---

1) A 34 yr old woman presents with malodorous discharge. A wet film smear shows ‘clue cells’. What is the single most likely diagnosis?

One answer only.

   Bacterial vaginosis

   Herpes simplex vims

   Syphilis

   Chlamydial pelvic infection

   Gonorrhea

---

2) A 28 yr old woman presents with a white curdly discharge from her vagina. Wet smear shows mycelium growth. What is the single most likely diagnosis?

One answer only.

   Gonorrhea

   Lymphogranuloma inguinale

   Candidiasis

   Trichomoniasis

   Scabies

---

3) A 32 yr old woman presents with painful shallow ulcers around the vulva and an offensive white discharge. What is the single most likely diagnosis?

One answer only.

   Syphilis

   Chlamydial pelvic infection

   Gonorrhea

   Lymphogranuloma inguinale

   Candidiasis

---

4) A 28 yr old woman presents with lower abdominal pain, an offensive vaginal discharge and deep dysparenuia. She has no gonorrhea. What is the single most likely diagnosis?

One answer only.

   Herpes simplex vims

   Syphilis

   Chlamydial pelvic infection

   Gonorrhea

   Lymphogranuloma inguinale

---

5) A 31 yr old woman complains of a chronic non-foul smelling discharge. She bleeds after sexual intercourse. What is the single most likely diagnosis?

One answer only.

   Candidiasis

   Trichomoniasis

   Scabies

   Cervical erosion

   Endometrial carcinoma

---

6) A 52 yr old woman had had a history of offensive vaginal discharge and intermittent vaginal bleeding over the past 3 months. Her last cervical smear was taken 4 yrs ago. What is the single most relevent next examination?

One answer only.

   Cervical inspection

   Cervical smear

   Endocervical swab

   Endometrial sampling

   Full blood count

---

7) A 23 yr old has a new sexual partner. She has been on the combined OC pill for last 6 yrs. She presents with a 2-month history of breakthrough bleeding. What is the single most relevent next examination?

One answer only.

   Endocervical swab

   Endometrial sampling

   Full blood count

   Gonadotropin levels

   Hysteroscopy

---

8) A 47 yr old woman who has breast cancer and is on tamoxifen has 2 episodes of bright red bleeding. Her last period was when she started tamoxifen 2 yrs ago. What is the single most relevent next examination?

One answer only.

   Cervical smear

   Endocervical swab

   Endometrial sampling

   Full blood count

   Gonadotropin levels

---

9) A 26 yr old woman with a 5-week history of amenorrhoea presents to A&E with vaginal bleeding. An ultrasound scan reports “empty uterus”. What is the single most relevent next examination?

One answer only.

   Full blood count

   Gonadotropin levels

   Hysteroscopy

   Kleihauser test

   Pregnancy test

---

10) A 49 yr old woman presents with a 9-month history of prolonged slightly irregular periods. Clinical examination shows a normal size uterus with no adnexal masses. What is the single most relevent next examination?

One answer only.

   Endocervical swab

   Endometrial sampling

   Full blood count

   Gonadotropin levels

   Hysteroscopy