Loading…
🌸 Gynaecology · Part 5 revision hub
Infection and inflammation
Everything you need to revise this Part in one place — the one‑page note for every concept, a rapid‑revision sheet, exam‑style questions that point you back to the right concept, flashcards, staged cases and viva practice.
3 concepts10 MCQs15 flashcards3 cases10 viva questions
📝 The plate wall
Every concept in this Part as a one‑page handwritten note. Open one to read it in full and zoom.
⚡ Rapid revision
The whole Part on one screen — read it the night before.
Discharge fingerprints
- BV: thin grey-white discharge, fishy odour, pH more than 4.5, clue cells, positive whiff; treat symptomatic patients, not routine partners.
- Trichomoniasis: frothy yellow-green discharge, high pH, motile trichomonads or NAAT positive; treat patient and partners.
- Candida: curdy white discharge, marked itch, normal acidic pH; topical azole in pregnancy, avoid oral fluconazole.
PID must be early and broad
- Diagnose clinically with pelvic pain and no better explanation plus any one of cervical motion, uterine or adnexal tenderness.
- Pregnancy test first; ectopic pregnancy, torsion and appendicitis are important mimics.
- Cover gonorrhoea, chlamydia and anaerobes; review within 72 hours.
- Tubo-ovarian abscess, pregnancy, severe illness or failed outpatient therapy needs admission/escalation.
Silent scarring: genital TB and Asherman
- Genital TB usually spreads haematogenously and scars tubes plus endometrium.
- Avoid HSG during active genital TB or active pelvic infection.
- Asherman = intrauterine adhesions after instrumentation/infection with hypomenorrhoea or secondary amenorrhoea.
- Hysteroscopy diagnoses and treats Asherman.
🎯 Single‑best‑answer MCQs
Pick an answer to see the explanation — and the concept to revisit if you missed it. Your answers are saved on this device.
Score 0 / 00 of 10 answered
Question 1
A 28-year-old has thin grey discharge, fishy odour, vaginal pH 5.2 and clue cells. Best diagnosis?
Question 2
A sexually active woman has pelvic pain and uterine tenderness. Which immediate test is most safety-critical before labelling PID?
Question 3
Which statement best describes genital TB?
Question 4
A pregnant woman has symptomatic vulvovaginal candidiasis. Best treatment principle?
Question 5
A PID outpatient regimen should broadly cover which groups?
Question 6
A woman develops secondary amenorrhoea after repeated uterine evacuation. Most likely mechanism?
Question 7
Which finding best supports trichomoniasis over candida?
Question 8
Which PID patient should be admitted?
Question 9
During evaluation of suspected active genital TB, which test should be avoided until infection is controlled?
Question 10
Which patient usually requires routine partner treatment?
🃏 Flashcards
Say the answer out loud before you flip. Shuffle once you know the order.
Card 1 of 15
🩺 Staged clinical cases
Read the presentation, decide what is going on and what you would do — then reveal the reasoning.
Case 1 — Same complaint, different bugs
Stage A: A 24-year-old has discharge. One episode was fishy and grey; another patient in the same clinic has intense itching and curdy discharge; a third has frothy discharge and a new partner.
Linked concepts: 26. The Three Common Discharges
Case 2 — Mild pain, major consequence
Stage A: A 21-year-old sexually active woman has lower abdominal pain and cervical motion tenderness. Temperature is normal and GC/CT NAAT is pending.
Linked concepts: 27. Pelvic Inflammatory Disease
Case 3 — Periods vanished after curettage
Stage A: A woman had postpartum curettage for retained products. Since then her periods are scanty, and she has infertility. FSH, TSH and prolactin are normal.
Linked concepts: 28. Genital TB and Scarred Linings
🎤 Viva practice
Answer aloud as if an examiner asked you — then check the model points.
Viva 1
What are Amsel criteria for BV?
Viva 2
Why is pH useful in vaginitis?
Viva 3
What is the minimum clinical threshold for presumptive PID treatment?
Viva 4
Why include metronidazole in PID therapy?
Viva 5
Name PID complications.
Viva 6
How does genital TB usually reach the reproductive tract?
Viva 7
What is the classic Asherman history?
Viva 8
Why avoid HSG in active genital TB?
Viva 9
How do you confirm and treat Asherman?
Viva 10
What is a common exam trap in vaginitis?
Keep going
Educational only — not a substitute for clinical judgement, supervision, or local guidelines.