Group F Gyne MCQs

1. Patient with hypertension, proteinuria, headache and visual disturbance. What is the next
management?
a. MgSO4
2. Woman taking OCP. She forgets to take her dose for 3 days.
a. Continue her pill and use other contraceptive measure
b. Stop and resume use after 7 days
c. Take extra pill
3. Pregnant woman with AIDS on zidovudine. Viral load > 1000. She does not want transmission:
a. Amniocentesis for lung maturity and deliver her
b. Elective C-section at 38 weeks
c. Elective C-section at 34 weeks
d. Vaginal delivery
4. Endometrial cancer reaching 1/3 of myometrium, not extending to the vagina/cervix but
positive peritoneal washing. What is the stage?
a. Stage I
b. Stage II
c. Stage III
d. Stage V
5. Normal anatomy of uterus is
a. Antiverted antiflexed
6. 3 year old female with breast development 6 months ago, no pubic hair and no vaginal bleeding.
How to manage:
a. GnRH agonist
b. Laparoscopy
c. Reassure the parents
7. Infertility in PCOS is managed initially with
a. Metformin
8. Definitive treatment of preeclampsia:
a. Terminate pregnancy
9. 18 year old female suffers from leaking of urine when she exercises at the gym and when she
coughs and sneezes. She suffers from no neurological symptoms and she drinks 3 coffees a day.
What kind of incontinence is she experiencing?
a. Stress
b. Urge
c. Drug-induced
d. Functional
10. Non-favorable Bishop score in a woman. Given PGE2 developed prolonged contractions
lasting more than 2 minutes. Fetal heart rate decreased. Management?
a. Turbutaline
11. Face presentation, 6 cm dilated. Management?
a. vaginal traction
b. Rotation of mentum anterior to mentum posterior
c. Podalic version
d. C-section
12. Stage IIb cervical cancer, treated with TAHBSO, resection of bladder and rectum and
a. Radical pelvic exenteration
b. Total pelvic exenteration
13. No fetal movement for 6 hours, previously normal. Most immediate action?
a. CTG
b. NST
c. Delivery
d. Reassure, watch for movement.
14. HGSIL, no dysplasia. Next step?
a. Conization
b. LEEP
c. Hysterectomy
d. Pap smear after 6 months
15. Lithium causes:
a. Congenital heart defect
16. Diabetic on insulin since 13 years. Most common congenital defect?
a. VSD
17. 41 years old pregnant 9 weeks. Chorionic villus sampling vs. amniocentesis in terms of side
effects:
a. Limb defect
18. Le Fort procedure better than hysterectomy when woman:
a. Not desiring sexual activity
19. Forceps vs. vacuum (advantage)
a. Doesnt occupy the space around the head
20. 15 year old became sexually active last year, using condoms inconsistently. When should she
start getting pap smears?
a. Immediately
b. 16 years
c. 18 years
d. 21 years
21. Woman complaining of dysmenorrhea. On examination, uterus retroverted and painful mass in
the cul de sac, Diagnosis?
a. Endometriosis
22. Mass on posterolateral aspect of labia majora causing redness
a. Bartholin abscess
b. Bartholin cyst
23. Colon cancer and bilateral ovarian mass
a. Krukenberg tumor
24. Chinese lady underwent D&C, bleeding. Hydropic, trophoblastic?
a. Weekly BHCG
25. Lady is crying a lot during the 1st week post partum. Which of these factors raises the suspicion
of postpartum depression rather than postpartum blues?
a. Emotional lability
b. Anxiety about child
c. Feeling helpless
26. 4 cm dilation of cervix after 18 hours. Babys head underwent moulding and he experienced
deceleration. Action
a. C-section
27. Contractions without cervical changes due to:
a. Abnormal lie
b. Contracted pelvis
28. 2 previous c-sections. What is the greatest risk?
a. Placenta acreta
29. 40 year old primigravida, normal pregnancy, then painful vaginal bleeding. Diagnosis?
a. Placental abruption
b. Placenta previa
30. Passing blood with positive fetal heart sounds. Diagnosis
a. Threatened abortion
31. Fetus with same size as measured 4 weeks ago. Diagnosis?
a. IUGR
32. Fundal height with uterus just below the umbilicus?
a. 24 weeks
33. Clue cells on KOH with fishy odor. Most likely organism?
a. Gardnerella vaginalis
34. Lady with history of two 2nd trimester abortions. Now she is pregnant with gestational age of 15
weeks. What is next step?
a. Cervical circlage
35. Complication of LEEP?
a. Cervical stenosis and insufficiency.
36. Fever post partum after a c-section. What is the cause?
a. Endometritis
b. Breast engorgement
c. Breast abscess
d. Wound infection