Med Student Finals Category: Gynaecology

MSFinals-1723

A 60-year-old woman presents with urinary frequency, recurrent urinary tract infections and stress incontinence. She is found to have a cystocoele. The woman had four children, all vaginal deliveries. She also suffers from osteoarthritis and hypertension. Her body mass index (BMI) is 32 and she smokes 5 cigarettes per day.
What would your first line treatment be for this woman?

MSFinals-1724

A 27-year-old woman with three children and a history of two previous terminations of pregnancy presents with menorrhagia. She is seeking advice on the most suitable contraceptive method for her.

What would be the most appropriate contraceptive agent for this patient?

MSFinals-1725

A 63-year-old woman presents with complaints of abdominal swelling, vomiting, and weight loss that have been progressively worsening over the past 6 months. She has a 30-year history of smoking. Imaging reveals bilateral ovarian tumors and a mass in the stomach. A biopsy taken during gastroscopy confirms the presence of adenocarcinoma. What histological characteristics are expected in the ovarian masses?

MSFinals-1726

A 17-year-old student presents to the genito-urinary medicine (GUM) clinic. She is worried about a fishy-smelling green vaginal discharge that she has developed. The symptoms have been ongoing for two weeks and include pruritus, dysuria and frequency. Vaginal swabs were taken and revealed a motile flagellate on wet film microscopy.
What is the causative organism for this patient’s symptoms?

MSFinals-1727

A 30-year-old woman visits an Infertility clinic with a complaint of irregular periods and difficulty conceiving for the past 2 years. During the examination, she is found to be obese (BMI 32) and hirsute. Mildly elevated androgen levels are also observed.
What is the probable reason for her condition?

MSFinals-1728

A 25-year-old female complains of lower abdominal pain that started one day ago. She has no significant medical history. During the examination, her temperature is 37.5°C, and she experiences extreme tenderness in the left iliac fossa with guarding. Bowel sounds are audible. What is the most suitable initial investigation for this patient?

MSFinals-1729

A 19-year-old woman presents with sudden onset lower abdominal pain and nausea. Upon examination, she is stable and has a temperature of 37.8 °C. There is tenderness in the right iliac fossa. Urinalysis reveals the presence of red blood cells (RBC) and white blood cells (WBC), but no nitrites. What is the most suitable subsequent test?

MSFinals-1730

A 62-year-old mother of three presents to the Gynaecology Clinic, having been referred by her general practitioner. She describes a dragging sensation and the feeling of a lump in her vagina. In addition, she also reports several embarrassing incidences of incontinence following coughing and sneezing. The clinician performs an examination which reveals a cystourethrocele. Both medical and surgical treatment options are discussed with the patient.
Which of the following surgical procedures could be treatment options for this patient?

MSFinals-1731

A 35-year-old woman presents to the clinic with a 1-year history of amenorrhoea and a milky discharge from both breasts. She is not taking any medications and a pregnancy test is negative. What is the next recommended test?