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1 A 27-year-old woman presents to clinic with a 4 cm simple unilateral ovarian cyst. She is worried about the risk of ovarian cancer, as her aunt died of ovarian cancer. Which of the following is a risk factor for ovarian cancer?CorrectIncorrect
2 A 19-year-old woman presents with hot sweats and tremor at 19 weeks gestation in her first pregnancy. She is noted to have thyroid enlargement and you suspect thyrotoxicosis. Which of the following is correct?CorrectIncorrect
3 A 32-year-old multiparous woman is found to have a malignant breast lump in her first trimester of pregnancy. Which of the following is true?CorrectIncorrect
4 A 37-year-old primiparous woman presents at 32 weeks gestation to discuss her birth plan. She is particularly concerned about the impact of an emergency caesarean section (CS) at full dilatation. Which of the following is correct?CorrectIncorrect
5 A 42-year-old woman was referred urgently to the outpatient hysteroscopy clinic with history of postmenopausal bleeding for three days. Hysteroscopy showed a benign-looking endometrial polyp (approximately 2.5 cm) arising from the left lateral wall. What is the most appropriate answer?CorrectIncorrect
6 A 60-year-old woman presents with vault prolapse. In treating post-hysterectomy vaginal vault prolapse, the operation with the highest success rate isCorrectIncorrect
- You review the MRI results of a 68-year-old nulliparous woman who is being staged for ovarian cancer. Results suggest the tumour involves both ovaries with microscopically confirmed peritoneal metastasis outside the pelvis with microscopic peritoneal metastasis beyond the pelvis (maximum size 2 cm). What stage of ovarian cancer does she have?
- A 32-year-old primiparous woman presents at 37 weeks gestation with breech presentation. Which one of the following is a cause of persistent breech presentation?
- A 23-year-old primiparous woman with known depression attends your antenatal clinic. What impact can maternal depression have on the developing fetus?
10 A 20-year-old woman alleges vaginal and oral rape 48 hours ago. Which of the following statements are correct with regard to providing aftercare?CorrectIncorrect
11 A 27-year-old woman in her first pregnancy gives a 36-hour history of leaking clear fluid continuously. She is 31 weeks gestation with no abdominal pain or vaginal bleeding. What initial investigation would you request in the management of preterm prelabour rupture of membranes (PPROM)?CorrectIncorrect
12 You are reviewing a 22-year-old epileptic woman following a normal vaginal delivery three hours ago. She lives with her four-year-old son in a flat on the sixth floor. What must you consider the post-partum period?CorrectIncorrect
13 You receive the following result for a 25-year-old woman in her first pregnancy at 26 weeks: CMV-specific immunoglobulin M-positive; CMV-specific immunoglobulin G-negative. What is the risk of vertical transmission to the fetus?CorrectIncorrect
14 A 29-year-old nulliparoius woman comes to see you in clinic following a knife cone biopsy for stage 1A1 cervical cancer. What pregnancy risk is knife cone biopsy associated with?CorrectIncorrect
15 A 24-year-old woman presents with sudden onset itching, burning, and irritation of the vulva. She is fit and well, and had an episode of hay fever recently. She also suffers from eczema and has recently started a new relationship. Inspection reveals vesicles and weeping of the skin on both labial folds with oedema and crusting. What is your diagnosis?CorrectIncorrect
16 You review a 26-year-old woman with hirsutism and oligomenorrhoea. Ultrasound confirms a diagnosis of polycystic ovaries and the blood investigations suggest polycystic ovary syndrome (PCOS). Which of the following is a consequence of PCOS?CorrectIncorrect
17 A 34-year-old woman has been diagnosed with gestational trophoblastic neoplasia (GTN). Which of the following is correct advice?CorrectIncorrect
18 You review a 27-year-old woman with her partner following their first pregnancy, which resulted in a preterm delivery a 25 weeks gestation. Which of the following infections can directly cause preterm labour?CorrectIncorrect
19 You are reviewing a 35-year-old woman and her partner, who have consulted you following two first-trimester miscarriages. What management would you recommend?CorrectIncorrect
20 You are reviewing a 45-year-old woman who is booked for a total abdominal hysterectomy. She tells you that she suffered a wound breakdown after her skin stitches were removed after a caesarean section seven year ago. Which suture type has longest absorbability time?CorrectIncorrect
21 A 57-year-old multiparous woman presents after an episode of heavy vaginal bleeding. Ultrasound shows a regular endometrium, with a thickness of 5 mm. However, a 9 cm irregular ovarian mass is seen in the left adnexal area. What is the likely tumour type?CorrectIncorrect
22 You are called urgently by your SHO to review a 24-year-old woman with critical ovarian hyperstimulation syndrome (OHSS). Which of the following features suggest critical OHSS?CorrectIncorrect
23 A 42-year-old woman and her partner present to the infertility clinic following a miscarriage at eight weeks gestation. This is her second first-trimester miscarriage; they have a five-year-old son. Which of the following is true regarding recurrent miscarriage?CorrectIncorrect
24 You review a 25-year-old who is 32 weeks pregnant. She has been diagnosed to have human parvovirus B19 infection. What is the clinical manifestation seen in the fetus?CorrectIncorrect
25 A 61-year-old woman presents with urge incontinence symptoms after surgical treatment for stress incontinence. Following colposuspension, the rate of de novo detrusor overactivity isCorrectIncorrect
26 A 29-year-old woman presents with a two-year history of worsening vulvodynia. What treatment would you advocate first-line?CorrectIncorrect
27 You review the booking blood test results of a 34-year-old multiparous woman. She has a positive HIV test. What immediate advice will you give her?CorrectIncorrect
28 A 33-year-old multiparous woman presents at 38 weeks gestation with breech presentation. She would like a vaginal breech delivery. Which of the following factors is unfavourable for vaginal breech birth?CorrectIncorrect
29 Nongenital injuries have been reported in up to 80% of victims of sexual assault. Which one of the following statements correctly describes the characteristic features of the given injury?CorrectIncorrect
30 A 20-year-old woman presents with a unilateral 6 cm ovarian mass. Ultrasound scan notes hyperechoic areas with the mass suggestive of bone. She is admitted to the gynaecology ward with severe abdominal pain. On examination, she has guarding and rebound. What is the likely nature of the ovarian mass?CorrectIncorrect