Deck 7: Gynecology and Obstetrics: Part A

Question 1

Mean age for menopause is:

A)40 years.
B)45 years.
C)51 years.
D)48 years.
E)39 years.

Answer 1

51 years.

Question 2

Second degree uterovaginal prolapse is characterized by:

A)Complete protrusion of uterus outside introitus.
B)Descent of genital tract within vagina.
C)Descent of genital tract upto introitus.
D)Descent of genital tract outside the introitus.
E)Descent of cervix below the ischeal spines.

Answer 2

Descent of genital tract outside the introitus.

Question 3

A 63 years old lady presents with abdominal mass and weight loss, was diagnosed as having an ovarian tumour. The most common ovarian tumour in this woman would be:

A)Epithelial tumour.
B)Germ cell tumour.
C)Stromal tumour.
D)Sex cord tumour.
E)Trophoblastic tumour.

Answer 3

Epithelial tumour.

Question 4

A young girl, 23 years old is presented with complaint of abdominal pain, menorrhagia and 18 weeks size mass arising from hypogastrium. The most likely diagnosis is:

A)Endometriosis.
B)Pelvic inflammatory disease.
C)Ovarian cyst.
D)Fibroid uterus.
E)Mesenteric cyst.

Question 5

A 25 years old school teacher Para 1 wants to use oral contraceptive pills for contraception. She is asking about the mode of action of oral contraceptive pills. The mechanism of action of oral contraceptive pills is:

A)Inhibiting ovulation by suppression of serum FSH.
B)Inducing endometrial atrophy.
C)Increasing cervical mucous hostility.
D)Inducing endometritis.
E)Inhibiting prolactin.

Question 6

Women complaining of milky whitish discharge with fishy odour. No history of itching. Most likely diagnosis is:

A)Bacterial vaginosis.
B)Trichomoniasis.
C)Candidiasis.
D)Malignancy.
E)Urinary tract infection.

Question 7

A young medical student has come to you with complaints of oligomenorrrhea, hirsuitism and weight gain, ultrasound reveals bulky ovaries with sub-capsular cysts. Most likely diagnosis is:

A)Ovarian cancer.
B)Cushing's syndrome.
C)Polycystic ovarian disease.
D)Diabetes mellitus.
E)Pelvic inflammatory disease.

Question 8

A 43 year old, lecturer has come to you with complaints of heavy but regular menstrual bleeding with flooding and clots. There is no anatomical reason for heavy flow. The most effective remedy for reducing her menstrual flow is:

A)Tranexemic acid.
B)Dilatation and Curettage.
C)Depomedroxy progesterone acetate.
D)Misoprostol.
E)Ergometrine maleate.

Question 9

A 39 years old women Para 6 has presented with complaint of post coital bleeding for the past three months. Your first investigation should be:

A)Dilatation & Curettage.
B)Cone biopsy of cervix.
C)Pap smear.
D)Colposcopy.
E)Laparoscopy.

Question 10

A 28 years old woman has 14 weeks size irregular uterus. She does not complain of abdominal pain or menorrhagia. Her pap smear is normal. The best next step in her management would be:

A)Continued observation.
B)Endometrial biopsy.
C)Hysterectomy.
D)Pelvic ultrasonography.
E)Laparoscopy.

Question 11

The most effective treatment of pruritis vulvae associated with atrophic vulvitis is:

A)Antihistamines.
B)Hydrocortisone.
C)Alcohol injections.
D)Tranquilizers.
E)Topical estrogen therapy.

Question 12

The most common cause of rectovaginal fistula is:

A)Obstetrical.
B)Irradiation of the pelvis.
C)Carcinoma.
D)Crohn's disease.
E)Endometriosis.

Question 13

A 40 years old multiparous woman complains of involuntary loss of urine associated with coughing, laughing, lifting or standing. The history is most suggestive of:

A)Fistula.
B)Stress incontinence.
C)Urge incontinence.
D)Urethral diverticulum.
E)Urinary tract infection.

Question 14

A 28 years old G3 P2 has presented with complaints of brownish vaginal discharge, passage of vesicles and excessive vomiting. Ultrasound scan shows snowstorm appearance in uterus with no fetus. The most likely diagnosis is:

A)Septic induced abortion.
B)Twin pregnancy.
C)Gestational trophoblastic disease.
D)Ectopic pregnancy.
E)Fibroid uterus.

Question 15

The maximum number of oogonia are formed at what age of female life:

A)One month intrauterine.
B)Five month intrauterine.
C)At birth.
D)At puberty.
E)At 21 years of age.

Question 16

Menarche usually occurs at age of:

A)8 and 10 years.
B)11 and 13 years.
C)14 and 16 years.
D)17 and 18 years.
E)18 and above.

Question 17

The most common cause of vesicovaginal fistula (VVF) in under developed countries would be:

A)Obstetrical injuries.
B)Pelvic irradiation.
C)Carcinoma .
D)Haemorrhoidectomy.
E)Operative injury.

Question 18

A 28 year old patient complains of amenorrhea after having dilatation and curettage. The most likely diagnosis is:

A)Kallman's Syndrome.
B)Turner's Syndrome.
C)Asherman's Syndrome.
D)Pelvic inflammatory disease.
E)Anorexia nervosa.

Question 19

A large cystic ovarian tumour is detected in a woman on routine antenatal check up. The most common complication she can encounter is:

A)Torsion.
B)Rupture.
C)Haemorrhage.
D)Degeneration.
E)Infection.

Question 20

Which of the following is used to take cervical smear:

A)Colposcope.
B)Vaginoscope.
C)Ayre's spatula.
D)Laparoscope.
E)Forceps.

Question 21

Normal duration of menstrual cycle is:

A)1-3 days.
B)1-4 days.
C)2-7 days.
D)7-10 days.
E)1-2 days.

Question 22

a 20 year old medical student presents with five years history of weight gain, irregular periods and worsening fascial hair. What is the most likely diagnosis?

A)Polycystic ovarian disease.
B)Hypothyroidism.
C)Obesity.
D)Cushing's Syndrome.
E)Nephrotic Syndrome.

Question 23

28 years old woman with previous history of having baby with Down's Syndrome is now 12 weeks pregnant. Which of the following would you suggest to her:

A)Amniocentesis.
B)Obstetric ultrasound.
C)Chorionic villus sampling.
D)Fetal blood sampling.
E)Wait till eighteen weeks for detailed ultrasound and amniocentesis.

Question 24

A newly married girl comes to gynae OPD with history of dysuria, burning, micturition and sore perineum. What is your likely diagnosis:

A)Trichomonas vaginalis.
B)Candida infection.
C)Trauma due to coitus.
D)Honey moon cystitis.
E)Genital herpes.

Question 25

Gonadotropin releasing hormone (GnRH) stimulates the release of:

A)ACTH.
B)Growth hormone.
C)Leutinising Hormone (LH).
D)Thyroid stimulating hormone (TSH).
E)Opiate peptides.