Name: Henry Gann

Theme: Gynaecological pathology

 

OPTION LIST

 

A	Adenomyosis	I	Ovarian clear cell carcinoma
B	Cervical carcinoma	J	Papillary serous cystadenocarcinoma
C	Choriocarcinoma	K	Pregnancy
D	Endometrial adenosquamous carcinoma	L	Salpingitis
E	Endometriosis	M	Theca cell tumour
F	Krukenberg tumour	N	Vulval carcinoma
G	Leiyomyoma	O
H	Leiyomyosarcoma	P

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 55 year old woman comes for her repeat prescription of HRT. She mentions her sadness at never having children. However recently she has been feeling increasingly bloated with urinary frequency and asks if it is possible she is pregnant.

 

 

2. A 46 year old woman complains of painful sexual intercourse. She also mentions some urinary frequency and sometimes vaginal bleeding not typical of her cycle.

 

 

3. A 30 year old woman on the oral contraceptive pill since her first sexual intercourse at 15. She now complains of back pain and pain during intercourse.

 

 

4. A 26 year old prostitute with fever and purulent vaginal discharge.

 

 

5. A 40 year old woman who presents with increase pain, bleeding and a ‘contraction’ feeling at menstruation. She has previously had a caesarean section. 

 

 

 

ANSWERS

1. I

2. G

3. B

4. L

5. A

Note: in some cases above it is impossible to work out the correct pathological diagnosis from the questions as there is not enough information.