1. For the following scenario select the most appropriate treatment from the list:

A 64-year-old woman had been treated for a FIGO stage Ia endometrioid endometrial cancer with total hysterectomy and bilateral salpingo-oophrectomy. Two years later she presents with vaginal bleeding. Clinical examination with biopsy reveals the presence of a localized recurrence on the vaginal vault.

 
 
 
 
 
 
 
 
 
 

2. For the following scenario select the most likely diagnosis from the list:

A 30-year-old woman attends the antenatal clinic for review at 28 weeks gestation. She shows the results of a glucose tolerance test perfomed two weeks ago: fasting level 3.6 mmol/l (64.8 mg/dl), 1 hour 8.7 (158) and 2 hours 7.5 (136). A urinary test for glucose shows positive results.

 
 
 
 
 
 
 
 
 
 

3. For the following scenario select the most likely diagnosis from the list:

A 32-year-old woman, para 3, attends the gynaecological outpatient clinic complaining of heavy menstrual periods over the last 8 months. Her past medical history is unremarkable. Gynaecological examination shows enlarged uterus. She has the following hormonal profile on cycle day 3: serum FSH 7.3 IU/L, LH 6.0 IU/L, estradiol 48 pg/ml and prolactin 19 ng/ml.

 
 
 
 
 
 
 
 
 
 
 

4. For the following scenario select the most likely diagnosis from the list:

A 38-year-old woman, para 2, presents complaining of heavy menstrual periods over the last 6 months. On gynaecological examination, the uterus is bulky, while a transvaginal ultrasound scan shows enlarged uterus with heterogeneous texture and normal ovaries. There is nothing important in her past medical history. Her hormonal profile on cycle day 3 shows serum FSH 6.5 IU/L, LH 5.6 IU/L, estradiol 50 pg/ml and prolactin 23 ng/ml.

 
 
 
 
 
 
 
 
 
 
 

5. A couple in their late 20s present to the infertility clinic with a two-year history of primary infertility. The woman, aged 25 years with a BMI of 23 kg/m2, is found to have normal genitalia with regular ovulatory cycles. The partner, aged 28 years with a BMI of 36 kg/m 2 , is noted to have gynecomastia and small testis. A semen analysis confirms azoospermia. Hormone investigations showed a low testosterone level, high sex hormone binding globulin (SHBG) and raised gonadotrophins.

Which one of the following diagnostic options represents the most likely cause for the male infertility?

 
 
 
 
 

6. Regarding cesarean section :

 
 
 
 
 

7. Regarding anatomy in the context of laparoscopy:

 
 
 
 
 

8. For the following scenario select the most appropriate treatment from the list:

A 52-year-old woman is diagnosed with a grade 2 endometrial cancer that appears to invade into the cervical stroma with no other signs of distant disease. She is keen to avoid radiotherapy.

 
 
 
 
 
 
 
 
 
 

9. For the following scenario, select the most likely diagnosis from the list:

A 32-year-old woman presents at the emergency Department complaining of sharp pain in the left lower abdomen after intercourse. She also has nausea and vaginal spotting. Her last menstrual period was 6 weeks ago. Clinical examination shows tenderness in lower abdomen. Her blood pressure is 80/50 mm Hg and the pulse rate 120 bpm. A urinary pregnancy test is positive.

 
 
 
 
 
 
 
 
 
 

10. The following conditions are contraindications against the use of intrauterine contraceptive devices.

 
 
 
 
 

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