GYANE MCQs

CHAPTER 6, 7, 9
Q-1 All are Risk Factors Of Ovulation Disorder Except:

(A) Aging

(B) ↓ Ovarian Reserve

(C) POF

(D) PCOS

(E) Gliadin Consumption Ans

Q-2 Most Common Cause Of Female Subfertility is:

(A) Ovulatory Disorder Ans

(B) Tubal Dysfunction

(C) Impaired Oocyte Production

(D) Disorder Of Implantation

Q-3 Second Most Common Cause Of Female Subfertility is:

(A) Ovulatory Disorder

(B) Tubal Dysfunction Ans

(C) Impaired Oocyte Production

(D) Disorder Of Implantation

Q-4 Most Common Cause Of Ovulatory Disorder is:

(A) PCOS Ans

(B) POF

(C) Hypothyroidsm

(D) Turner,s Syndrome

(E) Hyperprolactinemia

Q-5 All Of the Following Symptom are Assoicate with

Hyperprolactinemia Except:

(A) Galactorrhea

(B) Infertility

(C) Hypogonadism & Menstrual Abnormailty

(D) Infertility & Erectile Dysfunction in Male

(E) ↑ Libido & Sexual Dysfunction Ans

Q-6 Hyperprolactinaemia Cause Infertility in Men & Women

by:

(A) Inhibition Of GnRH Ans

(B) Inhibition Of Gonadotrophin Harmone

(C) Inhibition to Progesteron & Estorgen

(D) Inhibition to Dopamine & Sex Harmones

Q-7 All are the Cause Of Hyperprolactinemia Except:

(A) Prgenancy & Lactation

(B) Sleep & Stress

(C) Craniopharyngioma & Prolactinoma

(D) Cirrhosis & CKD

(E) Hyperthythroidism & Amitriptyline Ans

Q-8 All Of the Following are Investigaion Test In for Irregular

Cycle In Case Of Ovulatory Disorder Except:

(A) TFTs

(B) Prolactin

(C) Testesteron

(D) Gonadotropin & AMH Ans

Q-9 Pick Out the Investigation For Ovulatory Disorder:

(A) TFT, Prolactin

(B) Chylamidia Screenig with HIV, Hep-B & C

(C) Mid-Luteal Progesteron Level

(D) Cervical Smear

(E) A.O.T Ans

Q-10 Pick Out the Correct Statement About "AMH".

(A) It,s Gene Mutaion Caused Persistant Paramesonephric Duct Derivative in

Male

(B) It is Produced by Granulosa Cell In Women & Sertoli Cell in Male

(C) It is the Biomarker For Ovarian Follicle Reserve to Detect Time Of

Menopause

(D) It is the Marker for Ovarian Dysfunction In PCOs & POF

(E) A.O.T Ans

Q-11 Pick Out the Incorrect Statement About "AMH".

(A) AMH Produce from Ipsilateral Testis to Prevent Development Of Ipsilateral

Mullerian Duct

(B) AMH works by Interacting More Specifically with AMH Type III to Undergo
Apoptosis Ans

(C) It Limits the Formation of Primary Follicle by Inhibiting Excessive Follicular

Recruitment by FSH

(D) AMH Level is High In Male During Childhood & High in Female During
Reproductive Period to Control Onset of Puberty

(E) ↓ AMH in Men Lead to Persistent Müllerian duct syndrome (PMDS)

(Rudimentary Uterus+ Undescend Testes)

Q-12 Transvaginal U/S is Used to Detetc All Of the Following

Except:

(A) Reproductive Organ Anatomy

(B) Ovarian Morphology & AFC (Antral Follicular Count)

(C) AFC is Improtant Parameter Of Ovarian Reserve

(D) Level Of Testesteron Ans

(E) AFC < 4 Low Response & AFC > 16 High Response In ART (Assisted
Reproductive Technology)

Q-13 Pick Out the Incorrect Statement About Clomiphene:

(A) Acts as Partial Estrogen Agonist by Negative Feedback on Hypothalamus to

Increase GnRH & Gonadotrophin

(B) Used to Treat Infertility Associated with Anovulatory Cycle

(C) Adverse Effects Are Not Dose Related Ans

(D) Adverse Effect are Headache, Nausea, Vasomotor Flushes, Visual

Disturbances & Ovarian Enlargement

(E) Use of Clomiphene Increases the Risk of Multiple Birth

Q-14 Which Of the Following is Gold Standard Technique For

Assesment Of Tubal Patency:

(A) Hystero-Contrasto-Synography (HyCoSy) (U/S)

(B) Laparoscopy Ans

(C) Hystero-Salpingography (X-Rays)

(D) Transvaginal U/S

Q-15 Pick Out the Incorrect Statement About Female

Sub-Fertility:

(A) Clomiphene ------- 50% Pregnant with 6 Month

(B) Laproscopic Ovarian Drilling (DLO) is Alternative to Clomiphene

(C) Intar-Mural Fibroid > 5 cm may Reudce Fertility

(D) HSG Perfomed During Ovulation Phase Ans

(E) Fibriod -------- Embilization, Myomectomy & Hysterectomy

Q-16 Combined Harmonal Contraception (CHC) Is Used For:

(A) Treating Dysmenorrhea

(B) Treating Premenstrual Syndrome

(C) Treating Acne & Contraception

(D) Long Term Protection Against Ovarian & Endometrial Cancer

(E) A.O.T Ans

Q-17 Pick Out the Incorrect Statement About Combined

Harmonal Contraception (CHC):

(A) Highly Effective & Independent Of Intercourse

(B) COCP, Vaginal Ring & Combined Harmone Transdermal Patch Used For 21
Days with 7 Days Free

(C) Transdermal Patch & Vaginal Ring Contraception Contain Ethinylestradiol

But Differ in Progesteron

(D) Transdermal Patch is Contraindicated At Breast

(E) Don,t Use Pills In Case Of Dysmenorrhea & Head in Pill Free Days
Ans

Q-18 Pick Out Incorrect Pair In Combined Harmonal

Contraception (CHC):

(A) Ethinyl Estradiol+Progesteron -----> COCP

(B) Ethinyl Estradiol+Norelgesteromin -----> Transdermal Patch

(C) Ethinyl Estradiol+Etonorgestrel -----> Vaginal Ring

(D) Ethinyl Estradiol+Norelgesteromin -----> Vaginal Ring Ans

Q-19 Pick Out the Condition For Emergency Contraception:

(A) Missed Pill For 1-7 Days

(B) Patch is Not Applied For 48 Hours

(C) Ring is Not Applied For 3 Hours

(D) A.O.T Ans

Q-20 Pick Out the Guideline For Missed Pill:

(A) If 1 Pill Missed for 1-2 Days Take Missed Pill Immediately

(B) If Missed Pill for 1-7 Days Use Emergency Contraception

(C) If Missed Pill for 8-14 Days No Need For Emergency Contraception

(D) If Missed Pill for 15-21 Days Directly Start New Pack Without 7 Pill-Free Days

(E) A.O.T Ans

Q-21 All Of the are Contraindication For Combined Harmonal

Contraception (CHC) Except:

(A) MEC Type IV & Migraine+Aura

(B) Cardio-Vascular Disorder

(C) Liver Tumour

(D) Estrogen-Dependent Neoplasm

(E) Age < 35 Ans

Q-22 All Of the Following are Progesteron Related Side

Effect Except:

(A) Mood Change & Depression

(B) Breast Tenderness

(C) Weight Gain & Acne

(D) ↑ HDL & ↓ LDL Ans

(E) ↓ HDL & ↑ LDL

Q-23 COCP Decrease the Risk All Cancer Except:

(A) Colorectal

(B) Endometrial
(C) Ovarian

(D) Cervical & Breast Cancer Ans

Q-24 Pick Out the Incorrect Statement About

Progesteron-Only Prepration Contraception:

(A) Progesteron Only Pill Used In Case Of Sikcle Cell Anemia, Breast Feeding &
Cardiovascular Events

(B) Injectible Progesteron Cause Weight Gain In First Year

(C) Subdermal Implants Taken In Arm Under Local Anesthesia & Good For Rapid
Fermtility After Removal

(D) Reduces Bleeding 90% at 12 Months

(E) Progesteron Releasing IU Devices Includes Nexplanon, Uniplant & Jedelle

Ans

Q-25 Which Of the Following is Not True For Injectable

Progesteron:

(A) I.M Medroxyprogesteron Acetate

(B) Inhibts Ovulation & Injection Frequency Of 12-14 Weeks

(C) Highly Effective For Long Term Contraception

(D) Delay In Return Fertility (6 Month to 1 Year)

(E) Increases Bone Mineral Density & Good For Short Term Contraception
Ans

Q-26 Which Of the Following is Not True For Progesteron

Releasing Intra-Uterine Devices:

(A) It Releases Levenogestral & Includes Mirena & Skyla

(B) It Prevents Endometrial Proliferation, Implantation & Thickens Cervical

Mucusa

(C) It Reduces Heavy Menstrual Bleeding by 90% At 12 Month (Mirena Only)

(D) Treat Dymenorrhea, Pelvic Pain (Associated with

Endometriosis+Adenomyosis)

(E) Treat Persistenet Spotting & Irregular Bleeding Ans

Q-27 Pick Out the Correct Statement About IUCD:

(A) If Cu-IUD Used > 40 Left Until Menopause

(B) Cu-Bearing IUCD Cause Endometerial Inflammation & Inhibts Sperm Motility

(C) It Contains Cu-IUD & LNG-IUD

(D) Avg Contraception Duration is 3-10 Years

(E) A.O.T Ans

Q-28 All Of the Following are Contraindication Of IUD

Except:

(A) Pregnancy & Allergy from Cu++

(B) Previous PID

(C) Previous Ectopic Pregnancy

(D) Malformation Of Uterus

(E) Weight Gain Ans

Q-29 All Of the Following are Side-Effect Of Cu-IUD Except:

(A) Increase Menstrual Blood Loss

(B) Increased Dysmenorrhea

(C) IUD Expulsion & Pregnancy

(D) Pelvic Infection & Uterine Perforation

(E) Uterine Malformation Ans

Q-30 Pick Out the True Statement About Barrier Method:

(A) Male Condom Most Commonly Used

(B) Failure Rate Of Female Diaphragm is Lower than Condom

(C) It is Coitally Dependent & Reduce Risk For STD

(D) Nonoxynol (N-9) is Spermicidal Agent & Increases Risk For HIV

(E) A.O.T Ans

Q-31 Which of the Following is True For Emergency

Contraception:

(A) Also c/d Morning After Pill/ Postcoital Contraception

(B) It is Used After Intercourse & B4 Implantation

(C) Cu-Bearing IUD is Most Effective Method by inhibiting Implantation

(D) Harmonal Emergency Contraception Delays Ovulation

(E) Ulipristal Acetate & Levonogestrel Used for 120 h & 96 h Respectively

(F) A.O.T Ans

Q-32 Which Of the Following is True for Tubal Ligation:

(A) Better than Vasectomy

(B) Laproscopy & Hysteroscopy done Under Local & General Anesthesia

(C) Laprotomy is Done During C-Section

(D) After Laproscopy & Hysteroscopy Contraception is Used for Until

Mentruation & At Least 3 Months Respectively
(E) A.O.T Ans

Q-33 Pick Out the Incorrect Statement About Sterilization:

(A) Vasectomy ---- Under Local Anesthesia & Use Alternative Contraception
Until Azoospermia

(B) Vasectomy Complication ---- Bleeding, Wound Infection , Hematoma

(C) Tubal Ligation by Laproscopy ---- Under General Anesthesia & Alternative
Contraception Until Menstruation Occurs

(D) Vasectomy is Better than Tubal Ligation Ans

Q-34 Pick Out the Incorrect Statement About Elective

Abortion:

(A) > 9 Week Medical Abortion is Done by Mifepristone & Misopristol (Every 3
Hour)

(B) > 21 Week Medical Aboration is Done by Feticide is Used (Intracaridal K+ OR

Digoxin)

(C) Vaccum Aspiration is Surgical Method Of Choice < 14 Weeks

(D) D & E is Surgical Method Of Choice > 14 Weeks

(E) In Vaccum Aspiration Anti-biotic & Misopristol (Sub-Lingually) is Given After

Surgery Ans

Q-35 Which Of the Following is True For Endometriosis:

(A) It is Estrogen Dependent Condition

(B) Classical Symptom is Cyclic Non-Colicky Pelvic/Low Back Pain

(C) Ovaries is Most Common Site for Endometriosis

(D) Infertility is due to Anovulation, Luteolysis, Early Pregnancy Failure, Reduce

Tubal Patency
(E) In Ovary It is Also c/d "Endometriomas/Chocolate Cyst"

(F) A.O.T Ans

Q-36 All Of the Following are Common Site For

Endometriosis Except:

(A) Pouch Of Douglas

(B) Posterior Broad Ligament & Utero-Sacral Ligament

(C) Fallopian Tube

(D) Sigmoid Colon & Appendix

(E) Lungs & Brain Ans

Q-37 A 28 Years Female Patients Came to OPD with

Complains Of Cyclic Epistaxis, Rectal Bleeding, Cyclic
Hematuria with Menstruation Puberty. A Report for
Coagulation & CBC was Done that was Normal. Bimanual
Pelvic Examination Show Thickenning Of Uterosacral
Ligament & Tenderness Of Pouch Of Douglas She is Most
Likely to Suffered from:

(A) Hemophillia

(B) Platelets Dysfunction

(C) Endometriosis Ans

(D) Hypertension

Q-38 Dyspurenia & Dyschezia Suggests Endometriosis In:

(A) Pouch Of Douglas Ans

(B) Morrison,s Pouch

(C) Recto-Vaginal Pouch

(D) Recto-Cervical Pouch

Q-39 Which is Gold Standard Investigation For

Endometeriosis:

(A) TVUS

(B) MRI

(C) CT

(D) Laproscopy Ans

(E) Biopsy

Q-40 Endometriosis Is Treated by:

(A) NSAID (For Dysmenorrhea & Pelvic Pain)

(B) COCP (For Dysmenorrhea & Dyspurenia)

(C) GnRH Agonist (Pseudo-Menopause)

(D) Danazol (Ovarian Suppression)

(E) Laproscopic Coagulation & Ablation

(F) A.O.T Ans

Q-41 Dyspareunia in Endometriosis is Treated by All Of the

Following Except:

(A) Pre-Sacral Neurectomy (S3)

(B) Laproscopic Uterine Nerve Ablation (LUNA)

(C) GnRH Agonist Ans

(D) COCP
(E) NASID

Q-42 Pick Out the Definitive Treatment For Endometriosis:

(A) Hystercetomy+BSO+Removal Of All Endometriosis Deposits

Ans

(B) Pre-Sacral Uterine Ablation+LUNA

(C) Laproscopic Coagulation+Ablation+Laproscopic Drainage

(D) GnRH Agonist+COCP+Hysterectomy

Q-43 Pick Out the Correct Statement About Adenomyosis:

(A) Also c/d Internal Endometriosis Present in Myometrium

(B) Common In Multiparous Women b/w 30-40 Age

(C) Diffuse Involvement is Most Common Pattern

(D) Focal Involvement c/d Adenomyoma

(E) Severe Secondary Dysmenorrhea throuout the Cycle is Most Common

Symptom

(F) A.O.T Ans

Q-44 Best Initial Test For Adenomyosis is:

(A) TVUS Ans

(B) Biopsy

(C) Laproscopy

(D) Ultrasound

(E) MRI

Q-45 A 32 Years Female Patients Came to OPD with

Complains Of Cyclic Dysmenorrhea, Dyspareunia & HMB. U/S
Was Done Showing Symmetrical Mass In Myometrium.
Histopathalogy Showing Soft Tissue, Bimanual Examination
Shows Tenderness in Myometrium. She is Most Likely to
Suffered from:

(A) Endometriosis

(B) Fibroid

(D) Adenomyosis Ans

(D) Endometrial Hyperplasia

(E) Polyps

Q-46 Which Of the Following is Definitive Diagnosis For

Adenomyosis & Leiomyosarcoma:

(A) MRI

(B) Histopathology Ans

(C) U/S

(D) Laproscopy

Q-47 Which Of the Following is Investigation Of Choice For

Endometrial Carcinoma, Adenomyosis & Fibroid (To Detect
Morphology & Location):

(A) MRI Ans

(B) Histopathology

(C) U/S

(D) Laproscopy
(E) CT Scan

Q-48 Which Of the Following is Definitive Treatment For

Adenomyosis:

(A) GnRH Analogue

(B) LARC (Long Acting Reversible Contraception)

(C) Depo-Provera

(D) Only Hysterectomy Ans

(E) Hystercetomy+BSO+Removal Of All Endometriosis Deposits