MSFinals-1755
A 32-year-old woman complains of a curd-like white vaginal discharge and experiences pain during sexual intercourse. What is the probable diagnosis?
Med Student Finals Category: Gynaecology
MSFinals-1740
A 25-year-old woman visits her doctor the day after having unprotected sex. She is seeking emergency contraception as she forgot to take her progesterone-only pill for a few days before the encounter. The doctor advises her to book an appointment at the nearby sexual health clinic for proper screening. After counseling, the doctor prescribes levonorgestrel to the woman. What is the waiting period before she can resume taking her POP?
MSFinals-1756
A 38-year-old woman who has a history of injecting heroin has just received a positive HIV diagnosis. During her initial visits to the HIV clinic, she is offered a cervical smear. What is the recommended follow-up for her as part of the cervical screening program?
MSFinals-1741
A 29-year-old woman presents for colposcopy after her recent cervical smear showed moderate dyskaryosis. During the colposcopy, aceto-white changes are observed and a punch biopsy is performed, followed by cold coagulation. The histology report indicates CIN II. When should she be scheduled for her next cervical screening?
MSFinals-1757
A 25-year-old female presents to her GP after testing positive on a urine pregnancy test, suspecting she is 4-5 weeks pregnant. She expresses concern about the possibility of having an ectopic pregnancy, having recently heard about a friend’s experience. Her medical records indicate that she had an IUS removed 8 months ago and was treated for Chlamydia infection 5 years ago. During a gynaecology appointment 2 months ago, a cervical ectropion was identified after a 3 cm simple ovarian cyst was detected on ultrasound. The patient also admits to excessive drinking at a party two nights ago, having previously consumed a bottle of wine per week. Which aspect of this patient’s medical history could increase her risk?
MSFinals-1742
A 25-year-old female patient visits her GP seeking advice after engaging in unprotected sexual intercourse the previous night. She took a dose of levonorgestrel 1.5mg (Levonelle) as emergency contraception about 12 hours after the act. Today is the 12th day of her menstrual cycle, and she is worried about the possibility of getting pregnant. She wants to start taking a combined oral contraceptive pill (COCP) to prevent similar situations in the future. When can she begin taking the COCP?
MSFinals-1758
You are in your GP practice and are counselling a 24-year-old female about the contraceptive patch.
What are the proper steps to ensure the effective use of the contraceptive patch?
MSFinals-1743
A 29-year-old woman presents to her GP seeking guidance on conception, specifically regarding the use of supplements or medication. She has no significant medical or family history and has previously given birth to two healthy children in the past three years without complications. Upon examination, she appears to be in good health, with a BMI of 31 kg/m2. What is the most suitable course of action for this patient?
MSFinals-1744
A 29-year-old woman visits her GP six weeks after giving birth, seeking advice on contraception. She prefers to use the combined oral contraceptive pill (COCP), which she has used before. She has been engaging in unprotected sexual activity since week three postpartum. Currently, she is breastfeeding her baby about 60% of the time and supplementing with formula for the remaining 40%. What recommendation should the GP give to the patient?
MSFinals-1745
A 28-year-old transgender male patient (assigned female at birth) comes to the clinic seeking advice on contraception. He is receiving testosterone therapy from the gender identity clinic and has a uterus, but plans to have surgery in the future. He is sexually active with a male partner and wants to explore other contraceptive options besides condoms. What recommendations can you provide for this patient?