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MRCOG PART 2 SBAs and EMQs
MRCOG Part 2, MRCOG 2

2200 SBA, 1500 EMQs; 1200 based on 2015 - 2019 recalls. FEES: 1 Month = £59; 2 Months = £75; 3 Months = £95; 4 Months = £125; 5 Months = £135; 6 Months = £145; 9 Months = £155; 12 Months = £175

 

 

 

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Forum >> Ovarian cysts in post-menopausal women
Ovarian cysts in post-menopausal women Posted by Farrukh G.
Mon Sep 12, 2016 10:43 am

Question

A 63 year old woman has been referred to the gynaecology clinic by a physician. The woman has symptoms of irritable bowel syndrome that have not improved with first and second line therapies. CT scan of the abdomen and pelvis identified a 3 cm simple left ovarian cyst but no other abnormalities. The woman had a vaginal hysterectomy 12 years ago because of prolapse symptoms.  

A.    Reassure

B.    Diagnostic laparoscopy

C.   CA-125

D.   Trans-vaginal ultrasound scan

E.    CA-125 plus trans-vaginal ultrasound scan                  

Posted by Farrukh G.
Wed Sep 14, 2016 03:53 am

Correct answer = E

RCOG Guidelines July 2016:

Where the initial imaging modality was a CT scan, unless this clearly indicated ovarian malignancy and widespread intra-abdominal disease, an ultrasound scan should be obtained in order to calculate the Risk of Malignancy Index (RMI)