MSFinals-1753
What is considered an unacceptable risk (UKMEC4) when prescribing the COCP for women under the age of 18?
Archives: Medical Student Finals
MSFinals-1754
A 73-year-old woman with ovarian cancer is attending the gynaecological oncology clinic. The consultant is discussing her pre-surgical prognosis, which is based on her risk malignancy index (RMI). Can you identify the three components of the RMI?
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?
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-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-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-1720
A gynaecologist is performing a hysterectomy for leiomyomata and menorrhagia on a 44-year-old woman. Once under anaesthesia, the patient is catheterised, and the surgeon makes a Pfannenstiel incision transversely, just superior to the pubic symphysis. After opening the parietal peritoneum, he identifies the uterus and makes a shallow, transverse incision in the visceral peritoneum on the anterior uterine wall, and then pushes this downwards to expose the lower uterus.
What is the most likely reason for this?
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-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?
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?