Gynaecology — Flashcards

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

Answer: fallopian tube

Flashcard 92: If cervical cancer is suspected then _____

Answer: 2-week wait cancer pathway

Flashcard 93: On physical examination, uterine fibroids typically feel like a firm, irregular, & enlarged uterus that is _____

Answer: painless

Flashcard 94: What investigation is done for suspected uterine fibroids? _____

Answer: Pelvic ultrasound

Flashcard 95: What is the management of menopausal symptoms with a uterus? _____

Answer: hormone replacement therapy (HRT) → oestrogen plus progestogen preparation

Flashcard 96: What is the likely diagnosis in a premenopausal woman with heavy menstrual bleeding, dysmenorrhea, and an irregularly enlarged uterus? _____

Answer: Uterine fibroids

Flashcard 97: CIN1 often _____ on its own, but it can advance to CIN 2 or 3, which are high-grade dysplasia

Answer: regresses

Flashcard 98: What is the management of endometrial-related pain? 1st line _____

Answer: short trial of paracetamol and/or NSAIDs

Flashcard 99: Uterine fibroids can present with _____, pelvic pain & difficulty conceiving

Answer: menorrhagia

Flashcard 100: 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.