Exam (elaborations)
Gynaecology practice questions
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practice questions- systems based approach(Gynaecology)
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Gynecology1) A 62 year old female presents with post- 6) Which of the following is a correct statement
menopausal bleeding. The most important regarding vaginal discharge:
diagnosis to rule out is: a) Candidiasis is characterized by “cottage-
a) Atrophic vulvovaginitis cheese-like” vaginal discharge and KOH
b) Foreign body wetmount would reveal hyphae and
c) Vulvar intraepithelial neoplasia spores
d) Endometrial cancer b) Bacterial Vaginosis is characterized by
white, thick discharge and a negative
KOH whiff test
2) Contraindications to hormone replacement c) Trichomoniasis is characterized by grey,
therapy include: thin and diffuse discharge and saline
a) Known breast cancer wetmount would reveal hyphae
b) Acute liver disease d) All of the above are false
c) Thromboembolic disease
d) Undiagnosed vaginal bleeding
e) All of the above 7) Which of the following is a correct statement
regarding the Menstrual Cycle:
a) The proliferative/follicular phase of the
3) Which of the following can NOT be used as menstrual cycle is of fixed duration
emergency contraception: b) The secretory/luteal phase of the
a) Post-contraception copper IUD menstrual cycle is of fixed duration, due
b) Post-contraception MirenaTM IUD to the finite lifespan of the corpus luteum
c) Yuzpe method c) Progesterone is the main hormone of the
d) "Plan B" proliferative phase, stimulating rapid
growth of endometrial glands and stroma
d) Estrogen is the main hormone of the
4) A 22 year old G0PO presents to her secretory phase
gynaecologist’s office complaining of
amenorrhea. The most important diagnosis
to rule out is: 8) The most common site of occurrence of
a) Turner’s Syndrome Endometriosis is:
b) Imperforate hymen a) Ovaries
c) Pregnancy b) Rectosigmoid colon
d) Hypothalamic/pituitary dysfunction c) Appendix
d) Broad ligament
5) Which of the following is not a clinical
feature of PCOS: 9) What is the most common causative
a) Hirsutism organism of Pelvic Inflammatory Disease:
b) Infertility a) N. gonorrheae
c) Insulin Resistance b) C. trachomatis
d) Dysmenorrhea c) E. coli
d) Actinomyces israelii
, 10) A 36 year-old female presents with a 14) Which of the following statements about
mucopurulent vaginal discharge. Gram stain estrogen therapy in postmenopausal women
of a cervical swab shows gram negative is correct?
diploccocci. Which of the following is a) It is a major risk factor for breast cancer
correct? b) It decreases hepatic triglyceride
a) If untreated this condition will likely production
resolve spontaneously c) It produces hypertension
b) The most likely diagnosis is Strep group d) It protects against vertebral compression
B fractures
c) Appropriate treatment is Metronidazole e) It directly stimulates the proliferation of
vaginal cream vascular endothelium
d) Appropriate treatment is a single I.M.
dose of 250 mg of Ceftriaxone
e) Public Health will most likely need to be 15) A couple are unable to conceive after 1
notified year. Of the following statistics regarding
infertility, which are correct:
11) A one year-old female presents with vaginal a) 10-15% of couples are infertile
bleeding. Vaginal inspection reveals the b) Only 40% of couples achieve pregnancy
presence of a multicystic grape-like lesion. within 6 months of trying
The most likely diagnosis is? c) Only 20% achieve pregnancy within 1
a) Sexual abuse year of trying
b) DES syndrome d) Male factors are responsible for over half
c) Sarcoma botyroides of infertility causes
d) Clear cell Adenocarcinoma e) Infertility is labelled after failure to
e) Exposure to exogenous estrogen conceive within 2 years of trying
12) A 24 year-old female presents with 16) Vaginal discharge which is fishy in odor and
abdominal pain. Beta-HCG is negative. associated with >20% clue cells on
Pelvic ultrasound shows a 5 cm right microscopy will not be associated with which
ovarian cyst. You would: of the following:
a) Perform immediate laporotomy a) Be due to gardnerella vaginalis
b) Perform immediate laproscopy overgrowth
c) Aspirate the cyst under ultrasonographic b) Can be treated with metronidazole or
guidance clindamycin
d) Order a CBC and a CA125 c) With the addition of KOH may see
e) Expectant management with repeat hyphae or spores
ultrasound in 8 weeks d) Must be treated in all pregnant women,
including asymptomatic
e) Is rarely associated with inflamed or itchy
13) The commonest type of bleeding vulva
encountered with uterine leiomyomata is:
a) Post-coital spotting
b) Mid-cycle bleeding 17) A 55 year-old woman comes to the office to
c) Hypermenorrhea discuss menopause. You tell her which of
d) Oligomenorrhea the following are a part of this stage:
e) Post-coital staining a) Hot flushes
b) Vaginal dryness
c) Mood swings
d) Insomnia
e) All of the above
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