Gynecology High-Yield Quiz

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41 Questions

What are the causes of menorrhagia?

Fibroids, endometriosis, endometrial cancer

What are contraindications to IUCD?

Copper allergy, Wilson’s disease, menorrhagia

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

Progestin IUD such as Mirena

What does a DMA scan show in osteoporosis?

BMD of less than -2.5

What lifestyle modifications are recommended for osteoporosis?

Smoking cessation, exercise, weight loss

Which medication is the mainstay of treatment in osteoporosis?

Bisphosphonates such as alendronic acid

How does Denosumab work in osteoporosis?

RANKL inhibition, decreases bone resorption

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

DVT/PE/stroke

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

Vitamin D and calcium supplements

What is the definition of menopause?

1 year of amenorrhea

What are possible adverse outcomes of menopause?

Osteoporosis, CVD, stroke

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

Hormone Replacement Therapy (HRT)

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

Bacterial vaginosis

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

Candidiasis

How do we diagnose and treat STIs caused by chlamydia?

Diagnosed with appropriate swabs sent for NAAT, treated with doxycycline

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

Abscess

When should mastitis be referred?

If symptoms do not resolve within 48 hours

What are the biochemical indicators of menopause?

Low estrogen, elevated LH/FSH

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

Bacterial vaginosis

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

Supportive treatment

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

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

Carbamazepine

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

Upper GI endoscopy

What are the presenting features of cerebellar disease?

Intentional tremor, wide-based gait, slurred speech

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

Calf swelling, erythema, tenderness, fever

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

Coxsackie virus

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

T-score between -1 and -2.5

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

Metronidazole

What is the recommended treatment for gonococcal STIs?

IM ceftriaxone and PO azithromycin

What is the first-line emergency contraception method?

Cu-IUD

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

Renal function tests or eGFR

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

Colonoscopy

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

Foreign body (FB)

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

CCB like amlodipine

What is the first-line emergency contraception?

Copper Intrauterine Device (Cu-IUD)

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

Renal function tests or eGFR

Unilateral epistaxis in a child is most likely caused by:

Foreign body

What is the CHA2DS2VASc score used for?

Evaluating stroke risk in atrial fibrillation

What is the type of anemia commonly associated with menorrhagia?

Microcytic hypochromic

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

Colonoscopy

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

Calcium channel blockers (CCB) like amlodipine

Test your knowledge on gynecology with this high-yield quiz. Explore the causes of menorrhagia and contraindications to IUCD, and enhance your understanding of related conditions like fibroids, endometriosis, and hormone-producing tumors. Ideal for medical students and professionals seeking to reinforce their expertise in women's health.

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