What can be the reasons for bleeding between the menstrual cycle? How would you assess such cases?

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A 17 year old lady presents at 10 weeks gestation with vomiting and vaginal bleeding. Ultrasound scan confirms a complete hydatidiform mole. How would you manage her?

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What steps will you take to stop profuse bleeding from a patients uterus?

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Explain ovarian cysts. How are they formed?

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35 year old woman is thought to have a vesico-vaginal fistula. What are the main causes of vesico-vaginal fistulas?

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A 14year old woman attends with her mother because she has not started menstruating. Outline your initial assessment?

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Where is the urinary tract most likely to be injured during pelvic surgery and how can such injury be avoided?

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A 35 year old woman complaining of vulval itching is found to have vulval intra-epithelial neoplasia (VIN) on vulval biopsy. How would you treat her?

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Ovarian cancer most commonly strikes women in which one of the following age groups?

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34 year old woman is found to have a monochorionic twin pregnancy at 12 weeks gestation in her first pregnancy. She requests information on the antenatal risks to her and her fetuses and their management. How would you counsel her?

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Explain ovarian cysts. What harm can they do?

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