Med Student Finals Category: Gynaecology

MSFinals-1786

A 57-year-old woman visits her GP complaining of occasional vaginal bleeding. She reports that her last menstrual cycle was 22 months ago. She denies experiencing any discomfort, painful urination, or changes in bowel movements, and notes that these episodes only occur after sexual intercourse. The patient has been regularly screened for cervical cancer.
During an abdominal and pelvic examination, no abnormalities are detected. The patient is promptly referred to a specialist for further evaluation, and test results are pending.
What is the primary reason for her symptoms?

MSFinals-1787

A 25-year-old woman complains of abdominal pain that has been ongoing for 3 months. Upon conducting an abdominal ultrasound, an 8 cm mass is detected in her right ovary. Further examination reveals the presence of Rokitansky’s protuberance. What is the probable diagnosis?

MSFinals-1788

A 29-year-old female patient visits her GP complaining of intense dysmenorrhoea and deep dyspareunia. She reports having a consistent menstrual cycle and no significant medical or gynaecological history. During the examination, the physician observes a retroverted uterus that is immobile. What is the probable diagnosis?

MSFinals-1789

A 35-year-old woman presents to the emergency department with severe abdominal pain. She has a medical history of endometriosis and reports that her last period was one week ago. An ultrasound scan reveals the presence of free fluid in her pelvic region. What could be the underlying cause of her acute abdomen?

MSFinals-1790

A 27-year-old female patient visits her general practitioner complaining of a dull pelvic pain and foul-smelling discharge that has been worsening for the past 5 weeks. She has been using a hormonal intrauterine device for a year and does not experience menstruation with it. She has received the human papillomavirus vaccine but has not undergone any smear tests. What is the probable diagnosis?

MSFinals-1791

A 38-year-old woman has given birth to her second and final child at 40 weeks gestation. She has been in the third stage of labor for 70 minutes and has lost 2900 ml of blood. Her previous baby was delivered via elective c-section. She has a history of pelvic inflammatory disease. An antenatal ultrasound was performed due to her risk factors, but the results were not seen by the delivery team until now. What is the most effective treatment for the underlying issue?

MSFinals-1792

A 30-year-old woman presents with acute pelvic pain and is found to have pelvic inflammatory disease. What is the leading cause of pelvic inflammatory disease in the United Kingdom?

MSFinals-1793

A 35-year-old woman presents to her primary care physician with concerns about her inability to conceive despite trying for two years with her regular partner. She has a BMI of 29 kg/m² and a known history of polycystic ovarian syndrome. What medication would be the most effective in restoring regular ovulation in this scenario?

MSFinals-1778

A 30-year-old woman presents to your clinic seeking advice on contraception. She has a BMI of 31 kg/m2, having lost a significant amount of weight after undergoing gastric sleeve surgery a year ago. She is a non-smoker and has never been pregnant. Her blood pressure is 119/78 mmHg.

The patient is interested in long-acting reversible contraceptives but does not want a coil. She also wants a contraceptive that can be discontinued quickly if she decides to start a family. What would be the most suitable contraceptive option for her?