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 |