Med Student Finals Category: Gynaecology

MSFinals-1852

An 83-year-old woman visits her general practitioner complaining of a labial lump that has been present for two weeks. Although she does not experience any pain, she reports that the lump is very itchy and rubs against her underwear. The patient has a medical history of hypertension and type 2 diabetes mellitus, and she takes amlodipine, metformin, and sitagliptin daily. During the examination, the physician observes a firm 2 cm x 3 cm lump on the left labia majora. The surrounding skin appears normal without signs of erythema or induration. Additionally, the physician notes palpable inguinal lymphadenopathy. What is the most probable diagnosis?

MSFinals-1853

A 30-year-old woman is concerned about the risk of cancer from taking the combined oral contraceptive pill after hearing something on the news. You have a discussion with her about evidence-based medicine. According to research, which type of cancer is believed to be reduced by taking the pill?

MSFinals-1854

A 55-year-old woman presents to the clinic with worsening perimenopause symptoms. Her periods have become irregular over the past year, and she is experiencing low mood, night sweats, and hot flashes. The patient is interested in treatment options but is worried about the potential risk of breast cancer. Which of the following choices is most likely to increase her risk of developing breast cancer?

MSFinals-1855

A 28-year-old female patient visits her GP complaining of irregular menstrual cycles. She reports using a period tracking app on her phone, which shows that she had five periods in the past year, occurring at unpredictable intervals. During the consultation, she mentions the development of dense, dark hair on her neck and upper lip. Additionally, she has been experiencing worsening acne for a few years. If other potential causes are eliminated, what is necessary for the patient to fulfill the diagnostic criteria for her likely condition?

MSFinals-1856

A 36-year-old woman presents to the gynaecology clinic with a complaint of pelvic pain and intermenstrual bleeding for the past 5 months. The pain is more severe during her periods and sexual intercourse, and her periods have become heavier. She denies any urinary or bowel symptoms. A transvaginal ultrasound reveals multiple masses in the uterine wall. The patient desires surgical removal of the masses, but the wait time for the procedure is 5 months. She inquires about medication to reduce the size of the masses during this period. What is the most appropriate management strategy for this patient while she awaits surgery?

MSFinals-1857

A 28-year-old woman with polycystic ovarian syndrome is having difficulty getting pregnant. She and her partner have been attempting to conceive for 2 years without any luck. During examination, she displays hirsutism and has a BMI of 25 kg/m².

What would be the best course of action for managing this patient?

MSFinals-1858

A 25-year-old woman presents to the GP with a three-day history of vaginal itching and thick, non-odorous white discharge. She had a similar complaint four months ago but has no other medical history. The patient is married and sexually active with her husband, and her menstrual cycle is regular, following a 28-day cycle. Vaginal pH testing shows a value of 4.3. What further tests should be conducted before initiating treatment?

MSFinals-1843

A 25-year-old primigravida patient at 6 weeks gestation presents with suprapubic pain and spotting. She also complains of shoulder-tip pain and nausea. Upon observation, her oxygen saturations are at 98% in room air, blood pressure is at 109/79 mmHg, heart rate is at 107 bpm, and temperature is at 36.9ºC. Further investigations reveal an empty uterine cavity with tubal ring sign on transvaginal ultrasound and evidence of a 41 mm complex adnexal mass. Her Hb levels are at 107 g/L (115 – 160), platelets at 380 * 109/L (150 – 400), WBC at 10.8 * 109/L (4.0 – 11.0), and b-HCG at 1650 IU/L (< 5). What is the most appropriate management plan for this patient?

MSFinals-1844

A 55-year-old woman comes to the postmenopausal bleeding clinic complaining of light vaginal bleeding and mild discomfort during intercourse for the past two weeks. She reports feeling generally healthy. During a vaginal exam, she experiences tenderness and slight dryness. What is the next step to take in the clinic?

MSFinals-1845

A 28-year-old woman has been experiencing severe dysmenorrhoea for a prolonged period and seeks consultation at the gynaecological clinic. The consultant suspects adenomyosis as the underlying cause but wants to confirm the diagnosis and exclude other possible pathologies before initiating treatment. What is the most appropriate imaging modality for diagnosing this condition?