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MCCQE1 GYNAECOLOGY EXAM NEWEST 2025/2026 COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS

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MCCQE1 GYNAECOLOGY EXAM NEWEST 2025/2026 COMPLETE ALL QUESTIONS AND CORRECT DETAILED ANSWERS

Institution
MCCQE1
Course
MCCQE1

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Management of overflow incontinence


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intermittent self-cath, cholinergics (↑bladder contactility) + α1-blockers
(↑urethral resistance)

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soft/rubbery, smooth surface, mobile, painful, <50 y/o, Malignant masses:
firm/hard, irregular surface, fixed, painless, >50 y/o




CIN 3 management


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LEEP
dysplasia >2/3 to full epithelium, sever




Examples of tubal factors causing infertility


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, Endometriosis
-surgical ablation (if fertility desired)
hysterectomy + LOA + removal of implants (definitive)




Pelvic adhesions
-surgery (lysis of adhesions)



PID
IV clindamycin + gentamicin (pregnant)
IV ceftriaxone + doxycycline (not pregnant)




Tubal ligation
IVF/ICSI




epidermal inclusion cyst tx


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I+D or excision if infected




What are four examples of end organ disorders causing primary amenorrhea


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, 1.Savage syndrome: ΔFSH/LH-receptor → primary ovarian failure

2.Turner syndrome: 45/XO → rapid ovarian atresia → streak gonads w/o
oocytes left; Tx GH + estrogen

3. 17α-hydroxylase deficiency: can't produce testosterone but still have MIF
→ 46/XY female w/ blind pouch vagina

4.Swyer syndrome: male w/o testes → 46/XY female w/ both internal and
external female genitalia




Management of stress inconteincen


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surgery to stabilize hypermobile urethra (best), Kegel exercises, pessaries




Hyperprolactinemia and infertility mechanism and tx


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Hyperprolactinemia × infertility: ↑prolactin → ↓GnRH; Tx dopamine analogs
(cabergoline, bromocriptine) vs. surgery




CAH


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MCCQE1
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MCCQE1

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