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Surgical Interventions in Gynaecology

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Questions and Answers

What is the primary concern when assessing a woman who presents with acute heavy bleeding?

Evaluating hemodynamic stability and assessing symptoms of dizziness (correct)

Ruling out early pregnancy as a cause of bleeding

Performing a pelvic and abdominal examination to identify the source of bleeding

Conducting a complete medication history to identify potential interactions

What is an essential step in the initial evaluation of a woman with acute heavy bleeding?

Performing a thyroid function test

Conducting a pelvic ultrasound to identify structural abnormalities

Inserting a vaginal speculum to eliminate the possibility of bleeding from the vulva, vagina, or ectocervix (correct)

Taking a complete medication history to identify potential drug interactions

Which of the following is an indication for endometrial biopsy?

PMB and endometrial thickness on TVU < 4 mm

HMB associated with intermenstrual bleeding (IMB) (correct)

Treatment failure with hormonal therapy

HMB in women under 45 years old

What is the primary goal of the initial investigation in a woman with AUB?

To identify the underlying cause of bleeding Signup and view all the answers

In which of the following situations would a coagulation screen be ordered?

In women with a history of bleeding disorders Signup and view all the answers

Which of the following is a non-surgical treatment option for HMB?

Hormonal therapy Signup and view all the answers

What is the primary reason to consider hormonal therapy in a woman with chronic HMB?

To reduce the risk of anemia Signup and view all the answers

What is an important consideration when evaluating a woman with AUB and a history of IMB?

The possibility of bleeding from the vulva, vagina, or ectocervix Signup and view all the answers

In which of the following situations would thyroid function tests be ordered?

In women with a history of thyroid disorders Signup and view all the answers

What is the primary indication for pelvic ultrasound in the evaluation of AUB?

To identify structural abnormalities such as polycystic ovary syndrome (PCOS) Signup and view all the answers