FINAL PROFESSIONAL MBBS, SEMESTER IX & X

REGULARIUNIT TESTIRESIT EXAMINATION PAPERS

GYNAECOLOGY
A 24-years Old G2P2 is requesting 4. Which of the following is a cornerstone for
contraception 06 weeks postpartum. Her detection Of ovarian neoplasia:
history is unremarkable except for A. Pelvic examination
significant primary dysmenorrhea. Which B. CA-125 T
Of the following contraception methods is C. Pelvic ultrasound D. Human chorionic
most closely associated with an increase in gonadotropin (hCG)
dysmenorrhea: E. Alpha fetoprotein
A. Copper containing IUCD T
5. A 25-years Old lady has come with positive
B. Cervical Cap
pregnancy test but despite of three
C. Oral contraceptives (OCS)
ultrasounds one week apart failed to show
D. Male condoms
pregnancy in uterus Or in adnexa. What the
E. Progestin Only pill (the minipill)
name or the condition:
2. Which of the following vitamin you will A. Threatened miscarriage
increase in the diet Of a girl having B. Pregnancy of unknown location
premenstrual syndrome: C. Chemical pregnancy T
A. Vitamin C D. Blighted ovum
B. Vitamin D T
E. Missed miscarriage
C. Vitamin A D. Vitamin E
Ovarian neoplasms most commonly
_ Vitamin B
which of the following cell lines:
A. Ovarian epithelium T
3. lhe definition of vaginE;rnus is:
B. Metastatic disease
A. Intact hymenal nembrane
C. Ovarian sex cords
B. Pain during menses
D. Ovarian germ cells E. Ovarian stroma
C. Absence of vagina
D. Pain during intercourse
7. 'Ihe average age of menopause is:
E. Vaginal tightness & pain during
A. 40
intercourse T
B. 45

Page |1
 c. 50 T repant is 46XY. What is the most
D. 55 probable diagnosis: A Androgen
E. 60 insensitivity syndrome T
B. XY engynetic failure
8. If germ cells fail to enter the developing
C. Gonadal agenesis
genital ridge, which of the following
D. Mayer Rokitansky Kurter Hausen
may occur:
syndrome
A. Ovarian choriocarcinoma
E. Turner syndrome
B. Ovarian teratoma

C. Testicular feminization 10. A 28-years old woman Pl+2 presented

D. Gonadal agenesis / streak gonads 'I' with WO amenorrhea 11/2 month
E. Ectopic pregnancy followed by mild bleeding PIV. On
ultrasound no gestational sac Seen,
9. A 17-years old girl is brought to the OPD
ovaries were enlarged with multiple
due to failure Of menstruation. She is 5
cysts. Her Il-HCG was raised. The
feet and 7 inches tall. Initial
findings are consistent with:
examination shows breast in tanner
A. Theca leutin cysts T
stage-I development scanty pubic hair,
B. Polycystic ovaries
no axillary hair, local examination
C. Corpus leuteal cyst D. Follicular cysts
reveals blind ended vagina karyotype
E. Endometriotic cyst
11. A 27-years old POA() underwent ha hat is the reason her daughter
myornectomy due to fibroid uterus. As a vi wants to know as she is studying
routine on which postoperative day her ng medicine. You explain:
hemoglobin should be repeated: A. day ni A. Lack of ovulation causing
gh progesterone deficiency
C. day
t B. Its normal sequel of life, all women
D. $ day
s have it C. Lack of balanced diet
E, day w affecting thermoregulatory center
ea D. Lack Of exercise leading to
12. A 45-years old woman has come to
ts. endorphin
gynec010kY clinic saying that she is
W deficiency

Page |2
 E. Lack of oesrogenic modulation on A. O D. Four weeks

serotine receptor T n E. Fiveweeks T

e
13. A young woman presented in early 16. precursor Of female genital tract is:
w
pregnancy clinic with positive pregnancy A. Mesonephrie ridge
e
test and excessive vomiting. Her B. Mullerian duct T
e
ultrasound reveals no definite fettLS 17.
k
however uterus was filled with cystic
B. T
spaces. What is your diagnosis:
w
A. Missed miscarriage
o
B. Biochemical pregnancy
w
C. Ectopic pregnancy
e
D. Molar pregnancy T
e 18.
E. Blighted ov um
k
s
14. Heavy menstrual bleeding after the age
C
of 45 years is cause of concern because
.
Of Of:
T
A. Endometrial polyps
h
B. Endometrial hyperplasia
r
C Carcinoma of endometrium
e
D. Leiomyosarcoma of uterus
e
E. Adenomycxsis T 19.
w
15. A 38-years old P4A0 is on oral e
contraceptive pills for last two years. e
She has been offered by her consultant k
abdominal hysterectomy due to s
multiple fibroid and heavy menstrual
bleeding. How many weeks prior 20.
surgery she should stop oral
contraceptive pills:

Page |3
 21. A bleeding for last six months. P/A
C. Paramesonephric duct 34 examination reveals 20 weeks size mass
D. Wolffian duct - arising from hypogastrium. Most likely
E. Primordial follicles ye diagnosis is:
ar A. Endometriosis
A 60-years old P4A0 has been offered
s B. Ovarian malignancy
abdominal hysterectomy due to degenerating
ol C. Uterine fibroid T
fibroid. Which of the following abdominal
d D. Mesenteric cyst
hysterectomy will be best for her: A. Subtotal
w E. Pelvic inflammatory disease
hysterectomy
o
B. Modified radical hysterectomy A 35-years Old woman presented at
m
C. Radical hysterectomy kvnecOlOgy
an
D. Total hysterectomy E. Total OPD with C/O irregular menstrual
pa
hysterectomy + bilateral bleeding, Her TVS revealed endometrial
ra
salpingooophorectomy T polyp. Best management option is:
1+
A. Hysteroscopic guided polypectomy T
A patient currently on COCs is being scheduled 0

to undergo a laparoscopic myomectomy. pr B. HRT

Regarding the perioperative management of her es C. Follow up after six months

COCS, you should counsel her to do which or en D. Dilatation & curettage E. TAH&BSO

the following: te Vulvo-vaginal thrush is common in women

A. Continue her contraceptives use until after d Of:

the procedure wi
A. Post menopause
B. Discontinue her contraceptives 14 days prior th
B. Any age group
to Surgery he
C. Adolescent period D. Peri menopause
av
C. Discontinue her Contraceptives at least 30 E. Reproductive age
y
days prior to surgery T 22. A primigravida with miscarriage asks
m
D. Discontinue her contraceptives 07 days prior you when a surgical management is
en
to surgery indicated for miscarriage. The most
st
E. Discontinue her contraceptives the day of appropriate reply would be:
ru
the surgery A. Cervical os has opened
al

Page |4
 B. Whenever woman wants re A. TAH & BSO T
C. Persistent excessive bleeding co B. Radiotherapy
D. As soon as diagnosis is made m C. Chemotherapy
E. Cervical os is tightly closed m D. Radical hysterectomy
en E. Wertheim hysterectomy
23. A 36-years Old woman 1>4+0 presents with
de
hegnler heavy periods for the last 08 26. In a woman with epilepsy the efficacy of
d
months. Her examination and ultrasound hormonal contraceptives will decrease
tr
reveals normal size uterus, non-tender, in if she is taking:
ea
addition she wants contraception. What is A. Antipsychotic drugs
t
the best treatment option for her: B. Electroconvulsive therapy
m
A. OCPs C. Carbamazepine T
en
B. OCP for03 months D. Diazepam E, Folic acid
t
C. LNG-WS T
fo
27. What is the term used for a 40 years Old
D. Progesterone only pills E Endometrial
r
woman having regular but heavy
ablation
th
menstrual loss:
24. A 45-years Old woman para 05 has irregular is
A. Metmrrhagia
vaginal bleeding for few months. Her hb: is pa
B. Dysfunctional uterine bleeding
73 gm. In the following which investigation tie
C. Perimenopausal bleeding
is most appropriate to diagnose her nt
D. Menorrhagia T
problem: is:
28.
A. MRI
B. Diagnostic curettage/ endometrial
sampling T
C. Ultrasound exam Of pelvis
D. CT scan
E. Blood complete picture 29.

25. A 53-years old lady with postmenopausal

bleeding diagnosed as case of endometrial

cancer. Her MRI shows stage-Ia. The

Page |5
 30. B. T ation T C. Excessive
i hemon•hage
s D. Retention Of molar tissue
s E. Prolong operative time
u
MEC wheel is system developed by WHO to
31. e
prescribe:
A. Long acting progesterone
e
B. Estrogen patch
m
C. IUCD
b
32. D. Contraception T E. Implants
o
l Commonest etiological factor for early
i miscarriage is likely to be:
z A. Infections

B. Chemicals & drugs

33.
C. Chromosomal abnormalities
E Heavy menstrual bleeding (HMB)
D. Medical disorders
An obese woman with history of DVT in family E, Uterine abnormalities
come to you for contraceptive advice. Which
A copper IUD inside the uterine cavity
one Of the following you will never advise: A.
prevent a woman becoming pregnant by:
Depoprov era
A. Spermicidal effect
B. Combined hormonal continuous (CHC)
B. Preventing fertilization C.
patch T c. LNG-IVS
Causing an ovulation
D. POP
Making cervical mucus
E. Progesterone
thick E. Inflammatory reaction
Oxytocin infusion prior to completion of T
suction evacuation of molar pregnancy is not
A 30-years Old woman para 0+0
recommended due to the risk Of:
attended fertility clinic. Pelvic
A. Severe maternal hypotension
ultrasound shows 18 weeks size

Page |6
 intramural fibroid. The best treatment B. GnRH agonist

option is: C. Progesterone pil Is

A. Uterine artery embolization D. Hysterectomy

E. Myomectomy after GnRH agonist

34. A 62-years Old woman attended clinic 39. Initial management of inversion
with of uterus is:
large prolapse, she had abdominal A. Hydrostatic method of
Osulivan 's
hysterectomy at age of 42 due to fibroids, again B. Hysterectomy
at age Of 54 she had laparotomy due to large C. Manual replacement Of
uterus under
ovarian cyst and that surgery was difficult due anesthesia T
to dense abdominal adhesions. On D. Halton's procedure
examination
there is large vault prolapse which E. Laparotomy
extended beyond the introitus.
Which of the following is
best surgical option for her: 40. Among the given clinical
presentation Of PCOS.
A. Abdominal sacrocolpopexy The most common is:
B, Vaginal repair with sacrospinous A. Hirsutism
fixation
C. Anteroposterior repair B. Asymptomatic
D. Colpocleisis C. Acanthosis nigricans
E. Insertion Of vaginal pessary D. Obesity
E. Subfertility T
35. A 30-years old multiparous woman request you
to give her medicine for dysmenorrhea till she 41. When sampling the cervix for a
pap smear it is
finds a corBultanL Your best advise critical to sample which area since it is the
most
will be:
A. Mefenamic acid T likely source of cervical cancer. Where do
most
B. Medroxy-pmgesterone acetate cervical cancers arise:
C. Low fat diet A. In the endocervix

Page |7
 D. Desogestrol B. At the external os
E. COCP C. On the portio-vaginalis
D. At the squamo-columnar
junction T
36. You diagnosed a 32-years Old E. At the internal Os
woman with HMB. Which of the
test you should not
perform: 42. A young lady has been kept for
evacuation due
A. Coagulation profile to nu»lar pregnancy. To reduce the
chances of
B. Full blood count (FBC) perforation Of uterus the best approach is:
C. Endometrial biopsy T A. Suction evacuation T
D. Hormone tests B. Manual vacuum aspiration
E. High vaginal swab
C. Cervical priming with
misoprostol
Ultrasound guided suction
evacuation
37. A 28-years old woman had E. Dilatation & Curettage
suction evacuation for molar
pregnancy. Histopatholokv
showed
partial molar pregnancy. She was advised for 43. A girl exhibiting amenorrhea
along with Other
regular follow up. In the following features of PC() because Of:
which
investigation is most significant in her A. Elevated insulin resistance
following
program: Chronic anovulation
A. BloodCP C. Androgens T
B. ß-HCG T D. Weight gain
C TSH E. Increased LH
D.
RET
E. Chest X-ray 44. Which Of the following factors
is protective against endometrial

Page |8
 hyperplasia:
38. 'Ihe patient has biopsy proven CIN-III. She A. Obesity
requests cryotherapy for treatment. B. Unopposed exogenous
estrogen therapy
Cryotherapy is appropriate to consider in C. Early menarche or late
menopause
which clinical circumstance: D. Oral contraceptive pills
(OCPs) T
A. A patient who wishes to preserve E. Tamoxifen
fertility
B. CIN-III
C. A patient with well-circumscribed, 45. Most common vulval cancer is:
small
lesion Of mi Id dysplasia (CIN-I) T A. Malignant melanoma
D. Invasive carcinoma B. Clear cell carcinoma
E. An HIV positive patient C. Basal cell carcinoma
D. Squamous cell carcinoma T
E. Adenocarcinoma
46. Benign dermatological vulval conditions are E. Transvaginal ultrasound show large
more common during the period Of: fibroid
A. Pregnancy B. Perimenopause
48. Emergency contraception can be effective if
C. Childhood
administered up until how long after
D. Postmenopause T
intercourse:
E. Lactation
A. 24 hours
47. An office hysteroscopic endometrial biopsy B. 48 hours
is indicated for HMB when: 72 hours
A. Uterus is retroverted D. 04days

B. Transvaginal ultrasound is not available E. 05 days T

C. Endometrial biopsy (EB) sample

49. Which Of the following advantage
insufficient for histopathology T
multifilament suture has over
D. Endometrial biopsy (EB) shows
monofilament:
hyperplasia
Knot is more secure

Page |9
 B. Cause less tissue reaction C. Cervical secretions
C. Tensile strength is more T D. Sperm motility
D. Is non absorbable E. Menstrual cycle
E. Decrease risk Of infection
53. A colBultant has Ordered termination Of

50. In patient with uterovaginal prolapse, pregnancy in a nulliparous woman because

rectovaginal examination is important: of some medical indication. Which Of the
A. When woman refuse vaginal test you must send before the procedure:
examination A. HSV for chlamydia
B. When woman with pel Vic mass B. HIV testing
C. To differentiate between rectocele & C. Blood grouping with Rh factor T
enterocele T D. CBC
D. When ultrasound is not available E. VDRLforST1s
E. For all women with incontinence
54. A 34-years old Woman with amenorrhea of

51. An obese girl with PC() having acne and 06 weeks has pain in abdomen and slight

hirsutism wants to avoid conception till she vaginal bleeding. On examination cervical

loses half of her weight, for at least one os is tightly closed but she felt severe pain

year. on examination.

What will be best method for her: YVhat is the most likely diagnosis:

A. Intrauterine device A. Threatened miscarriage T

B. Combined oral contraceptive pill T B. Missed miscarriage

C. Progesterone implant C. Cervicitis

D. Long acting progesterone injections D. Ectopic pregnancy

POP E. Pelvic inflammatory disease

52. A Wornan refuses contraception by saying it

55. A 32-years old para 04 taking a COCPs for
is religiously prohibited to destroy a
contraception but forgets at times, is having
fertilized ovum. You convince her by saying
irregular bleeding for last 15 days. Her LMP
contraceptive pills work by preventing:
was six weeks ago. Which of the following
A. Ovulation T
lab test is most appropriate:
B. Fertilization
A. TSH

Page | 10
 B. FreeT4 cervix is inflamed and smeared with
C. B-HCH T mucopurulent vaginal discharge.
D. CBC Subsequent vulvovaginal swabs and NAAT

E. Prolactin testing confirms chlamydia trachomatis

infection. Following statement is true about
56. A 35-years Old para 03 presents in STI clinic
this infection:
with history of vaginal discharge for last 02
A. Reactive arthritis is commonly seen in
to 03 years. On per speculum examination
fema les
B. It doesn't lead to long tenn complications C. Testing Of sexual partner is usually not req uired

D. Usually it affects lower genital tract

It is the most common bacterial STI T

57. Radical radiotherapy is given instead of C. Tre h prothiazine if symptoms worsen
surgery in vulval cancer when women are: a T
A. Stage Il disease t Treatment with corticosteroid if
B. With lymph node involvement m symptoms worsen
C. Young women e Admit in hospital
D. Having tumor confined to vulva n
59. Misoprostol for termination Of
Unfit for surgery t
pregnancy can be used in outpatient
w
58. A pregnant lady at 08 weeks came in setting before: A. 06 weeks
it
antenatal clinic with WO hyperemesis B, 12
gravidarum in previous pregnancy, now weeks / C;
complaining of nausea and vomiting twice 14 weeks
a day, she is afraid of her previous D. 16 weeks

experience. What advice would you like to E. 09weeks T

give her:
60. A 35-years old woman with low risk of
A. Prescribe some IV fluid as outpatient
malignancy requires outpatient
attendance
endometrial sampling advised due to
B. Reassurance that severe symptoms
heavy menstrual loss.
are unlikely to recur

Page | 11
 What will be the best method for the 6 erol lecithin-cardiolipin antigen
purpose: 5 test
Pipple biopsy . E. RPR test
B. Office hysteroscopy
A 42-years Old para 3+0 referred to
C. Taking sample on slide with cytobrush
kynecology' onc010kv clinic for stage-Ibl
D. Laparoscopy T
cervical malignancy. What is the standard
E. Evacuation & examination under deep
management option:
sedation
A. Local excision of disease
6
61. WHO reference volume for semen analysis B. Internal beam radiotherapy
6
show a normal semen volume of: C. Chemotherapy D. Radical
.
A. 1.1 ml hysterectomy & pelvic lymph node

B. ' 1.5ml T dissection T

E. External beam radiotherapy

6 Ovaries are likely to metastasize in certain

62. A 30-years Old woman presents in 7 gut tumors. Following is the example Of
outpatient department with test positive . ovarian tumor:
for syphilis using VDRL screening test. A. Endometroid tumor
Which of the following is definitive test for B. Clear cell tumor
syphilis: C. Krukenberg tumor T
A. Ziehl-Nelson stain D. Choriocarcinoma
B. PCR 6 E. Teratorna
C. FTA-ABS test T 8
Asherman syndrome is caused by
63. .
damage to basal layer of endometrium.
D. Cho
In which Of the following procedure
l
basal layer of endometrium is
e
deliberately destroyed:
s
A. Endometrial ablation T
t
B. Fractional curettage
64. C. Hysteroscopic endometrial sampling

Page | 12
D. Conventional curettage C. B Fn Hypo-thalamo-pituitary axis
E. Manual vacuum aspiration l
70. Which of the following methods can be
o
Vulvodynia is a: effective against HMB, acne and PMS
o
A Malignant disease along with contraception: A. Implant
d
B. Normal physiological change B. cocp T
d
C. Painful condition of vulva T C. IUD
y
D. Skin disease D. Condom
s
E. Infection E. POP
k

Toxic shock syndrome has been associated with a 71. Which of the following reflects the

which of the following contraceptive methods: r eti010kY of cervical dysplasia and

A OCS y cervical cancer:
B. Male condoms o
A. There is a strong genetic component
C. Progestin-only pill (the mini pill) s
10 the development of cervical
D. IUCDs i
cancer
s
E. Cervical cap T B. Human papillomavirus (HPV) is the
T
major eausal agent T
To prevent iso-immunization in rhesus negative
D
C. They are associated with obesity
women in early pregnancy. Anti-D should be
.
D. They are associated with nulliparity
administered after:
U
E. They are the direct result Of
A. Threatened miscarriage
t
cigarette smoking
B. Surgical evacuation of RPOCs C. e
Spontaneous miscarriage ri72. A 35-years old woman present with
D. Pregnancy test is positive T n multiple small ulcerated lesions on
E. Incomplete miscarriage e vulva and urinary retention. The most
69. A young girl of 13 years is having irregular p likely infection would be:
bleeding since menarche. The nu»st likely o A. HPV (human papilloma virus)
cause l B. Candiasis
y HSV (herpes simplex virus)
A. PCO
p D. Trichomonas vaginalis
B. Ovarian cyst
E. Syphilis

Page | 13
73. A 36-years old woman attend the clinic for 7 C. Cognitive dysfunction
troublesome clear vaginal discharge. 7 D. Dementia
PIS examination revealed raw area on . E. Osteoporosis T
cervix. However no any pathology found on
A 35-years Old woman with crippling low
cervical cyt010kv. STI screening is also
back pain due to endometriosis. She should
unremarkable.
have a definite treatment with:
Ille nuxst likely diagnosis is:
A. Oophoæctomy with
A. Cervical malignancy
7 cryopreservation B. Treatment with
B. Cervical stenos is
8 GnRh analogues
C. Cervical ectropion T . Total abdominal hysterectomy with BSO
D. Ceßical polyp
D. NSAID for a pain relief T
E. Cervical fibroid
E. Danazol or Gestrinone for 06 months

74. A 51 -years old lady banker by profession Delayed puberty is defined as no

presents in menopause clinic requesting for secondary sexual characteristics by
HRT. She is known case of rheumatoid 7 which one of the following age:
arthritis and on steroids for a long time. 9 A. 12
She smokes 810 cigarettes per day. On .
B. 10
examination her BMI is 20 kg/m2. All of the
following factors in her history increase her c 14
risk of: A. Psychological disorders
D. 18
Cardiovascular disease
8 E. 16 T
0 In routine investigation of recurrent first
. trimester marriages, what investigation is

not advised as first line:

A. Anti-phospholipid antibodies

B. Karyotype Of products Of conception

76.
C. Pelvic ultrasound scan

D. OGIT T

E. Parental karyotype

Page | 14
 A 60-years old woman presents in the OPD B. W C. Women with carcinoma cervix

with postmenopausal bleeding. What would be o D. Women with hypertension E.

the immediate next step in her management: m Nulliparous women
en
Ampullary region Of the fallopian tube is
B. Pelvic ultrasonography on
the:
C. Pap smear in
A. Place where fertilization occurs T
D. Transvaginal sonography T su
B. Least Common site of ectopic pregnancy
E. Hysteroscopy lin
C. Thick walled structure
Combined oral contraceptives should not be D. Narrowest part Of tube
given to:
E. Smallest part of tube
A. Women wi th breast cancer T

81. Which of the following infection is 86. A 20-years old girl reported in emergency
with
most likely
associated with tuba' disease: history of unsafe abortion 01 week
ago and WO
A. Proteus species high grade fever yesterday. On
examination her
B. Chlamydia trachomatis T temperature is 90'F and she is tender on
pelvic
C. Bacteroids species examination. UIS examination
reveals retained
D. Trichomonas vaginalis products within the uterus. The first step
you
E. Treponema pallidum take is:
A. Arrange for evacuation 06
hours after
82. A 35-years old woman with crippling injectable antibiotics
low back
pain due to endometriosis. She should B. Arrange for injectable
have a antibiotics & vaginal
definite treatment with: misoprostol T
A. NSAID fora pain relief C. Call her after a 5th day course
Of oral

Page | 15
 B. Total abdominal hysterectomy with antibiotics
BSO T
C. Oophorectomy with Arrange for emergency
cryopreservation evacuation
D. Danazol or gestrinone E. Admit for injectable
for 06 months E. Treatment antibiotics
with GnRh analogues
87. A 32-years old GOH) patient presents
83. A patient presents approximately 10 years complaining of secondary
dysmenorrhea that is
postmenopausal with complaints of increasing in severity. The pain is
triggered by
pressure
vaginally and the sensation that deep thrusting with coittrs.
something is Which of the
falling out. When told she has a fallen following is the most common cause
uterus. of deep
She wonders if it is due to the damage from her thrust dyspareunia:
A. Vestibu litis
round ligaments since she had a great
deal Of
round ligament pain during her B. Atrophic change
pregnancies.
Which of the following ligaments C. Vaginismus
provide the
most support to the uterus in terms Of D. Depression
preventing E. Endometriosis T
prolapse: A.
Broad
ligaments
B. Cardinal ligaments T 88. What should therapy for threatened
abortion
C. Arcuate ligament include:
D. Round ligament A. Restricted acti vity
E. Utero-ovarian ligaments B. Progesterone intramuscular
(1M) T
C. Dilatation & curettage (D&C)
84. A 22-years old lady recently married D. Prolonged bed rest

Page | 16
girl
reported to her gynecologist E. Prostaglandin suppositories
complaining of dyspareunia and pelvic
discomfort. On
examination vulva is smeared with 89. Potential outcome of tubal
colorless implaominal
discharge whereas mucopurulent discharge pregnancy station is:
coming from cervix. Chlamydial A. Abdominal pregnancy T
infection can
be diagnosed with 100% accuracy by: B. Persistence of tubal
hematoma
A. Real time polymerase chain Erosion of tube leading to
reaction rupture of tube
B. Nucleic acid amplification D. Spontaneous involution
technique T
C. Combo 2 s BD probetec E. Embedding at fimbrial end Of
D. Slide test tube
E. Culture Of organism 90. A patient para 2+0 came in OPI) with
complain Of irregular painless growth in
perineal area.
85. What is the single most important factor in On evaluation there is irregular
polypoidal
determining the female reproductive painless growth on vulval area.
outcome: Which
A. Female age T Organism cause this type Of
growth:
B. Anti-mullerian hormone levels HPV type 06 & 11
C. Serum estradiol levels B. Candida albican
D. Previous pregnancies C. Trichomoniasis
E. Ovarian follicular count D. Treponema pallidum
E. HPVtype 16 & 18 T
91. A 35-years Old woman requires outpatient B. Office hysteroscopy

endometrial sampling advised due to heavy C. Taking sample on slide with cytobrush
menstrual loss. What will be the best D. Evacuation & examination under
method for the purpose: deep sedation
Pipple biopsy E. Laparoscopy T

Page | 17
92. A 49-years old lady para 8+0 all SVD's. She B. Reassurance
has history Of two difficult deliveries at C. Repeat ultrasound in 04 weeks
home. She is KIC of hypertemsion and D. CT scan
diabetes since 10 years. She smokes 01 pack E. Laparoscopic removal T
of cigarette per day. Now she came with
95. A 30-years old lady P2 lastborn 02 years ago
complain something coming out of vagina.
presents in gynec010kv clinic with history Of
Which of the following is risk factor in her
heavy regular menstrual bleeding for last 03
case:
months. Her pelvic examination is
Multiparity
unremarkable and USG of pelvis is normal.
B. Hypertension
What will be the first line of treatment in
C. Home delivery
this
D. Smoking

E. Oldage T A. Cyclical progesterone

B. Danazol
93. A 28-years old para 01 complains of painful
C. Oral contraceptive pills
menses and painful intercourse. She has
D. Ethamsy late
regular menses and no history of STDs.
Which of the following tests would most E. Tranexemic acid T

likely identify etiology Of infertility: 96. A patient in her forties presents with

Laparoscopy irregular bleeding. You want to do an

B. Hysterosalpingogram endometrial biopsy, she would prefer not to

C. Semen analysis T
have the procedure unless it is likely to
show important pathology. An endometrial
D. Progesterone
sampling is likely to be reported as showing
E. Basal body temperature
endometrial hyperphusia in a patient who is
94. A 65-years Old lady presents in outpatient which Of the following:
clinic with ultrasound showing left sided A, Using a copper intrauterine contraceptive
ovarian cyst measuring 4.8 x 4.2 cm. There device (IUCD)
is no septa or solid component. The other B. Using cyclic combination (OCS)
ovary and uterus are normal. What should
C. Postmenopausal T
be your advice to her:
D. Using DMPA
A. Repeat ultrasound in 03 months

Page | 18
 E. Obese following factors adversely affect
spermatogenesis:
97. A young couple is interested in prenatal
A. Boxer shorts T
diagnosis by NWT DNA. You tell them it is
B. Swimming
used to:
C; Febrile illness
A. Know the fetal gender
D. Exposure to cold
B. Select patient for invasive tests
E Weekly intercourse
C. Detect fetal
101.Vagina1 PH is decreased:
D. Amplify fetal DNA for PCR
A. Women taking oral contraceptive pills
E. Detect aneuploidy T
B. During menstruation
98. A 50-years Old lady para 07 have an invasive
C. At menopause
carcinoma Of cervix. Which involved the
D. After intercourse
upper third or vagina but has not extended
E. Due to cervical secretions
the parametria. The stage Of disease will
102. A patient being treated for prothrombin
be:
deficiency develops abnormal uterine
11 A T
bleeding. An anatomic lesion has been ruled
B. 111A
out. Further management to control the
D. 111 B bleeding should begin with which of the
E. 11B following:
OC pills
99. A mother her 04 years Old daughter in
B. Gonadotropin releasing hormone
OPD for complaints of itching. What is the
(GnRH) antagonists T
diagnosis:
C. Medroxyprogesterone acetate D.
A. Physiologic leucorrhea
Transdermal estradiol
Nonspecific
E Conjugated equine estrogens
C. Foreign body
D. Lichen sclerosis T E. Trauma 103. Which Of the following is a cornerstone
for detection of Ovarian neoplasia:
100.You are counceling a couple about factors
A. Human chorionic gonadotropin (hCG)
that can affect fertility. Which of the
B. CA-125 T

Page | 19
 ICJ Pelvic ultrasound B. Vascular smooth muscle cells
D. Pelvic C. Embryonic rests
examination E. D. Placental remnants
Alpha fetoprotein E. Pluripotent endometrial epithelium

104.A 35-years Old para 08 last born 03 years 107. Polypropylene ring pessary is indicated
using copper-T IUD for contraception is for UV if:
complaining Of heavy loss at regular A. Patient had no bowel Or bladder
intervals. Her BP is 130/90, she looks pale, related sy mptoms
her Hb is 08 gm/dl. She is satisfied with IUD B. Patient is suffering from viral hepatitis
but wants to switch to another similarly ICJ Patient refuse for Surgery
convenient and effective method. What 1b} Prolapse is of mild degree
would you suggest her: E. Presence of ulcer on the surface of
A. LNG intrauterine system T prolapse T
B. Combined oral contraceptive pill
108.A 20-years Old para 0+1 came with
C. Depot progesterone
complain Of
D. Multi-load IUD
10 weeks gestational amenorrhea and
E. Cyclical progesterone
bleeding
105. Hypothalamic pituitary dysfunction is PIV with passage of clots since 02 hours.
best characterized by: (YE BP is 90/60 mmHg, pulse is 100
A. Nonnal ranges Of gonadotropin & beats/min, cervical os is open, RPOCs felt.
estrogen What is the appropriate treatment of this
B. Low estrogen and normal prolactin case:
C. Low basal gonadotropin T A Do UIS pelvis
D. Low progesterone and estrogen B. Give misoprostol tablet T
E. High gonadotropin and low estrogen C. Perform MVA
D Do evacuation
106. Uterine leiomyomata are thought to
E. Start syntocinon infusion
arise from which Of the following:
A. Degenerative uterine smooth muscle
cells T

Page | 20
109.NorrnaI ovaries are best imagined On pelvic examination internal cervical
by: A Computerized tomographic os is dilated. Which would be the best
scan treatment option:
B. Trans-vaginal ultrasound T A. D & C (dilatation & curettage) T
C. Trans-abdominal ultrasound B. E & C (evacuation & curettage)
examination c. MVA
D. x-ray KUB D. Hysterectomy
E. Doppler ultrasound E. D, E & C (dilatation, evacuation &

curettage)
110.A 47-years old woman complaims of
113. A 45-years Old woman had abdominal
postcoital bleeding, nearly as heavy as
hysterectomy due to menorrhagia 02 weeks
menses. Which Of the following is the
ago. She has come to gynec010ky clinic with
most likely origin of her bleeding:
complaints of continuous leakage Of urine.
A. Cervical infection
Which of the following could have caused
B. Cervical ectropion
this problem:
C. Cervical carcinoma
A. Vesico-vaginal fistulas T
D. Cervical nabothian cy Sts E. Cervical
B. Overflow incontinence due to
polyps T
postoperative pain & inflammation
111.A 35-years old woman attends the C. Detrusor instability
gynecology clinic. She was advised for D. Urinary tract infection
cervical screening. She wants to know the E. Displacement of urethra-vesical angle
best method for cervical cancer should be:
Conventional pap smear T 114. A 28-years Old woman married for five
years had tubal surgery for blocked tubes 06
Cytology with HPV
months before, now presented at eight
C. Colposcopy
weeks or gestational amenorrhea with
D. Liquid based cytology E. HPV
lower abdominal pain and mild vaginal
testing
bleeding. On pelvic examination cervical os
112.A primigravida at 11 weeks of gestation is cl(nsed, excitation sign is positive along
is admitted in emergency with heavy with tenderness. Most probable diagnosis
vaginal bleeding associated with pain. is:

Page | 21
 A. Threatened abortion been ruled out. Which of the following
B. Urinary tract infection has been shown to be most effective in
C. Torsion of ovarian cyst reducing rather than eliminating her
menstrual now:
IL Tubal pregnancy
Tranexamic acid
E. Missed abortion T
B. Dilatation & curettage
115. Luteinization occurs normally in the
C. Depot medroxyprogesterone acetate
ovary during each menstrual cycle. Which
(DMPA)
Of the following best describes the process:
D. Ergonovine maleate E. Misoprostol
A. The ovarian stroma undergoes adipose
degeneration prior to ovu lation T 118. Combined hormonal contraceptives are

B. The non-ovulated follicles undergo fatty beneficial in the reduction of the risk of

degeneration which Of the following:

C. The granulosa cells turn red A. Endometrial carcinoma T

B. Leomyosarcoma of uterus
D. Cysts form in the theca
C. Squamous cell carcinoma Of Ovary
Mature granulosa & the theca interna
cells become epithelioid & form a D. Cervical adenocarcinoma

corpus luteum E. Carcinoma of breast

119.Which one Of the following uterine

116. A 33-years old patient has been
abnormality is primarily due to failure of the
diagnosed as having adenomyosis. Which Of
fusion of only upper part of mullerian ducts:
the following symptonB is most comsistent
A. Septate uterus
with this diagnosis:
B. Unicornuate uterus
A. Infertility
C. Arcuate uterus
B. Secondary dysmenorrhea
D. Uterus dide Iphys
C. Mood swings
D. Painful defecation Bicornuate uterus

E Dyspareunia T 120.A 48-years Old lady para is C/O stress

117.A patient complains Of heavy but incontinence following the birth of her first
irregular menstrual periods. An anatomic child 15 years ago. She had abdominal
cause of the magnitude of her now has hysterectomy due to menorrhagia 01 year

Page | 22
 back and since then her symptoms have 123. During the menstrual cycle the
become worse. She weighs 90 kg and drinks histologic appearance of the endometrium
a lot of tea throughout the day. Which one will change significantly. During the first
or the following will provide her best relief: half of the menstrual cycle the
A. Reduction of weight T endometrium becomes thicker and
B. Reducing tea consumption rebuilds largely in response to which Of the
C. Burch's colposuspention D. Anterior following:
colporaphy A. Follicle stimulating hormone (FSH)
Transvaginal tape insertion B. Gonadotropin releasing hormone
(GnRH)
121.A woman who is rhesus negative
Esuogen
undergoes amniocentesis at 16 weeks.
D. Luteinizing hormone (LH)
To prevent isoimmunization she should
E Progesterone T
take anti-I): A. Before the procedure
After the procedure 124. A —years Old married ror four years

C. At 20 weeks presents with primary subfertility. Her

D. At 34 weeks T
laparoscopy reveals minimum
endometriosis. The best treatment option
E. After the delivery of placenta
will be:
122 .A 29-years Old woman with primary A. Ovulation induction
fertility. Her BMI is 30. She is known to have B. Expectant management
a PCO based anovulation. She has remained Cauterization of endonrtriosis
an ovulatory cycle despite of increasing Of D. IVF
clomiphene citrate over 06 cycles. What is E Danazole T
the most appropriate next step in her
125. A SS-years Old postmenopausal lady
management option:
presents in outpatient department
A. LOL) (ovarian drilling) T
complaining of bloating and mild lower
B. ICSI
abdominal pain. On examination there is a
c. LUI
vague mass in left adnexa. What should be
D. Metformin
your next advice to this lady in evaluation
E. IVF of her mass:

Page | 23
 A. Trans-a bdominal scan B. Premature Ovarian failure C.

B. CA-125 Trans-vaginal scan Constitutional delay

scan D. Imperforated hymen T
E. Doppler ultrasound scan E. pco

126. Anterior vulvar cancer is most likely to 129.A 30-years old nulliparous woman

spread primarily to which of the following conceived after fertility and became

lymph nodes: amenorrhic. Ultrasound shows 05 weeks

A. Inguinal T alive pregnancy on right adnexa. She is

B. Para-aortic complaining of abdominal pain. Her BP is

C. Obturator 110/70 mmHg and pulse rate is 90

D. Ovarian beats/min. What would you do next:

E. Femoral A. Admit for laparotomy

Prepare for laparoscopy
127. Progesterone only contraception that
C. Order a ß-HCG report T
has been effectively used an alternative to
D. Counsel for expectant management
hysterectomy in selected cases is: A.
E Admit her for monitoring
Progesterone only pill taken quarterly
130.A Is-years Old girl complaining Of increasing
B. Implanon (subdermal implant)
hair over her face and chest. She also has
C. LNG intrauterine System T
deepening of voice and clitoromegaly.
D. Gestrenone
Which of the following is the best diagnostic
E. Long acting depot progesterone
test in her case to confirm the diagnosis:
128.A 16-years old girl brought by her mother in
A. Testosterone levels T
kyneeology clinic with history of primary
B. Luteinizing hormone
amenorrhea. She complaining Of cyclical
C. Karyotype
severe lower abdominal pain for few days
D. Dexamethasone suppression test E. 17-
each month. On examination her secondary
hydroxy progesterone levels
sexual characteristics are present. most
likely diagnosis is: 131.Which is the best accepted diagnostic test
A. Mullerian agenesis for tubal assessment in infertility:
A. Laparoscopy & dye hydrotubation

Page | 24
 B. X-ray hysterosalpingography uterus. Which of the following test
C. Hysterosalpingo contrast sonography T describes this finding:
D. Hysteroscopy Laparosco py A. A rapidly dividing necrotic malignancy
B. Erythematous, tender & hereditary
132.A 47-years Old patient presented at clinic
C. A soft, inter-digitating mass of the
with severe vasomotor symptoms. Her
uterine wall T
past history reveals breast cancer. What
A rounded, smooth, firm, well-
treatment option is best for her:
circumscribed mass
A. Conjugated equine estrogen
E. A premalignant papule Of the uterine wall
B. SSRI (selective serotonin reuptake
inhibitor) T 135. Histologically the presence Of which of
the
Combined HRT following
SNRI (serotonin &
would
norepinephrine reuptake
determine
inhibitor)
that an
C. Clonidine
ovarian teratoma is malignant:
133. best Inanagement option for blighted
A, Neural ectoderm
ovum, embryonic failure and intrauterine
B. Immature fetal-like cells
embryonic demise is:
C. An ovarian capsule
A. Immediate evacuation of uterus
D. All three germ cell line T
B. Expectant management for 02
E. Squamous cells
weeks
Evacuation whenever she bleed Left for 136. Factors that increase the risk for

spontaneous resolution in accordance to carcinorna endometrium: A. Multiparity

preference of women & consultant B. Combined oral contraceptive pill

E, Medical termination Of pregnancy C. Smoking

D. Late menopause T E. Progesterone

134. A 38-years Old African American
woman presents with heavy menses and 137. A 25 -years Old woman presents with

an enlarged uterus. After an examination gestational amenorrhea 08 weeks and

the clinical diagnosis is leiomyoma of the passage of grape like vesicles. On

Page | 25
 examination uterus larger than dates. The 140.What is the first line pharmacological
management is: treatment for ovulation induction in a
A. Evacuation of uterus & follow up T woman with polycystic ovary syndrome
B. Counseling about follow up program (PCO):
C. Registration to the anco—- unit A. Anastrazole

D. X-ray chest E. Antibiotic B. Clomiphene T

C. Letrazole
138.A 45-years Old woman presents with
D. Recombinant FSH
irregular heavy vaginal bleeding. Ultrasound
E. Tamoxifen
reveals enlarged uterus with endometrial
thickness Of 1.8 cm and right adnexal mass 141.A 35-years old woman para 05 presents
of 8x8 cm. A provisional diagnosis of with history of heavy rnenstrual bleeding
granulosa cell tumor is made. She should for last 06 months. She is anemic otherwise
have following tumor marker to support the well. Examination reveals normal uterus.
diagnosis: What treatment option would you offer:
A. Serum inhibin T A. Tran axemic acid
B. CA-125 B, Mefonamic acid

C. Alpha fetoprotein C. Combined oral contraceptive pill

D. Beta HCG D. Progestogens E. LNG-IUS (levo

E. TSH norgestrol intrauterine system) T

142.A 16-years old unmarried girl presented

139.A woman presents with history Of
with irregular and heavy menstrual
overdue for six weeks and pain in lower
bleeding. She also experience severe
abdomen you suspect her as having
dysmenorrhea. What is the best medical
ectopic pregnancy. The useful test is:
option for her problem:
A. Urine pregnancy test
A. Combined oral contraceptive pills
B. Serum Il-HCG
(COCP)
C. Serum progesterone
B. Etharnxylate
D. Transvaginal ultrasound T E.
C. Goserelin
Transabdominal ultrasound
D. Mefenamic acid T E. Norethisterone

Page | 26
143.A 30-years Old lady presents with
secondary infertility for 05 years. She gives
history of two episodes of PID in last 06
months. To evaluate further she needs: A.
FSH assay

B. FSH/LH assay

c. HSG
D. Laparoscopy & dye test

E. Hysteroscopy

Page | 27
 30-years Old
144. A nulliparous woman presents in C. Increase the risk of carcinoma of cervix
OPD with cyclical pelvic pain for last 06 T Protect against the cancer of ovaries
months. She is on sequential OCP and & endometrium
NSAIDs for last 03 months. There is no E. Protect against the cancer of cervix
improvement. What is the next most
147.A 35-year Old woman presents with
appropriate step in management:
abnormal uterine bleeding for which
A. Combined OCP for next 03 months T
hysteroscopy is planned. She is at
B, Consider laparoscopy for further
possible risk Of:
evaluation
A. Excessive hemorrhage
Gonadotropin releasing hormone
B. Perforation Of uterus T
agonist
C. Pelvic infection
D. Danazol
D. Injury to urinary bladder
E. Aromatase inhibition
E. Injury to gut
145. A young woman presents in outpatient
148. Puberty is the process of reproductive
clinic with hysterosalpingogram report
and sexual development and
shows bicornuate uterus and absent left
maturation that changes a child into an
kidney. This defect occurs due to defective
adult. First physical sign of puberty is:
development of:
A. Pubic hair growth
A. Mesonephric ducts
B. Axillary hair growth C.
B. Mullerian ducts T
Growth spurt D. Breast
C. Sinovaginal bulb
budding T E. Menstruation
D. Urogenital sinus
E. Mullerian tubercle 149.A 14-years old girl presents with primary
amenorrhea, short stature, webbed neck.
146. Considering the risk of epithelial
She is diagnosed as "Turner's syndrome".
malignancies in combined Oral
The karyotype of this syndrome is:
contraceptive (COC) users. They appear to:
A. 46xx
A. Increase the risk Of carcinoma
B. 46XY
endometrium
c. 45X0 T
B. Increase the risk of ovarian cancer
D. 47xxx

Page | 28
 D.
E 47XXY E. Anxiety

150.A 35-years Old para 8+0 presents with 153.A woman is undergoing laparoscopy for
post coital bleeding for 06 months, chronic pelvic pain. The suitable distension
clinical examination is unremarkable. medium for diagnostic laparoscopy is:
What should be the next diagnostic test: A. Normal saline
A. High vaginal swab B. 02
Colposcopy
C. C02 T
C. Colposcopic guided biopsy
D. Nitrous oxide
D. Pap smear T
E. A mixture ofoxygen & nitrous Oxide
E. Hysteroscopic guided biopsy
154.A 30-years Old lady presents with
151 .A menopause woman presents with
secondary amenorrhea since she had
progressive dysmenorrhea and
evacuation for RPOCs 04 months ago.
dyspareunia, she undergoes laparoscopy
Her urine pregnancy test is negative.
and is diagnosed as having pelvic
Findings are suggestive of:
inflammatory disease (PID). PID is
A. Sheehan's syndrome
considered as a complication of:
B. Kallman 's syndrome
A. Gonorrhea
C. Ashennan's syndrome T
B. Chlamydial infection T
D. Meyer Rockitnasky syndrome E.
C. Mycoplasma genitalium
Polycystic ovarian syndrome
D. Trichomoniasis

E. Bacterial vaginosis 15S.The well-established etiology for

carcinoma Of cervix is:
152.A 52-years Old woman presents with
A. Smoking
history Of night sweats, palpitation,
B. HPV infection T
anxiety and 11M)0d changes. What is the
C. Multiparity
likely
D. Use of oral contraceptive pills
A. Hyperthyroidism
E. Sexual intercourse
B. Hypothyroidism
156. 'Ihe commonest site of ectopic
C. Diabetes mellitus
pregnancy is:
D. Climacteric symptoms T
A. Ampullary region of fallopian tube T

Page | 29
 30-years Old
B. Isthmus Of fallopian tube B. Hypothyroidism T
C. Interstitial end of fallopian tube C. Addison's disease D. Adrenocortical
D. Ovarian implantation hyperplasia E. Pituitary adenoma
E. Cervical implantation
160.A 3D-years old unmarried obese woman
157. Which form of long acting reversible with BMI of 30 kg/m2 presents in OPD
contraception (LARC) is associated with with prolong menstrual cycle and
delay in return of fertility: excessive facial hair growth. What is the
A. Nexplanon first line medical treatment:
B. copperT A. Combined oral contraceptive pills
C. Progesterone only injectable (Depot (COC) T
Medroxy B. Progesterone only pill (POP)
Progesterone Acetate) T C. Cyproterone acetate
D. LNG IUS E. Jadeile D. Met formin
E. GnRH analogues
158.A 60-years Old lady presents with
postmenopatusal bleeding, endonwtrial 161.A 40-years old lady presents with multiple
biopsy shows carcinoma endometrium. uterine fibroids, she wishes to undergo
The treatment Option is: uterine artery embolization (UAE). Which
A Chemotherapy essential investigation needs to be carried
B. Radiotherapy out prior to

C. Total abdominal hysterectomy UAE:

D. Total abdominal hysterectomy bilateral A. Transvaginal ultrasound

salpingo-oophorectomy (BSO) T B. Computed tomography (CT scan)

E. Total abdominal hysterectomy with C. Magnetic resonance imaging (MRI) T

BSO, pelvic lymphadenectomy Hysteroscopy

E. Hystero-salpingo-gram
159.A 35-years Old P2+O, present to you with
history of prolonged heavy periods, weight 162.A 60-years Old woman presents with large
gain, fatigue and voice change. most likely pelvic-abdominal mass extending to level
diagnosis is: of xiphisternum, ultrasound and CT scan
A. Hyperthyroidism

Page | 30
 D.
show ovarian tumor. How would you D. Bacterial vaginOsis E. Viral

manage the patient: infection

A. Laparoscopic ovarian Cysteclomy
165.A 25-years Old woman presents with
B. Total abdominal hysterectomy,
amenorrhea of 08 week.s and vaginal
bilateral salpingo-oophorectomy
bleeding. Ultrasound shows missed
C. Total abdominal hysterectomy,
miscarriage. What would you offer her:
bilateral salpingo-oophorectomy,
A. Repeat ultrasound scan
omeutectomy & debulking Of tumor
B. Serum 13-HCG
deposits T
C. Progesterone D. Misoprostol T
D. Chemotherapy followed by laparotomy
E. Methotrexate
E. Radiotherapy

166.A young 35-years old woman attend

163.A known diabetic woman presents with
clinic with cervical cyt010kv report
vaginal discharge and intense itching. She
showing CIN-III. The next appropriate
is likely to have:
step in her management is:
A. Bacterial vaginosis
A. Colposcopy
B. Vulvovaginal candidiasis T
B. Cold coagulation
C. Trichomoniasis
C. Knife cone biopsy
D. Gonorrhea
D. Loop TZ excision T E. Repeat cervical
E. Chlamydial infection
smear 167.A woman, menopausal for
164.A 28-years Old woman para 1+4 has two years had an episode of vaginal
presented at 16 weeks of gestation with bleeding. Clinical examination is
history of 04 consecutive mid-trimester unremarkable. Transabdominal
miscarriages. She gives history Of ruptured ultrasound examination reveals
fetal membranes prior to onset of uterine endometrial thickness 1.2 cm. Suggest
contractions. The most likely cause for her the appropriate first line investigation
miscarriage is: A. Antiphospholipid for her:
syndrome B, Cervical incompetence A. Transvaginal sonography T
C. Chromosomal abnormalities B. Endometrial sampling with pippelle
C. Diagnostic Curettage under anesthesia

Page | 31
 30-years Old
D. Hysteroscopic guided endometrial A. Menopausal symptoms
biopsy B. Sexual dysfunction
E. Pap-smear for cytology C. Osteoporosis (Reduced bone mineral
density
168. Which of the following is a good indicator
BMI)) T
of ovarian reserve:
D. Alteration in lipid profile
A. Antral follicle count on transvaginal
E. Alteration in liver function test
ultrasound

B. Anti-Mul lerian hormone T 171.Main support of the uterus is:

C. Serum FSH A. Broad ligament

D. Serum LH B. Cardinal ligament T

E. Serum estradiol C. Round ligament

D. Infundibulopelvic ligament E.
169.A 16-years old girl referred to gynec010kY
Suspensory ligament
clinic by her general practitioner with
primary amenorrhea. She gave history Of 172.A 30-years old gravida 2nd has presented
excessive weight gain and lethargy. at 14 weeks gestation with excessive
Secondary sexual characteristics are vomiting and signs of preeclampsia. The
normal on clinical examination. uterus is larger than dates. The fetal parts
Investigation reveal raised serum thyroid are not palpable. The diagnosis is
stimulating hormone (TSH) and prolactin consistent with:
levels. What is the likely cause: A. Pituitary A. Molar pregnancy T
pro lactinoma B. Pregnancy with fibroid
B, Hypothyroidism T C. Pregnancy with ovarian cyst
C. Hyperprolactinemia D. D. Pregnancy with Pyelonephritis
Androgen insensitivity E. Twin pregn ancy
syndrome
173.A 30-years Old para 03 presented with 03
E. Gonadal dysgenesis
months pregnancy with mild bleeding per
170. With continuous long-term use Of GnRH vagina since 02 days. Ultrasound report
agonists. One of the distressing side effect shows dead fettLs. What is the must
is: probable diagnosis:

Page | 32
 D.
A. Incomplete abortion 176.Diagnosis of endometriosis is
B. Missed abortion T confirmed on:
Inevitable A. Endometrial biopsy

abortion D. B. Cystoscopy

Threatened abortion C. Laproscopy T

E. Complete abortion D. Intravenous pyelography

E Hysteroscopy
174.A young woman has presented with
177.Treatment Of hydatidiform mole is:
secondary amenorrhea. On breast
A. Dilatation and evacuation
examination Present. Which one of the
B. Hysterectomy T C.
following hormones may be increased on
investigation: Laproscopy

A. Estrogen
Suction,
evacuation E.
B. Luteinizing hormone
Oxytocin infusion
C. Prolactin T

D. TSH (Thyroid Stimulating hormone) E. 178.The main risk factor for causation of
Progesterone cervical cancer is:
A. Cigarette smoking
175.The definition of primary amenorrhea
is: B. Multiparity

C. Age 50 years
A. Absence Of menstruation at the age of

16 years in the absence of secondary D. Human papilloma virus infection E.

sexual Characteristics T Herpes simplex type-Il infection

B. Absence of menses for 06 months after 179. Endometrial carcinoma is best

normal cycle diagnosed by:

C. Absence of menses at the age of 14- A. Transvaginal ultrasound

years in the absence Of secondary B. Magnetic Resonance imaging

sexual characteristics C. CT scan

D. Absence of menses after menopause

D. Fractional curettage

Absence Of menses after hysterectomy E. Hysteroscopically guided endometrial

biopsy T

Page | 33
 30-years Old
180. Ille most common uterine C. Dermoid cyst

malformation responsible for recurrent D. Carcinoid tumor

abortions is: E. Endodermal sinus tumor
A. Uterus biocornisbicollis
184.1n the etiolow of prememstrual syndrome
B. Sub-septate uterus T
which of the following hormone has
C. Uni-cornuate uterus
possible
D. Uterus didelphys
E. Rudimentary horn A. Thyroxin
B. TSH
181.A 35-year old diabetic wornan has
C. Serotonin
presented with heavy memstrual bleeding
D. Prolactin E. FSH
for 06 months.... ...and ultrasound
examination reveals no any abnormality; 185.A 33-years Old Woman is suspected to
her Hb is 8.5 gms/dl. The most appropriate have vulvovaginal candidiasis. Suggest the
treatment option for her is: easily....
A. Hysterectomy Diagnose the problem:
B. Hysterectomy & BSO A. HSV for culture & sensitivity
C. Combined OCPs D. NSAIDs B, Wet mount film & microscopy
LNG-IUS (Mirena) C. Candidial culture
Ligase chain reaction
182. Ille most likely complication of cervical
E. Gram staining of vaginal secretions
stenosis is:
Pyometra 186. Common clinical presentation Of
B. Primary dysmenorrhea patient with polycystic ovarian
C. Cervical polyp D. Cervical syndrome is: A. Amenorrhea T B.
erosion E. Endometriosis
c. D.
E.
183. Which of the following germ cell
tumor is associated with ambiguous 187.A 47-years Old Pakistani woman with
genitalia: BMI 35, BP: 140/90 mmHg was anxious
A. Choriocarc•inoma about the climacteric symptoms and
B. Gonadoblastoma T menopausal complications. What is the

Page | 34
 D.
best advice for her under the E. IUCD (Copper-T)
circumstances:
191.The modern management Of menopause
Lifestyle change
comprises Of:
B. Exercise
A. Low salt diet
C. Calcium supplement
B. Vitamin D therapy
D. Vitamin E
C. Change of lifestyle
E. Estrogen replacement therapy
D. Exercise
188.Oral contraceptives may increase the risk E. Hormonal replacement therapy
Of following neoplasm: 192. A sexually active nulliparous female
A. Breast carcinoma T has yellowish vaginal discharge. On
B. Ovarian carcinoma C. examination the cervix is erythematous
Endometrial earcinoma and the discharge reveals numerous
D. Hepatic carcinoma leukocytes. Which of the following is the
E. Hepatic adenoma most likely eti010kY :
A. Neisseria gonorrhea
189.An 18-years old girl presented with
B. Chlamydia trachomatis 1'
severe dysmenorrhea. The most common
C. Uroplasma species
cause could be:
D, Bacterial vaginosis
A. Endometriosis T
E. Treponema pallidum
B. Cervical stenosis

C. Partial vaginal septum 193. Final physiological event Of puberty in

D. Idiopath ic girl is:
E. Pelvic inflammatory disease (PID) A. Growth spurt
B. Breast development
190.1'he best contraceptive advice for a 38
C. Pubic hair growth D. Axillary hair
year old multiparous known hypertensive
growth E. Menstruation T
woman with BMI 32 kg/m: is:
A COCpills 194.A 46-years Old P4 with complaint of
B. Condom severe dysmenorrhea for last 05 years
C. Coitus interruptus and diagnosed as a case Of stage-4
D. LNG-IUS T

Page | 35
 30-years Old
endometriosis. Definitive treatment 197. A 44-years Old, PI +0 presents with
option for this patient is: abdominal mass and distension. On
A. Bilateral salpingo oophorectomy examination you have found 4x6 form
B. Danazol bilateral ovarian tumor. She had a history
C. Gonadotropin releasing hormone of operation for gut tumor. The most likely
analogues diagmßis tumor is:
D. Hysterectomy A. Dermoid cyst
E. Hysterectomy & bilateral salpingo B. Epithelial ovarian tumor
oophorectomy T C. Germ cell ovarian tumor
D. Krukenberg tumor T
195. All are the absolute to hormone
E. Simple follicular cyst
replacement therapy, except:
A. Breast cancer 198.A young lady presented to you with
B. Acute active liver disease history Of unprotected sexual activity 08
C. Uncontrolled hypertension T hours ago. She wants emergency
Migraine contraception. Which is most suitable
E Pregnancy option for her:
COC
196. A woman Of childbearing age attends
B. Progesterone only pill
gynae OPD with complaint of foul smelling
C. Prostinor
vaginal discharge around the time of
menstruation. On examination the D. EC pills T E. IUCD

discharge is thin, homogeneous and white

199.Prolapse of the anterior vaginal wall is
in color with pH of > 4.5 microscopy
termed
reveals "clue cells". VM1at is the most
likely diagnosis: A. Cystocele

A. Carcinoma cervix B. Urethrocele

B. Candida infection C. Enterocele

C. Cervicitis D. Cysto urethmcele T E. Rectocele

D. Foreign body
200.A 16-years Old young girl has been
E, Bacterial vaginosis T
admitted in causality department with

Page | 36
 D.
acute urinary retention. Examination A. Uterine didelphys B.
reveals a cystic tender mass in lower Imperforate hymen T
abdomen. Ultrasound showed distended C. Anorexia nervosa
bladder enlarged uterus with dilated D. Fibroids
cavity. Vulva' examination reveals blemish E. Endometriosi s
membranes at enteroitus. The diagnosis is 204.tumor which causes primary and
consistent with: secondary amenorrhea is: A. Yolk sac
A Imperforated hymen T ovarian tumor B. Bilateral dermoid cysts
B. Resistant ovarian syndrome C. Pituitary adenoma T
C. Testicular feminization syndrome D. Tumor Of sella turcica E.
D. Transverse vaginal septum E. Tumer' s Thyroid adenoma
syndrome
205.While evaluating 30 years Old woman with
201.A 38-years old multiparous woman has infertility with bicornuate utertLS,
presented with heavy periods. The best additional testing is necessary due to
management option for her is: increased risk of congenital anomalies in
A. COCpills one Of the following System :
B. TAH A. Skeletal
C. Transamic acid & mefenamic acid B. Hematopoietic
D. Mirena T C. Urinary T
E Progesterone only pill D. Central nervous

202.The most common organism associated E. Tracheo-esophageal

with chronic PID and infertility is:

206.Which or the following finding
A. Neisseria gonorrhea
characterizes normal semen sample:
B. Chlamydia trachomatis T
A. Agglutination
C. Pepto streptococcus
B. Sperm concentration of 35 million per
D. Treponema pallidum
ml
E. Actinomycosis israeli
C. 05% normal Sperm morphology
203.Patient with primary amenorrhea may
D. 10% progressive sperm motility
present with:
E. A volume Of 01 ml

Page | 37
 30-years Old
207.Ille suitable treatment for a case of mild B. Incomplete abortion

endometriosis and infertility is: C. Hydatid mole

I •A. Expectant Ectopic pregnancy T

B. COC pills T E. Inevitable abortion
C. Danazol
211.P01ycystic Ovary syndrome is
D. Gestodine
commonly associated with: A
E. Desogestrel
Obesity T
208.A 35-years Old para 0+3 first trimester B. Frequent periods
abortion. The likely cau.se can be: C. Multiparity
A. Uterine anomaly D. Galactorrhea
B. Cervical fibroid E. Adrenal hyperplasia
C. Cervical incompetence
212.Treatment Of choice for 24 years Old
D. Chromosomal abnormalities T E Anti-
unmarried girl with BMI more than 30 and
phospholipid syndrome
a known case of PCO is:
209.A 24-years Old para 1+0 admitted in gynae A. Progesterone only pills
ward with amenorrhea 02 months and B. COC
bleeding per vagina. On examination C. Weight reduction & exercise T
uterus is 14 weeks. nunst probable D. Metformin
diagnosis is: E. GnRH analogues
A. Molar pregnancy T
213.Endometriosis is a recognized cause
B. Incomplete abortion
Of:
C. Missed abortion
A. Deep dyspareunia T
D. Blighted ovum
B. Amenorrhea
E. Complete abortion
C. Polycystic Ovary syndrome
210.A 28-years para 2+0, over due 15 days
D. Postmenopausal bleeding
having severe pain in lower abdomen
E, Painful laparotomy scar
and fainting attacks. The suspected
diagncxsis is: 214.A 42-years old para 5+0 belonging to rural

A. Missed abortion area presented to you with complaint of

Page | 38
 D.
heavy menses since 02 years. Ultrasound
pelvis revealed multiple fibroid on anterior
and posterior wall of uterus. The best
treatment option for this woman would
be:
A. Merina

B. Total abdominal hysterectomy T

C. Myomectomy

D. Uterine artery embolization E. GnRH

analogues

215.A 35-years old para 8+0 complaints of

dribbling Of urine while coughing or
laughing. She relates these symptoms
since the delivery of her Lust child. What is
the most likely diagnosis:
A Detrusor instability
B. Overflow incontinence
C. Stress incontinence T
D. Vesico vaginal fistula
E Urge incontinence

216.The commonest Inalignant ovarian tumor

in all ages is:
A. Sex cord stromal tumor

B. Germ cell tumor C. Epithelial

cell tumor T
D. Brenner's tumor
E. Clear cell tumor

Page | 39
217. Operative hysteroscopy is used in all D. Pipple endometrial sampling T E. Total

conditions, except: abdominal hysterectomy

A. Adhesiolysis for Ashennan's syndrome
221.A 28-years old lady presented with
B. Division of uterine septum
history of induced abortion 02 days back
C. Endometrial resection
followed by severe lower abdominal pain.
D. Removal Of theca lutein cyst T E. Sub-
On ultrasound scan uterus was enlarged
mucous myomectomy
with dilated cavity echos but uterine
218. Failure rate Of levonorgestrel•releasing outline could not be ascertained properly.
IUCD per 100 women year is: What would be the most probable
A. 0.5 T diagnosis:

B. 02 A. Uterine perforation T

c. 04 B. Retained products of contraception

D. 06 C. Visceral damage
E. 08 D. Cervical trauma E Septicemia

222.FRtopic pregnancy:
219.A 35-years old para 4+0 complaints of
A. Involves ovaries in nnst of the cases
post coital bleeding. On speculum
B. Involves fallopian tubes commonly T
examination cervix is hypertrophie with
ulcer. Which of the following investigation C. Always requires surgical treatment

should be requested: D. Should be treated medic•ally

A. Cervical biopsy E. Is mostly recurrent

B. Colposcopy 223.Breech presentation is found in:

C. Endometrial biopsy A. 3% Of term gestation T

D. High vaginal swab E. Pap smear T B. 3% Of preterm gestation

C. 5% of term gestation
220. A 55 -years Old woman presents with
D. 5% of post-term gestation E. 1-2% Of term
postmenopatusal bleeding, endometrium
gestation
is thick on transvaginal ultrasound. Next
step in her evaluation is: A. MRI 224.The confirmatory test for the diagnosis Of
B. Pap smear thalassemia in a pregnant woman is:
C. Diagnostic curettage A. Complete blood count

Page | 40
 B. Hb electrophoresis T A. Ultrasound

C. Absolute indices B. Hysterosalpingography

D. Ultrasound scan C. Colposcopy T

E. Chorion villus samp ling D. Laparoscopy

E. Hysteroscopy
225.Administration of which of the following
drug to the 1M)ther will have the most 229.Expected date of delivery is calculated
significant beneficial effects on fetal lung by:
maturation: A. Last menstrual period (I-MP) + 12

A. Dexamethasone months
B. Betamethasone T B. LMP + nine calendar monthly 03
C. Prolactin months + 07 days
D. Thyroxin C. LMP + I O calendar months D. LMP + 09
E. ACTH calendar months + 07 days T E.
230.A young woman of 26 years G3, 1>2+0
226.The commonest symptom of ectopic
comes to an obstetrician for her first
pregnancy is:
antenatal visit at 36 weeks gestation. She
A. Bleeding per vagina
really eats fruits and fresh vegetables. She
B. Pain in abdomen T
is at increased risk Of:
C. Dizziness
A. Micmcytic hypochromic anemia T
D. Gastrointestinal symptoms E. Shoulder
Megaloblastic anemia
tip pain
C. Nonnocytic normochromic anemia

227. Commonly used agent for medical of D. Biphasic anemia

ectopic pregnancy is: E, Hereditary spherocytosis

A KCL
231.Complication of fibroid are:
B Methotrexate T A. Hyaline degeneration
C Mifepristone D. Misoprostol B. Intraperitoneal hemorrhage
E. Prostaglandin C. Red generation

228.The tubal patency can be confirmed by all

Of the following, except:

Page | 41
232.A years Old primigravida comes for B. Loss of acceleration
antenatal checkup having 18 weeks C. Fetal heart 110-150 b/min
gestation. Her CBC report showed Hb 8gm
% with decreased PCV, MCV, MCH and
236. Regarding fibroid:
MCHC. What is the most probable
diagnosis: A. Fibroid are common being detectable

A. Iron deficiency anemia T clinically in about 20% of women over

B. Megaloblastic anemia 30 years of age T

C. Thalassemia B. Fibroids are independent Of estrogen

D. Chronic inflammatory condition C. Vast majority of fibroids are

E. Sickle cell anemia symptomatic

D. Treatment of choice is myomectomies
233. Mrs Laila comes for booking visit at 10
E. All of the above
weeks Of gestation. Her last menstrual
period was on 7th May 2012. What is the 237.A 65-year old woman has presented with

estimated date of delivery: postmenopausal bleeding for one month.

A. February I O of the 2013 She is diagnosed a case Of carcinoma

B. February 14 of the 2013 T endometrium Stage-I. The best treatment

C, December 10 Of the option for her is:

2012 D. December 14 of A. Chemotherapy

the 2012 E. December 21 B. Radiotherapy

2012 C. Total abdominal hysterectomy (TAH)

D. Total abdominal hysterectomy with

234. In complete miscarriage:
bilateral salpin go-oophorectomy T
A. All the products of conception present
E. TAH plus BSO plus pelvic
B. Os is remains always Open lymphadenectomy
C. All the products of conception
expelled out T 238.An 18-years Old girl has presented with

D. After misearriage severe pain persists primary amenorrhea. The clinical features

E Always needs evaluation are suggestive or Turner's syndrome. Her

likely chromosome pattern is: A 45 XO T
235. CTG signs suggestive Of fetal compromise:
B. 46XX
A. Loss of baseline variability

Page | 42
C. 46 XY 242.The commonest cause Of Asherman
D. 47 xxx syndrome is:
E. 47 xxy A. Pelvic tuberculosis

239.A young woman has presented with B. Pelvic inflammatory disease

secondary amenorrhea. On breast C. Endometriosis

examination galactorrhea is present. D. Vigorous uterine curettage T

Which one of the following hormones E. Uterine septum
may be increased on investigation: A. 243.A 14-years Old girl presents with heavy
Estrogen periods since menarche. Ultrasound scan
B, LH did not reveal any abnormality. The first
C. Prolactin T D. line treatment is:
TSH A. Expectant
E. Progesterone B. Mefanemic acid
C. Transaemic acid T
240.A young sexually active woman
D. Oral contraceptive pills E. Oral
complai1Ls Of pelvic pain not
hematinics
corresponding to any treatment. In this
case the most confirmatory test for 244.'Ihe gold Standard test for diagnosis of
establishing the diagnusis is: endometriosis is:
A. Hystero-salpingography A. Serum CA 125 levels
B. Hysteroscopy B. Ultrasound scan
C. Laparoscopy T C. Magnetic resonance imaging
D. Trans abdominal ultrasound E. Trans D. Laparoscopy T E. CT scan
vaginal ultrasound
245.A 30-years Old lady came with 03 months
241.The first sign of puberty in a girl is: amenorrhea and mild per Vaginal bleeding
A. Pubic hair growth with lower abdominal pain for one day.
B. Menstruation C. Breast Ultrasound shows 12 weeks alive fetus.
development T What will be the most probable diagnosis:
D. Growth spurt A. Complete abortion
E Axillary hair growth B. Incomplete
abortion

Page | 43
 C. Inevitable abortion 249.An 80-years old para 8+2 came with
D. Threatened abortion T E. complaint of something coming out of
Mixed abortion vagina for last 05 years. She is a known
case of diabetes and uncontrolled
246.A para 3+0 obese lady came in OPD with
hypertension. On pelvic examination
excessive vaginal discharge associated with
there is moderate cystocele, mild
itching. Vaginal examination revealed thick
rectocele and 2nd degree cervical
curdy white discharge with red vaginal
descent. Which of the following
mucosa. Her blood sugar is 200 mg/dl.
management option is suitable for her:
What is the most likely cause of discharge
A. Anterior colporrhaphy
in this woman: A, Bacterial vaginosis
B. Lee fort operation T C.
B. Trichomoniasis
Manchester repair
C. Candidiasis T
D. Ring persany
D. Cervicitis
insertion E. Vaginal
E. Senile endometriosis
hysterectomy

247. Genital warts are caused by:

250.All are the abqjlute contraindications to
A. Cytomegalovirus
hormone replacement therapy, except:
B. Herpes simplex virus
A. Suspicion Of breast cancer
C. Hu man immunodeficiency virus (HIV)
B. Acute active liver disease
D. Human parvovirus B- 19
C. Uncontrolled hypertension T
E. Human papilloma virus T
Migraine
248. A 45-years Old para 3+0 complaints Of E. Suspected pregnancy
frequency and urgency. With occasional
251.Operative hysteroscopy is used in all
loss Of urine. The first investigation in her
conditions, except:
case is:
A. Adhesiolysis for Ashennan's syndrome
A. Frequency volume chart
B. Devision Of uterine septum
B. Midstream urine for culture sensitivity
C. Endometrial resection
T
D. Removal of theca lutein cyst T E. Sub-
C. Random blood sugar
mucous myomectomy
D. Ultrasound scan
E. Uronowmetry

Page | 44
252.While evaluating a couple presenting B. Uterine pathology
with infertility, the most important C. Polycystic ovarian syndrome
factor in determining the fertility is: D. Psychologically upset E. Early
A. Age of female partner T pregnancy
B. Age Of male partner
255.A 44-years old, P 1+0 presents with
C. Duration of infertility
abdominal mass and distension. On
D. Low number of motile healthy sperms
examination you found 4x6 cm fix tumor in
E. Smoking
left breast along with 14x20 enlarged ovary
253.A woman of childbearing age attend wnae and severe ascites. The most likely tumor
OPD with complaint of foul smelling is:
vaginal discharge around the time of A. Dermoid cyst
memstruation. On examination the B. Epithelial ovarian tumor
discharge is thin, homogeneous and white C. Germ cell ovarian tumor
color with PH of >4.5- microscopy reveals D. Krukenberg tumor T E. Simple follicular
"clue cells". What is the most likely cyst
diagnosis:
256. Mrs Ali, P 5+0 carne in emergency. She
A. Carcinoma cervix
has started OCPs sogand reception since 02
B. Candidal infection
months but because Of busy schedule she
C. Cervicitis
forgot to take pill for last 02 days. Now
D. Foreign body
what advice will you give her in this
E Bacterial vaginosis situation:
254.A 30-years Old lady attends gynae OH) A. Don't worry, take your pills as usual,
with complaint of amenorrhea of 03 that's all B. Don't worry, just take the late
numths. Excessive hair growth on face and pill at once & continue as usual T
markedly increased weight gain. She is C. Don't wony take most recent
married for past three years and not delayed pill, discard missed pills and
conceived up till now. What would be the take extra precautions for 01 week
most likely diagnosis on the basis Of D. Only take extra precautions for 01
history given by the patient: week E. Take two pills at once &
A. Androgen secreting tumor

Page | 45
 continue with progesterone only D. Transverse vaginal septum E, Tumer's

pills syndrome

257.Mr. and Mrs. Ali came for advice on 260.Which of the following investigation will

vasectomy while discussing on risks of confirm the genital tract tuberculosis:

vasectomy. What can be the failure rate A. Histopathological examination of

per 100 men per year: endometrial curettage T

B. Hysterosalpingography
B. 0.2% T
C. Hysteroscopy
ICJ 0.1%
D. Sputum for AFB E. Ultrasonography
D. 0.5%
E. 0.1% 261.A 20-years old young girl has presented
with painful heavy periods. The best
258. Prolapse of anterior vagina wall is
management option for her is: A COC
termed as:
pi11s
A. Cystocele
B. Smooth muscle relaxants
B. Urethrocele
C. Ibuprofen
C. Entrocele
D. Mefanemic acid T
D. Cystourethrocele T
E. Progesterone only pill
E Rectocele
262.The most common organism associated
259.A 16-years old young girl hms been
with PID and infertility is:
admitted in causality department with
A. Neisseria gonorrhea
acute urinary retention. Examination
B. Chlamydia trachomatis T
reveals a cystic tender mass in lower
C. Poststreptococcus
abdomen. Ultrasound showed distended
D. Treponema pallidum
bladder, enlarged uterus with dilated
cavity. Vulva' examination reveals blemish E. Actinomycosis Israeli

membranes at enteroitus. The diagnosis is

263.A 30-years old gravida 200 has presented
consistent with:
at 14 weeks gestation with excessive
A. Imperforated hymen T
vomiting and sigrus of preeclampsia. 'Ille
B. Resistant ovarian syndrome
uterus is larger than dates. The fetal parts
C. Testicular feminization syndrome

Page | 46
 are not palpable. The diagnosis is almost distorted. Best treatment option for
consistent with: her is:
A. Molar pregnancy T A. GnRH agonists
B. Pregnancy with fibroid B. Hysterectomy T
C. Pregnancy with ovarian Cyst C. OCC oral contraceptive pills
D. Singleton pregnancy E. Twin pregnancy D. Myomectomy
E. Uterine artery embolization
264.A 35-years old lady has presented with
menorrhagia. To establish the diagnosis 267.The commonest cause Of anovulatory

of menorrhagia, the menstrual blood loss subfertility in female is:

should be more than: A. 80m1 T A. Hyperprolactinemia
B. 40 ml B. Hyperthyroidism

c. 50 ml D. C. Hypothyroidism

70 ml D. Polycystic ovarian syndrome T E.

E. 60 ml Premature ovarian failure

265.A gravida 2nd, Para 0+1 presents with

268.Which of the following is an absolute
gestational amenorrhea 02 months along
contraindication Of ( Combined oral
with mild vaginal bleeding. On
contraceptive pills):
examination uterine size corresponds to
A. Generalized migraine
dates and cervical os is closed. Findings
B. Irregular vaginal bleeding
consistent with diagnosis of:
C. Cerebrovascular accident
A. Inevitable
D. Obesity
abortion B. Mixed
E. Diabetes
abortion C. Re-
cun•ent abortion 269.A 35-years old Para 4+0, complains of
D, Septic abortion postcoital bleeding. On speculum
E. Threatened abortion T examination there is cervical ectropion.
Which of the following investigation should
266.A 42-years Old, Para 4+0 presents with
be ordered:
symptonB of severe menorrhagia.
A. Cervical biopsy
Ultrasound of pelvis reveals multiple
B. Colposcopy
fibroids largest 10x12 cm. Uterine cavity is

Page | 47
 C. Endometrial biopsy A PID
D. High vaginal swab E. Pap snear T B. Adenomyosis
C. Endometriosis T
270. A 20-years Old Para 0+1 is admitted in
D. Ashennan's syndrome E. Endometrial
emergency ward with history of overdue
polyp
by 10 days and dull pain in right iliac fossa
and mild bleeding per vagina. Ultrasound 273.Following strains of HPV causes carcinoma
scan reveals empty uterine cavity with of cervix:
right sub-ovarian mass of 4x5 cm. What A. HPV 16& 18 T
could be the most likely diagnosis: B. HPV32&33 C. HPV 18&
A. Unruptured tubal ectopic pregnancy T 21 D. HPV 11 & 12 E.
B. Appendicitis HPV52&58
C. Twisted ovarian cyst
274.A 45-years Old woman has presented with
D. Pelvic inflammatory disease
advanced ovarian cancer. The most
E. Missed abortion
appropriate investigation to assess the
271.A young 25 years old lady attends gynae extension Of tumor to surrounding
OPI) with complaint of intense itching and structures is:
soreness Of vulva with purulent, offensive A. Real time ultrasound scan
discharge. On examination punctate B. Doppler ultrasound
hemorrhages seen on cervix the most C. CT scan (Computerized Tomography)
likely diagnosis is: D. MRI (Magnetic Resonance Imaging)
A. Chlamydia trachomalis E. Laparoscopy
B. Trichomoniasis T

C. Bacterial vaginosis
275.A 25-years old nulliparous lady presents

D. Cervicitis
for the symptoms of severe dysmenorrhea
and deep dyspareunia. On clinical
E. Physiological discharge
examination there is nodularity of
272.A 17-years Old college girl presented with uterosacral ligaments with fixed
severe abdominal pain for which she quit retroverted uterus. Which Of the following
from routine activity during and after the would be the gold standard test for the
menstruation. The most likely diagnosis definite diagnosis:
is:

Page | 48
 A. MRI 279.1n an Old frail lady with U-V prolapse,
B. Transvaginal sonography which one is most appropriate surgical

c. CA-125 D. choice if she cannot sustain anesthesia

Doppler ultrasound for long period: A. Manchester's repair

B, Lefort's calpocleisis T
E Laparoscopy T
C. Hysterosacropexy
276. Total abdominal hysterectomy is best
D. Sacrocervicopexy
treatment for:
E. Sacrospinous ligament fixation
A. Young woman with heavy menstrual
loss B. Young parrous woman with 280. Natural menopause is best diagnosed by:
pelvic inflammatory disease A. Cessation of menses between age 40 to
Woman with endometriosis 45 years for six months
D. Nulliparous with fibroid uterus B. Presence of hot flushes
E. Woman with cervical intraepithelial
C. Irritability & lack of concentration
lesion 11 T
D. Cessation of menses between age 45 to

277. Vigorous curettage at surgical evacuation 55 years for 1 2 months T

of retained products Of conception will E. Serum FSH is more than or is equal to

result into: 40iu/ml
A. Perforation
281. A 52-years old lecturer postmenopausal for
B. Cervical trauma
two years presented with headache and
C. Intrauterine adhesions T
bone pains. She is not taking any drug. The
D. Injury to large intestine E. Injury to
most widely recommended therapeutic
bladder
intervention for her

278. Commonly performed surgical procedure

A. Calcium rich diet
for urodynamic stress incontinence
B. Exercise
include:
C. Vitamin D supplements
A. Tension free vaginal tape (TVT) T
D. Change of lifestyle
B. Transobturator tape (TOT)
E. Change Of life, calcium & vitamin D
C. Burch's colposuspension
supplement T
D. Laparoscopic colposuspension
E. Artificial sphincter

Page | 49
282.A 21 -years old Para 1+0 with history of E. Bartholin's abscess T
home delivery presented with pelvic
286.Regarding cystometry, which Of the
abscess. The management Of choice for
following statement best explaims the test:
her is:
A. It measures intravesical pressure
A. Intravenous antibiotic T
B. Measures bladder volume
B. Laparoscopy to confirm the diagnosis
C. Measures pressure volume relationship
Improvement Of general health
T D. Measures detrusor pressure
Drainage of abscess
E. Cannot measure continuous bladder
E. Obsewe for spontaneous resolution
pressure

283.1he gold standard for diagnosis of

287.A young nulliparous woman conw
pelvic inflammatory disease is: A.
with second degree uterovaginal prolalxse.
Clinical history
What is the most suitable treatment option
B. Clinical examination
for her:
C. Ultrasound
Kegel 's exercise
D. Culture & sensitivity test E.
B. Manchester's repair
Laparoscopy T
C. Vaginal hysterectomy
284.Regarding first trimester abortions, the D. Sacrohysteropexy T E. Sacrocervicopexy
commonest chromosomal abnormality
found is: 288.A 65-years Old with history Of vaginal

A. Triploidy raised white cell count

hysterectomy 10 years ago presents with

B. Monosomy raised C-reaetive protein

vault prolapse. The most suitable
treatment option for her is:
C. Autosomal trisomy T
A. Kegel 's exercise
D. Tetraploidy
B. Plastic ring pessary
E. Balanced translocation
C. Abdominal sacrocolpexy T
285.The unlikely complication of chlamydia
Sacrospinous ligament fixation
is: A. Pelvic inflammatory disease
E. Colpocliasis
B. Perihepatitis Fitz-Hugh-Curtis
289.Combined oral contraceptive pill acts by:
syndrome
A. Making the endometrium atrophic
C. Neonatal conjunctivitis
Adult conjunctivitis

Page | 50
 B. Suppression of follicle stimulating flushes. Her FSH level is 40 IU/m1. The
hormone symptoms are likely due to:
C. Suppression of luteinizing hormone A, Asherman's syndrome
D. Changes in cervical mucus T B. Polycystic ovarian disease

Suppression Of follicle stimulation C. Premature ovarian failure D.

hormone & luteinizing hormone Thyroid abnormalities
E. Tuberculous endometritis
290.A 25-years Old Para 5+0 with heavy

bleeding came for contraceptive advice. 293.An 18-years Old presents with primary
Which is the most suitable option for her: amenorrhea. On examination she is 05 feet
A. Combined Oral contraceptive pill 2 inch tall with normal breasts. The pubic
B. Barrier method and axillary hairs are scanty. External
C. Mirena-Levonorgesterel intrauterine genitalia appears nor-null however uterus
System T is absent. The most likely diagnosis in her
D. IUCD (intrauterine contraceptive case is:
device) A. Androgen insensitivity syndrome T
E. Progesterone pill only B. Congenital adrenal hyperplzusia
C. Mullerian abnormalities D. Turner
291.A 25-years old girl with heavy bleeding
syndrome
and anemia has been diagnosed as a case
E XY gonadal dysgenesis
Of fibroid uterus. The utertLs is 16 weeks
size. The most appropriate management 294.The first physical sign Of puberty is:

option is: A. Appearance of axillary hair

A. Expectant B. Appearance of pubic hair

B. Levonorgestrel intrauterine system C. Breast budding T

C. Combined oral contraceptive pills D. Growth spurt
D. Gonadotropin releasing hormones E. Menstruation
analogues 295.1nhibin is a tumor marker for which
(GnRH) of the following non-epithelial ovarian
E. Correction of anemia & myomectomy T cancer: A Endodermal sinus tumor
B. Dysgerminoma
292.A 28-years Para 4+0 presents with
C. Granulosa cell tumor T
secondary amenorrhea of one year and hot

Page | 51
 D. Immature carcinoma D. Pmstaglandin E2 vaginal
E. Mixed germ cell tumor pessaries E. Mefiprostone oral T

296.Which Of the following vulval cancer has 300.A Para 02 having history of 08 weeks
poor prognosis: pregnancy has presented with heavy
A. Adenocarcinoma vaginal bleeding and pain lower abdomen.
B. Paget's disease On examination the cervical os is open,
C. Malignant melanoma T products Of conceptions felt in the uterine

D. Squamous cell carcinoma cavity, size Of uterus is appropriate for the

E. Vercuecous carcinoma dates. The clinical diagnosis is:

A. Threatened abortion
297.The most appropriate way to diagnose
B. Inevitable aboltion
vaginal carcinoma is:
C. Incomplete abortion T
A. History of vaginal bleeding
D. Missed abortion
B. Clinical examination
E. Septic incomplete abortion
C. Examination u nder anesthesia

D. Biopsy of growth T 301 .l)evelopnwnt Of ovarian follicle begins in

E. Histopathology Of growth response to:

GnRH B.
298.Genetic predisposition of ovarian cancer
FSH T c. D,
with positive Lynch-Il syndrome is:
Prolactin
A. 5-10%
302. Ille
B. Less than
incidence
C. Less than 01%
Of
D. 20%
recurrent
E. More than T
is:

299.The best medical management Of 1st

trimester missed abortion comprises of:
A. Syntocinon infusion
B Ergometrin injection
303. A 35-years Old P4 for complaints of
Misoprostol oral or vaginal
postcoital bleeding. On speculum
examination there is cervical ectropion

Page | 52
 which Of the following investigation should C. Trichomoniasis D.
be requested: Gonorrhea
A. Cervical biopsy E, Candidiasis
B. Colposcopy
308. hypothalamic pituitary ovarian axis is
C. Endometrial biopsy
functionally completed at:
D. High vaginal swab E. Pap smear T
Early half of fetal life T
304. Ovarian dysgerminoma: B. Late half of fetal life
A. Is a germ cell tumor T C. Immediately after birth D. Just
B. Isa radioresistant tumor before puberty At puberty
C. Is associated with strong family history 309.A 35-years old nulliparous Woman
Of ovarian tumor presents with heavy menstrual bleeding.
D. Is a epithelial tumor Examination reveals a firm mass in the
E. Is a hormone producing tumor lower abdomen most likely diagnosis is:
A. Adenomyosis
305. Contraindication of intrauterine
B. Fibroid
contraceptive device is:
c.
A. History Of previous ectopic pregnancy
D.
B, Asthma
E,
C. Diabetes mellitus

D. Pregnancy T 310.1'he corpus luteum is essential for the

E. Previous cesarean section survival Of pregnancy during: A. 1-
4weeks T
306. hydatidiform mole is diagnosed on the
I -8 weeks
basis of:
C. 6-8 weeks
A. Clinical presentation
D. 9-10 weeks
B. Serum beta HCG level T
E. 10-12 weeks
C. Amniography
D. Arteriography E. x-ray 311.Major support of the uterus is:
A. Uterosacral ligaments T
307. Clue cell on wet mount are suggestive Of:
B. Broad ligament
A Syphilis
C. Round ligament
B. Bacterial vaginosis T

Page | 53
 D. Ovarian ligament E. Mesosalpinx B. Hormone therapy

C. Radiotherapy
312.A 46-years old P4 with complaint of
D. Laparoscopy
severe dysmenorrhea for the last five
E. Chemotherapy
days and diagnosed as a case of stage-4
316. 'Ihe definition of abortion is:
endometriosis. Definitely treatment
Expulsion of the products of
option for this patient is:
conception before 20 weeks of
A. Bilateral salpingo-oophorectomy
gestation T
B, Danazol
B. Expulsion of foetus with placenta upto
C. Gonadotropin-releasing hormone
28 weeks of gestation
analogues
C. Expulsion Of products of conception
D. Hysterectomy
before 12 weeks of gestation
E. Hysterectomy & bilateral
salpingooophorectomy T D. Expulsion of only foetus upto 20 weeks

Of gestation
313.1n complete hydatidiform mole, the
E. Expulsion of foetus weighing upto 1000
karyotype is:
gm
A. 46 xy

B. 46 XX usually T 317.A 15-years Old girl presents with heavy

C. Triploidy periods since menarche. Ultrasound scan

D. Tetraploidy E. Monosomy did not reveal any abnormality. The first

line treatment is:
314.Treatment Of menopausal symptoms
A. Expectant
is:
B. Me fenamic acid T
A. Hysterectomy
C. Transemic acid
B. Radiotherapy
D. Oral contraceptive pills
C. Chemotherapy
E. Oral hemanitinics
D. Hormone replacement therapy T

E. Laparoscopy 318. Single most important factor in

determining fertility is:

31S.Definitive treatment of adenomyosis in
A. Age Of the female partner T
perimenopausal woman is:
B. Age Of the male partner
A. Surgery T
C. Age of menarche

Page | 54
 D. Size of the ovary B. CT scan

E. FSH level in the mid cycle C. Hormonal assays

D. MRI
319. Select the most appropriate prognostic test
E. Ultrasound
in the follow up management Of epithelial
ovarian cancer: 323.Syphilis is a sexually transmitted infection

A TVS caused by treponema pallidum which is a:

B. crscan A. Bacteria

C. MRI B. Fungus

D. SerumCA 125 T E Laparoscopy C. Palusite

D. Spirochete T
320. Ihe main risk factor for causation Of
E. Virus
cervical cancer is:
A. Cigarette smoking 324.1ncrease incidence Of ectopic pregnancy is
B. Multiparity found with:
C. Age 50 years A STD
D. Human papillomavirus infection T E. B. IUCD T
Herpes simplex type [I infection C. Increased use of OCPs
D. Assisted reproduction E. Tubal
321. lhe commonest presenting symptom of
sterilization
ectopic pregnancy is: A. Abnormal vaginal
bleeding 325.A 28-years Old lady came to
B. Pain T kvnaeeologist complain of
C. Syncope oligomenorrhea, history of weight gain

D. Cardiovascular collapse for 06 months and U/S report shows

E. Painful defecation multiple follicles in ovaries. What will be

322.An 18-years old girl is present in OPD for the most probable diagnosis in this case:

the complication of not mere;truating yet. A. Hypothyroidism

On examination she is 04 feet 02 inches tall B. Premature ovarian failure

and with webbed neck and wide carrying C. Pelvic inflammatory disease

angle. 'Ille best diagnostic tool in her case D. Polycystic ovarian syndrome T

is: E. Functional ovarian cyst

A. Karyotyping T

Page | 55
326.A 53-years Old, multiparous woman since 02 days. Ultrasound report shows
complaints Of pcßtmenopausal bleeding dead fetus. What is the nwst probable
and offensive vaginal discharge for 03 diagnosis:
nu»nths. Clinical examination revealed A. Incomplete
atrophic uterus with friable, ulcerated abortion Inevitable
cervix, appendages are thickened. would abortion C.
be the most likely diagnosis: Threatened abortion
Cancer of cervix D. Complete abortion
B. Cervical intraepithelial neoplasia E. Missed aboltion
C. Ovarian cancer
330.A 60-years old para 8+0 known diabetic
D. Vaginal infection
complaints of vulval itching. On vulval
E. Pelvic inflammatory disease
examination there is a 02 cm white lesion
327.1he effects of premature menopause over labia majora and skin looked thin and
include all, except: crinkled.
Your clinical diagnosis is:
A. Decreased cardiovascular risk T A. Chancroid
B. Infertility B. Litchen sclerosis T
C. Vasomotor risk D. Vaginal dryness C. Paget's disease

E Osteoporosis D. Squamous cell hyperplasia E.

328. A 55-years Old woman underwent a Squamous VIN
vaginal hysterectomy for U-V prolapse. Ille
331.A 16-years Old girl presents with
most important cause in subsequently
primary amenorrhea and lack of
recurrence Of prolapse is:
secondary sexual characters with
Chronic cough
anosmia. The most probable diagnosis
B. Lifting heavy weight
is:
C. Menopause T
A. Kallman's syndrome T
D. Poor tissue quality E, Trauma
B. Turners syndrome

329. A 30-years old lady para 03 presented C. Down's syndrome

with 03 months pregnancy with D. Klinefelter'syndrome E. None of above

complaints Of mild bleeding per vagina

332. Menarche usually occurs at the age of:

Page | 56
 A. 08 & 10 years B.
11 & 13 years T
C. 14 & 16 years

D. 17& 18 years E. 18 &

above

333. 'Ille most common cause Of abnormal

uterine bleeding in a 13 year old girl is:

A. Uterine cancer
B. Ectopic pregnancy C.
Anovulation T
Systemic bleeding diathesis
E. Trauma
334.The most common symptom of
endometrial hyperplasia is: A Vaginal
discharge
B. Pelvic pain
C. Vaginal bleeding T D.
Amenorrhea
E. Abdominal distension

335.A couple presented in OPD with or

infertility since last two years. Husband
semen analysis was advised. What is the
WHO criterion for minimum sperm count
in a normal

A. 10 million

B. 30 million

C. 20 million

D. 40 million

E. 70 million

Page | 57