never had a smear. An ulcerative lesion is found on her cervix. She complains of leaking clear fluid through the vagina. What is the most likely diagnosis?

3. A 45-year-old lady who is para 3 and is a gym instructor presents with com- plaints of leakage of urine during exercise. A subsequent urodynamic study shows a normal bladder capacity, a free flow of 18 mL per second and a stable bladder. What is the most likely diagnosis?

4.A 66-year-old lady presents with a history of difficulty in micturition. She voids three times a day with large volumes. She has no stress symptoms or urgency. Urodynamic study shows a flow rate of 3 mL per second, a bladder capacity of 800 mL and a voiding time of 320 seconds. Her first desire to void is at 400 mL, her second desire to void at 600 mL and urgency at 800 mL. What is the most likely diagnosis?

A. Carcinoma of the bladder
B. Mixed urinary incontinence
C. Neurogenic bladder
D. Overactive bladder
E. Overflow incontinence
F. Painful bladder syndrome (PBS)
G. Urethral caruncle
H. Urethral diverticulum
I. Urethral prolapse
J. Urinary stress incontinence
K. Urinary tract infection
L. Urogenital atrophy
M. Vesico-vaginal fistula

5. A 59-year-old nulliparous woman presents with recurrent dysuria and frequency worsening over the past six months. She smokes 20 cigarettes per day. Repeated MSUs at her GP have never demonstrated infection. Urinalysis demonstrates + + haematuria. You have sent a repeat MSU for microscopy, culture, and sensitivity.

6. A 28-year-old woman presents ten days after an anterior colporrhaphy for cystocele. She complains of feeling constantly damp vaginally and is having to wear pads continuously.

7. A 62-year-old postmenopausal woman presents with an eight-month history of dysuria and vulval pain. On examination, a pink exophytic lesion is observed at the urethral meatus.

8. A 46-year-old woman who has had three previous vaginal deliveries presents with a two-year deteriorating history of leakage of urine on coughing, sneezing, and during exercise. On examination a moderate cystocele and rectocele is observed.

9. A 58-year-old woman presents with a nine-month history of urinary frequency, urgency, and pelvic pain. Investigations including urodynamics have been normal.