1. Cervical carcinoma that can be treated with cone biopsy
Correct : B. Stage 1a
2. The presence of atypical cells within the squamous epithelium
Correct : D. Cervical intraepithelial neoplasia
3. 5 year survival for someone with stage 1a cervical carcinoma
Correct : A. 95%
4. Cervical carcinoma spread and staging: Invasion of the lower v*gina or pelvic
wall, or causing ureteric obstruction
Correct : C. Stage 3
5. HPV types _________ are the most significant and account for 70% of all
cervical cancers
Correct : D. 16 and 18
6. Anovulatory infertility in PCO is due to:
Correct : E. all of the above
7. Ovarian tumors which may produce chorionic gonadotrophins include :
Correct : D. All of the above
8. Pathology of endometriosis may be explained by :
Correct : C. retrograde menstruation
9. The cysts in Polycystic Ovarian syndrome are formed by:
Correct : A. Failure of atretic follicles to undergo apoptosis
10. An ‘ in situ ‘ stage has not been officially recognized in which of the following :
Correct : A. Ovarian carcinoma
11. The gastrointestinal primary of a Krukenberg tumour of the ovary is most often
found in the :
Correct : C. Pylorus
12. Functional ovarian cysts include:
Correct : A. Follicular cysts.
13. In contrast to a malignant ovarian tumor, a benign tumor has which of the following gross features?
Correct : D. Free mobility.
14. A 54-year-old woman is found to have endometrial hyperplasia on endometrial
biopsy. A functional ovarian tumor to be suspected is a:
Correct : B. Granulosa-theca cell tumor.
15. 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
Correct : A. observation and repeated ultrasonography
16. Germ cell tumours include all the following except
Correct : B. gonadoblastoma
17. Which is the major cause of cancer death in women?
Correct : A. Breast cancer
18. Endometrial carcinomas associated with estrogen therapy “ caused by unopposed
estrogen therapy “ :
Correct : C. are sensitive to progesterone therapy
19. Ovarian cancer:
Correct : B. Granulosa Cell Tumor has an excellent prognosis because most patients present with early-stage disease
20. Regarding ovarian tumours
Correct : A. adenocarcinoma is more commonly bilateral than mucinous
21. A Krukenberg tumour is an ovarian neoplasm which :
Correct : D. Shows characteristic mucoid epithelial change
22. CA-125 is ?
Correct : A. A mucin-type glycoprtein
23. A young female came to you with complaint of oligomenorrhea ,hirsutism & weight
gain ,US reveals bulky ovaries with subcapsular cysts. Most likely diagnosis is
Correct : C. PCOD
24. A large cystic tumour is detected in a woman in routine antenatal examination.
The most common complication she can encounter?
Correct : A. Torsion
25. 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?
Correct : C. Pap smear
26. Hilus or Leydig cell tumour may be associated with :
Correct : D. All of the above
27. A multiparous woman aged 40 years, presents with menorahagia and progressively increasing dysmenorrhoea. Most probable diagnosis is:
Correct : C. Adenomyosis
28. Female with history of frequent micturition may be :
Correct : E. all above .
29. Considering dysgerminoma all true except :
Correct : C. lymphatic spread is so late
30. Ordering accord to the commonest cancers in female genital tract the right is :
Correct : C. endometrial , cervical , ovarian
31. Female came to the ER with Bp 80/60 and pulse 125 with history of acute abdomen , next step is
Correct : B. iv fluids
32. Considering ovarian cancer :
Correct : D. germ cell tumors show good response to chemotherapy
33. 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?
Correct : D. Fibrothecoma
34. Vaginal adenocarcinomas in children is caused by
Correct : B. Administration of DES to pregnant mothers
35. Carcinoma cervix with involvement of upper 2/3 of v*gina is stage
Correct : A. II
36. 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?
Correct : B. Ovarian serous cystadenocarcinoma
37. Ovarian masses:
Correct : B. Include benign teratomas
38. 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?
Correct : D. Granulosa cell tumor
39. Current modes of investigation for infertility to check functioning of tubes are all of the following execpt:
Correct : E. all of the above
40. Before puberty, what is the ratio between the cervical length and uterine body ?
Correct : B. 2 : 1
41. As regard mastalgia:
Correct : C. bromocriptine may be used
42. Pap smear
Correct : A. the next step in dysplastic smear is colposcopy
43. A 40-years-old female with history of fibroid on investigation showed CIN-2 changes. Treatment of choice in this case is :
Correct : A. Hysterectomy
44. Dysfunctional Uterine Bleeding (DUB) is defined as abnormal uterine bleeding ?
Correct : D. With no organic cause
45. Abnormal Uterine bleeding (AUB) is defined by all of the following except ?
Correct : B. Menstrual length less than 7 days
46. Dysfunctional uterine bleeding is said to present when there is bleeding due to :
Correct : C. Irregular ripening and irregular shedding
47. Post menopausal bleeding does not occur in....
Correct : A. Use of combined OCP's
48. Bicornute uterus may predispose to all the following except:
Correct : B. primary amenorrhea
49. A couple presented in OPD with H/0 infertility since last 2 years. Husbands s*men analysis was advised. What is WHO criterion - for minimum sperm count in normal s*men?
Correct : B. 20 million.
50. 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:
Correct : A. Ampulla.
51. Mean age for menopause is:
Correct : C. 51 years.
52. Second degree uterovaginal prolapse is characterized by:
Correct : D. Descent of genital tract outside the introitus.
53. 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:
Correct : A. Epithelial tumour.
54. 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:
Correct : D. Fibroid uterus.
55. 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:
Correct : A. Inhibiting ovulation by suppression of serum FSH.
56. Women complaining of milky whitish discharge with fishy odour. No history of itching. Most likely diagnosis is:
Correct : A. Bacterial vaginosis.
57. 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:
Correct : C. Polycystic ovarian disease.
58. 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:
Correct : A. Tranexemic acid.
59. 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:
Correct : C. Pap smear.
60. 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:
Correct : D. Pelvic ultrasonography.
61. The most effective treatment of pruritis vulvae associated with atrophic vulvitis is:
Correct : E. Topical estrogen therapy.
62. The most common cause of rectovaginal fistula is:
Correct : A. Obstetrical.
63. 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:
Correct : B. Stress incontinence.
64. 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:
Correct : C. Gestational trophoblastic disease.
65. The maximum number of oogonia are formed at what age
of female life:
Correct : B. Five month intrauterine.
66. Menarche usually occurs at age of:
Correct : B. 11 and 13 years.
67. The most common cause of vesicovaginal fistula (VVF) in under developed countries would be:
Correct : A. Obstetrical injuries.
68. A 28 year old patient complains of amenorrhea after having dilatation and curettage. The most likely diagnosis is:
Correct : C. Asherman’s Syndrome.
69. A large cystic ovarian tumour is detected in a woman on routine antenatal check up. The most common complication she can encounter is:
Correct : A. Torsion.
70. Which of the following is used to take cervical smear:
Correct : C. Ayre’s spatula.
71. Normal duration of menstrual cycle is:
Correct : C. 2-7 days.
72. 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?
Correct : A. Polycystic ovarian disease.
73. 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:
Correct : C. Chorionic villus sampling.
74. A newly married girl comes to gynae OPD with history of dysuria, burning, micturition and sore perineum. What is your likely diagnosis:
Correct : D. Honey moon cystitis.
75. Gonadotropin releasing hormone (GnRH) stimulates the release of:
Correct : C. Leutinising Hormone (LH).
76. Serum prolactin levels are highest in which of the following conditions:
Correct : C. Parturition.
77. Main uterine support is:
Correct : C. Transverse cervical ligaments.
78. The most likely cause of abnormal uterine bleeding in 13
years old girl is:
Correct : C. Anovulation.
79. Which of the following pubertal event would occur even in the absence of ovarian estrogen production:
Correct : C. Pubarche.
80. 58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be:
Correct : D. D & C (dilatation & Curettage).
81. The most common symptom of endometrial hyperplasia is:
Correct : B. Vaginal bleeding.
82. 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:
Correct : C. Combined oestrogen, progesterone preparations.
83. Which of the following is used as an emergency contraceptive: