Question 1

A condition in which prolonged or excessive uterine bleeding occurs irregularly and more frequently than normal:&#10;A) Oligomenorrhoea&#10;B) Menorrhagia&#10;C) Metrorrhagia&#10;D) Menometrorrhagia

Accepted Answer

Menometrorrhagia is the correct term for a condition where there is prolonged or excessive uterine bleeding that occurs irregularly and more frequently than normal. It combines features of both menorrhagia (heavy menstrual bleeding) and metrorrhagia (bleeding at irregular intervals).

Question 2

An alternative therapy for primary dysmenorrhoea:&#10;A) Hypnosis&#10;B) Transcutaneous electrical stimulation (TENS)&#10;C) Hypnosis and Transcutaneous electrical stimulation (TENS)&#10;D) None are correct

Accepted Answer

Both hypnosis and Transcutaneous Electrical Nerve Stimulation (TENS) are recognized as alternative therapies for managing primary dysmenorrhea.

Question 3

Which among the following managements should be commenced in the ED as a treatment option for a non-pregnant woman presenting with menorrhagia without signs/symptoms of unstable haemodynamics?&#10;A) Pharmacotherapy&#10;B) Medicated IUDs&#10;C) Conservative surgical management&#10;D) None are correct

Accepted Answer

No main treatment should be commenced in the ED unless the patient proves to be haemodynamically unstable.This is due to the inability to follow up these women.They should be referred to a gynaecological practitioner.

Question 4

What laboratory result of a mother and baby's Rh grouping is a concern as it can be damaging to the baby?&#10;A) Mother is Rh positive and baby is Rh negative&#10;B) Mother is Rh negative and baby is Rh positive&#10;C) Both mother and baby are Rh negative&#10;D) Both mother and baby are Rh positive

Accepted Answer

When the mother is exposed to rhesus-positive blood of the baby, sensitisation develops and the antibodies produced by the mother can destroy the baby's blood cells.

Question 5

What diagnostic examination or finding is definitive and necessary in confirming complete miscrriage?&#10;A) Ultrasonography&#10;B) X-ray&#10;C) Above-normal count of beta-human chorionic gonadotropin&#10;D) Pregnancy products appear completely expelled

Accepted Answer

Ultrasonography is the definitive diagnostic tool for confirming a complete miscarriage by showing an empty uterus without any remaining pregnancy tissue.

Question 6

A hormonal level imbalance of oestrogen and luteinising hormone levels puts a woman at risk of developing:&#10;A) Ovarian cyst&#10;B) Endometritis&#10;C) Salpingitis&#10;D) Candidiasis

Accepted Answer

Ovarian cysts can develop due to hormonal imbalances, including imbalances in estrogen and luteinizing hormone. These hormones play key roles in the menstrual cycle and ovulation, and their imbalance can lead to the formation of cysts on the ovaries.

Question 7

A complication brought by the injection of follicle-stimulating hormone to help facilitate ovulation:&#10;A) Ovarian torsion&#10;B) Tubo-ovarian abscess&#10;C) Ovarian hyperstimulation syndrome&#10;D) Pelvic inflammatory disease

Accepted Answer

Ovarian hyperstimulation syndrome (OHSS) is a complication directly related to the use of fertility medications like follicle-stimulating hormone, which are used to induce ovulation. OHSS can cause swollen, painful ovaries.

Question 8

This gynaecological condition is commonly known as thursh:&#10;A) Endometriosis&#10;B) Chlamydia trachomatis&#10;C) Candidiasis&#10;D) Genital herpes

Accepted Answer

Candidiasis, often referred to as thrush, is a fungal infection caused by yeasts that belong to the genus Candida.

Question 9

Which among the following statements regarding genital herpes is NOT TRUE?&#10;A) It is caused by the herpes simplex virus.&#10;B) It can be cured using intensive anti-viral medications&#10;C) Its mode of transmission can be vaginal, anal and oral intercourse or skin-to-skin contact&#10;D) A woman affected with this disease experiences fevers, malaise, myalgias and dysuria

Accepted Answer

Genital herpes, caused by the herpes simplex virus, cannot be cured. Anti-viral medications can help manage symptoms and reduce the risk of transmission, but they do not eliminate the virus from the body.

Question 10

Responsible for providing lubrication of the genital vestibule through secretion of a clear fluid:&#10;A) Mons veneris&#10;B) Bartholin's gland&#10;C) Hymen&#10;D) Clitoris

Accepted Answer

Bartholin's glands are responsible for secreting a clear fluid that lubricates the vaginal vestibule, aiding in sexual intercourse and reducing friction.

Deck 33: Gynaecological Emergencies