A 35-year-old woman comes requesting long-term reversible contraception. You advise that the method that can provide the longest protection is:
Answer: copper intrauterine device
A 25-year-old woman on liver enzyme inducers is requesting contraceptive advice. The method providing her with the most reliable form of contraception would be:
Answer: Depo-Provera injection
One of the following is true. Decreased peripheral resistance in pregnancy has been attributed to an increase in synthesis of:
One of the following is true. The increase in maternal blood volume in pregnancy occurs as a result of:
Answer: increased aldosterone synthesis
One of the following is true. Successful fertilisation and subsequent normal embryonic development:
Answer: require exclusion of the second polar body
One of the following is true. It is recognised that the positive predictive value of initial mammography for breast cancer within the national screening programme in the UK is 16%. This means that:
Answer: a patient with an abnormal initial mammogram has a 16% chance of having breast cancer
Which is the most appropriate statement concerning pulmonary embolism?
Answer: It may give symptoms similar to pneumonia.
Which one of the following statements about puberty is true?
Answer: Puberty is preceded by falling plasma levels of adrenal androgens.
Which one of the following statements about the implantation of the human embryo is true?
Answer: It will occur with the inner cell mass closest to the endometrium.
Which of the following statements concerning the anterior pituitary is true?
Answer: It is regulated by hypothalamic-releasing hormones.
Which one of the following statements about pituitary tumours is true?
Answer: A low testosterone level is more common than a low thyroxine level in men with non-functioning gonads.
The following are all causes of recurrent miscarriage, apart from:
Answer: chlamydia infection
The following are all consistent with the diagnosis of antiphospholipid syndrome except:
Answer: hydatidiform mole
A 20-year-old woman is referred with a problem of post-coital bleeding. Over the past two months it has occurred on six occasions and there has been a small amount of bright red blood noticed after intercourse. There is no associated pain. The following investigations should initially be performed, apart from:
The following statements regarding adenomyosis are true, apart from one.
Answer: Risk factors include increased parity, termination and quick labours.
A 24-year-old woman presents with the absence of periods for nine months. She started her periods at the age of 13 years and had a regular 28-day cycle until 18 months ago. The periods then became irregular, occurring every two to three months until they stopped completely. The following are all included in the differential diagnosis of secondary amenorrhoea, apart from:
A 28-year-old woman attends the colposcopy clinic after an abnormal smear test. The smear is reported as severe dyskaryosis and she has an intrauterine contraceptive device in situ. All of the following statements are likely to be true, apart from:
Answer: Lugol’s iodine is applied and the same area stains dark brown while the rest of the cervix stains pale
A 32-year-old woman presents to the gynaecology clinic with infrequent periods. A hormone profi le is done and all of the following are consistent with polycystic ovarian syndrome, apart from:
All of the following are effects of premature menopause, apart from:
Answer: decreased cardiovascular risk
All of the following drugs are associated with hyperprolactinaemia, apart from:
Answer: progesterone-only contraceptive pill