Gynecology MCQs : This section focuses on the "Gynecology". These Multiple Choice Questions (MCQs) should be practiced to improve the Gynecology skills required for various interviews (campus interview, walk-in interview, company interview), placement, entrance exam and other competitive examinations.
Question 1
Women with postmenopausal bleeding need endometrial sampling if endometrial on US is thicker than
A. 1mm
B. 2mm
C. 5mm
D. 8mm
Question 2
Which of the following change in puberty is influenced by the estrogen:
A. Growth of the acinar buds of the breast
B. Epiphyseal fusion
C. Proliferatve phase
D. All of the above
Question 3
not exclusevely in the stomach121. Pelvic ultrasound is helpful in the diagnosis of:
A. Endometrial carcinoma
B. Ashermans syndrome
C. Ascites
D. Ovulation detection
Question 4
Glycogen is seen in the lumina of endometrial glands :
A. During the luteal phase
B. During pregnancy only
C. During pre and post ovulatory
D. During proliferative phase only
Question 5
The Wolfian duct in the female :
A. Develops into the fallopian tube
B. Forms the ovary
C. Forms the round ligament
D. Regresses and becomes vestigial
Question 6
Large amount of alkaline phosphatase may be demonstrated in the endometrium of :
A. Decidua
B. Secretory phase
C. Proliferative phase
D. All of the above
Question 7
Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:
A. Venous channels
B. Lymphatics
C. Nerve axons
D. All of the above
Question 8
The levator ani muscle :
A. Is a voluntary muscle
B. Is attached laterally to the white line of the pelvis
C. Is composed of pubococcygeus and iliococcygeus muscle
D. Contracts to prevent spillage of urine during strain
Question 9
The function of round ligament is :
A. Vestigial with no apparent function
B. To prevent retrodisplacement of the uterus
C. To prevent uterine prolapse
D. To provide nerve supply of the upper vagina
Question 10
The definitive epithelium of vagina is derived from :
A. Wolfian duct
B. Mullerian duct
C. Urogenital epithelium
D. Coelomic epithelium
Question 11
Causes of post partum amenorrhoea may be :
A. Anorexia nervosa
B. Cervical atresia
C. Chlorpromazaine therapy
D. Any of the above
Question 12
The cyclic production of pituitary hormones is dependant upon:
A. Normal menstruation
B. An intact pituitary- portal system
C. An adult anterior pituitary gland
D. All of the above
Question 13
The clots passed with menorrhagia perhaps indicate
A. No endometrial regeneration
B. No terminal arteriolar spasm
C. Large amount of bleeding
D. All of the above
Question 14
Monilial vagintis occurs frquently during pregnancy because :
A. Glycosuria is commoner
B. The vagina contains more glycogen
C. Higher vaginal acidity suppresses other organisms
D. All of the above
Question 15
Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is scanty with no discernible tissue in the cervical os. There are no palpable adnexal masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a gestational sac. Which of the following should be recommended?
A. Dilatation & curettage.
B. Culdocentesis.
C. Observation followed by serial B-HCG determinations.
D. Diagnostic laparoscopy.
Question 16
Which of the following statements is incorrect regarding levonorgestrel releasing intrauterine system:
A. There is increased incidence of menorrhagia
B. This system can be used as hormone replacement therapy
C. This method is useful for the treatment of endometerial hyperplasia
D. Irregular uterine bleeding can be problem initially
Question 17
Myxoma peritonei may occur as a consequence of rupture of which ovarian cyst ?
A. Dermoid
B. Struma ovarii
C. Serous cystadenoma
D. Mucinous cystadenoma
Question 18
Lutein and theca lutein cysts may be associated with all the following except :
A. Mole
B. Chorionepithelioma
C. Stein-leventhal syndrome(PCO)
D. Pregnancy
Question 19
The site of primary infection in patients with pelvic tuberculosis is usually
A. Tubal
B. Uterine
C. Cervical
D. Ovarian
Question 20
The preferred treatment of ruptured tubo-ovarian abscess is :
A. Cul-de-sac drainage
B. Removal of uterus , tubes and involved ovary
C. Removal of uterus , tubes and ovaries
D. Removal of ruptured tube and ovary
Question 21
The cysts of Stein -Leventhal ovary or PCOD are of which kind?
A. Lutein
B. Germinal inclusion
C. Follicular
D. Theca lutein
Question 22
Clinical findings of PCOD include all except :
A. Obesity
B. Olgomenorrhoea
C. Infertility
D. Tall stature
Question 23
Pyogenic infections of genital tract usually spread via :
A. Mucous membrane
B. Veins
C. Lymphatics
D. Fistulous tracts
Question 24
Presence of pyometra in a post menopausal females strongly suggests:
A. Diabetes mellitus
B. Degenerating myoma
C. Senile endometritis
D. Malignancy
Question 25
The most common symptom associated with adenomyosis is :
A. Infertility
B. Menorrhagia
C. Haematometra
D. Dyspareunia
Question 26
Adenomyosis is often associated with all of the following except :
A. Endometrial hyperplasia
B. Myoma
C. Endometriosis
D. Mymetrial hypertrophy
Question 27
Medadteam.org More than you dream125. A 63 old lady presents with abdominal mass & weight loss , was diagnosed as having an ovarian tumor , the most common ovarian tumour in this woman would be...:
A. epithelial tumour
B. germ cell tumour
C. stromal tumour
D. sex cord tumour
Question 28
There is a 5% incidence of primary extrauterine malignancy associated with endometrial cancer, the most frequent site for such is :
A. Stomach
B. lung
C. Breast
D. Bone
Question 29
The cause of virilizing adrenal hyperplasia is :
A. Defect in cortisol synthesis
B. defect in ACTH synthesis
C. Defect in testosterone synthesis
D. All of the above
Question 30
Anterior pituitary function may be blocked by:
A. Blood levels of steroids
B. Emotional factors
C. Sensory stimuli
D. All of the above
Question 31
Subnuclear vaculoes in the endometrial mucosa are evidence of activity of:
A. Cholesterol
B. Progesterone
C. Pregnendiol
D. Androstenendione
Question 32
Common ovulation induced drugs are
A. Clomiphene citrate
B. Tamoxifen or the newer letrozole
C. Gonadotrophins
D. GnRh analogue down regulation protocols
Question 33
The commonest cause of death in cancer cervix is :
A. Infection
B. Uraemia
C. Haemorrhage
D. Cachexia
Question 34
Failure to find sperm in postcoital examination may be due to :
A. Excessive oestrogen effect on cervical mucous
B. Excessive vaginal lactic acid
C. Oligospermia
D. All of the above
Question 35
The differential diagnosis of vaginal cysts include :
A. Cystocele
B. Urethral diverticulum
C. Urethrocoele
D. All of the above
Question 36
Factors in cervical cancer development EXCEPT:
A. HIV infection
B. Chlamydia infection
C. Breast cancer
D. Smoking
Question 37
A synthetic progestin. What is the most likely explanation for the contraceptive action of this drug?
A. Replacement of the LH surge by an FSH surge.
B. Abolition of the LH surge
C. Enhanced positive feedback of the hypothalamic-pituitary-gonadal axis.
D. Increased conversion of testosterone to estradiol.
Question 38
All of the following mechanisms might account for a reduced risk of upper genitaltract infection in users of progestin releasing IUDs, except:
A. Reduced retrograde menstruation
B. Decreased ovulation
C. Thickened cervical mucus
D. Decidual changes in the endometrium
Question 39
Non-neoplastic ovarian cysts include all of the following except:
A. follicular cyst
B. theca lutein cyst
C. dermoid cyst
D. corpus luteum cyst
Question 40
Which of the following ovarian tumor is most prone to undergo torsion duringpregnancy?
A. Serous cystadenoma
B. Mucinous cystadenoma
C. Dermoid cyst
D. Theca lutein cyst
Question 41
Magnesium sulphate toxicity include all EXCEPT:
A. CNS depression
B. This drug acts only on motor end plate
C. Respiratory depression
D. muscle relaxant
Question 42
In DUB all are right except,:
A. may be associated with hypothyroidism
B. may be associated with post-menopausal bleeding
C. may be associated with functional ovarian cysts
D. may present as menorrhagia
Question 43
Metabolic causes of anovulatory DUB include all except :
A. Hypothyroidism
B. Halbans syndrome
C. Cushings syndrome
D. Hyperthyroidism
Question 44
The primary drainage of the lower vagina is to :
A. external iliac nodes
B. Sacral nodes
C. Femoral nodes
D. superficial inguinal nodes
Question 45
The most common causative organism in acute bartholinitis is
A. Staphylococcus
B. Streptococcus
C. Colon bacillus
D. Gonococcus
Question 46
The uterine artery supplies the
A. Vagina
B. Lower cevix
C. Ovary
D. All of the above
Question 47
Common accompaniments salpingitis are :
A. Pelvic mass
B. Bleeding
C. Pain
D. All of the above
Question 48
he ovary of new born may contain :
A. Small folicular cysts
B. Corpora lutea
C. Lutenized grnulosa cells
D. All of the above
Question 49
Cervical amputation :
A. Is followed frequently by abortion
B. Is associated with high incidence of post operative sterility
C. Is not frequently followed by cervical dystocia in patients who become pregnant
D. All of the above
Question 50
The effect of ovarian steroid on anterior pituitary is
A. Direct stimulation
B. Direct inhibition
C. Mediated via hypothalamus
D. Unknown
Question 51
What are the signs of ovulation on Ultrasonography :
A. Irregular follicle wall
B. Collapse of follicle
C. Fluid in cul de sac
D. All of the above
Question 52
The uterus is held in anteflexed position by :
A. The ventral pull of round ligament
B. The dorsal pull of uterosacral ligaments
C. Its weight
D. All of the above
Question 53
The most common symptom of adenomyosis is :
A. Dysmenorrhoea
B. Menorrhagia
C. Pain
D. Fever
Question 54
The commonest cause of stress incontinence is
A. Constipation
B. Raised intra abdominal pressure
C. Congenital weakness of sphincter
D. Childbirth trauma
Question 55
Perforation of the uterus while doing endometrial biopsy in non pregnant uterus, needs
A. Laparoscopy
B. Observation
C. Immediate laparotomy
D. Hysterectomy
Question 56
Least common type of uterine anomaly in patients with recurrent pregnancy loss :
A. Unicornuate
B. Arcuate
C. Septate
D. Bicornuate
Question 57
Diagnosis of stress incontinence coded by which of the following before taking the patient for surgery
A. History
B. Subjective demonstration of stress incontinence
C. Objective demonstration of stress incontinence
D. Urodynamic studies
Question 58
The following are the factors associated with CIN EXCEPT
A. Onset of coitus at early stage
B. Multiple sexual partners
C. Lower socioeconomic status
D. Nulliparity
Question 59
Best treatment for severe stress incontinence without prolapse is
A. Pelvic floor exercise
B. Kelly's repair
C. Burch colposuspension
D. MMK operation
Question 60
Bartholins gland duct opens in.....
A. Upper third of labia majora
B. Middle third of labia majora
C. Upper third of labia minora
D. Middle third of labia minora
Question 61
A 19-year-old female comes to the physician because of left lower quadrant pain for 2 months. She states that she first noticed the pain 2 months ago but now it seems to be growing worse. She has had no changes in bowel or bladder function. She has no fevers or chills and no nausea, vomiting, or diarrhea. The pain is intermittent and sometimes feels like a dull pressure. Pelvic examination is significant for a left adnexal mass that is mildly tender. Urine hCG is negative. Pelvic ultrasound shows a 6 cm complex left adnexal mass with features consistent with a benign cystic teratoma (dermoid). Which of the following is the most appropriate next step in management?
A. Repeat pelvic examination in 1 year
B. Repeat pelvic ultrasound in 6 weeks
C. Prescribe the oral contraceptive pill
D. Perform hysteroscopy
Question 62
A 54-year-old woman comes to the physician for an annual examination. She has no complaints. For the past year, she has been taking tamoxifen for the prevention of breast cancer. She was started on this drug after her physician determined her to be at high risk on the basis of her strong family history, nulliparity, and early age at menarche. She takes no other medications. Examination is within normal limits. Which of the following is this patient most likely to develop while taking tamoxifen?
A. Breast cancer
B. Elevated LDL cholesterol
C. Endometrial changes
D. Myocardial infarction
Question 63
A 62-year-old woman comes to the physician because of bleeding from the vagina. She states that her last menstrual period came 11 years ago and that she has had no bleeding since that time. She has hypertension and type 2 diabetes mellitus. Examination shows a mildly obese woman in no apparent distress. Pelvic examination is unremarkable. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. Which of the following is the most appropriate next step in management?
A. Chemotherapy
B. Cone biopsy
C. Dilation and curettage
D. Hysteroscopy
Question 64
Ovarian precursors of oestradiol include :
A. Oestrone
B. Androstenedione
C. Testosterone
D. All of the above
Question 65
Female patient with endometrial hyperplasia could be all of these except:
A. thecoma
B. fibroma
C. Brenner tumor
D. follicular cyst
Question 66
Endometroid cyst, on examination:
A. adenexal tenderness
B. cyst felt in thin people
C. cyst fixed and tender
D. all of the above .
Question 67
Considering epithelial neoplasm of the ovaries all true except :
A. the commonest
B. mucinous cystadenoma lined by tubal epithelium
C. Brenner tumor lined by urinary tract epithelium
D. embryologically arise from wolffian epithelium .
Question 68
The Commonest ovarian neoplasm complicated with torsion during pregnancy:
A. fibroma
B. teratoma
C. simple serous cyst
D. thecoma .
Question 69
Female patient with acute abdomen , CBC normal , B-HCG negative , No vaginal bleeding , Mostly is :
A. hemorrhagic teratoma
B. disturbed ectopic pregnancy
C. appendicitis
D. peritonitis .
Question 70
Considering mucinous cystadenoma :
A. the commonest neoplasm
B. usually bilateral
C. sometimes fill the entire abdominal cavity
D. lined by tubal epithelium .
Question 71
Considering Brenner tumor all true except :
A. potential malignant is common
B. histologically has epithelial nests and coffe bean nuclei
C. vaginal bleeding reported with it
D. usually in childbearing women
Question 72
Considering Meig's syndrome it is associated with :
A. ovarian fibroma
B. left side pleural effusion
C. ascitis
D. a&b
Question 73
Considering malignant ovarian neoplasm histologically may be all except :
A. epithelial tumors
B. germ cells tumor
C. cystic and solid tumors
D. sex cord tumors .
Question 74
For endometrial cyst all true except :
A. choclate cyst on TVS
B. laparoscope is indicated
C. C125 is a specific test
D. associated with dysmenoorrhoea .
Question 75
Female patient with history of induction of ovulation present with tender lowerabdominal pain and discomfort , TVS show cyst , Next step is :
A. assurance sending home
B. hold ovarian stimulatin drug
C. laparotomy
D. non of the above .
Question 76
Considering endometroid cyst :
A. not uncommon
B. due to menstrual reaction
C. torsion is common
D. a&b .
Question 77
Considering endometrial cyst ttt all true except :
A. GNRH is of benefit
B. laparosope idicated in small cyst
C. laparotomy is preferred
D. recurrence is not common
Question 78
Considering the follicular cyst it is rarely associated with :
A. endometrial hyperplasia
B. acute abdomen
C. polycystic ovary
D. On PV in obese patient it may rupture .
Question 79
Female patient with history of endometriosis , menstrual disorders complaining from pain on right iliac fossa , on examination there was tenderness on right iliac fossa with no rebound pain no rigidity , on CBC it was normal , most likely :
A. peritonitis
B. appendicitis
C. follicular cyst
D. non of the above
Question 80
Considering a case of follicular cyst it need all of following except :
A. assurance follow up
B. OCP
C. usually surgical removal
D. repeated US
Question 81
Considering the follicular cyst all of following is true except :
A. associated with metropathia hemorrhagica
B. OCP indicated in ttt
C. the second common functional cyst
D. TAS is the gold standard diagnostic method
Question 82
Considering the endometroid cyst :
A. associated with dysmenorrhoea
B. associated with pelvic pain
C. associatd with pelvic endometriosis
D. All of the above
Question 83
Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be :
A. follicular cyst
B. theca lutein cyst
C. corpus luteum cyst
D. none of the above .
Question 84
A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:
A. Vaginal hysterectomy
B. Radical hysterectomy/Radiotherapy
C. Cold-knife conization of the cervix
D. Loop excision of the cervical tranformation zone
Question 85
The following about human papilloma virus (HPV) infection are correct EXCEPT:
A. It is the most common viral STDs.
B. It may lead CIN and cervical cancer.
C. It is due to RNA virus.
D. Infection may be warty or flat condyloma.
Question 86
The lymphatic drainage of the cervix is to the following lymph nodes EXCEPT:
A. The femoral lymph nodes.
B. The internal iliac lymph nodes.
C. The para-cervical lymph nodes.
D. The pre-sacral lymh nodes.
Question 87
The commonest secondary change in uterine fibroids is:
A. Fatty degeneration
B. Myxomatous degeneration.
C. Hyaline degeneration
D. Cystic degeneration
Question 88
The following is correct about the ovarian ligaments:
A. Contain ureters.
B. Contain ovarian arteries.
C. Are attached laterally to pelvic wall.
D. Lie anterior to the broad ligament.
Question 89
The severity of CIN is graded
A. 1-3
B. 1a-4a
C. I-III+ I-IV
D. A-C
Question 90
Cervical polyps
A. causes spontaneous abortion
B. are cause of antepartum hge
C. cause watery vaginal discharge
D. are covered by squamous epithelium
Question 91
Involves pelvic LN clearance, hysterectomy, removal of the parametrium and theupper third of the vagina.
A. Wartmans hysterectomy
B. Wertheims hysterectomy
C. Wertheims Trachelectomy
D. Radical trachelectomy
Question 92
5 year survival for someone with stage 3-4 cervical carcinoma
A. 10-30%!!!
B. 80-95%
C. 2-10%
D. 65-80%
Question 93
Cervical carcinoma spread and staging: Microinvasion of the basement membrane, <7mm across, with no lymph/vascular space invasion
A. Stage 1b
B. Stage 3
C. Stage 4
D. Stage 1a
Question 94
Acetic acid turns a portion of the cervix _____ in a patient with a CIN
A. Green
B. Blue
C. Brown
D. Orange
Question 95
Typical cells are found only in the lower third of the epithelium
A. CIN III
B. CIN I
C. CIN V
D. CIN IV
Question 96
A 42-year-old G4P4 has had postcoital bleeding for the past four months. She has not had a Pap test since the delivery of her last child 7 years ago. Speculum examination shows a vaginal discharge and a 1 cm exophytic lesion of the posterior cervical lip. The most appropriate next step is:
A. Perform a Pap smear
B. Perform a cold-knife conization
C. Give the patient a course of intravaginal Metronidazole gel followed by reexamination in 6 weeks
D. Perform a punch biopsy of the lesion
Question 97
The area where cervical carcinoma usually originates
A. Neoplastic zone
B. Metaplastic field
C. Retrograde area
D. Transformation zone
Question 98
Cervical carcinoma is most common between the ages of
A. 45-55
B. 16-18
C. 18-22
D. 35-45
Question 99
Cervical carcinoma characteristically spreads in the
A. Tissue
B. Lymph
C. Bone
D. Blood
Question 100
Which of the following is thought to be protective against CIN?
A. HIV
B. Oral contraceptive usage
C. Long term sexual abstinence
D. Smoking
Question 101
Cervical carcinoma that can be treated with cone biopsy
A. Stage 5
B. Stage 1a
C. Stage 3
D. Stage 2a
Question 102
The presence of atypical cells within the squamous epithelium
A. Cervical dyskaryosis
B. Nabothian follicles
C. Dysplasic dyskaryosis
D. Cervical intraepithelial neoplasia
Question 103
5 year survival for someone with stage 1a cervical carcinoma
A. 95%
B. 10%
C. 30%
D. 80%
Question 104
Cervical carcinoma spread and staging: Invasion of the lower vagina or pelvicwall, or causing ureteric obstruction
A. Stage 1a
B. Stage 4
C. Stage 3
D. Stage 2a
Question 105
HPV types _________ are the most significant and account for 70% of allcervical cancers
A. 45 and 46
B. 31 and 33
C. 14 and 16
D. 16 and 18
Question 106
Anovulatory infertility in PCO is due to:
A. alteration of folliculogenesis caused by dysregulation of GnRH pulse generator
B. alteration of folliculogenesis caused by adrenal & ovarian hyperandrogenism
C. alteration of folliculogenesis caused by insulin resistance
D. alteration in folliculogenesis caused by alteration of ovarian growth factors
Question 107
Ovarian tumors which may produce chorionic gonadotrophins include :
A. Dysgerminoma
B. Teratoma
C. Choriocarcinoma
D. All of the above
Question 108
Pathology of endometriosis may be explained by :
A. coelemic metaplasia
B. endometrial hyperplasia
C. retrograde menstruation
D. intraperitoneal immunologic deficit
Question 109
The cysts in Polycystic Ovarian syndrome are formed by:
A. Failure of atretic follicles to undergo apoptosis
B. Oocyte proliferation
C. Multiple corpus lutea
D. Cystic degeneration of ovarian cortex
Question 110
An in situ stage has not been officially recognized in which of the following :
A. Ovarian carcinoma
B. Endometrial carcinoma
C. Cervical carcinoma
D. Vulvar carcinoma
Question 111
The gastrointestinal primary of a Krukenberg tumour of the ovary is most oftenfound in the :
A. Gall bladder
B. Rectum
C. Pylorus
D. Colon
Question 112
Functional ovarian cysts include:
A. Follicular cysts.
B. Endometriomas.
C. Dermoid cysts.
D. fibromas.
Question 113
In contrast to a malignant ovarian tumor, a benign tumor has which of the following gross features?
A. Excrescences on the surface.
B. Peritoneal implants.
C. Intra-cystic papillations.
D. Free mobility.
Question 114
A 54-year-old woman is found to have endometrial hyperplasia on endometrialbiopsy. A functional ovarian tumor to be suspected is a:
A. Lipid cell tumor.
B. Granulosa-theca cell tumor.
C. Sertoli-Leydig yumor.
D. Muncious cystadenocarcinoma.
Question 115
A uni-locular ovarian cyst measuring 4.4 cm by 4.9 cm found on routine ultrasonograrhy during the 8th week of gestation . best management for this case is
A. observation and repeated ultrasonography
B. laparoscoic aspiration of the cyst
C. immediate laparotomy and cystectomy
D. immediate laparotomy and ovariectomy
Question 116
Germ cell tumours include all the following except
A. choriocarcinoma
B. gonadoblastoma
C. endodermal sinus tumour
D. begnin cystic teratoma
Question 117
Which is the major cause of cancer death in women?
A. Breast cancer
B. Cervical cancer
C. Endometrial cancer
D. Lung cancer
Question 118
Endometrial carcinomas associated with estrogen therapy caused by unopposedestrogen therapy :
A. well differentiated
B. are deeply invasive
C. are sensitive to progesterone therapy
D. generally have poor prognosis
Question 119
Ovarian cancer:
A. Separate FIGO staging systems exist for epithelial and sex-cord/stromal ovarian tumors
B. Granulosa Cell Tumor has an excellent prognosis because most patients present with early-stage disease
C. Meigs syndrome consists of ascites; hydrothorax and a malignant ovarian tumor
D. Krukenberg tumours are metastatic ovarian neoplasms originating exclusively in the stomach
Question 120
Regarding ovarian tumours
A. adenocarcinoma is more commonly bilateral than mucinous
B. the use of oral contraceptives is a risk factor for ovarian cancer
C. Sertoli-Leydig tumours of the ovary are typically estrogen secreting
D. Fat saturation MRI images are of value in diagnosing cystic teratomas
Question 121
A Krukenberg tumour is an ovarian neoplasm which :
A. Is primary in the ovary
B. Is associated with hydrothorax
C. Is secondary to any GIT cancer
D. Shows characteristic mucoid epithelial change
Question 122
CA-125 is ?
A. A mucin-type glycoprtein
B. A ganglioside
C. A tumor-specific transplantation antigen
D. Useful for ovarian cancer screening in the general patient population
Question 123
A young female came to you with complaint of oligomenorrhea ,hirsutism & weightgain ,US reveals bulky ovaries with subcapsular cysts. Most likely diagnosis is
A. ovarian cancer
B. cushing syndrome
C. PCOD
D. DM
Question 124
A large cystic tumour is detected in a woman in routine antenatal examination.The most common complication she can encounter?
A. Torsion
B. rupture
C. hemorrhage
D. infection
Question 125
A 18-year-old woman comes to the physician for an annual examination. She has no complaints. She has been sexually active for the past 2 years. She uses the oral contraceptive pill for contraception. She has depression for which she takes fluoxetine. She takes no other medications and has no allergies to medications. Her family history is negative for cancer and cardiac disease. Examination is unremarkable. Which of the following screening tests should this patient most likely have?
A. Colonoscopy
B. Mammogram
C. Pap smear
D. Pelvic ultrasound
Question 126
Hilus or Leydig cell tumour may be associated with :
A. Reinke crystals
B. Oestrogen effect on endometrium
C. Clinical virilism
D. All of the above
Question 127
A multiparous woman aged 40 years, presents with menorahagia and progressively increasing dysmenorrhoea. Most probable diagnosis is:
A. Ca Cervix
B. Ca Endometrium
C. Adenomyosis
D. DUB
Question 128
Female with history of frequent micturition may be :
A. prolapse
B. incarcerated fibroma
C. pregnancy
D. a&c
Question 129
Considering dysgerminoma all true except :
A. the commonest germ cell tumor
B. usually in young females
C. lymphatic spread is so late
D. elevate lactic dehydrogenase level .
Question 130
Ordering accord to the commonest cancers in female genital tract the right is :
A. cervical , endometrial ,ovarian
B. ovarian , cervical , endometrial
C. endometrial , cervical , ovarian
D. endometrial , ovarian , cervical .
Question 131
Female came to the ER with Bp 80/60 and pulse 125 with history of acute abdomen , next step is
A. laparotomy
B. iv fluids
C. CBC
D. PV examination
Question 132
Considering ovarian cancer :
A. surgery is preferred to be last line
B. early discovered with good prognosis
C. chemotherapy is good in most tumors
D. germ cell tumors show good response to chemotherapy
Question 133
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?
A. Mature cystic teratoma
B. Choriocarcinoma
C. Sertoli-Leydig cell tumor
D. Fibrothecoma
Question 134
Vaginal adenocarcinomas in children is caused by
A. Virus
B. Administration of DES to pregnant mothers
C. Hormonal changes
D. All of the above
Question 135
Carcinoma cervix with involvement of upper 2/3 of vagina is stage
A. II
B. II B
C. III A
D. III B
Question 136
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?
A. Endometrial adenocarcinoma
B. Ovarian serous cystadenocarcinoma
C. Mesothelioma
D. Ovarian mature cystic teratoma
Question 137
Ovarian masses:
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
Question 138
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?
A. Cystic teratoma
B. Dysgerminoma
C. Endodermal sinus tumor
D. Granulosa cell tumor
Question 139
Current modes of investigation for infertility to check functioning of tubes are all of the following execpt:
A. Air insufflation
B. Sonosalpingography
C. Hysterrosalpingography
D. Laparoscopic chromotubation
Question 140
Before puberty, what is the ratio between the cervical length and uterine body ?
A. 1 : 2
B. 2 : 1
C. 1 : 3
D. 1 : 4
Question 141
As regard mastalgia:
A. in cyclic mastalgia pain is usaully max. postmenestrual
B. is treaeted surgically
C. bromocriptine may be used
D. gammaleinoliec acid is contraindicated
Question 142
Pap smear
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
Question 143
A 40-years-old female with history of fibroid on investigation showed CIN-2 changes. Treatment of choice in this case is :
A. Hysterectomy
B. Conization
C. Cryotherapy
D. Laser ablation
Question 144
Dysfunctional Uterine Bleeding (DUB) is defined as abnormal uterine bleeding ?
A. Secondary to hormonal dysfunction
B. Caused by cancer
C. In a patient with von Willebrand's disease
D. With no organic cause
Question 145
Abnormal Uterine bleeding (AUB) is defined by all of the following except ?
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
Question 146
Dysfunctional uterine bleeding is said to present when there is bleeding due to :
A. Fibroid
B. Endometriosis
C. Irregular ripening and irregular shedding
D. Chronic endometritis
Question 147
Post menopausal bleeding does not occur in....
A. Use of combined OCP's
B. Atrophic vaginitis
C. Endometrial hyperplasia
D. CA-Endometrium
Question 148
Bicornute uterus may predispose to all the following except:
A. recurrent PTL
B. primary amenorrhea
C. retention of placenta after delivery
D. menorrhagia
Question 149
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?
A. 10 million.
B. 20 million.
C. 30 million.
D. 40 million.
Question 150
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:
A. Ampulla.
B. Isthmus.
C. Fimbrial end.
D. Abdomin.
Question 151
Mean age for menopause is:
A. 40 years.
B. 45 years.
C. 51 years.
D. 48 years.
Question 152
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.
Question 153
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.
Question 154
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.
Question 155
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.
Question 156
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.
Question 157
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. Cushings syndrome.
C. Polycystic ovarian disease.
D. Diabetes mellitus.
Question 158
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.
Question 159
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.
Question 160
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.
Question 161
The most effective treatment of pruritis vulvae associated with atrophic vulvitis is:
A. Antihistamines.
B. Hydrocortisone.
C. Alcohol injections.
D. Tranquilizers.
Question 162
The most common cause of rectovaginal fistula is:
A. Obstetrical.
B. Irradiation of the pelvis.
C. Carcinoma.
D. Crohns disease.
Question 163
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.
Question 164
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.
Question 165
The maximum number of oogonia are formed at what ageof female life:
A. One month intrauterine.
B. Five month intrauterine.
C. At birth.
D. At puberty.
Question 166
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.
Question 167
The most common cause of vesicovaginal fistula (VVF) in under developed countries would be:
A. Obstetrical injuries.
B. Pelvic irradiation.
C. Carcinoma .
D. Haemorrhoidectomy.
Question 168
A 28 year old patient complains of amenorrhea after having dilatation and curettage. The most likely diagnosis is:
A. Kallmans Syndrome.
B. Turners Syndrome.
C. Ashermans Syndrome.
D. Pelvic inflammatory disease.
Question 169
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.
Question 170
Which of the following is used to take cervical smear:
A. Colposcope.
B. Vaginoscope.
C. Ayres spatula.
D. Laparoscope.
Question 171
Normal duration of menstrual cycle is:
A. 1-3 days.
B. 1-4 days.
C. 2-7 days.
D. 7-10 days.
Question 172
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. Cushings Syndrome.
Question 173
28 years old woman with previous history of having baby with Downs 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.
Question 174
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.
Question 175
Gonadotropin releasing hormone (GnRH) stimulates the release of:
A. ACTH.
B. Growth hormone.
C. Leutinising Hormone (LH).
D. Thyroid stimulating hormone (TSH).
Question 176
Serum prolactin levels are highest in which of the following conditions:
A. Menopause.
B. Ovulation.
C. Parturition.
D. Sleep.
Question 177
Main uterine support is:
A. Uterosacral ligaments.
B. Round ligaments.
C. Transverse cervical ligaments.
D. Ovarian ligaments.
Question 178
The most likely cause of abnormal uterine bleeding in 13years old girl is:
A. Uterine cancer.
B. Ectopic pregnancy.
C. Anovulation.
D. Systemic bleeding diatheses.
Question 179
Which of the following pubertal event would occur even in the absence of ovarian estrogen production:
A. Thelarche.
B. Menarche.
C. Pubarche.
D. Skeletal growth.
Question 180
58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be:
A. Colposcopy.
B. Pap smear.
C. Cone biopsy.
D. D & C (dilatation & Curettage).
Question 181
The most common symptom of endometrial hyperplasia is:
A. Vaginal discharge.
B. Vaginal bleeding.
C. Amenorrhea.
D. Pelvic pain.
Question 182
56 years old woman has come to you with the complaints of hot flushes irritability, joint pains with lack of sleep. Most appropriate treatment would be:
A. Hysterectomy.
B. Vitamins.
C. Combined oestrogen, progesterone preparations.
D. Phytooestrogens.
Question 183
Which of the following is used as an emergency contraceptive:
A. Combined oral contraceptive pills.
B. Progesterone only.
C. Depoprovera.
D. Levonorgestril (EM-Kit).