MSFinals-1746
A 55-year-old woman is prescribed tamoxifen for the management of an oestrogen receptor positive breast cancer. What types of cancers are linked to the use of tamoxifen?
Med Student Finals Category: Gynaecology
MSFinals-1747
A 16-year-old presents to your clinic with worries about not having started her periods yet, despite most of her peers having done so. She is 150 cm tall and weighs 45 kg. The patient reports the onset of pubic hair at 14 years of age and has normal breast development. During speculum examination, the cervix is not visible and the patient experiences discomfort, making it difficult to continue. Hormone screening in the serum shows no significant abnormalities. What course of action would you recommend?
MSFinals-1748
A 35-year-old woman visits her GP clinic urgently seeking advice as she had unprotected sex last night. She has recently started taking the combined oral contraceptive pill but missed two pills because she forgot to bring them along while on vacation. She is currently in the first week of a new pack. What steps should her GP take now?
MSFinals-1749
A 23-year-old woman contacts her GP clinic seeking a more dependable form of contraception. She had visited her pharmacist the day before and received the levonorgestrel emergency contraceptive pill after engaging in unprotected sexual activity. As her healthcare provider, you recommend the combined oral contraceptive pill (COCP). What is the appropriate time for this patient to begin taking the COCP?
MSFinals-1750
A 25-year-old female presents with an ectopic pregnancy and requires surgical intervention. During laparoscopy, what is the most common location for the ectopic pregnancy to be found?
MSFinals-1751
A 32-year-old woman visits a fertility clinic after trying to conceive for more than two years. She is worried that she may not be ovulating despite having a regular menstrual cycle lasting 30 days. She is not using any form of birth control and her pregnancy test is negative. What is the most effective method to detect ovulation?
MSFinals-1752
As an FY-1 doctor working on a gynaecology ward, you have a postmenopausal patient who has been diagnosed with atypical endometrial hyperplasia. She is in good health otherwise. What is the recommended course of action for managing this condition?
MSFinals-1721
A 67-year-old woman visits her gynaecologist with complaints of discomfort and a dragging sensation, as well as a feeling of a lump in her genital area. Upon examination, the clinician notes a prolapse of the cervix, uterus, and vaginal wall, along with bleeding and ulceration of the cervix. Based on Pelvic Organ Prolapse Quantification (POPQ) grading, what type of prolapse is indicated by this patient’s symptoms and examination results?
MSFinals-1737
A 25-year-old woman is seeking advice on switching from the progesterone-only pill to combined oral contraception due to irregular bleeding. She is concerned about the risk of blood clotting adverse effects. What advice should be given to her regarding additional contraception when making the switch?
MSFinals-1722
A 50-year-old black woman presents with complaints of pelvic pressure and heavy menstrual bleeding. Upon undergoing a pelvic ultrasound scan, a large pelvic mass is discovered and subsequently removed through surgery. Histological examination reveals the presence of smooth muscle bundles arranged in a whorled pattern.
What is the correct statement regarding this case?