Gynecology High-Yield Quiz

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What are the causes of menorrhagia?

Congenital uterine abnormality, endometrial or cervical polyps, bleeding tendency

Fibroids, endometriosis, endometrial cancer (correct)

Pelvic infection, IUCD, hormone-producing tumors

Anticoagulant use, Wilson’s disease, menorrhagia

What are contraindications to IUCD?

Copper allergy, Wilson’s disease, menorrhagia (correct)

Hormone-producing tumors, anticoagulant use, dysmenorrhea

Congenital uterine abnormality, pelvic infection, endometrial cancer

Fibroids, endometriosis, endometrial or cervical polyps

What is the contraceptive method of choice in a woman >40 years with heavy periods?

Combined oral contraceptive pills

Barrier methods like condoms

Progestin IUD such as Mirena (correct)

Copper IUD

What does a DMA scan show in osteoporosis?

BMD of less than -2.5 Signup and view all the answers

What lifestyle modifications are recommended for osteoporosis?

Smoking cessation, exercise, weight loss Signup and view all the answers

Which medication is the mainstay of treatment in osteoporosis?

Bisphosphonates such as alendronic acid Signup and view all the answers

How does Denosumab work in osteoporosis?

RANKL inhibition, decreases bone resorption Signup and view all the answers

What is the caution associated with SERMs like raloxifene in osteoporosis treatment?

DVT/PE/stroke Signup and view all the answers

What are the treatment options available for post-menopausal osteoporosis with dietary deficiency or steroid use?

Vitamin D and calcium supplements Signup and view all the answers

What is the definition of menopause?

1 year of amenorrhea Signup and view all the answers

What are possible adverse outcomes of menopause?

Osteoporosis, CVD, stroke Signup and view all the answers

What is the most effective treatment for hot flashes in menopause?

Hormone Replacement Therapy (HRT) Signup and view all the answers

What is the cause of grey/white, thin, fishy vaginal discharge with no soreness?

Bacterial vaginosis Signup and view all the answers

What is the cause of cottage cheese-like, thick, creamy discharge with pruritis?

Candidiasis Signup and view all the answers

How do we diagnose and treat STIs caused by chlamydia?

Diagnosed with appropriate swabs sent for NAAT, treated with doxycycline Signup and view all the answers

What breast condition requires urgent referral for incision and drainage (I+D) within 24 hours?

Abscess Signup and view all the answers

When should mastitis be referred?

If symptoms do not resolve within 48 hours Signup and view all the answers

What are the biochemical indicators of menopause?

Low estrogen, elevated LH/FSH Signup and view all the answers

What is the commonest cause of vaginal discharge in women of reproductive age?

Bacterial vaginosis Signup and view all the answers

What is the most appropriate management for a child presenting with bronchiolitis?

Supportive treatment Signup and view all the answers

What is the likely diagnosis for a child presenting with a mass in the right upper quadrant, pallor between attacks, and intermittent severe abdominal pain?

Intussusception Signup and view all the answers

What is the medication used to treat burning foot sensation in diabetic patients?

Carbamazepine Signup and view all the answers

What would be the most appropriate investigation for an elderly patient presenting with tiredness, fatigue, dyspepsia, and anemia?

Upper GI endoscopy Signup and view all the answers

What are the presenting features of cerebellar disease?

Intentional tremor, wide-based gait, slurred speech Signup and view all the answers

What are the presenting symptoms of deep vein thrombosis (DVT)?

Calf swelling, erythema, tenderness, fever Signup and view all the answers

What is the causative virus for Hand, Foot, and Mouth (HFM) disease?

Coxsackie virus Signup and view all the answers

What are the bone mineral density (BMD) values indicating osteopenia?

T-score between -1 and -2.5 Signup and view all the answers

What is the first-line treatment for sexually transmitted infections (STIs) caused by trichomonas vaginalis?

Metronidazole Signup and view all the answers

What is the recommended treatment for gonococcal STIs?

IM ceftriaxone and PO azithromycin Signup and view all the answers

What is the first-line emergency contraception method?

Cu-IUD Signup and view all the answers

What is the most important parameter to check before starting Direct Oral Anticoagulants (DOACs)?

Renal function tests or eGFR Signup and view all the answers

In a 60-year-old male with anemia, what is the next best step?

Colonoscopy Signup and view all the answers

In the case of unilateral epistaxis in a child, what is the most likely cause?

Foreign body (FB) Signup and view all the answers

For a 55-year-old individual with hypertension or of African/Caribbean descent, what is the first-line treatment?

CCB like amlodipine Signup and view all the answers

What is the first-line emergency contraception?

Copper Intrauterine Device (Cu-IUD) Signup and view all the answers

What is the most important parameter to check before starting Direct Oral Anticoagulants (DOACs)?

Renal function tests or eGFR Signup and view all the answers

Unilateral epistaxis in a child is most likely caused by:

Foreign body Signup and view all the answers

What is the CHA2DS2VASc score used for?

Evaluating stroke risk in atrial fibrillation Signup and view all the answers

What is the type of anemia commonly associated with menorrhagia?

Microcytic hypochromic Signup and view all the answers

In a 60-year-old male with anemia, what is the next best step?

Colonoscopy Signup and view all the answers

What is the first-line treatment for hypertension in a 55-year-old African/Caribbean individual?

Calcium channel blockers (CCB) like amlodipine Signup and view all the answers

Gynecology High-Yield Quiz

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Questions and Answers

What are the causes of menorrhagia?

What are contraindications to IUCD?

What is the contraceptive method of choice in a woman >40 years with heavy periods?

What does a DMA scan show in osteoporosis?

What lifestyle modifications are recommended for osteoporosis?

Which medication is the mainstay of treatment in osteoporosis?

How does Denosumab work in osteoporosis?

What is the caution associated with SERMs like raloxifene in osteoporosis treatment?

What are the treatment options available for post-menopausal osteoporosis with dietary deficiency or steroid use?

What is the definition of menopause?

What are possible adverse outcomes of menopause?

What is the most effective treatment for hot flashes in menopause?

What is the cause of grey/white, thin, fishy vaginal discharge with no soreness?

What is the cause of cottage cheese-like, thick, creamy discharge with pruritis?

How do we diagnose and treat STIs caused by chlamydia?

What breast condition requires urgent referral for incision and drainage (I+D) within 24 hours?

When should mastitis be referred?

What are the biochemical indicators of menopause?

What is the commonest cause of vaginal discharge in women of reproductive age?

What is the most appropriate management for a child presenting with bronchiolitis?

What is the likely diagnosis for a child presenting with a mass in the right upper quadrant, pallor between attacks, and intermittent severe abdominal pain?

What is the medication used to treat burning foot sensation in diabetic patients?

What would be the most appropriate investigation for an elderly patient presenting with tiredness, fatigue, dyspepsia, and anemia?

What are the presenting features of cerebellar disease?

What are the presenting symptoms of deep vein thrombosis (DVT)?

What is the causative virus for Hand, Foot, and Mouth (HFM) disease?

What are the bone mineral density (BMD) values indicating osteopenia?

What is the first-line treatment for sexually transmitted infections (STIs) caused by trichomonas vaginalis?

What is the recommended treatment for gonococcal STIs?

What is the first-line emergency contraception method?

What is the most important parameter to check before starting Direct Oral Anticoagulants (DOACs)?

In a 60-year-old male with anemia, what is the next best step?

In the case of unilateral epistaxis in a child, what is the most likely cause?

For a 55-year-old individual with hypertension or of African/Caribbean descent, what is the first-line treatment?

What is the first-line emergency contraception?

What is the most important parameter to check before starting Direct Oral Anticoagulants (DOACs)?

Unilateral epistaxis in a child is most likely caused by:

What is the CHA2DS2VASc score used for?

What is the type of anemia commonly associated with menorrhagia?

In a 60-year-old male with anemia, what is the next best step?

What is the first-line treatment for hypertension in a 55-year-old African/Caribbean individual?

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