MRCOG part 2 Mini Combo – Chronic Pelvic Pain GTG 41 – SBA

1. The commonest pathology identified at diagnostic laparoscopy in patients with chronic pelvic pain is:

2. What screening test should be offered to all sexually active women who present to the gynaecology clinic with chronic pelvic pain?

3. A 29-year-old woman presents with a constant ongoing pain in the pelvis. The pain does not occur exclusively with menstruation or inter- course and the woman is not pregnant. For what minimum duration should the pain occur before it is deemed chronic?

4. A 19 year old has been seen in the gynaecology clinic with abdominal pain, which improves with defecation. It is associated with change in frequency of stool and change in form, for at least 3 days per month in the past 3 months. What are the criteria used to define IBS?

5. Which pharmacological treatment is most commonly used as a first-line therapy in the treatment of endometriosis in women with chronic pelvic pain?

Option List

A Non-steroidal anti-inflammatory
B Danazol
C Oral contraceptive pills
D LUNA
E Mebeverine hydrochloride
F Diagnostic laparoscopy
G Referral to urologist
H Screen for sexually transmitted infection I Referral for counselling
J Gastroenterology referral K Referral to pain team
L Gabapentin

Match the most appropriate management to each scenario

5. A 26-year-old woman referred by her GP complains of lower abdominal pain for over 12 months. She has also been complaining of recent onset bleeding per rectum and feels that the pain occasionally gets better with the passage of stools