EBCOG-Part1- Benign gynaecology

1.The following findings warrant a referral to colposcopy clinic:

A One smear test showing borderline changes in squamous cells

B One smear test showing severe dyskaryosis

C One smear test showing glandular neoplasia

D One smear test showing borderline in endocervical cells

E Three smear tests showing inadequate samples

2. The following smear results require referral to colposcopy:

A Smear showing wart virus infection

B Squamous metaplasia

C Inflammatory changes

D Endometrial cells in women <40 years old

E Actinomyces in smear

3.With regards to cervical glandular intraepithelial neoplasia (CGIN):

A It is 100 times more common than cervical intraepithelial neoplasia (CIN)

B Cervical screening programme is specifically designed to detect glandular abnormalities

C It is associated with CIN in almost 50% of the cases

D Histological evaluation fails to confirm glandular lesions in 50% of the cases where cervical smear is reported as endocervical glandular abnormalities

E The aetiology is totally different for CGIN and CIN

4. With regards to the management of premenstrual syndrome (PMS):

A Microgynon (ethinylestradiol/levonorgestrel IUS) is preferable to Yasmin(ethinylestradiol/drospirenone)

B Both the physical and the psychological symptoms of PMS have not shown to improve with the use of selective serotonin reuptake inhibitors (SSRIs)

C Continuous back-to-back treatment with a combined oral contraceptive pill (COCP) has been shown to be more effective than the standard cyclical treatment

D Complementary therapies such as vitamin B supplements and reflexology have no substantial evidence base and therefore should not be tried

E Cognitive behavioural therapy should be considered routinely as a treatment option for women with severe PMS

5.With regards to cervical smears:

A  All pregnant women should be offered a cervical smear

B It should be done on day 1 of the menstrual period

C Women with Chlamydia infection should be offered a cervical smear

D The cervical smear should be done at one-month postnatal if indicated

E All virgin women should have a cervical smear

6.With regards to the management of endometriosis:

A Suppression of ovarian function for 6 months with gonadotropin-releasing hormone analogues has shown to reduce pain associated with endometriosis

B Ablation of uterine nerve is as effective as ablation of endometriotic lesions with laser for reducing endometriosis-related pain

C Endometrioma is an indication for oophorectomy in young woman

D Endometriosis-associated pain can be reduced by removing the entire lesions in severe and deeply infiltrating disease

E Levonorgestrel IUS is an effective treatment in controlling endometriosis-associated pain

7. With regards to polycystic ovary disease:

A It is associated with oligoovulation

B It is associated with insulin resistance

C It is associated with increased follicle-stimulating hormone (FSH): luteinising hormone (LH) ratio

D It is associated with oligomenorrhoea

E It is associated with dysmenorrhoea

8. The following are effective in reducing the menstrual blood loss in women with dysfunctional uterine bleeding (DUB):

A Anti-fibrinolytics

B Prostaglandin synthetase inhibitors

C Oral medroxyprogesterone acetate from days 16–25 of menstrual cycle

D Combined oral contraceptive pill (COCP)

E Copper intrauterine contraceptive device (IUCD)

9.With regards to hirsutism:

A It is idiopathic in most cases

B It can be due to late onset congenital adrenal hyperplasia

C It can be due to androgen insensitivity syndrome

D It can be due to polycystic ovary syndrome (PCOS)

E It can be due to adrenal tumours

10.PCOS is associated with:

A Increased hip circumference

B Insulin resistance

C Clitoromegaly

D Increased serum oestrogen levels

E Decreased corticosteroid binding globulin