and Janesh Gupta2
(1)
Fetal Medicine, Rainbow Hospitals, Hyderabad, Telangana, India
(2)
University of Birmingham Birmingham Women’s Hospital, Birmingham, UK
GYN1
Which of the following is a selective progesterone receptor modulator?
A.
Dinoprostone
B.
Misoprostol
C.
Ormeloxifene
D.
Raloxifene
E.
Ulipristal
GYN2
Medical management of fibroids is best indicated when:
A.
Fibroid is less than 3 cm, not distorting the cavity and asymptomatic.
B.
Fibroid is less than 3 cm, distorting the cavity and asymptomatic.
C.
Fibroid is less than 3 cm, not distorting the cavity and causing heavy bleeding.
D.
Fibroid is more than 3 cm, distorting the cavity and asymptomatic.
E.
Fibroid is more than 3 cm, not distorting the cavity and asymptomatic.
GYN3
The incidence of chronic pelvic pain in women of reproductive age group is:
A.
2–5 %
B.
5–10 %
C.
10–15 %
D.
15–25 %
E.
40–50 %
GYN4
The commonest pathology identified at diagnostic laparoscopy in patients with chronic pelvic pain is:
A.
Adhesions
B.
Endometriosis
C.
Fibroids
D.
No pathology detected
E.
Pelvic inflammatory disease
GYN5
The incidence of adnexal pathology detected for the first time in pregnancy is:
A.
0.5 %
B.
2–5 %
C.
5–6 %
D.
10 %
E.
15–20 %
GYN6
The preferred period for intervention for an ovarian mass in pregnancy is:
A.
8 weeks
B.
10 weeks
C.
12 weeks
D.
14 weeks
E.
20 weeks
GYN7
Pick the correct statement regarding management of ovarian cysts in pregnancy.
A.
All suspected dermoid cysts need to be excised due to risk of torsion.
B.
Following cyst aspiration, recurrence occurs in <5 % of women.
C.
Persistent simple cysts larger than 10 cm can be offered cyst aspiration.
D.
Simple cysts smaller than 5 cm persist in 20 % of women.
E.
Torsion commonly occurs in the third trimester.
GYN8
A 45-year-old woman presents with right-sided nipple discharge. Clinical examination and mammography showed no abnormalities. Which one of the following is the next most appropriate action?
A.
Cytology.
B.
Microdochectomy.
C.
MRI scan.
D.
Ultrasound of the breast.
E.
Underlying cancer is a common finding; therefore, organise surgery for mastectomy.
GYN9
Which one of the following is correct in relation to polycystic ovarian syndrome, PCOS?
A.
Increased risk of type II diabetes or gestational diabetes.
B.
Increased risk of uterine polyps.
C.
No induction of uterine bleeding following 5 days of oral progestogen therapy.
D.
Resistant to clomiphene citrate ovulation induction in 50 % of cases.
E.
Virilisation is common.
GYN10
Obstetric outcomes in pregnancy after uterine artery embolisation—which of the following is not true?
A.
The caesarean section rate is about 50 %.
B.
Miscarriage rates are increased.
C.
PPH is increased due to abnormal placentation.
D.
Rate of preterm delivery is increased up to 16 %.
E.
There is higher rate of malpresentation.
GYN11
A 14-year-old girl presents in the gynaecology OPD with a history of irregular bleeding per vaginam for the last 4–5 months. She has been rather stressed out with her school and theatre group activities which is adversely affecting her routine life and cannot recollect her dates or menstrual pattern well.
She was on the pill for the past year. Of late she has loss of appetite with nausea and vomiting and fullness of the lower abdomen. She has lost weight in the last 3 months due to poor food intake. On examination vesicles are seen in the vagina close to the external cervical os.
What is the most likely clinical diagnosis?
A.
Contact dermatitis
B.
Genital herpes
C.
Molar pregnancy
D.
Sarcoma botryoides
E.
Vaginal carcinoma
GYN12
Ms. XY is 64 years old and is postmenopausal. She has recently been diagnosed with a 4 cm ovarian cyst on a transabdominal scan. The scan could not identify the other ovary as the bowel obscured it.
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