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Extended matching questions 1 g y naecological

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Extended matching questions1. Gynaecological pathologyAEctopic pregnancyBUterine fibroidsCEndometriosisDOvarian cystECarcinoma of ovaryFPelvic inflammatory disease (PID)Choose and match the correct diagnoses with each of the scenarios below:1A 25-year-old woman has been admitted with severe right-sided lower abdominal pain of4 h duration. The pain gradually spread to the left side. It was colicky to start with but hasnow settled to a continuous agonising pain. She is apyrexial, sweaty, with a blood pressure of110/60 mmHg and a pulse of 120/min. Abdominal examination reveals tenderness, rigidity andrebound tenderness over the entire lower abdomen.2A 35-year-old woman has been admitted with sudden onset of severe right-sided lowerabdominal pain of 6 h duration. She is unsure about her last menstrual period and has beentrying to conceive for the first time. On examination she is apyrexial, looks pale, her bloodpressure is 80/50 mmHg, and pulse is 120/min; she is extremely tender over the entire lowerabdomen. On vaginal examination there is cervical excitation and the os is closed.3In the outpatient clinic, a 38-year-old woman complains of severe dysmenorrhoea for severalmonths. Recently she has developed chronic pain deep in the lower abdomen. She also suffersfrom mid-menstrual pain. She has not conceived as yet, although she would like to. She haschronic fatigue. On examination she is tender in her lower abdomen, and vaginal and rectalexaminations show tenderness in the fornices and irregular nodules are felt in the pouch ofDouglas.4A 27-year-old woman complains of foul-smelling vaginal discharge of several months’ duration.She has frequency of micturition and intermittent lower abdominal pain and fever. She has anIUCD inserted at present. On examination she looks in discomfort and is tender over her lowerabdomen. Vaginal examination shows foul-smelling cervical discharge.
GENITOURINARY5565A 60-year-old woman complains of unexplained gain in weight and increase in her girth overthe last 6 months. Recently she found that her clothes are getting tight and she has to wearskirts two sizes larger. She has some generalised abdominal discomfort and shortness ofbreath. Recently she has been constipated with frequency of micturition. On examination shehas generalised abdominal distension and ascites with shifting dullness and fluid thrill.6A 40-year-old woman complains of lower abdominal discomfort of several months’ duration.She has heavy periods, frequency of micturition, constipation and backache. On examinationshe looks pale; abdominal examination reveals a firm mass in the suprapubic area about 8 cmlong and 5 cm wide. The lower limit of the mass cannot be felt.Answers: Multiple choice questionsAnatomyand physiology1. A, B, C, DThe uterine arteries arise from the anterior branch of the internal iliac arteries.

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