Gynaecology — Flashcards

Flashcard 101: How is menopause diagnosed? _____

Answer: Clinically, FSH measurement is not recommended by NICE in healthy woman > 45 years

Flashcard 102: What is the likely diagnosis in a premenopausal woman with heavy menstrual bleeding, dysmenorrhea, and an irregularly enlarged uterus? _____

Answer: Uterine fibroids

Flashcard 103: On physical examination, uterine fibroids typically feel like a firm, irregular, & enlarged uterus that is _____

Answer: painless

Flashcard 104: What is the management of endometrial-related pain? 1st line _____

Answer: short trial of paracetamol and/or NSAIDs

Flashcard 105: What is the most common presenting symptom in endometriosis?

Answer: Chronic pelvic pain / Secondary Dysmenorrhea

Extra: While dysmenorrhea is the most common specific symptom, chronic pelvic pain is the most frequent general presenting complaint. Infertility is another major presentation (found in ~30-50% of cases).

Flashcard 106: Uterine fibroids can present with _____, pelvic pain & difficulty conceiving

Answer: menorrhagia

Flashcard 107: _____ is a chronic gynaecological condition characterised by the presence of endometrial-like tissue outside the uterus

Answer: Endometriosis

Flashcard 108: What is the most common cervical cancer? _____

Answer: Squamous cell cancer (80%)

Flashcard 109: Peak incidence rates of cervical cancer are in women aged _____-34 years

Answer: 30

Flashcard 110: To reduce fibroid size (e.g. pre-surgery), medical management may involve _____

Answer: GnRH agonists e.g. goserelin acetate