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69 Extended matchingquestions Theme: Contraception a Mirena coil b Combined oral contraceptive pill c Progesterone-only pill d Copper coil e Male condom f Diaphragm g Implant h Female condom i Cap j Medroxyprogesterone IMFor each scenario described below, choose the single most appropriateanswer from the above list of options. Each option may be used once,more than once or not at all. 1 Associated with an increased risk of actinomycosis and pelvicinflammatory disease. SBAs AND EMQs IN OBSTETRICS AND GYNAECOLOGY FOR MEDICAL STUDENTS 70 2 Specifically contraindicated in women over the age of 35 whosmoke, with a history of hypertension. 3 Associated with a reduced incidence of pelvic inflammatory disease.It is known to cause irregular bleeding in the first three months. 4 Side-effects include weight gain, irregular bleeding and anincreased risk of osteoporosis. 5 Known to be an effective treatment against pelvic inflammatory disease and endometrial cancer. EXTENDED MATCHING QUESTIONS 71 Theme: Tumours a Vulval b Endometrial c Ovarian d Cervical e Serous cystadenoma f Clear cell g Endometrioid h Mucinous cystadenoma i Teratoma j DysgerminomaFor each scenario described below, choose the single most appropriateanswer from the above list of options. Each option may be used once,more than once or not at all. 1 Associated with an elevated serum CA 125. 2 Known to contain tissue from the germ cells of the ovary, hair andteeth. 3 The second most common malignancy in women worldwide. 4 An oestrogen-secreting tumour associated with abdominal bleed-ing seen commonly in women over the age of 40. 5 A malignant tumour accounting for approximately 10% of ovariancancers that carries a poor prognosis. SBAs AND EMQs IN OBSTETRICS AND GYNAECOLOGY FOR MEDICAL STUDENTS 72 Theme: Investigations a Ultrasound scan b High vaginal swab c Endocervical swab d Blood cultures e LH:FSH ratio f Thyroid function tests g Prolactin h Progesterone i Oestrogen j Abdominal X-ray For each scenario described below, choose the single most appropriateanswer from the above list of options. Each option may be used once,more than once or not at all. 1 The diagnostic test for gonorrhoea. 2 The diagnostic test for a woman presenting with a curd-like grey-coloured vaginal discharge. 3 A serum investigation for a middle-aged woman presenting with weight gain, acne and hirsutism. 4 An Afro-Caribbean woman presenting with painful periods andurinary retention. 5 A woman presenting with a frothy yellow discharge and strawberry-red cervix following speculum assessment.
