Name: Nathan Howes Candidate number: 999136

Theme: Gynaecological Pathology

OPTION LIST

A

Bacterial Vaginosis

I

CIN2

B

Candida albicans

J

CIN3

C

Ca Endometrium: Clear Cell

K

Dysfunctional Uterine Bleeding

D

Ca Endometrium: Epidermoid

L

Endometriosis / Adenomyosis

E

Ca Ovary: Epithelial

M

Lichen planus

F

Ca Ovary: Germ Cell

N

Lichen sclerosus

G

Ca Ovary: Stromal / Sex Cord

O

Trichomonas vaginalis

H

CGIN

P

VIN

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 Caucasian lady complains of a recent, brief PV bleed. On examination, white plaques are apparent on the vulva. The patient states that they have gradually worsened over the past months.

2. A 27-year-old woman complains of a copious vaginal discharge, unaccompanied by pain or pruritus. On further questioning, she denies promiscuity, and states that she is using an IUCD at present, with her long-term partner.

3. A 35-year-old, diabetic lady complains of deep dyspareunia. She is a smoker and has never used hormonal contraception. A diagnosis is made following a pipelle biopsy, and she is told the disease is low-grade.

4. Protective reproductive history factors for this type of ovarian cancer include multiparity, breast-feeding for, OCP use, and hysterectomy with tubal ligation. Fertility drug therapy may be a risk factor. HRT has no effect.

5. This cervical neoplasia is glandular, more common in younger women, and is associated with Diethylstilboestrol therapy and HPV 16 & 18 infection.

ANSWERS

1. N

2. A

3. D

4. E

5. H