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Question 1 of 39
1. Question
1.Which progestogen has been shown to be effective in cases of PMS?
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Question 2 of 39
2. Question
2. A 29-year-old woman presents with a constant ongoing pain in the pelvis.The pain does not occur exclusively with menstruation or inter- course and the woman is not pregnant.For what minimum duration should the pain occur before it is deemed chronic?
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Question 3 of 39
3. Question
3.An 18-year-old girl presents with chronic lower abdominal pain. In what percentage of patients attending a gynaecology outpatient clinic with lower abdominal/pelvic pain would you expect to find irritable bowel syndrome (IBS)?
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Question 4 of 39
4. Question
4. A 24-year-old girl attends the gynaecology clinic with persistent pain over her Pfannenstiel scar that has not settled since her cae- sarean section of 6 months.
What is the incidence of nerve entrapment (defined as highly localised, sharp, stabbing or aching pain, exacerbated by particular movements and persisting beyond 5 weeks or occurring after a pain free interval) after one Pfannenstiel incision?CorrectIncorrect -
Question 5 of 39
5. Question
5.A 22-year-old girl presents with lower abdominal pain, which is cyclical in nature.Which modality is the only way to reliably diagnose peritoneal endometriosis?
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Question 6 of 39
6. Question
6. An 18-year-old girl with pelvic pain presents to the gynaecology outpatient clinic. An ultrasound scan is arranged, which demonstrates a normal pelvis. Hormonal treatment is discussed with the girl.How long should she persist with this therapy before contemplat- ing a laparoscopy?
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Question 7 of 39
7. Question
7.A 19 year old has been seen in the gynaecology clinic with abdom- inal pain, which improves with defecation. It is associated with change in frequency of stool and change in form, for at least 3 days per month in the past 3 months.What are the criteria used to define IBS?
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Question 8 of 39
8. Question
8. A 21 year old presents to the gynaecology outpatient clinic with pelvic pain. The general practitioner referral suggests possible endometriosis.What is the estimated prevalence of endometriosis in women of reproductive age?
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Question 9 of 39
9. Question
9. A 40-year-old woman with BMI 32 kg/m2 is referred to the gynae- cology clinic with secondary amenorrhoea. She has two children and her partner had a vasectomy 5 years ago.An ultrasound scan is performed, which shows a normal uterus with endometrial thickness 6 mm.Both ovaries have a typical polycystic appearance. What would be the recommended management?
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Question 10 of 39
10. Question
10. A 42-year-old woman with oligomenorrhoea and hirsutism presents to the gynaecology clinic. She recently had a prolonged episode of vaginal bleeding, but an ultrasound scan and endome- trial biopsy performed in primary care both reported normal results. She is obese with a BMI of 40kg/m2. She has mild hypertension but does not require antihypertensive therapy. She has no other medical problems.Her father suffered from Type 2 Diabetes mellitus. What further investigation is required?
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Question 11 of 39
11. Question
11. The aetiology of premenstrual syndrome (PMS) remains unclear but appears to be related to the effect of cyclical ovarian activity on neurotransmitters.Which neurotransmitters are considered to have a key role?
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Question 12 of 39
12. Question
12.What is the best predictor of cardiovascular risk in a 37-year-old woman who has been diagnosed with polycystic ovarian syndrome?
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Question 13 of 39
13. Question
13. An amenorrhoeic woman with polycystic ovarian syndrome was given norethisterone acetate (20 mg/day for 5 days) to induce a withdrawal bleed and following the withdrawal bleed was commenced on clomifene citrate 50 mg/day from D2. She has come back saying that she has not had a period after 35 days. What would be your next step in her management?
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Question 14 of 39
14. Question
14.What is the predominant cause of anovulatory infertility?
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Question 15 of 39
15. Question
15. What is the first-line pharmacological treatment for anovulatory polycystic ovary syndrome?
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Question 16 of 39
16. Question
16. What is the recommended test for the biochemical detection of hyperandrogenism?
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Question 17 of 39
17. Question
17. What proportion of women with polycystic ovarian syndrome are overweight/obese?
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Question 18 of 39
18. Question
18. What is the mechanism of action of Metformin?
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Question 19 of 39
19. Question
19. Which ONE of the following clinical scenarios is considered diagnostic of polycys- tic ovarian syndrome?
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Question 20 of 39
20. Question
20. Which ONE of the following clinical scenarios is considered diagnostic of polycystic ovarian syndrome?
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Question 21 of 39
21. Question
21. All are true regarding Endocrinology in PCOS except
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Question 22 of 39
22. Question
22. 32year old indian woman with BMI32 kg/m2 , with oligomenoorheoa and hirustism , on USg -she has bilateral polycystic ovaries. Her mother and sister do have similar complaints .all are true regarding inheritance of PCOS except
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Question 23 of 39
23. Question
23.The resolution of ultrasound technology, it has more recently been suggested that the threshold number of follicles to define a polycystic ovary should be
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Question 24 of 39
24. Question
24.What is the Prevalence of Gestational diabetes mellitus in woman with PCOS when compared to general population
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Question 25 of 39
25. Question
25.Insulin resistance Is present in woman with PCOS
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Question 26 of 39
26. Question
26. cardiovascular dysfunction is increased in both pre and post menopausal woman With PCOS Is linked to
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Question 27 of 39
27. Question
27. High prevalence of PCOS Is common in woman of
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Question 28 of 39
28. Question
28. All are true about Rorterdam criteria Except
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Question 29 of 39
29. Question
29. Free androgen index is
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Question 30 of 39
30. Question
30. All are true regarding Congenital adrenal hyperplasia (CAH) except
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Question 31 of 39
31. Question
31. All are true regarding screening of type 2DM in woman with PCOS Except
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Question 32 of 39
32. Question
33. Impaired glucose tolerance level is diagnosed when
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Question 33 of 39
33. Question
33. Sleep apnoea in woman with PCOS
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Question 34 of 39
34. Question
34. A Srilankan woman with Hirustism , Oligomenorrhoea .she is recently diagnosed diabetic and started with oral hypoglycaemics. Her Lipid profile is impaired.Her BMI is 28kg/m2.she is her for Oral contraceptive pills.Her Blood pressure is 130/84mm of Hg.What is the best treatment?
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Question 35 of 39
35. Question
35. Regarding long term consequences of PCOS
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Question 36 of 39
36. Question
36. All are true regarding PCOS except
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Question 37 of 39
37. Question
38. Use of metformin in woman with PCOS reduces androgen levels by
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Question 38 of 39
38. Question
39.Regarding Electrocautery in PCOS , all are true except
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Question 39 of 39
39. Question
40. Up to what percentage of extra weight can be lost by bariatric surgery
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