MCQs in Basic Science in Obst. & Gynaec. 1.

The part of the fallopian tube that has very narrow lumen is A. Interstitial B. Isthamus C. Ampullary D. Isthmoampullary E. Infundibulum 2. Ovarian artery is a branch of A. Common iliac B. External iliac C. Internal iliac D. Uterine E. Aorta

3. The hormones secreted by anterior pituitary are all EXCEPT

A. B. C. D. E. FSH LS TSH Oxytocin Growth hormone

4. Human placental lactogen is secreted by A. Adrenal B. Ovary C. Decidua D. Syncytiotrophoblast E. Cytotrophoblast 5. The lower part of vagina is developed from A. Mullerian tubercle B. Genital tubercle C. Wolffian duct D. Mullerian Duct E. Canalisation of sinovaginal bulbs 6. Pelvic diaphragm contains A. Levatorani muscles and their fascia B. Superficial transverse perineal muscle C. Deep transverse perineal muscle D. Obturator muscle E. Ischiocavernus muscle 7. Sensory innervation to the vagina is from A. Pudendal nerve B. Hypogastric nerve C. T11 and T12 D. L1 and L2 E. Frankenhauser plexus

8. Major source of HCG is from

A. B. C. D. E. Graffian follicle Corpus luteum Decidua Placenta Cervical glandular epithelium

9. The clotting factors which are increased during pregnancy and which increases the risk
of Deep Vein thrombosis are all EXCEPT A. VII B. VIII C. X D. XII E. Antithrombin III 10. Which one of the following organisms is a normal inhabitant of vagina to produce lactic acid A. hemolytic streptococci B. Doderleins bacillus C. Gardnerella vaginalis D. Candida albicans E. Petostreptococcus KEYS 1. A 2. E 3. D 4. D 5. E 6. A 7. A 8. D 9. E 10. B

MCQs in Gynaecologic Pathology 1. Histopathologic finding of endometrium that suggests ovulation is A. Atrophy B. Proliferative phase C. Secretory phase D. Simple hyperplasia E. Complex hyperplasia 2. Hormone responsible for proliferative phase of endometrium is A. Oestrogen B. Progesterone C. LH D. FSH E. Prolactin 3. Pap Smear showing koilocytes indicates infection with A. Herpes simplex virus B. Cytomegalo virus C. Human Papilloma virus D. Toxoplasma E. Rubella

4. In staging of carcinoma of cervix if stromal invasion is less than 3 mm in depth and

horizontal spread less than 7 mm it is A. Stage I A1 B. Stage I A2 C. Stage I B1 D. Stage I B2 E. Stage II A

5. All these are histologic features of choriocarcinoma EXCEPT

A. B. C. D. E. A. B. C. D. Presence of hemorrhage and necrosis Invasion of the uterine wall by Trophoblast Erosion of blood vessels Presence of Villi Proliferation of both cyto and syncytiotrophoblast

6. Histological features of Metropathia haemorrhagica include all EXCEPT

Cystic dilatation of glands Areas of necrosis Absence of secretory hypertrophy Absence of corkscrew shaped glands E. Presence of atypical glandular cells 7. Large tumour cells with clear cytoplasm and lymphocytic infiltration of fibrous septa is diagnostic of A. Dysgerminoma

B. C. D. E.

Mixed germ cell tumour Endodermal sinus tumour Immature teratoma Embryonal carcinoma

8. Signet ring cell appearance on histopathology of ovarian tumour suggests A. Serous cystadenocarcinoma B. Mucinous cystadenocarcioma C. Brenner tumour D. Krukenberg tumour E. Dysgerminoma 9. If the cervical biopsy reveals entire thickness of the epithelium is involved by undifferentiated cells and basement membrane is intact it belongs according to Bethesda classification A. Ascus B. LGSIL C. HSIL D. AGUS E. HPV infection 10. Which histopathological type of endometrial carcinoma is associated with poor prognosis A. Endometroid B. Adenosquamous C. Serous D. Adenocanthoma E. Squamous cell carcinoma KEYS 1. C 2. A 3. C 4. A 5. D 6. E 7. A 8. D 9. C 10. C

MCQs in Obstetrics & Gynaecology 1. Benefits of breast feeding include all the following EXCEPT A. It provides nutrients B. Colostrum provides a high level of immune protection C. Less prone for gastrointestinal infections D. Exclusive breast feeding in the first six months provides contraception E. It provides adequate iron for premature newborn 2. Which of the following is a potential consequence of pelvic inflammatory disease (PID)? A. Infertility B. Tubal block C. Increased risk for ectopic pregnancy D. Recurrent PID E. All of the above 3. The most definitive way to diagnose endometriosis is A. Transvaginal ultrasound B. Transabdominal ultrasound C. CA 125 level D. Laparoscopy with biopsy E. Hysteroscopy 4. Method of laparoscopic sterilization suitable for successful reversal of surgery is A. Monopolar cautery B. Bipolar cautery C. Falope ring D. Cryocoagulation E. Filshie clip 5. Best method for emergency contraception is A. Estrogens B. Combined oral pills C. Levonorgestrel D. RU 486 E. Gn RH agonists

6. The following statements are true with complete vesicular mole EXCEPT
A. B. C. D. E. Abnormal proliferation of trophoblast Embryonic tissue absent Associated with hypertension Associated with hyperthyroidism Always triploidies of maternal origin

7. Neonatal complications of maternal diabetes mellitus include all EXCEPT

A. Hypoglycemia B. Hypercalcemia C. Respiratory distress syndrome D. Polycythemia E. Cardiac septal hypertrophy

8. Polyhydramnios is associated with all these conditions EXCEPT

A. B. C. D. E. Maternal diabetes mellitus Twin pregnancy Fetal anencephaly Fetal renal agenesis Chorioangioma of placenta

9. Engaging diameter in mento anterior face presentation is A. Biparietal B. Submento bregmatic C. Occipito frontal D. Mento vertical E. Sub-occipito bregmatic 10. Menstruation occurring at intervals greater than 35 days is called as A. Polymenorrhea B. Oligomenorrhea C. Menorrhagia D. Hypomenorrhea E. Secondary amenorrhea KEYS 1. E 2. E 3. D 4. E 5. C 6. E 7. B 8. D 9. B 10. B

Long Questions

1. Define pre eclampsia.

How do you manage a case of primigravida with 34 weeks of gestation having a B.P. of 160 / 110 mm Hg and oliguria? What are the maternal and fetal complications in such a patient? 2. Define dysfunctional uterine bleeding. What is the differential diagnosis of abnormal uterine bleeding? How will you manage a 40 year old multiparous woman with dysfunctional uterine bleeding? Short Essays 1. Antenatal and intranatal complications of twin pregnancy. 2. Management of a case of puerperal pyrexia. 3. Prevention of post partum hemorrhage 4. Causes and management of cervical incompetence 5. Contraindications and beneficial effects of oral contraceptive pills 6. Emergency contraception 7. Dysgerminoma of the ovary 8. Chemotherapy of gestational trophoblastic disease 9. Tubal patency tests 10. Dysmenorrhoea

OSCE 1. A 28 year old primi gravida with 20 weeks of pregnancy with Rheumatic mitral stenosis and with breathlessness at rest A. She belongs to what class of NyHA B. Mention four important complications C. Mention four factors that predispose her for cardiac decompensation D. What investigations are must for the management E. What antibiotics are given for endocarditis prophylaxis? 2. A 30 year old gravida two para one with previous history of fetal macrosomia attended the obstetric outpatient department at 22 weeks of gestation A. Mention four risk factors for Gestational Diabetes Mellitus (GDM) B. How do you screen for GDM C. Mention four important maternal complications D. Mention four fetal / neonatal complications E. Write two indications for cesarean section 3. A 32 year old multiparous women with 32 weeks of gestation admitted to labour suit with history of painless bleeding of moderate amount 2 hours prior to admission A. What is the most probable diagnosis? B. How do you confirm it? C. How do you classify? D. Mention two risk factors E. Mention two indications for cesarean section F. Mention two important intraoperative complications

4. A 25 year old sexually active women presents to the Gynaecologic clinic with history of
foul smelling frothy vaginal discharge of four days duration and per speculum examination reveals a strawberry appearance on cervix and vagina A. What is the most probable diagnosis? B. How do you confirm the diagnosis? C. What other organisms can be associated with it? D. Mention three aspects of management E. Mention two important causes of abnormal white discharge

5. 45 year old multiparous women presents with history of post coital bleeding and irregular
intermenstrual bleeding of three months duration A. Mention three important causes B. What investigations would you like to do to confirm the diagnosis C. What organisms are responsible for the development of cervical intraepithelial neoplasia and carcinoma cervix? D. How do you prevent it? .