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

1.A 35-year old woman with a BMI of 32 is referred to the menstrual dysfunction clinic and, after investigation, receives a diagnosis of PCOS. She would like to know about the potential health benefits of weight loss. Which one of the following is not likely to be improved by a 5e10% weight loss?

2.A 51-year old university professor suffers from heavy regular periods and has opted to have a Mirena IUS fitted in an attempt to improve these. She has some detailed questions about how the Mirena will work and how it will treat her menorrhagia. Which one of the following is not true regarding the Mirena IUS?

3.A 25 year old woman with a BMI of 37 has been trying to conceive and has been told that reducing her weight might help. She has normal glucose tolerance and wishes to discuss weight loss surgery. Which of the following pieces of advice is incorrect?

4.A 42 year old woman with pressure symptoms and heavy menstrual bleeding leading to iron deficiency anaemia is found to have two large uterine fibroids on ultrasound. You discuss medical management options first, in detail. Which one of the following pieces of information is correct regarding selective progesterone receptor modulators (SPRMs)?

5.A 42 year old woman with pressure symptoms and heavy menstrual bleeding leading to iron deficiency anaemia is found to have two large uterine fibroids on ultrasound. You discuss medical management options first, in detail. Which one of the following pieces of information is correct regarding selective progesterone receptor modulators (SPRMs)?The patient decides that a surgical management option will suit her better.Which of the following is true with regards to open myomectomy compared with laparoscopic management?

6.Hysteroscopy is increasingly provided on an outpatient basis for selected patients. Which of the following patients would not be suitable to undergo hysteroscopy in an ambulatory outpatient setting?

7.An I8-year-old girl has been referred to the gynaecology clinic because she has not yet attained menarche. Examination ~ normal development of secondary sexual characteristics but a short vagina. Plasma concentrations of folliclestimulating hormone, lutelnising hormone and oestrogen are normal. She is 1.68m (Sft 6in) talland has a normal body mass index. She has just been accepted into medical school and is anxious that she has not attained menarche although her friends have.What is the diagnosis?

8.A17-year-old girl comes to the clinic accompanied by her mother. She reports that she has not yet attained menarche. On examination, secondary sexual characteristics have not fully developed. The girl is upset and also says she is being bullied at school for being short.What is the most appropriate investigation?

9.A urethral diverticulum (UD) ranges from

10 .The prevalence of urethral diverticulum

11.The usual age at presentation is between

12.The periurethral glands (Skene’s glands) lie along the whole length of the urethra in

13)One of the causes of UD urethral diverticulum

14 .The UD usually dissects within the urethral pelvic ligament with the orifice/neck just off centre at

15)Lower urinary tract symptoms (LUTS), namely frequency and urgency, are present in urethral diverticulum in

16.Differential diagnosis of urethral diverticulum

  17.Imaging used for the diagnosis  of the urethral diverticulum

18)Fowler’s syndrome commonest presentation

19)On evaluation, they often demonstrate post-void  residual volumes in excess of

20)some of Causes for urinary retention in women

21)Differential diagnosis of urethral diverticulum

22)The  historical classical triad of Urethral Diverticulum:

23) Diferrential Diagnosis of Uretrhal Diverticulum:Includes All Except:

24)Investigations for urethral diverticulum Include All Except:

25)A 24 years old women presenting in E/R with acute onset pain in genital area : O/E:bulge in the upper Vagina looks like a mass/ulcer:Most likely diagnosis is: