Question 1

Pap smear

Accepted Answer

A)  the next step in dysplastic smear is colposcopy
B)  is simple but inaccurate
C)  should be carried out every 5 years
D)  has no role in screening of assymptomatic women
E)  all of the above A

Question 2

A 40-years-old female with history of fibroid on investigation showed CIN-2 changes. Treatment of choice in this case is :

Accepted Answer

A)  Hysterectomy
B)  Conization
C)  Cryotherapy
D)  Laser ablation
E)  none A

Question 3

Dysfunctional Uterine Bleeding (DUB) is defined as abnormal uterine bleeding ?

Accepted Answer

A)  Secondary to hormonal dysfunction
B)  Caused by cancer
C)  In a patient with von Willebrand's disease
D)  With no organic cause
E)  Caused by an endometrial polyp D

Question 4

Post menopausal bleeding does not occur in....

Accepted Answer

A)  Use of combined OCP's
B)  Atrophic vaginitis
C)  Endometrial hyperplasia
D)  CA-Endometrium
E)  none

Question 5

Vaginal adenocarcinomas in children is caused by

Accepted Answer

A)  Virus
B)  Administration of DES to pregnant mothers
C)  Hormonal changes
D)  All of the above
E)  none

Question 6

Dysfunctional uterine bleeding is said to present when there is bleeding due to :

Accepted Answer

A)  Fibroid
B)  Endometriosis
C)  Irregular ripening and irregular shedding
D)  Chronic endometritis
E)  none

Question 7

Female came to the ER with Bp 80/60 and pulse 125 with history of acute abdomen , next step is

Accepted Answer

A)  laparotomy
B)  iv fluids
C)  CBC
D)  PV examination
E)  none

Question 8

Carcinoma cervix with involvement of upper 2/3 of vagina is stage

Accepted Answer

A)  II
B)  II B
C)  III A
D)  III B
E)  none

Question 9

A 23 years old primigravida presents with abdominal pain, syncope and vaginal spotting. Assessment reveals that she has an ectopic pregnancy. The most common site of pregnancy is:

Accepted Answer

A)  Ampulla.
B)  Isthmus.
C)  Fimbrial end.
D)  Abdomin.
E)  Cervix.

Question 10

Ovarian masses:

Accepted Answer

A)  Are malignant in presence of ascites
B)  Include benign teratomas
C)  Of germ cell origin may secrete hormones
D)  May be confused with develpomental abnormalities of renal tract
E)  If malignant can be reliably staged pre-operatively

Question 11

A 4-year-old girl is noted to have breast enlargement and vaginal bleeding. On physical examination, she is noted to have a 9-cm pelvic mass. Which of the following is the most likely etiology?

Accepted Answer

A)  Cystic teratoma
B)  Dysgerminoma
C)  Endodermal sinus tumor
D)  Granulosa cell tumor
E)  Mucinous tumor

Question 12

A multiparous woman aged 40 years, presents with menorahagia and progressively increasing dysmenorrhoea. Most probable diagnosis is:

Accepted Answer

A)  Ca Cervix
B)  Ca Endometrium
C)  Adenomyosis
D)  DUB
E)  none

Question 13

A 48-year-old woman has noted a small amount of irregular vaginal bleeding for the past 2 months. She has a pelvic examination that reveals no cervical lesions, and a Pap smear that shows no abnormal cells. Next, an endometrial biopsy is performed, and there is microscopic evidence for endometrial hyperplasia. An abdominal ultrasound reveals a solid right ovarian mass. Which of the following neoplasms is this woman is most likely to have?

Accepted Answer

A)  Mature cystic teratoma
B)  Choriocarcinoma
C)  Sertoli-Leydig cell tumor
D)  Fibrothecoma
E)  Krukenberg tumor

Question 14

Current modes of investigation for infertility to check functioning of tubes are all of the following execpt:

Accepted Answer

A)  Air insufflation
B)  Sonosalpingography
C)  Hysterrosalpingography
D)  Laparoscopic chromotubation
E)  all of the above

Question 15

A couple presented in OPD with H/0 infertility since last 2 years. Husbands semen analysis was advised. What is WHO criterion - for minimum sperm count in normal semen?

Accepted Answer

A)  10 million.
B)  20 million.
C)  30 million.
D)  40 million.
E)  70 million.

Question 16

A 47-year-old woman has noted a pressure sensation, but no pain, in her pelvic region for the past 5 months. On physical examination there is a right adnexal mass. An ultrasound scan shows a 10 cm fluid-filled cystic mass in the right ovary. A fine needle aspirate of the mass is performed and cytologic examination of clear fluid aspirated from the mass reveals clusters of malignant epithelial cells surrounding psammoma bodies. Which of the following neoplasms is she most likely to have?

Accepted Answer

A)  Endometrial adenocarcinoma
B)  Ovarian serous cystadenocarcinoma
C)  Mesothelioma
D)  Ovarian mature cystic teratoma
E)  Adenocarcinoma of fallopian tube

Question 17

Hilus or Leydig cell tumour may be associated with :

Accepted Answer

A)  Reinke crystals
B)  Oestrogen effect on endometrium
C)  Clinical virilism
D)  All of the above
E)  None of the above

Question 18

Abnormal Uterine bleeding (AUB) is defined by all of the following except ?

Accepted Answer

A)  Excessive Blood loss (>80 ml)  during menses
B)  Menstrual length less than 7 days
C)  An interval of less than 21 days between the starts of successive menses
D)  Irregular bleeding episodes between menses
E)  Extended (>35 days)  intervals between menses

Question 19

Ordering accord to the commonest cancers in female genital tract the right is :

Accepted Answer

A)  cervical , endometrial ,ovarian
B)  ovarian , cervical , endometrial
C)  endometrial , cervical , ovarian
D)  endometrial , ovarian , cervical .
E)  none

Question 20

Female with history of frequent micturition may be :

Accepted Answer

A)  prolapse
B)  incarcerated fibroma
C)  pregnancy
D)  a&c
E)  all above .

Exam 3: Womens Health and Reproductive System: Part C