1. Patient diagnosed with ovarian Cancer underwent laparotomy for diagnostic staging. It show unilateral ovarian tumor with ruptured capsule. Stage would be:
A. 1C
B. 2B
C. 1A
D. 2C
Explanation: Ruptured capsule upstages to IC (FIGO).
2. Patient diagnosed with ovarian cancer. On examination the tumor growth is involving uterus and fallopian tube. Other structures normal. Stage:
a. 2A
b. 2B
c. 3A
d. 1C
Explanation: Involvement of uterus/tubes = Stage IIA.
3. Ovarian cancer staging laparotomy shows unilateral ovarian tumor with mets on liver capsule. Stage would be:
A. 2B
B. 3A
C. 3C
D. 4
Explanation: Liver capsule mets = Stage IIIC.
4. Female 9week gestational amenorrhea, present with minor vaginal bleed. You reassured but she is anxious for his fetus for wellbeing. What test to check well being:
A. Serum hCG
B. Abdominal US
C. TVUSS
D. Doppler flow
Explanation: TVUSS is most accurate for early pregnancy viability.
5. 35 yrs old women present with irregular menstrual bleed. She is advised u/s. What endometrial thickness is considered abnormal in this patient:
A. More than 4mm
B. More than 15mm
C. Less than 2mm
D. 5-10mm
Explanation: >4mm is abnormal in premenopausal bleeding.
6. A 60-years old lady presents with postmenopausal bleeding; endometrial biopsy shows carcinoma endometrium. The treatment option is:
a. Chemotherapy
b. Radiotherapy
c. Total abdominal hysterectomy
d. Total abdominal hysterectomy bilateral salpingooophorectomy (BSO)
e. Total abdominal hysterectomy with BSO, pelvic lymphadenectomy
Explanation: TAH+BSO is standard for endometrial carcinoma.
7. 28-years old lady presented with history of induced abortion 02 days back followed by severe lower abdominal pain. On ultrasound scan uterus was enlarged with dilated cavity echoes but uterine outline could not be ascertained properly. What would be the most probable diagnosis?
a. Uterine perforation
b. Retained products of contraception
c. Visceral damage
d. Cervical trauma
e. Septicaemia
Explanation: Ill-defined uterine outline suggests perforation.
8. 30-years old lady attends gynae OPD with complaint of amenorrhea of 03 months. Excessive hair growth on face and markedly increased weight gain. She is married for past three years and not conceived up till now. What would be the most likely diagnosis on the basis of history given by the patient:
a. Androgen secreting tumor
b. Uterine pathology
c. Polycystic ovarian syndrome
d. Psychologically upset
e. Early pregnancy
Explanation: Classic PCOS triad (amenorrhea, hirsutism, obesity).
9. Female had mild endometriosis, investigation
A. USG
B. MRI
C. Laproscopy
D. CA-125
Explanation: Laparoscopy is gold standard for endometriosis diagnosis.
10.
A.
B.
C.
D.
Explanation: [Left blank as per original PDF]
11. 14 year girl had pain on first day of menstruation, your best option
A. Reassurance and analgesics
B. Hormonal therapy
C. Laparoscopy
D. Antibiotics
Explanation: Primary dysmenorrhea is typically managed with NSAIDs and reassurance.
12. Scenario were about PID , cervical motion tenderness, fever, diagnoss:
A. PID
B. UTI
C. Appendicitis
D. Endometriosis
Explanation: Cervical motion tenderness is pathognomonic for PID.
13. Sexually active Woman present with bilateral lower abd pain, cervical motion tenderness, vaginal discharge. TLC is 12000 cell/mcl. Next step in management:
A. Empirical antibiotic
B. Ultrasound
C. Laparoscopy
D. Observation
Explanation: PID requires prompt antibiotics (e.g., ceftriaxone + doxycycline).
14. Vaginal atrophic related vulval pruritis will be treated by
A. Topical estrogen
B. Steroids
C. Antifungals
D. Antibiotics
Explanation: Estrogen reverses atrophic changes in vulvovaginal tissues.
15. Female patient had 4 x 6 cm mass in lower abdomen had solid componenet causing pain (scenrioa was like that), next option
A. Imidiate laproscopic Cystectomy
B. Observation
C. Chemotherapy
D. Radiation
Explanation: Solid ovarian masses >5cm require surgical evaluation.
16. Girl age 16 year still have amenorrhea, her secondary development was normal, her elder sister had menstrural bleeding and this stage, was is likely diagnoss
A. Constitutional delay
B. Turner syndrome
C. PCOS
D. Pregnancy
Explanation: Normal puberty + family history suggests constitutional delay.
17. Female patient with 8 week amenorrhea. Ultrasound shows stary sky and vesicle and no fetal tissue:
A. Hydatidiform mole
B. Ectopic pregnancy
C. Missed miscarriage
D. Twin pregnancy
Explanation: "Snowstorm" appearance is classic for molar pregnancy.
18. A 16-years old young girl has been admitted in causality department with acute urinary retention. Examination reveals a cystic tender mass in lower abdomen. Ultrasound showed distended bladder enlarged uterus with dilated cavity. Vulval examination reveals blemish membranes at introitus. The diagnosis is consistent with:
a. Imperforated hymen
b. Resistant ovarian syndrome
c. Testicular feminization syndrome
d. Transverse vaginal septum
e. Tumer's syndrome
Explanation: Hematocolpos from imperforate hymen causes urinary retention.
19. Female patient with 6 week gestational amenorrhea, passes grape like structure. To confirm a diagnosis of molar pregnancy next test:
A. Serum bHCG
B. USG
C. Karyotyping
D. Liver function tests
Explanation: Molar pregnancy shows extremely high β-hCG levels.
20. Female patient develops bloating, headache, breast mastalgia about 8-10 days every month before her menstruation. Diagnosis:
A. PMS (pre-menstrual syndrome)
B. Endometriosis
C. Ovarian cyst
D. Hyperthyroidism
Explanation: Cyclic symptoms resolving with menses are classic for PMS.
21. A 20-years old woman is referred to Gynaecology clinic having had amenorrhea for the last 6 months and negative pregnancy test. She had recently noticed an increased growth of hair on the face & chin and chemistry of hormonal assays show high level of hydroxy progesterone. What is the like diagnosis?
a. Adrenal adenoma
b. Adrenal carcinoma
c. Cushing syndrome
d. Polycystic ovary syndrome
e. Late onset congenital adrenal hyperplasia
Explanation: Elevated 17-OH progesterone indicates 21-hydroxylase deficiency (CAH).
22. Female patient with abdominal pain and spotting. On examination cervix appear normal. There is tenderness in right vaginal fornix. Pap smear show abnormal cells:
A. CIN
B. Ovarian carcinoma
C. Cervical cancer
D. PID
Explanation: Abnormal Pap suggests cervical dysplasia (CIN).
23. Recently married medical student 25 yrs old wants contraception for 1 year. Best method would be :
A. COCP
B. IUD
C. Injectable
D. Barrier
Explanation: COCP is ideal for short-term, reversible contraception.
24. An 18 years old girl, recently married wants contraception. She should be advised with one that is:
A. Rapidly reversible
B. Cheap
C. No side effects
D. Independent of intercourse
Explanation: Barrier methods (condoms) meet all these criteria.
25.
A.
B.
C.
D.
Explanation: [Left blank as per original PDF]
26. An infertile couple visits to an infertility clinic with semen analysis report. According to ‘World health organization’ (WHO) criteria; what is the reference limit for total sperm number in an ejaculate?
a. 33 million
b. 36 million
c. 39 million
d. 42 million
e. 45 million
Explanation: WHO 2021 criteria: normal total sperm count ≥39 million.
27. A young Female patient presents with irregular menstrual bleed. On examination she has a normal looking cervix. But she is still worried and wants to really rule out malignancy. Out of following which test can be performed in opd setting:
A. Hysteroscopy
B. Laparoscopy
C. MRI
D. CT scan
Explanation: Hysteroscopy allows direct endometrial visualization.
28.
A.
B.
C.
D.
Explanation: [Left blank as per original PDF]
29.
A.
B.
C.
D.
Explanation: [Left blank as per original PDF]
30. Female phad 3 abdominal surgery in 6 year want to do laproscopic examination, what is contraindication in this patient
a. Multipule abdominal incision
b. Generalized peritonitis
c. Stroke
d. CVD
e.
Explanation: Multiple abdominal incisions increase adhesion risk (relative contraindication).
31. Ovarian cancer common presentation
A. Asymptomatic
B. Abdominal pain
C. Vaginal bleeding
D. Urinary symptoms
Explanation: Early ovarian cancer is often asymptomatic.
32. Dysplasia involve top two third
A. CIN-II
B. CIN-I
C. CIN-III
D. Normal
Explanation: CIN-II involves middle to upper 2/3 of epithelium.
33. Fetal chromosomal abnormality,
A. Parental karyotyping
B. Amniocentesis
C. CVS
D. NIPT
Explanation: Parental karyotyping identifies balanced translocations.
34. PCOS long term consequence
A. Diabetes and ischemic heart disease
B. Osteoporosis
C. Thyroid cancer
D. Liver cirrhosis
Explanation: Insulin resistance in PCOS increases metabolic risks.
35. Most common cause of acute severe abdomen pain in a young patient with ovarian tumor, ultrasound had no fluid level, hemodynamically female was stable:
A. Torsion
B. Rupture
C. Hemorrhage
D. Infection
Explanation: Torsion causes sudden pain without hemorrhage (stable vitals).
36. 45-years old woman had abdominal hysterectomy due to menorrhagia 02 weeks ago. She has come to gynecology clinic with complaints of continuous leakage of urine day and night. Which of the following could have caused this problem?
a. Vesico-vaginal fistulas
b. Overflow incontinence due to postoperative pain & inflammation
c. Detrusor instability
d. Urinary tract infection
e. Displacement of urethra-vesical angle
Explanation: Continuous leakage suggests fistula (vs stress incontinence).
37. Female patient presents with painful blisters on vulva and vagina. Beforehand she had flu and malaise like symptoms.
A. HSV (herpes simplex virus)
B. Syphilis
C. Candida
D. Behcet's disease
Explanation: Painful blisters + prodromal symptoms = HSV.
38. 30-years old woman presents in outpatient department with test positive for syphilis using VDRL screening test. Which of the following is sensitive test for syphilis?
a. Ziehl-Nelson stain
b. PCR
c. FTA-ABS test
d. Cholesterol lecithin-cardiolipin antigen test
e. RPR test
Explanation: FTA-ABS is confirmatory after VDRL/RPR screening.
39. Most common cervical cancer is
A. Squmous cell carcinoma
B. Adenocarcinoma
C. Small cell carcinoma
D. Sarcoma
Explanation: SCC accounts for 80% of cervical cancers.
40. A 35-years old woman presented at gynaecology OPD with C/O irregular menstrual bleeding. Her TVS revealed endometrial polyp. Best management option is:
a. Hysteroscopic guided polypectomy
b. HRT
c. Follow up after six months
d. Dilatation & curettage
e. TAH & BSO
Explanation: Hysteroscopic removal is definitive for polyps.
41. Considering Cervical intra epithelial neoplasia (CIN) as a premalignant condition of carcinoma cervix it is classified as low risk when the cellular changes involve:
a. Superficial one third
b. Intermediate one third
c. Bottom one third
d. Top two third
e. Whole thickness of epithelium
Explanation: CIN-I (low risk) involves basal 1/3 of epithelium.
42. Considering fundus of uterus as the commonest site for implantation of concepts, it is said to be ectopic pregnancy when implantation occurs in:
a. Anterior wall of body of uterus
b. Posterior wall of body of uterus
c. Lateral wall of body of uterus
d. Lower segment of uterus
e. Cervix
Explanation: Cervical pregnancy is a type of ectopic pregnancy.
43. A 55-year-old woman presents with post-menopausal bleeding. She is diagnosed as a case of carcinoma endometrium stage II. What is the best management option?
a. TAH + BSO
b. Radical hysterectomy at cancer cent
c. Radical hysterectomy at local hospital
d. TAH postoperative radiotherapy
e. Brachytherapy+ external beam radiotherapy
Explanation: Stage II requires radical hysterectomy (cervical involvement).
44. A 22-years old woman, para 0+0 was admitted in gynaecology emergency department with history of overdue 25 days, lower abdominal pain and syncopal attacks. She was looking pale with BP of 90/60 mmHg, low volume and feeble pulse. Clinical diagnosis of acute abdomen due to ectopic pregnancy was made. Which management option will be best to treat her?
a. Diagnostic laparoscopy
b. Laparotomy
c. Treatment of shock and observation
d. Blood transfusion
e. Transvaginal scan
Explanation: Hemodynamic instability mandates immediate laparotomy.
45. 17 year girl have 1 year bleeding, The commonest problem observed in adolescent girls is:
a. Acne
b. Hirsutism
c. Obesity
d. Polymenorrhoea
e. Menorrhagia
Explanation: Anovulatory cycles cause menorrhagia in adolescents.
46. Which form of long-acting reversible contraception (LARC) is associated with delay in return of fertility?
a. Nexplanon
b. Copper T
c. Progesterone only injectable (Depot MedroxyProgesterone Acetate)
d. LNG IUS
e. Jadelle
Explanation: DMPA may delay fertility return by 6-12 months.
47. young woman is worried about excessive vaginal discharge and post coital bleeding. Diagnosis of cervical ectropion is made, this refers to a:
a. Stratified squamous keratinize epithelium covering ectocervix
b. Stratified squamous non-keratinized epithelium covering ectocervix
c. A disruption of lining epithelium
d. Columnar epithelium covering the area surrounding external cervical os
e. Cuboidal epithelium covering ectocervix
Explanation: Ectropion = columnar epithelium on ectocervix.
48. An 18-year-old girl is brought in OPD for the complaints of not menstruating yet. On examination she is 04-feet 02-inches tall with webbed neck and wide carrying angle. Best diagnostic tool in her case is:
a. CT scan
b. Hormonal assays
c. Karyotyping
d. MRI
e. Ultrasound
Explanation: Turner syndrome (45,X) confirmed by karyotype.
49. 49-years old woman has not menstruated for last 10 months and has night sweats and hot flushes. Which one of the following hormone assays suggests the diagnosis of menopause:
a. Elevated serum FSH and LH
b. Elevated serum prolactin
c. Elevated serum T3 and T4
d. Elevated serum beta-hCG
e. Elevated serum DHAE
Explanation: FSH >25 IU/L confirms menopause.
50. A 40-year-old lady para 4+0 presents with the symptoms of severe dysmenorrhea and dyspareunia. Diagnostic laparoscopy confirmed severe endometriosis. Most suitable option to completely cure symptoms is:
a. Danazol
b. GnRH, agonists
c. Hysterectomy + BSO
d. Laparoscopic removal of endometriosis
e. Nonsteroidal anti-inflammatory drug
Explanation: Definitive treatment for severe endometriosis.
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