MCQ.1
A couple presented in OPD with H/0
infertility since last 2
years. Husbands semen analysis was advised.
What is WHO criterion - for minimum
sperm count in normal semen?
a)
10 million.
b)
20 million.
c)
30 million.
d)
40 million.
e)
70 million.
Key: b
MCQ.2
A 23 years old primigravida presents with
abdominal pain, syncope and vaginal
spotting. Assessment reveals that
she has an ectopic pregnancy. The most common site of pregnancy is:
a)
Ampulla.
b)
Isthmus.
c)
Fimbrial end.
d)
Abdomin.
e)
Cervix.
Key: a
MCQ.3
Mean age for menopause is:
a)
40 years.
b)
45 years.
c)
51 years.
d)
48 years.
e)
39 years.
Key: c
MCQ.4
Second degree uterovaginal prolapse is
characterized by: a) Complete protrusion of uterus outside introitus.
b)
Descent of genital tract within vagina.
c)
Descent of genital tract upto introitus.
d)
Descent of genital tract outside the introitus.
e)
Descent of cervix below the ischeal spines.
Key: d
MCQ.5
A 63 years old lady presents with abdominal
mass and weight loss, was diagnosed
as having an ovarian tumour.
The most common ovarian tumour in this
woman would be:
a)
Epithelial tumour.
b)
Germ cell tumour.
c)
Stromal tumour.
d)
Sex cord tumour.
e)
Trophoblastic tumour.
Key: a
Page
1 of 7
MBBS Final Professional Examination 2007
Gynaecology
Model Papers (MCQs)
MCQ.6
A young girl, 23 years old is presented
with complaint of abdominal pain,
menorrhagia and 18 weeks size mass arising
from hypogastrium. The most likely diagnosis is: a) Endometriosis.
b)
Pelvic inflammatory disease.
c)
Ovarian cyst.
d)
Fibroid uterus.
e)
Mesenteric cyst.
Key: d
MCQ.7
A 25 years old school teacher Para 1 wants
to use oral contraceptive pills for
contraception. She is asking about the
mode of action of oral contraceptive pills. The mechanism of action of oral contraceptive pills is: a) Inhibiting
ovulation by suppression of serum FSH.
b)
Inducing endometrial atrophy.
c)
Increasing cervical mucous hostility.
d)
Inducing endometritis.
e)
Inhibiting prolactin.
Key: a
MCQ.8
Women complaining of milky whitish
discharge with fishy odour. No
history of itching. Most likely diagnosis is: a) Bacterial vaginosis.
b)
Trichomoniasis.
c)
Candidiasis.
d)
Malignancy.
e)
Urinary tract infection.
Key: a
MCQ.9
A young medical student has come to you
with complaints of oligomenorrrhea,
hirsuitism and weight gain,
ultrasound reveals bulky ovaries with sub-capsular cysts. Most likely diagnosis is:
a)
Ovarian cancer.
b)
Cushing’s syndrome.
c)
Polycystic ovarian disease.
d)
Diabetes mellitus.
e)
Pelvic inflammatory disease.
Key: c
MCQ.10
A 43 year old, lecturer has come to you
with complaints of heavy but regular
menstrual bleeding with flooding and
clots. There is no anatomical reason for heavy flow.
The most effective remedy for reducing her
menstrual flow is:
a)
Tranexemic acid.
b)
Dilatation and Curettage.
c)
Depomedroxy progesterone acetate.
d)
Misoprostol.
e)
Ergometrine maleate.
Key: a
MCQ.11 A 39 years old women Para 6 has
presented with complaint of post
coital bleeding for the past three months.
Your first investigation should be: a) Dilatation & Curettage.
b)
Cone biopsy of cervix.
c)
Pap smear.
d)
Colposcopy.
e)
Laparoscopy.
Key: c
MCQ.12
A 28 years old woman has 14 weeks size
irregular uterus.
She does not complain of abdominal pain or
menorrhagia.
Her pap smear is normal. The best next step
in her management would be:
a)
Continued observation.
b)
Endometrial biopsy.
c)
Hysterectomy.
d)
Pelvic ultrasonography.
e)
Laparoscopy.
Key: d
MCQ.13
The most effective treatment of pruritis
vulvae associated with atrophic
vulvitis is:
a)
Antihistamines.
b)
Hydrocortisone.
c)
Alcohol injections.
d)
Tranquilizers.
e)
Topical estrogen therapy.
Key: e
MCQ.14
The most common cause of rectovaginal
fistula is: a) Obstetrical.
b)
Irradiation of the pelvis.
c)
Carcinoma.
d)
Crohn’s disease.
e)
Endometriosis.
Key: a
MCQ.15
A 40 years old multiparous woman complains
of involuntary loss of urine
associated with coughing, laughing,
lifting or standing. The history is most suggestive of:
a)
Fistula.
b)
Stress incontinence.
c)
Urge incontinence.
d)
Urethral diverticulum.
e)
Urinary tract infection.
Key: b
MCQ.16
A 28 years old G3 P2 has presented with
complaints of brownish vaginal
discharge, passage of vesicles and excessive
vomiting. Ultrasound scan shows snowstorm appearance in uterus with no fetus. The most likely diagnosis is:
a)
Septic induced abortion.
b)
Twin pregnancy.
c)
Gestational trophoblastic disease.
d)
Ectopic pregnancy.
e)
Fibroid uterus.
Key: c
MCQ.17
The maximum number of oogonia are formed at
what age of female life:
a)
One month intrauterine.
b)
Five month intrauterine.
c)
At birth.
d)
At puberty.
e)
At 21 years of age.
Key: b
MCQ.18
Menarche usually occurs at age of:
a)
8 and 10 years.
b)
11 and 13 years.
c)
14 and 16 years.
d)
17 and 18 years.
e)
18 and above.
Key: b
MCQ.19
The most common cause of vesicovaginal
fistula (VVF) in under developed
countries would be:
a)
Obstetrical injuries.
b)
Pelvic irradiation.
c)
Carcinoma .
d)
Haemorrhoidectomy.
e)
Operative injury.
Key: a
MCQ.20
A 28 year old patient complains of
amenorrhea after having dilatation
and curettage. The most likely diagnosis is:
a)
Kallman’s Syndrome.
b)
Turner’s Syndrome.
c)
Asherman’s Syndrome.
d)
Pelvic inflammatory disease.
e)
Anorexia nervosa.
Key: c
MCQ.21 A large cystic ovarian tumour is
detected in a woman on routine
antenatal check up. The most common complication
she can encounter is:
a)
Torsion.
b)
Rupture.
c)
Haemorrhage.
d)
Degeneration.
e)
Infection.
Key: a
MCQ.22
Which of the following is used to take
cervical smear: a) Colposcope.
b)
Vaginoscope.
c)
Ayre’s spatula.
d)
Laparoscope.
e)
Forceps.
Key: c
MCQ.23
Normal duration of menstrual cycle is:
a)
1-3 days.
b)
1-4 days.
c)
2-7 days.
d)
7-10 days.
e)
1-2 days.
Key: c
MCQ.24 a 20 year old medical student presents
with five years history of weight
gain, irregular periods and worsening fascial
hair. What is the most likely diagnosis?
a)
Polycystic ovarian disease.
b)
Hypothyroidism.
c)
Obesity.
d)
Cushing’s Syndrome.
e)
Nephrotic Syndrome.
Key: a
MCQ.25 28 years old woman with previous
history of having baby with Down’s
Syndrome is now 12 weeks pregnant. Which of the following would you suggest to her: a) Amniocentesis.
b)
Obstetric ultrasound.
c)
Chorionic villus sampling.
d)
Fetal blood sampling.
e)
Wait till eighteen weeks for detailed ultrasound and amniocentesis.
Key: c
MCQ.26
A newly married girl comes to gynae OPD
with history of dysuria, burning,
micturition and sore perineum. What is your
likely diagnosis:
a)
Trichomonas vaginalis.
b)
Candida infection.
c)
Trauma due to coitus.
d)
Honey moon cystitis.
e)
Genital herpes.
Key: d
MCQ.27
Gonadotropin releasing hormone (GnRH)
stimulates the release of:
a)
ACTH.
b)
Growth hormone.
c)
Leutinising Hormone (LH).
d)
Thyroid stimulating hormone (TSH).
e)
Opiate peptides.
Key: c
MCQ.28
Serum prolactin levels are highest in which
of the following conditions:
a)
Menopause.
b)
Ovulation.
c)
Parturition.
d)
Sleep.
e)
Running.
Key: c
MCQ.29
Main uterine support is:
a)
Uterosacral ligaments.
b)
Round ligaments.
c)
Transverse cervical ligaments.
d)
Ovarian ligaments.
e)
Broad ligaments.
Key: c
MCQ.30
The most likely cause of abnormal uterine
bleeding in 13
years old girl is:
a)
Uterine cancer.
b)
Ectopic pregnancy.
c)
Anovulation.
d)
Systemic bleeding diatheses.
e)
Trauma.
Key: c
MCQ.31 Which of the following pubertal event
would occur even in the absence of
ovarian estrogen production: a) Thelarche.
b)
Menarche.
c)
Pubarche.
d)
Skeletal growth.
e)
Vaginal cornification.
Key: c
MCQ.32
58 years old woman has presented with
complaints of postmenopausal
bleeding for the past two weeks. The most
essential investigation would be:
a)
Colposcopy.
b)
Pap smear.
c)
Cone biopsy.
d)
D & C (dilatation & Curettage).
e)
Hysteroscopy.
Key: d
MCQ.33
The most common symptom of endometrial
hyperplasia is:
a)
Vaginal discharge.
b)
Vaginal bleeding.
c)
Amenorrhea.
d)
Pelvic pain.
e)
Abdominal distention.
Key: b
MCQ.34
56 years old woman has come to you with the
complaints of hot flushes
irritability, joint pains with lack of sleep.
Most appropriate treatment would be:
a)
Hysterectomy.
b)
Vitamins.
c)
Combined oestrogen, progesterone preparations.
d)
Phytooestrogens.
e)
Selective estrogen receptor modulators (SERMS).
Key: c
MCQ.35
Which of the following is used as an
emergency contraceptive:
a)
Combined oral contraceptive pills.
b)
Progesterone only.
c)
Depoprovera.
d)
Levonorgestril (EM-Kit).
e)
Ergometrine.
Key: d
