Gynaecology — Flashcards

Flashcard 91: ~95% of ectopic pregnancies implant in the _____

Answer: fallopian tube

Flashcard 92: What is the buzzword for cervical cancer? _____

Answer: Postcoital bleeding

Flashcard 93: Most fibroids are _____, often discovered incidentally during exams or imaging

Answer: asymptomatic

Flashcard 94: What is the management of asymptomatic fibroids? _____

Answer: No treatment necessary; advise reviewing

Flashcard 95: What is the gold standard investigation for the diagnosis of endometriosis?

Answer:

Extra: Laparoscopy allows direct visualization of lesions (e.g., powder-burn spots, chocolate cysts) and enables histological confirmation via biopsy. It is considered the gold standard for diagnosis.

Flashcard 96: Cervical cancer may present with _____ and abnormal appearance of the cervix upon examination

Answer: abnormal vaginal bleeding or discharge

Flashcard 97: What is the treatment for menorrhagia in uterine fibroids if contraception is undesired? _____

Answer: NSAIDs + tranexamic acid

Flashcard 98: The incidence of uterine fibroids increases with _____ and fibroids tend to shrink post-menopause

Answer: age

Flashcard 99: What are the non-hormonal pharmacotherapy options for vasomotor symptoms in menopause?\n_____

Answer: SSRI, SNRI, Gabapentin, or Clonidine

Extra: Hormone Replacement Therapy (HRT) is the most effective treatment for vasomotor symptoms but is contraindicated in patients with a history of breast cancer, thromboembolism, or active liver disease. Non-hormonal options like Paroxetine (SSRI) or Venlafaxine (SNRI) are preferred in these cases.

Flashcard 100: Uterine fibroids are _____ smooth muscle tumours of the uterus that are most commonly located in the myometrium

Answer: benign