Q 1- A 30 years old sexually active female come with history of pruritisvulvae , superficial dysparonea & vaginal discharge for two month . On examination finding are thick cheesy discharge with cracked vulva . What is the best option for the treatment of this lady ?
a, Clotrimazol passerines
b, Treat the patner as well
c, Before initiating treatment do C/S endocervical swab
d, Tab Metronidazol 400mg for 7 days
e, No treatment required
Q- 2 –31 years old women presents as fishy offensive vaginal discharge, she describe as a
Grey, watery discharge, what is the most likely diagnosis ?
D, Bacterial vaginosis
Q-3- The treatment of choice of bacterial vaginosis ?
Q-4- A 24 Year women presents for the review complaining of heavy periods . This has been a problem for a number of years now. She has a 28 days cycle and has a heavy bleeding for 5 days . there is no intermenstural or postcoital bleeding . General and physical examination is
Unremarkable . What is the minimum set of investigations that this patient should be offered.
B, FBC +Ferritin
C, No investigation if gynaecological examination is normal
D, FBC + pelvic ultrasound
E, FBC + TFT
5- A 35 years old female come to you with a 4 month history of fatigue. She has had no major illness es in the past. She has noticed that during the last 12 months her menstural periods have become heavier and longer , lasting 7 -9 days with very heavy flow . She has three healthy children . On examination , she appears pale . Her lower eyelids ,buccal mucosa and skin is pale . BP 110/70mmHg.PULSE 86 BPM . Her physical and pelvic examination are normal . Her blood smear shows : red blood cells are hypochromic and microcytic. Her Hb is 9.5 g/dl and platelet count is 175000 per mm.
What is the most likely diagnosisof this patient?
A, Iron deficiency anemia
B , Hemolytic anemia
C, Folic acid deficiency anemia
D, Pernicious anemia
E, Anemia of chronic disease
6- This patient follows in your office a week later after hospitalization , Her Hb is now 9.6 g/dl.She says she has a black stool, nausea and constipation with ferrous fumurate medication. Your next suggestion is
A, prescribe slow iron (ferrous sulphate)
B, prescribe an enteric coated iron preparation
C, prescribe intramuscular injection of iron.
D, advice her to continue her current medication with concomitantuse.
E, admit the same day for iv iron administration.
7- What is most sensitive test for iron deficiency anemia ?
A, Serum iron
B, Serum total iron binding capacity
C, Serum ferritin
D, Serum tranferrin
E, Reticulocyte count
8-An 18 years old girl present to your office complaining of irregular periods. On examination she is found to be obese and evidence of excessive facial hair , and reports that her mother had similar problem . lab investigation shows normal esterogen level, elevated lutenizing hormones and low follicle stimulating hormones , elevated testosterone level and elevate 17 – ketosteroid most likely diagnosis is ?
B, Cushing syndrome
C, Polycystic ovarian syndrome
D, Adrenal adenoma
9- a 44 years old women presents with irregular vaginal bleeding. Appropriate initial management include ?
A, Endometrial biopsy
B, Trail of OCP
C, Depovera injection
D, Srgical referral
10- Dysfunction Uterine Bleeding most common at the time of
A, During pregnancy
B, During sexual intercourse
C, At the time of menopause
D, With development of PID (pelvic inflammatory disease).