Close help

How to use this Learning Station

On this Learning Station, you can read and test your knowledge. Tap on a book to open its chapter list. In each chapter, you can take a quiz to test your knowledge.

To take tests, you must register with your email address or cell number. It is free to register and to take tests.

For help email or call +27 76 657 0353.

Printed books

Learning is easiest with printed books. To order printed books, email or call +27 76 657 0353.

Visit for information.

Test 4: Vaginal bleeding

  1. What is menopause?
    • The first menstruation in a young girl
    • The first six weeks after the birth of an infant
    • The end of menstrual periods in an older woman
    • Vaginal bleeding sometimes seen in newborn infants
  2. Monthly menstrual blood loss is abnormal when it is:
    • Greater than 20 ml
    • Greater than 35 ml
    • Greater than 50 ml
    • Greater than 80 ml
  3. Heavy menstrual bleeding can be managed with:
    • Folic acid tablets
    • A combined oral contraceptive pill
    • Vaginal oestrogen cream
    • Vitamin K
  4. Older women with severe menstrual bleeding may need:
    • Tubal ligation
    • Endometrial ablation
    • Cervical cautery
    • Cervical suturing
  5. Heavy menstrual bleeding can cause:
    • Anaemia
    • Infertility
    • Weight loss
    • Severe lower abdominal pain
  6. Bleeding between periods:
    • Is not important
    • Is common in women who have children
    • Is only important if it is very heavy
    • May be caused by a serious condition
  7. Bleeding after intercourse may be a sign of:
    • An ectopic pregnancy
    • HIV infection
    • Cervicitis
    • Vaginal moniliasis
  8. A women with irregular bleeding on the oral contraceptive pill should be:
    • Reassured and told that this is normal
    • Treated with oral anti-inflammatory drugs
    • Asked if she is taking her pills regularly
    • Referred to the hospital for a blood transfusion
  9. What condition may present with post-menopausal vaginal bleeding?
    • Cancer of the cervix
    • Urinary tract infection
    • Uterine prolapse
    • Haemorrhoids
  10. What is amenorrhoea?
    • Heavy but regular periods
    • Irregular periods
    • Scanty periods
    • No periods
  11. Young girls should be referred for investigation if they have not had their first period by:
    • 12 years
    • 14 years
    • 16 years
    • 18 years
  12. What may cause amenorrhoea?
    • A copper-containing intra-uterine contraceptive device
    • Long term use of a contraceptive injection
    • Uterine fibroids
    • A sexually transmitted infection
  13. Women with polycystic ovary syndrome often present with:
    • Pregnancy
    • Acne and obesity
    • Heavy bleeding and weight loss
    • Swollen breasts and abdominal bloating
  14. Excessive exercise may result in:
    • Amenorrhoea
    • Heavy bleeding
    • Dysmenorrhoea
    • Post-menopausal bleeding
  15. What is dysmenorrhea?
    • Painful periods
    • Heavy, irregular periods
    • Prolonged periods
    • Vaginal bleeding after intercourse
  16. Primary dysmenorrhea usually occurs in:
    • Young girls before puberty
    • Teenagers
    • Middle-aged women
    • After menopause
  17. What is a common cause of secondary dysmenorrhea?
    • Pregnancy
    • Polycystic ovary syndrome
    • Vaginitis
    • Endometriosis
  18. What drug can usually be used to treat primary dysmenorrhea?
    • Diuretics
    • Morphine
    • Mefenamic acid
    • Erythromycin
  19. Premenstrual syndrome presents with:
    • Hypertension and headache
    • Abdominal pain
    • Vaginal bleeding
    • Emotional and behavior changes
  20. How common is premenstrual syndrome?
    • It occurs in all young women
    • Most women have premenstrual syndrome after their first child
    • In 50% of women
    • In 5% of women