56 years old woman has come to you with the complaints of hot flushes irritability, joint pains with lack of sleep. Most appropriate treatment would be: a) Hysterectomy. b) Vitamins. c) Combined oestrogen, progesterone preparations. d) Phytooestrogens. e) Selective estrogen receptor modulators (SERMS).

56 years old woman has come to you with the complaints  of hot flushes irritability, joint pains with lack of sleep.  Most appropriate treatment would be:
a) Hysterectomy.
b) Vitamins.
c) Combined oestrogen, progesterone preparations.
d) Phytooestrogens.
e) Selective estrogen receptor modulators (SERMS).
by

1 Answer

Answer :

c) Combined oestrogen, progesterone preparations.
by

Related questions

A 43 year old, lecturer has come to you with complaints of heavy but regular menstrual bleeding with flooding and clots. There is no anatomical reason for heavy flow. The most effective remedy for reducing her menstrual flow is: a) Tranexemic acid. b) Dilatation and Curettage. c) Depomedroxy progesterone acetate. d) Misoprostol. e) Ergometrine maleate.

Description : A 43 year old, lecturer has come to you with complaints of heavy but regular menstrual bleeding with flooding and clots. There is no anatomical reason for heavy flow. The most effective ... ) Dilatation and Curettage. c) Depomedroxy progesterone acetate. d) Misoprostol. e) Ergometrine maleate.

Last Answer : a) Tranexemic acid.

A 28 years old woman has 14 weeks size irregular uterus. She does not complain of abdominal pain or menorrhagia. Her pap smear is normal. The best next step in her management would be: a) Continued observation. b) Endometrial biopsy. c) Hysterectomy. d) Pelvic ultrasonography. e) Laparoscopy.

Description : A 28 years old woman has 14 weeks size irregular uterus. She does not complain of abdominal pain or menorrhagia. Her pap smear is normal. The best next step in her management would be: a) Continued observation. b) Endometrial biopsy. c) Hysterectomy. d) Pelvic ultrasonography. e) Laparoscopy.

Last Answer : continued observation is required in such a case as the patient is stable

58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be: a) Colposcopy. b) Pap smear. c) Cone biopsy. d) D & C (dilatation & Curettage). e) Hysteroscopy

Description : 58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be: a) Colposcopy. b) Pap smear. c) Cone biopsy. d) D & C (dilatation & Curettage). e) Hysteroscopy

Last Answer : d) D & C (dilatation & Curettage).

Which of the following is used as an emergency contraceptive: a) Combined oral contraceptive pills. b) Progesterone only. c) Depoprovera. d) Levonorgestril (EM-Kit). e) Ergometrine.

Description : Which of the following is used as an emergency contraceptive: a) Combined oral contraceptive pills. b) Progesterone only. c) Depoprovera. d) Levonorgestril (EM-Kit). e) Ergometrine.

Last Answer : d) Levonorgestril (EM-Kit).

A 28 years old G3 P2 has presented with complaints of brownish vaginal discharge, passage of vesicles and excessive vomiting. Ultrasound scan shows snowstorm appearance in uterus with no fetus. The most likely diagnosis is: a) Septic induced abortion. b) Twin pregnancy. c) Gestational trophoblastic disease. d) Ectopic pregnancy. e) Fibroid uterus.

Description : A 28 years old G3 P2 has presented with complaints of brownish vaginal discharge, passage of vesicles and excessive vomiting. Ultrasound scan shows snowstorm appearance in uterus with no fetus. The ... Twin pregnancy. c) Gestational trophoblastic disease. d) Ectopic pregnancy. e) Fibroid uterus.

Last Answer : The answer is most likely (a) a septic abortion, because the young lady is presenting with symptoms of a serious uterine infection that is discoloring her normal uterine disharge due to the presence ... or a passige of vesicles alongside the absence of a fetus on the ultrasound, hence the abortion.

A young medical student has come to you with complaints of oligomenorrrhea, hirsuitism and weight gain, ultrasound reveals bulky ovaries with sub-capsular cysts. Most likely diagnosis is: a) Ovarian cancer. b) Cushing’s syndrome. c) Polycystic ovarian disease. d) Diabetes mellitus. e) Pelvic inflammatory disease

Description : A young medical student has come to you with complaints of oligomenorrrhea, hirsuitism and weight gain, ultrasound reveals bulky ovaries with sub-capsular cysts. Most likely diagnosis is: a) Ovarian ... syndrome. c) Polycystic ovarian disease. d) Diabetes mellitus. e) Pelvic inflammatory disease

Last Answer : c) Polycystic ovarian disease.

The most effective treatment of pruritis vulvae associated with atrophic vulvitis is: a) Antihistamines. b) Hydrocortisone. c) Alcohol injections. d) Tranquilizers. e) Topical estrogen therapy.

Description : The most effective treatment of pruritis vulvae associated with atrophic vulvitis is: a) Antihistamines. b) Hydrocortisone. c) Alcohol injections. d) Tranquilizers. e) Topical estrogen therapy.

Last Answer : e) Topical estrogen therapy.

Which of the following pubertal event would occur even in the absence of ovarian estrogen production: a) Thelarche. b) Menarche. c) Pubarche. d) Skeletal growth. e) Vaginal cornification.

Description : Which of the following pubertal event would occur even in the absence of ovarian estrogen production: a) Thelarche. b) Menarche. c) Pubarche. d) Skeletal growth. e) Vaginal cornification.

Last Answer : c) Pubarche.

28 years old woman with previous history of having baby with Down’s Syndrome is now 12 weeks pregnant. Which of the following would you suggest to her: a) Amniocentesis. b) Obstetric ultrasound. c) Chorionic villus sampling. d) Fetal blood sampling. e) Wait till eighteen weeks for detailed ultrasound and amniocentesis.

Description : 28 years old woman with previous history of having baby with Down's Syndrome is now 12 weeks pregnant. Which of the following would you suggest to her: a) Amniocentesis. b) Obstetric ... sampling. d) Fetal blood sampling. e) Wait till eighteen weeks for detailed ultrasound and amniocentesis.

Last Answer : c) Chorionic villus sampling.

A 40 years old multiparous woman complains of involuntary loss of urine associated with coughing, laughing, lifting or standing. The history is most suggestive of: a) Fistula. b) Stress incontinence. c) Urge incontinence. d) Urethral diverticulum. e) Urinary tract infection.

Description : A 40 years old multiparous woman complains of involuntary loss of urine associated with coughing, laughing, lifting or standing. The history is most suggestive of: a) Fistula. b) Stress incontinence. c) Urge incontinence. d) Urethral diverticulum. e) Urinary tract infection.

Last Answer : b) Stress incontinence.

A 63 years old lady presents with abdominal mass and weight loss, was diagnosed as having an ovarian tumour. The most common ovarian tumour in this woman would be: a) Epithelial tumour. b) Germ cell tumour. c) Stromal tumour. d) Sex cord tumour. e) Trophoblastic tumour.

Description : A 63 years old lady presents with abdominal mass and weight loss, was diagnosed as having an ovarian tumour. The most common ovarian tumour in this woman would be: a) Epithelial tumour. b) Germ cell tumour. c) Stromal tumour. d) Sex cord tumour. e) Trophoblastic tumour.

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Serum prolactin levels are highest in which of the following conditions: a) Menopause. b) Ovulation. c) Parturition. d) Sleep. e) Running.

Description : Serum prolactin levels are highest in which of the following conditions: a) Menopause. b) Ovulation. c) Parturition. d) Sleep. e) Running.

Last Answer : c) Parturition.

A large cystic ovarian tumour is detected in a woman on routine antenatal check up. The most common complication she can encounter is: a) Torsion. b) Rupture. c) Haemorrhage. d) Degeneration. e) Infection.

Description : A large cystic ovarian tumour is detected in a woman on routine antenatal check up. The most common complication she can encounter is: a) Torsion. b) Rupture. c) Haemorrhage. d) Degeneration. e) Infection.

Last Answer : a) Torsion.

The most likely cause of abnormal uterine bleeding in 13 years old girl is: a) Uterine cancer. b) Ectopic pregnancy. c) Anovulation. d) Systemic bleeding diatheses. e) Trauma.

Description : The most likely cause of abnormal uterine bleeding in 13 years old girl is: a) Uterine cancer. b) Ectopic pregnancy. c) Anovulation. d) Systemic bleeding diatheses. e) Trauma.

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a 20 year old medical student presents with five years history of weight gain, irregular periods and worsening fascial hair. What is the most likely diagnosis? a) Polycystic ovarian disease. b) Hypothyroidism. c) Obesity. d) Cushing’s Syndrome. e) Nephrotic Syndrome.

Description : a 20 year old medical student presents with five years history of weight gain, irregular periods and worsening fascial hair. What is the most likely diagnosis? a) Polycystic ovarian disease. b) Hypothyroidism. c) Obesity. d) Cushing’s Syndrome. e) Nephrotic Syndrome.

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A 39 years old women Para 6 has presented with complaint of post coital bleeding for the past three months. Your first investigation should be: a) Dilatation & Curettage. b) Cone biopsy of cervix. c) Pap smear. d) Colposcopy. e) Laparoscopy.

Description : A 39 years old women Para 6 has presented with complaint of post coital bleeding for the past three months. Your first investigation should be: a) Dilatation & Curettage. b) Cone biopsy of cervix. c) Pap smear. d) Colposcopy. e) Laparoscopy.

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A 25 years old school teacher Para 1 wants to use oral contraceptive pills for contraception. She is asking about the mode of action of oral contraceptive pills. The mechanism of action of oral contraceptive pills is: a) Inhibiting ovulation by suppression of serum FSH. b) Inducing endometrial atrophy. c) Increasing cervical mucous hostility. d) Inducing endometritis. e) Inhibiting prolactin.

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A young girl, 23 years old is presented with complaint of abdominal pain, menorrhagia and 18 weeks size mass arising from hypogastrium. The most likely diagnosis is: a) Endometriosis. b) Pelvic inflammatory disease. c) Ovarian cyst. d) Fibroid uterus. e) Mesenteric cyst.

Description : A young girl, 23 years old is presented with complaint of abdominal pain, menorrhagia and 18 weeks size mass arising from hypogastrium. The most likely diagnosis is: a) Endometriosis. b) Pelvic inflammatory disease. c) Ovarian cyst. d) Fibroid uterus. e) Mesenteric cyst.

Last Answer : d) Fibroid uterus.

A 23 years old primigravida presents with abdominal pain, syncope and vaginal spotting. Assessment reveals that she has an ectopic pregnancy. The most common site of pregnancy is: a) Ampulla. b) Isthmus. c) Fimbrial end. d) Abdomin. e) Cervix.

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Menarche usually occurs at age of: a) 8 and 10 years. b) 11 and 13 years. c) 14 and 16 years. d) 17 and 18 years. e) 18 and above.

Description : Menarche usually occurs at age of: a) 8 and 10 years. b) 11 and 13 years. c) 14 and 16 years. d) 17 and 18 years. e) 18 and above.

Last Answer : b) 11 and 13 years.

The maximum number of oogonia are formed at what age of female life: a) One month intrauterine. b) Five month intrauterine. c) At birth. d) At puberty. e) At 21 years of age.

Description : The maximum number of oogonia are formed at what age of female life: a) One month intrauterine. b) Five month intrauterine. c) At birth. d) At puberty. e) At 21 years of age.

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A 28 year old patient complains of amenorrhea after having dilatation and curettage. The most likely diagnosis is: a) Kallman’s Syndrome. b) Turner’s Syndrome. c) Asherman’s Syndrome. d) Pelvic inflammatory disease. e) Anorexia nervosa.

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Last Answer : c) Asherman’s Syndrome.

What is true of docetaxel: A. It is used as a reserve drug for refractory breast and ovarian cancer B. It is a selective estrogen receptor modulator used for breast cancer C. It is effective only in estrogen receptor positive breast cancer D. Both 'B' and 'C' are correct

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Choose the selective estrogen receptor modulator that is useful in dysfunctional uterine bleeding by acting as estrogen antagonist in endometrium, but does not alter vaginal epithelium or cervical mucus: A. Ormeloxifene B. Tamoxifen C. Centchroman D. Danazol

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Which of the following is a selective estrogen receptor modulator that improves bone mineral density in postmenopausal women: A. Clomiphene citrate B. Raloxifene C. Ormeloxifene D. Alendronate

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Select the progestin preparation for coadministration with estrogen for hormone replacement therapy that does not counteract the beneficial effect of the latter on lipid profile due to lack of androgenic activity: A. Micronized oral progesterone B. Norethindrone C. Lynestrenol D. Medroxyprogesterone acetate (p. 281-282)

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Main uterine support is: a) Uterosacral ligaments. b) Round ligaments. c) Transverse cervical ligaments. d) Ovarian ligaments. e) Broad ligaments.

Description : Main uterine support is: a) Uterosacral ligaments. b) Round ligaments. c) Transverse cervical ligaments. d) Ovarian ligaments. e) Broad ligaments.

Last Answer : a) Uterosacral ligaments.

Gonadotropin releasing hormone (GnRH) stimulates the release of: a) ACTH. b) Growth hormone. c) Leutinising Hormone (LH). d) Thyroid stimulating hormone (TSH). e) Opiate peptides.

Description : Gonadotropin releasing hormone (GnRH) stimulates the release of: a) ACTH. b) Growth hormone. c) Leutinising Hormone (LH). d) Thyroid stimulating hormone (TSH). e) Opiate peptides.

Last Answer : c) Leutinising Hormone (LH).

A newly married girl comes to gynae OPD with history of dysuria, burning, micturition and sore perineum. What is your likely diagnosis: a) Trichomonas vaginalis. b) Candida infection. c) Trauma due to coitus. d) Honey moon cystitis. e) Genital herpes.

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Last Answer : d) Honey moon cystitis.

Normal duration of menstrual cycle is: a) 1-3 days. b) 1-4 days. c) 2-7 days. d) 7-10 days. e) 1-2 days.

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Which of the following is used to take cervical smear: a) Colposcope. b) Vaginoscope. c) Ayre’s spatula. d) Laparoscope. e) Forceps.

Description : Which of the following is used to take cervical smear: a) Colposcope. b) Vaginoscope. c) Ayre’s spatula. d) Laparoscope. e) Forceps.

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The most common cause of vesicovaginal fistula (VVF) in under developed countries would be: a) Obstetrical injuries. b) Pelvic irradiation. c) Carcinoma . d) Haemorrhoidectomy. e) Operative injury.

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The most common cause of rectovaginal fistula is: a) Obstetrical. b) Irradiation of the pelvis. c) Carcinoma. d) Crohn’s disease. e) Endometriosis.

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Women complaining of milky whitish discharge with fishy odour. No history of itching. Most likely diagnosis is: a) Bacterial vaginosis. b) Trichomoniasis. c) Candidiasis. d) Malignancy. e) Urinary tract infection.

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In a normal pregnant woman, the amount of total gonadotropin activity was assessed. The result expected was (1) High level of circulating HCG to stimulate estrogen and progesterone synthesis (2) High level of circulating FSH and LH in the uterus to stimulate implantation of the embryo (3) High level of circulating HCG to stimulate endometrial thickening (4) High levels of FSH and LH in uterus to stimulate endometrial thickening

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What is the best treatment for joint pains?

Description : What is the best treatment for joint pains?

Last Answer : For the best treatment of joint pains, you can use the hot and cold therapy gel packs, It will help you to get relief from moderate to severe pains in the joint. In addition to this, these gel ... arises due to the joint pains. For more details you can visit this website: www[dot]gelpax[dot]com

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