Gynaecology — Flashcards

Flashcard 101: What is the _____ management of uterine fibroids? Answer: Hysterectomy

Answer: definitive

Extra: - **Definitive management:** Hysterectomy - **Fertility-sparing management:** Myomectomy - **Non-surgical options:** Uterine artery embolization (UAE), Medical management (GnRH analogues, NSAIDs, OCPs)

Flashcard 102: What is the management of asymptomatic fibroids? _____

Answer: No treatment necessary; advise reviewing

Flashcard 103: What is the likely diagnosis in a premenopausal woman with heavy menstrual bleeding, dysmenorrhea, and an irregularly enlarged uterus? _____

Answer: Uterine fibroids

Flashcard 104: Endometriosis often presents with _____ and cyclic/continuous pelvic pain; it may also cause infertility

Answer: dysmenorrhea

Flashcard 105: What is the management of endometrial-related pain? 1st line _____

Answer: short trial of paracetamol and/or NSAIDs

Flashcard 106: If cervical cancer is suspected then _____

Answer: 2-week wait cancer pathway

Flashcard 107: On physical examination, uterine fibroids typically feel like a firm, irregular, & enlarged uterus that is _____

Answer: painless

Flashcard 108: What are the common presenting symptoms of endometriosis? (5) _____

Answer: chronic pelvic pain + Dysmenorrhoea, deep Dyspareunia, Dysuria & Dyschezia

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

Answer: 30

Flashcard 110: HRT increases ↑ the risk of _____ & ovarian cancer :(

Answer: breast