182 + Mcqs in Gynecology Page 2 McqOptions

51.	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.
Answer» D. Diabetes mellitus.

Discussion

52.	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.
Answer» D. Colposcopy.

Discussion

53.	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.
Answer» B. Trichomoniasis.

Discussion

54.	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.
Answer» B. Dilatation and Curettage.

Discussion

55.	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.
Answer» E. Laparoscopy.

Discussion

56.	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.
Answer» F.

Discussion

57.	The most common cause of rectovaginal fistula is:
A.	Obstetrical.
B.	Irradiation of the pelvis.
C.	Carcinoma.
D.	Crohn s disease.
E.	Endometriosis.
Answer» B. Irradiation of the pelvis.

Discussion

58.	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.
Answer» C. Urge incontinence.

Discussion

59.	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.
Answer» C. 14 and 16 years.

Discussion

60.	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.
Answer» D. Ectopic pregnancy.

Discussion

61.	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.
Answer» C. At birth.

Discussion

62.	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
E.	Sigmoidoscopy
Answer» D. Pelvic ultrasound

Discussion

63.	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.
Answer» B. Pelvic irradiation.

Discussion

64.	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.
Answer» D. Pelvic inflammatory disease.

Discussion

65.	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.
Answer» D. 7-10 days.

Discussion

66.	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.
Answer» B. Hypothyroidism.

Discussion

67.	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.
Answer» B. Rupture.

Discussion

68.	Which of the following is used to take cervical smear:
A.	Colposcope.
B.	Vaginoscope.
C.	Ayre s spatula.
D.	Laparoscope.
E.	Forceps.
Answer» D. Laparoscope.

Discussion

69.	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.
Answer» D. Fetal blood sampling.

Discussion

70.	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.
Answer» E. Genital herpes.

Discussion

71.	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
E.	Adenocarcinoma of fallopian tube
Answer» C. Mesothelioma

Discussion

72.	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.
Answer» D. Thyroid stimulating hormone (TSH).

Discussion

73.	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
E.	Mucinous tumor
Answer» E. Mucinous tumor

Discussion

74.	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
E.	Hysterectomy
Answer» F.

Discussion

75.	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
E.	perform laparotomy
Answer» F.

Discussion

76.	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
E.	none
Answer» E. none

Discussion

77.	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
E.	Osteoporosis
Answer» D. Myocardial infarction

Discussion

78.	A 54-year-old woman is found to have endometrial hyperplasia on endometrial biopsy. 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.
E.	Polycystic ovary
Answer» C. Sertoli-Leydig yumor.

Discussion

79.	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
E.	all of the above
Answer» F.

Discussion

80.	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
E.	none
Answer» D. Loop excision of the cervical tranformation zone

Discussion

81.	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.
E.	70 million.
Answer» C. 30 million.

Discussion

82.	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
E.	none
Answer» E. none

Discussion

83.	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
E.	none
Answer» D. TAS is the gold standard diagnostic method

Discussion

84.	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
E.	all of the above
Answer» F.

Discussion

85.	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
E.	None of the above
Answer» D. All of the above

Discussion

86.	Anterior pituitary function may be blocked by:
A.	Blood levels of steroids
B.	Emotional factors
C.	Sensory stimuli
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

87.	Ovarian tumors which may produce chorionic gonadotrophins include :
A.	Dysgerminoma
B.	Teratoma
C.	Choriocarcinoma
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

88.	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 .
E.	none
Answer» C. polycystic ovary

Discussion

89.	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
E.	none
Answer» D. Chronic endometritis

Discussion

90.	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
E.	Extended (>35 days) intervals between menses
Answer» C. An interval of less than 21 days between the starts of successive menses

Discussion

91.	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
E.	may be present as metropathia hemorrhagica
Answer» C. may be associated with functional ovarian cysts

Discussion

92.	The presence of atypical cells within the squamous epithelium
A.	Cervical dyskaryosis
B.	Nabothian follicles
C.	Dysplasic dyskaryosis
D.	Cervical intraepithelial neoplasia
E.	Cervicitis
Answer» E. Cervicitis

Discussion

93.	Metabolic causes of anovulatory DUB include all except :
A.	Hypothyroidism
B.	Halban s syndrome
C.	Cushing s syndrome
D.	Hyperthyroidism
E.	diabetes mellitus
Answer» C. Cushing s syndrome

Discussion

94.	Main uterine support is:
A.	Uterosacral ligaments.
B.	Round ligaments.
C.	Transverse cervical ligaments.
D.	Ovarian ligaments.
E.	Broad ligaments.
Answer» D. Ovarian ligaments.

Discussion

95.	Which of the following is used as an emergency contraceptive:
A.	Combined oral contraceptive pills.
B.	Progesterone only.
C.	Depoprovera.
D.	Levonorgestril (EM-Kit).
E.	Ergometrine.
Answer» E. Ergometrine.

Discussion

96.	The uterine artery supplies the
A.	Vagina
B.	Lower cevix
C.	Ovary
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

97.	Least common type of uterine anomaly in patients with recurrent pregnancy loss :
A.	Unicornuate
B.	Arcuate
C.	Septate
D.	Bicornuate
E.	Didelphys
Answer» B. Arcuate

Discussion

98.	The commonest secondary change in uterine fibroids is:
A.	Fatty degeneration
B.	Myxomatous degeneration.
C.	Hyaline degeneration
D.	Cystic degeneration
E.	Calcification
Answer» D. Cystic degeneration

Discussion

99.	A young female came to you with complaint of oligomenorrhea ,hirsutism & weight gain ,US reveals bulky ovaries with subcapsular cysts. Most likely diagnosis is
A.	ovarian cancer
B.	cushing syndrome
C.	PCOD
D.	DM
E.	PID
Answer» D. DM

Discussion

100.	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
E.	RI (Resistive index) values of intratumoral areas can differentiate between benign and malignant ovarian tumours
Answer» B. the use of oral contraceptives is a risk factor for ovarian cancer

Discussion

Explore topic-wise MCQs in Uncategorized topics.

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

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

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 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:

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

The most common cause of rectovaginal fistula is:

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:

Menarche usually occurs at age of:

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:

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

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

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

Normal duration of menstrual cycle is:

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

Which of the following is used to take cervical smear:

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

Gonadotropin releasing hormone (GnRH) stimulates the release of:

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 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 54-year-old woman is found to have endometrial hyperplasia on endometrial biopsy. A functional ovarian tumor to be suspected is a:

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

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 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?

Considering endometrial cyst ttt all true except :

Considering the follicular cyst all of following is true except :

Anovulatory infertility in PCO is due to:

Failure to find sperm in postcoital examination may be due to :

Anterior pituitary function may be blocked by:

Ovarian tumors which may produce chorionic gonadotrophins include :

Considering the follicular cyst it is rarely associated with :

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

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

In DUB all are right except,:

The presence of atypical cells within the squamous epithelium

Metabolic causes of anovulatory DUB include all except :

Main uterine support is:

Which of the following is used as an emergency contraceptive:

The uterine artery supplies the

Least common type of uterine anomaly in patients with recurrent pregnancy loss :

The commonest secondary change in uterine fibroids is:

A young female came to you with complaint of oligomenorrhea ,hirsutism & weight gain ,US reveals bulky ovaries with subcapsular cysts. Most likely diagnosis is

Regarding ovarian tumours