EBCOG Part 1- General Gynaecology- Day 1(S.B.A)

1. A 70-year-old woman undergoes a dual-energy X-ray absorptiometry (DXA) scan to assess her bone mineral density. What T score is diagnostic of osteoporosis?

2 What is the mode of action of bisphosphonates? 

3. A 55-year-old woman is due to come in for total abdominal hysterectomy and bilateral salpingo-oophorectomy for a large mucinous ovarian cyst. She takes sequential HRT for menopausal symptoms. You discuss with her the risk of venous thromboembolism. How long prior to surgery should she stop HRT?

4. A 38-year-old woman presents to the gynaecology clinic with a 6-month history of amenorrhoea and hot flushes. A pregnancy test is negative. Her serum follicle-stimulating hormone (FSH) is measured and found to be 45 IU/l. What further result would confirm a diagnosis of premature ovarian insufficiency (POI)?

5. A 44-year-old woman is referred to a menopausal clinic with severe vasomotor symptoms and low mood. She has a history of oestrogen-receptor-positive and progesterone-receptor-negative breast cancer which was treated with wide local excision and radiotherapy. She is currently on tamoxifen.What would you prescribe to treat her menopausal symptoms?

6. A 38-year-old woman is referred to gynaecology clinic by GP. She gives history of amenorrhoea for the past 6 months. She has two children delivered by caesarean section and regular periods prior to this. Her urine pregnancy test is negative. Her mother had premature menopause at the age of 30.The diagnosis in her case is based on

7. A 36-year-old woman is referred to the gynaecology clinic complaining of secondary amenorrhea for the last eight months since stopping COCP, which she has been taking for two years. She is a mother of two children. Her BMI is 24. Hormonal assessment five weeks previously showed her follicular stimulating hormone (FSH) of 26 IU/L and luteinizing hormone (LH) of 20 IU/L. What will be your next step for diagnosis? 

8. An 18-year-old national gymnastic champion is referred to you. She experiences long periods of secondary amenorrhea and she only has two to three periods each year. She is training for the coming Olympics but her general practitioner advised her to visit you because she is worried about her. She suffers from backache. Her BMI is 16. What will you offer her?

9. A 53-year-old woman who is amenorrhoeic for the past 1 year complains of vaginal dryness, superficial dyspareunia and urinary urgency. She has been treated for urinary infection 2 months back, and there is no active urinary infection now although symptoms persist. She has been on HRT for the past 6 months due to severe palpitations, hot flushes and night sweats, and she is relieved of those symptoms.Which of the following statements is appropriate for her?

10. Women with premature ovarian insufficiency are not at increased risk of: