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MRCOG PART 2 SBAs and EMQs

Course PAID
notes331
EMQ1476
SBA2073
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LNG-IUS

LNG-IUS Posted by ghada S.

Dear paul : 

please clarify why my answer LNG-IUS is wrong despite that it is effective in endometriosis pain

 

A

Tranexamic acid

B

Danazol

C

GnRH analogues

D

TAH + BSO

E

Diagnostic laparoscopy

F

Medroxyprogesterone acetate

G

Pelvic ultrasound scan

H

MRI scan of the pelvis

I

Dilatation and curettage

J

Endocervical and urethral swabs

K

Combined oral contraceptive pill

L

Levonorgestrel releasing intra-uterine system

M

Refer to pain clinic

N

Refer to gastroenterologist

 

 

Instructions:For each of the case histories described below, choose the single most appropriate management from the above list. Each option may be used once, more than once, or not at all.

Explanation

Question 5

A 22 year old woman is known to have endometriosis diagnosed at laparoscopy. She is referred to the gynaecology clinic because of progressively severe pelvic pain, dysmenorrhoea and deep dyspareunia. There is a past medical history of focal migraine. Clinical examination showed a tender pelvis with a normal size anteverted uterus and no adnexal masses.

                 

Question  6

A 34 year old woman with severe endometriosis which has not responded     to the combined oral contraceptive pill and progestogens has undergone laparoscopy with laser ablation of endometriosis. Six months later, she complains of a relapse with severe pelvic pain, dysmenorrhoea and deep dyspareunia