Gynaecology & Obstetrics

20 learning units • 100 chapter sections • 200 explained questions. Assess pregnancy and reproductive health, recognise emergencies and plan respectful treatment, referral and follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 14 / 20

Menstrual Disorders & Abnormal Bleeding

Assess abnormal bleeding, anaemia and structural or hormonal causes using a patient-centred plan.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. What is important when assessing heavy menstrual bleeding? A. Only an exact measured volumeB. Its effect on daily life and associated symptomsC. Only the patient’s heightD. Only the date of the last scan

Question 02. Abnormal bleeding with collapse requires what? A. Routine review after the next cycleB. Urgent stabilisation and assessmentC. Only a symptom diaryD. No pregnancy assessment

Question 03. Which is a structural cause of abnormal uterine bleeding? A. Endometrial polypB. Isolated ovulatory dysfunctionC. Anticoagulant effect aloneD. A coagulation disorder alone

Question 04. Which initial test helps assess anaemia with heavy bleeding? A. Hearing testB. Full blood countC. Spirometry aloneD. Skin patch testing

Question 05. Does a known fibroid prove the cause of every new bleeding pattern? A. YesB. NoC. Only after age 30D. Only if previously scanned

Question 06. What can guide hysteroscopy or endometrial assessment? A. A universal rule to investigate nobodyB. Only the time of dayC. Cervical screening aloneD. Symptoms, risk factors and suspected pathology

Question 07. What should treatment discussions include? A. Fertility wishes, contraindications and patient preferencesB. Only one irreversible option for everyoneC. No discussion of adverse effectsD. A promise of instant cure

Question 08. Is hysterectomy the automatic first treatment for all heavy menstrual bleeding? A. YesB. NoC. Only when a blood count is normalD. Only when cycles are regular

Question 09. What should be considered first in amenorrhoea when pregnancy is possible? A. Pregnancy testingB. Automatic diagnosis of menopauseC. Immediate hysterectomyD. No assessment

Question 10. Does normal cervical screening replace assessment of persistent intermenstrual bleeding? A. YesB. Only after one negative resultC. NoD. Only if there is no pain

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.