Name: Tim Hookway

Theme: Gynaecological pathology

OPTION LIST

A	Arias – Stella Phenomenon	I	Polycystic Ovary Syndrome
B	Candidiasis	J	Salpingitis
C	Cervical Polyps
D	Ectopic Pregnancy
E	Endometriosis
F	Endometritis
G	Fibroids
H	Herpes Virus Infection

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

1. A 25 year old diabetic woman presents with a week long history of an itch in her groin accompanied by a ‘cheese like’ discharge. The vagina and vulva were red and sore, and strings of mycelium were shown on microscopy.

2. A 30 year old woman presents with lower abdominal pain accompanied by fever. She has been using an intra uterine contraceptive device since her wedding three years ago.

3. A 40 year old woman has always known cramping pain associated with her periods – which have usually been heavy. Recently this pain has become constant throughout the month, and her periods have become more frequent. She claims never to have used oral contraception and has no children. She is abstaining from sexual intercourse as it is too painful.

4. A 23 year old presents with worsening vaginal bleeding and abdominal pain. This started about a month ago and she has not had sex since the bleeding started. She has missed her last two periods. Passing water and defecation are painful, and she has noticed some pain in her shoulders.

5. A 30 year old woman attends a fertility clinic as her and her husband are unable to conceive. For the last few years her periods have been fairly heavy and prolonged. She has stopped wearing skirts because she thinks her ankles look fat.

ANSWERS

1. B

2. F

3. E

4. D

5. G