Quiz 5: Pain and discomfort in women

Please choose the one, most correct answer to each question or statement.

1. What is gynaecological pain?
   • Pain that occurs in women but not men
   • Pain that only occurs in pregnant women
   • Pain that only occurs in women who are not pregnant
   • Pain that only occurs in the vulva or vagina
2. What is an important cause of acute pelvic pain?
   • Pelvic adhesions and scarring
   • Appendicitis
   • Adenomyosis
   • Placenta praevia
3. What is a common cause of acute pelvic infection?
   • Candida
   • Herpes
   • Chlamydia
   • Hepatitis B virus
4. What common complication of an ovarian cyst may cause pelvic pain?
   • Infection
   • Collapse
   • Malignancy
   • Torsion
5. How does ectopic pregnancy present clinically?
   • With chronic pelvic pain
   • With acute pelvic pain
   • With cyclical pelvic pain
   • With painless vaginal bleeding
6. When does primary dysmenorrhoea cause pelvic pain?
   • In the middle of the menstrual cycle
   • In the week before the menstrual period
   • During the menstrual period
   • In the week after the menstrual period
7. Primary dysmenorrhoea is usually treated with:
   • An antibiotic such as penicillin
   • A non-steroidal anti-inflammatory such as ibrufen
   • A sedatives such as diazepam
   • An intrauterine contraceptive device
8. What is a typically symptom of endometriosis?
   • Headaches
   • Back ache
   • Pelvic pain a few days before the menstrual period
   • Pain at the time of ovulation
9. What is endometriosis?
   • An infection of the lining of the uterus
   • Cancer of the uterus
   • Atrophy (thinning) of the lining of the uterus
   • Endometrial tissue outside the uterus
10. What treatment is effective in reducing the pain of endometriosis?
    • A combined oral contraceptive
    • Dilatation and curettage (D and C)
    • A diuretic
    • A broad spectrum antibiotic
11. What is the clinical presentation of fibroids?
    • They often cause no symptoms
    • They always present with pelvic pain
    • Fever and vaginal discharge are common
    • They cause missed periods
12. What is a common cause of chronic pelvic pain?
    • Uterine cancer
    • Urinary tract infection
    • Irritable bowel syndrome
    • Adenomatosis
13. What is an important complication of chronic pelvic inflammatory disease?
    • Missing periods
    • Adenomyosis
    • Infertility
    • Renal failure
14. What is a common cause of vulvar pain?
    • Cervical cancer
    • Uterine prolapsed
    • Lichen planus
    • A fissure
15. What is the usual treatment of atrophic vulvovaginitis?
    • Oestrogen cream
    • Mycostatin cream
    • Steroid cream
    • Aqueous cream
16. Vulvar pain during pregnancy is commonly due to:
    • Vaginal prolapse
    • Miscarriage
    • Vulvar varices
    • Eczema (dermatitis)
17. What is vulvodynia?
    • Vulvar pain without an obvious cause
    • Narrowing of the vagina due to repeated infections
    • A fungal infection of the vagina
    • Severe vulvar pain caused by herpes infection
18. What is a typical symptom of vulvodynia?
    • Non-offensive vaginal discharge
    • A local burning pain when inserting a tampon
    • Vulvar pain during menstruation
    • Severe vulvar pain during pregnancy
19. What is dyspareunia?
    • Pain when passing urine
    • Pain during sexual intercourse
    • Pain the passing stool
    • Pain after eating
20. What is cyclical mastalgia?
    • Pain in one breast that is usually caused by cancer
    • Pain in both breasts during ovulation
    • Pain in both breasts after exercise such as cycling
    • Pain in both breasts before the start of the menstrual period