MRCOG PART 2 GYNAECOLOGY EXAM WITH COMPLETE
SOLUTIONS!!! 100% VERIFIED!!! LATEST UPDATE ALREADY
GRADED A+
Suspect DVT but USG negative, next step of management - (ANSWER)If ultrasound is negative and a high
level of clinical suspicion exists, anticoagulant treatment should be discontinued but the ultrasound
should be repeated on days 3 and 7.
LICHEN SCLEROSIS - (ANSWER)pale atrophic vulva + scratch marks + lichenificaition + LOSS OF
ARCHITECTURE
When to rrBSO for BRCA 1 // BRCA 2 // TAHSBO for Lynch - (ANSWER)35 // 35 - 45 // completed family
or 40 years for cost effective strategy
Cervical Ca - what is the best method of radiologic assessment of primary tumors greater than 10
mm/1cm - (ANSWER)MRI is the best method of radiologic assessment of primary tumors greater than 10
mm.
VULVA CA with FIGO Stage IA tumours - definition and management? - (ANSWER)Patients with FIGO
Stage IA tumours, where the primary lesion is <2 cm in maximum diameter with a depth of invasion <1
mm, can be treated by RADICAL wide local excision alone WITHOUT the need for groin
lymphadenectomy.
Management of vulva Ca with stage 1B and II - (ANSWER)All women who have Stage IB or Stage II
cancers should have an inguinofemoral lymphadenectomy.
differentiated VIN is associated with - (ANSWER)lichen sclerosus, ALSO most common cause for
SQUAMOUS CELL CARCINOMA.
on the contrary, undifferentiated VIN is associated with HPV
risk of complete molar requiring Chemo - (ANSWER)13 -16% FOR COMPLETE MOLAR
,MRCOG PART 2 GYNAECOLOGY EXAM WITH COMPLETE
SOLUTIONS!!! 100% VERIFIED!!! LATEST UPDATE ALREADY
GRADED A+
perecentage of women diagnosed with ENDOMETRIAL CANCER after initial inadequate sample -
(ANSWER)4.5%
First line treatment of PMS - (ANSWER)FIRST LINE: Drospirenone-containing COCs (YASMIN)
o Use COC continuously (rather than cyclically)
RMI scoring - ultrasound features - (ANSWER)solid, multilocular, bilateral, ascites, mets
Most common upper limb nerve injury during gynaecological surgery - (ANSWER)ERB PALSY (C5-6) due
to stretch injury
unexplained interility should try how long before IVF - (ANSWER)2 YEARS!
Pregnant + <22 weeks with cervical cancer what is the management? 1A2 OR 1B1 - (ANSWER)PLND
positive : TOP
PLND negative: simple trachelectomy or Delay treatment after delivery
Pregnant + >22weeks with cervical cancer what is the maangement? 1A2 or 1B1 - (ANSWER)NACT or
Delay treatment after delivery
When to screen for STD after assaulted rape - (ANSWER)2- 3 weeks
possible adverse impact on long-term neurodevelopment of the newborn following in utero exposure to
which antiepileptic - (ANSWER)sodium valproate.
commonest vascular injury during umbilical port insertion - (ANSWER)common iliac
risk of ovarian cancer for BRCA 1 and 2 - (ANSWER)BRCA 1 : 30 - 40
, MRCOG PART 2 GYNAECOLOGY EXAM WITH COMPLETE
SOLUTIONS!!! 100% VERIFIED!!! LATEST UPDATE ALREADY
GRADED A+
BRCA 2: 10 - 20
Women on tamoxifen are advised to stop this treatment how long before conceiving - (ANSWER)Women
on tamoxifen are advised to stop this treatment 3 months
GOLD STANDARD to diagnose MRKH - (ANSWER)MRI
adhesion in previous midline incision vs low transverse - (ANSWER)50% vs 20%
Atypical hyperplasia has been associated with a rate of concomitant carcinoma of up to ??? % in women
undergoing hysterectomy - (ANSWER)43%
what is regression for hyperplasia with atypia and what is the long term follow up - (ANSWER)2
consecutive negative biopsy 3 months apart . then 6-12 monthly endometrial biopsy
EH with atypia , when can conceive - (ANSWER)disease regression seen on ONE biopsy
if beta HCG >13% DECREASE, what is the liekly diagnosis and how to follow up - (ANSWER)failed PUL.
UPT in 2 weeks . repeat serum hCG if +ve
treatment of post hysterec vault prolapse ( name 2) - (ANSWER)abdominal sacrocolpopexy (less
dyspareunia),
SSF ( not appropriate for short vagina length)
? performed at the time of sacrocolpopexy is an effective measure to reduce postoperative symptomatic
SUI in previously continent women. - (ANSWER)Colposuspension
SOLUTIONS!!! 100% VERIFIED!!! LATEST UPDATE ALREADY
GRADED A+
Suspect DVT but USG negative, next step of management - (ANSWER)If ultrasound is negative and a high
level of clinical suspicion exists, anticoagulant treatment should be discontinued but the ultrasound
should be repeated on days 3 and 7.
LICHEN SCLEROSIS - (ANSWER)pale atrophic vulva + scratch marks + lichenificaition + LOSS OF
ARCHITECTURE
When to rrBSO for BRCA 1 // BRCA 2 // TAHSBO for Lynch - (ANSWER)35 // 35 - 45 // completed family
or 40 years for cost effective strategy
Cervical Ca - what is the best method of radiologic assessment of primary tumors greater than 10
mm/1cm - (ANSWER)MRI is the best method of radiologic assessment of primary tumors greater than 10
mm.
VULVA CA with FIGO Stage IA tumours - definition and management? - (ANSWER)Patients with FIGO
Stage IA tumours, where the primary lesion is <2 cm in maximum diameter with a depth of invasion <1
mm, can be treated by RADICAL wide local excision alone WITHOUT the need for groin
lymphadenectomy.
Management of vulva Ca with stage 1B and II - (ANSWER)All women who have Stage IB or Stage II
cancers should have an inguinofemoral lymphadenectomy.
differentiated VIN is associated with - (ANSWER)lichen sclerosus, ALSO most common cause for
SQUAMOUS CELL CARCINOMA.
on the contrary, undifferentiated VIN is associated with HPV
risk of complete molar requiring Chemo - (ANSWER)13 -16% FOR COMPLETE MOLAR
,MRCOG PART 2 GYNAECOLOGY EXAM WITH COMPLETE
SOLUTIONS!!! 100% VERIFIED!!! LATEST UPDATE ALREADY
GRADED A+
perecentage of women diagnosed with ENDOMETRIAL CANCER after initial inadequate sample -
(ANSWER)4.5%
First line treatment of PMS - (ANSWER)FIRST LINE: Drospirenone-containing COCs (YASMIN)
o Use COC continuously (rather than cyclically)
RMI scoring - ultrasound features - (ANSWER)solid, multilocular, bilateral, ascites, mets
Most common upper limb nerve injury during gynaecological surgery - (ANSWER)ERB PALSY (C5-6) due
to stretch injury
unexplained interility should try how long before IVF - (ANSWER)2 YEARS!
Pregnant + <22 weeks with cervical cancer what is the management? 1A2 OR 1B1 - (ANSWER)PLND
positive : TOP
PLND negative: simple trachelectomy or Delay treatment after delivery
Pregnant + >22weeks with cervical cancer what is the maangement? 1A2 or 1B1 - (ANSWER)NACT or
Delay treatment after delivery
When to screen for STD after assaulted rape - (ANSWER)2- 3 weeks
possible adverse impact on long-term neurodevelopment of the newborn following in utero exposure to
which antiepileptic - (ANSWER)sodium valproate.
commonest vascular injury during umbilical port insertion - (ANSWER)common iliac
risk of ovarian cancer for BRCA 1 and 2 - (ANSWER)BRCA 1 : 30 - 40
, MRCOG PART 2 GYNAECOLOGY EXAM WITH COMPLETE
SOLUTIONS!!! 100% VERIFIED!!! LATEST UPDATE ALREADY
GRADED A+
BRCA 2: 10 - 20
Women on tamoxifen are advised to stop this treatment how long before conceiving - (ANSWER)Women
on tamoxifen are advised to stop this treatment 3 months
GOLD STANDARD to diagnose MRKH - (ANSWER)MRI
adhesion in previous midline incision vs low transverse - (ANSWER)50% vs 20%
Atypical hyperplasia has been associated with a rate of concomitant carcinoma of up to ??? % in women
undergoing hysterectomy - (ANSWER)43%
what is regression for hyperplasia with atypia and what is the long term follow up - (ANSWER)2
consecutive negative biopsy 3 months apart . then 6-12 monthly endometrial biopsy
EH with atypia , when can conceive - (ANSWER)disease regression seen on ONE biopsy
if beta HCG >13% DECREASE, what is the liekly diagnosis and how to follow up - (ANSWER)failed PUL.
UPT in 2 weeks . repeat serum hCG if +ve
treatment of post hysterec vault prolapse ( name 2) - (ANSWER)abdominal sacrocolpopexy (less
dyspareunia),
SSF ( not appropriate for short vagina length)
? performed at the time of sacrocolpopexy is an effective measure to reduce postoperative symptomatic
SUI in previously continent women. - (ANSWER)Colposuspension
