Gynaecology — Flashcards

Flashcard 81: _____ is an infection & inflammation of the upper female reproductive tract (uterus, fallopian tubes, & ovaries)

Answer: Pelvic inflammatory disease

Flashcard 82: Patients with suspected pelvic inflammatory disease should be tested for _____ & Neisseria gonorrhoeae with a vaginal/cervical swab (NAAT)

Answer: Chlamydia trachomatis

Flashcard 83: Ovarian cancer vaguely presents with _____, early satiety, abdominal/pelvic pain, and urinary frequency/urgency

Answer: bloating

Flashcard 84: CA125 _____ be used for the screening of ovarian cancer in ASYMPTOMATIC women

Answer: should not

Flashcard 85: What is the management of ovarian cancer? _____

Answer: Surgery + platinum-based chemotherapy

Flashcard 86: What is the initial investigation of choice for a suspected ovarian mass/cancer?\n_____

Answer: Ultrasonography (USG)

Flashcard 87: What does first-line surgical mangement for ectopic pregnancy involve? _____

Answer: Salpingectomy

Flashcard 88: If ectopic pregnancy has a _____ heart rate then surgical management is indicated

Answer: visible

Flashcard 89: What is the initial investigation for ectopic pregnancy? _____

Answer: Urine pregnancy test

Extra: Diagnostic algorithm for Ectopic Pregnancy: 1. **Initial/Best screening test:** Urine Pregnancy Test (UPT). If negative, ectopic is highly unlikely. 2. **Next step/Investigation of choice:** Transvaginal Ultrasound (TVS). 3. **Gold standard:** Laparoscopy (usually reserved for treatment or hemodynamically unstable patients). 4. **Bio-chemical marker:** Serial serum beta-hCG (failure to double in 48 hours).

Flashcard 90: What gynaecological disorder is a risk factor for ectopic pregnancy? _____

Answer: Endometriosis