Gynaecology — Flashcards

Flashcard 111: The incidence of uterine fibroids increases with _____ and fibroids tend to shrink post-menopause

Answer: age

Flashcard 112: Uterine fibroids are _____ smooth muscle tumours of the uterus that are most commonly located in the myometrium

Answer: benign

Flashcard 113: How is menopause diagnosed? _____

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

Flashcard 114: What is the buzzword for cervical cancer? _____

Answer: Postcoital bleeding

Flashcard 115: Cervical cancer may present with _____ and abnormal appearance of the cervix upon examination

Answer: abnormal vaginal bleeding or discharge

Flashcard 116: On physical examination, uterine fibroids typically feel like a firm, irregular, & enlarged uterus that is _____

Answer: painless

Flashcard 117: 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 118: _____ is a chronic gynaecological condition characterised by the presence of endometrial-like tissue outside the uterus

Answer: Endometriosis

Flashcard 119: What is the likely diagnosis in a premenopausal woman with heavy menstrual bleeding, dysmenorrhea, and an irregularly enlarged uterus? _____

Answer: Uterine fibroids

Flashcard 120: What is the management of endometrial-related pain? 1st line _____

Answer: short trial of paracetamol and/or NSAIDs