and Janesh Gupta2
(1)
Fetal Medicine, Rainbow Hospitals, Hyderabad, Telangana, India
(2)
University of Birmingham Birmingham Women’s Hospital, Birmingham, UK
SRH 1
The incidence of hot flushes in surgically induced menopause:
A.
25 %
B.
50 %
C.
60 %
D.
75 %
E.
90 %
SRH2
A 22-year-old woman presents to her GP for advice regarding the most appropriate postnatal contraception. She had an uncomplicated vaginal delivery 6 weeks back at 40 weeks gestation. She is intermittently breastfeeding and bottle feeding her baby. She and her partner are keen to space out child bearing by 2–3 years and requesting for the most reliable form of contraception. She admits to having difficulty in remembering to take contraceptive medication. Select the SINGLE most appropriate contraceptive option:
A.
Combined contraceptive vaginal ring
B.
Combined oral contraceptive pill
C.
Condoms
D.
Lactational amenorrhoea
E.
Progestogen only implant
SRH3
A 22-year-old woman presents to her GP for advice regarding the most appropriate postnatal contraception. She had an uncomplicated vaginal delivery at 40 weeks gestation 3 weeks prior.
She is bottle feeding her baby. She and her partner are keen to space out child bearing by 1–2 years and wishing a reliable form of contraception. She has a history of irregular menstrual cycles and polycystic ovarian syndrome. Select the SINGLE most appropriate contraceptive option:
A.
Combined oral contraceptive pill
B.
Copper intrauterine device
C.
Levonorgestrel-releasing intrauterine system (Mirena)
D.
Progestogen only pill
E.
Progestogen only injectable
SRH4
Which one of the following is correct in relation to vaginal discharge?
A.
Empirical treatment, based on history taking alone, is appropriate if BV or candida is clinically suspected and the risk of PID is considered very low.
B.
Is more characteristic with chlamydia than trichomonas vaginalis infection.
C.
The presence of Gardnerella vaginalis alone is sufficient to diagnose BV.
D.
Vaginal pH measurement can help distinguish between bacterial vaginosis and trichomonas vaginalis.
E.
Wet microscopy of the discharge is unreliable and unlikely to yield causative organism.
SRH5
A 26-year-old woman sought contraceptive advice, and after considering all her options, she decided to start on the combined oral contraceptive pill. As you have to advise her on the best method of using these pills, you are giving her some directions. Which of the following statements is incorrect in this regard?
A.
If you start the pill on the first day of your period, you will be protected from pregnancy immediately.
B.
If you start the pill at any other time in your menstrual cycle, you will need to use additional contraception, such as condoms, for the first 7 days of pill taking.
C.
If you miss one pill anywhere in your pack or start the new pack 1 day late, you will need to use additional contraception, such as condoms, for the first 7 days of pill taking.
D.
You can also start the pill up to, and including, the fifth day of your period and you will be protected from pregnancy immediately.
E.
You can start the pill any time in your menstrual cycle if you are sure you are not pregnant.
SRH6
Which one of the following is correct in relation to syphilis?
A.
Identified preferentially by culture of genital ulcer exudate in artificial media.
B.
Dark field microscopy of genital ulcer (chancre) exudate is non-diagnostic.
C.
Antibacterial treatment in early pregnancy does not prevent congenital syphilis.
D.
Primary syphilis is associated with a mucocutaenous rash.
E.
Secondary syphilis is associated with generalised lymphadenopathy.
SRH7
Which one of the following is correct in relation to neisseria gonorrhoea?
A.
Culture requires anaerobic medium.
B.
Is not a recognised cause for neonatal ophthalmia neonatorum (neonatal ‘sticky eye’).
C.
Infects superficial mucosal surfaces lined with squamous epithelium.
D.
Untreated, may cause a syndrome of fever, skin lesions, arthritis and endocarditis.
E.
Vaccine preventing transmission exists.
SRH8
Which one of the following is correct in relation to chlamydia?
A.
Chlamydial infection is the second most common bacterial sexually transmitted infection in the UK.
B.
If diagnosed during pregnancy, antibiotic treatment should be deferred till after delivery.
C.
May cause triad of arthritis, conjunctivitis and urethritis in young men.
D.
More likely to be symptomatic than asymptomatic in women.
E.
Previous chlamydia does not increase the risk of ectopic pregnancy.
SRH9
Which one of the following is correct in relation to diagnosing and treating acute pelvic inflammatory disease (PID)?
A.
All cases diagnosed with PID require transvaginal ultrasound scanning.
B.
Long-term sequelae are unrelated to the severity of PID at presentation.
C.
Outpatient antibiotic treatment should not be commenced prior to identification of organisms on swabs or knowing their sensitivities.
D.
Over the long term, a copper IUD is associated with a lower rate of PID compared to Mirena LNGIUS.
E.
The absence of endocervical or vaginal pus cells on a wet-mount vaginal smear reliably excludes PID.
SRH10
Which one of the following drugs, if given in combination with the combined oral contraceptive (COC), will reduce the contraceptive efficacy of COC?
A.
Ampicillin
B.
Doxycycline
C.
Erythromycin
D.
Rifampicin
E.
Sodium valproate
SRH11
The contraceptive injection, which lasts for 3 months, contains which one of the following:
A.
Depot medroxyprogesterone acetate
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