Diagnosis:
Vomiting in Pregnancy:
29. Dehydration in hyperememsis=admit and give IV fluids
30. MOLAR PREGNANCY=hyperemesis gravidarum + large for dates uterus
31. Space Occupying lesion/Brain tumor= previous h/o uneventful pregnancy+ worsening continuous
headache from 14 weeks + increasing nausea & vomiting+ blurring of vision
32. 3 year history of vague right upper quadrant pain+ increasing nausea and vomiting in
pregancy=CHOLECYSTITIS
Hormonal Essay:
38. IOC for infertility in a regular 28day cycle=DAY 21 PROGESTERONE
39. PCOS= reversed FSH: LH ratio + low serum progesterone levels+ increased testosterone and
DHEA-S
40. POF= increased FSH, LH. THEREFORE DO TWO READINGS OF FSH 4 WEEKS APART
41. FOLLOW UP FOR MOLAR PREGNANCY = urinary or serum beta hCG every two weeks till levels
become normal
CONTRACEPTION:
42. young lady non smoker + regular partner+ contraception= COCP
43. young lady, smoker+ family history of DVT+ PE +regular partner+ heavy periods=IUS
44. HIV patient+ contraception = Barrier method=male +female condoms
45. young woman with learning disability +heavy bleed=INJ. DEPOT PROVERA
46. 14year girl + sexually active >>> contraception =COCP+ condoms
47. >> 35 year old smoker+contraception + doesnot wish to gain weight=IUCD(inserted within 48 hours of delivery / after 4 weeks)
48. young lady+heavy periods+ dysmenorrhoea+ contraception=COCP
49. rifampicin+COCP=use additional Barrier method
50. learning disability+ contraception = IMPLANON
51. Breast feeding woman+contraception =POP
52. Lady presenting within 96hours of unprotected intercourse, on the 12 TH day of the cycle
>>> emergency contraception >>> not interested in long term contraception =ELLA ONE (ULIPRISTOL ACETATE)
53. Lady presenting within 36hours of unprotected intercourse >>> emergency contraception
=LEVONORGESTEROL
CERVICAL PATHOLOGY
54. 34year woman >>> post coital bleed +speculum examination shows cervical ectopy >>> next best
step-CERVICAL SMEAR
55. Cervical smear with inflammatory changes=repeat smear after 6months, take swabs and treat
infection
56. 40 year woman+offensive bloody discharge+ulcerated cervix +bleeds on touch, friable=CERVICAL
CANCER
57. Metastasis of "C"ervical carcinoma=CT SCAN metastasis of endo"M"etrial cancer=MRI scan
58. Mild, moderate, severe dyskaryosis= Colposcopy
59. moderate dyskaryosis-colposcopy within 4weeks
60. ovarian risk factor=family history (cervical=smoking)
URINARY INCONTINENCE:
61. post hysterectomy >>> patient wetting herself continuously =URETROVAGINAL FISTULA (
Iatrogenic)
62. Obese woman+ c/o incontinence on sneezing /laughing=STRESS INCONTINENCE( KEIGAL EXERCISE
AND WEiGHT LOSS)
63. old lady+.cant hold urine, leaks before she reaches toilet=URGE INCONTINENCE (bladder diary,
bladder training, drug-oxybutinin)
MENOPAUSE:
64. 55 year old + h/o cardiovascular disease( essential HTN controlled by drugs)+ s/s of tiredness+ BMI
= >>>ADVICE: Calcium and Vit D+ Reduce weight + weight bearing exercise
65. 54 year old woman married 4months ago >>>complains of persistent dyspareunia and
dysuria=ATROPHIC VAGINITIS=ESTROGEN CREAM
66. 50 year old lady with perimenopausal symptoms=counselling on lifestyle changes
67. Relieve symptoms of menopause=Give HRT
