Med Student Finals Category: Gynaecology

MSFinals-1771

A 52-year-old woman comes to the postmenopausal bleeding clinic complaining of continuous vaginal bleeding for the past 2 weeks. What would be your initial investigation in the clinic?

MSFinals-1772

A 65-year-old woman comes to your GP clinic complaining of increased urinary frequency and embarrassing leakage. She reports that it disrupts her work in the office as she has to constantly go to the toilet. However, she denies any association of the leakage with coughing or laughing. The patient’s BMI is 32kg/m², and a vaginal examination shows no pelvic organ prolapse and an ability to initiate voluntary contraction of the pelvic floor muscles.

What initial investigations would you include for this patient?

MSFinals-1773

At a subfertility clinic, you are tasked with obtaining a menstrual cycle history from a 32-year-old patient to determine the appropriate day for conducting a mid-luteal progesterone level test. The patient reports having a consistent 28-day cycle. What day would you recommend for the mid-luteal progesterone level test?

MSFinals-1774

A 28-year-old woman visits the fertility clinic with her partner. She has a record of consistent 35-day menstrual cycles. What is the most effective test to determine ovulation?

MSFinals-1775

A 25-year-old woman visits her doctor seeking advice on contraception. After being informed about all available methods, she chooses a copper IUD. A pregnancy test conducted at the clinic comes back negative. She has a consistent 28-day menstrual cycle. During which phase of her cycle can the IUD be inserted?

MSFinals-1760

A 20-year-old woman visits her GP complaining of discharge. She mentions having a recent sexual partner without using barrier protection. During the examination, the doctor observes thick cottage-cheese-like discharge. The patient denies experiencing any other notable symptoms. What is the probable diagnosis?

MSFinals-1776

A 25-year-old woman comes to the clinic seeking family planning options that won’t affect her sexual activity and can be reversed if needed. She reports experiencing irregular, painful, and heavy menstrual periods, but is in good health otherwise. The healthcare provider recommends starting the COCP as it is safe for her and may alleviate her symptoms. What other health advantages could this medication offer?

MSFinals-1761

You are a general practitioner and a 55-year-old woman comes to your clinic complaining of PV bleeding for the past 2 months. She underwent menopause at the age of 50, has a BMI of 33 kg/m², and consumes 20 units of alcohol per week. She has had only one sexual partner throughout her life and does not experience pain during intercourse or post-coital bleeding. What is the most probable diagnosis?

MSFinals-1777

A 35-year-old woman has recently been diagnosed with breast cancer and is awaiting surgery. She has started a new relationship and is seeking advice on contraception. In her previous relationship, she used the depo injection and is interested in restarting it. She is a non-smoker, has no history of migraines or venous thromboembolism, and has a BMI of 23 kg/m². Which contraception option would be most suitable for her?