“4 Final year MBBS MCQs set. Gyneacology SBA:Total 50 L.LSBAL. Epithelial lining of vagina is 1.1.SBA2.A 17 yo girl came to OPD with primary amenorrhea .O/E she has normal height 1.1. SBA4; Number of primordial follicles present at birth 1.1.SABS:From paired mullerian ducts w A. Squamous epithelium Stratified squamous epithelium Stratified sqamous keratinized epithelium ‘Squamous non keratinized epithelium Simple columnar epithelium Key:B pooR and well US IS ABSENT. what will be the developed secondary sexual characte investigation for definitive diagnosis AMH Karyotyping Estrogen FSH LH KEY:B mongee 1.1. SBA3:Maximum number of primordial follicle is reached at A. 8 weeks: 10 weeks 15 weeks 20 weeks 22 weeks A. 1-2 million B. 2-3 million 3-4 million 4-5 million 5-6 million Key:A roa h structure is developed ‘A. Upper one third of vagina B. Middle one third of vagina C. Lower one third of vagina D. Upper two third vagi E. Lower two third of vagina Key:d.A2 with past H/Obirth of good size babies presented in gy 1.10. SBAG:A 45 YO lady P3. rence IS leakage of urine on exertion Most likely cause of her incontin: A. Intrinsie sphincter deficiency B. Uretheral sphincter weakness C. Detrosur muscle weakness D. Neurogenic bladder E. Functional bladder Key:A is NVDs presented with C/O ugency ,frequency ,nocturia and 1.10, SBA7:A 45 yo lady p6 with previ modifications and pelvic floor something coming out of vagina for I yr. she has been advised life style exercise. what investigation is required to diagnose the problem A. Mid stream urine B. USG abdomen and pelvis C. Urodynamie stress incontinence D. Urine Cis E. Renal function test Keyse 1.11. SBAB:Screening of epithelial ovarian carcinoma is quite reliable by History Examination CAL USG abdomen pelvis Genetic studies Key:C Peo, 1.11, SBA9:The most accurate method of assessing lymph node involvement in vulval cancer is CT sean MRI usG Senitinal node lympography Magnetic resonance lympography Key:D moop> 1.11. SBA10:Most common side effect of carboplatin -pactitasil is Alopecia Joint pain syndrome Emesis Neurotoxicity Neutropenie sepsis Key:A mone> yn OPD with C/OTAL SBALI:staging of endometrial CA is most reliable by A. TVS B. MRI CC. Histopathatogy D. Surgical E. Abdominal ultrasound Key:B MIL. SBAL2:whch of the following has the highest risk of CA endometrium TYPE | Obesity Pcos Nulliparity Unopposed estrogen Family history of colorectal carcinoma Key:E mong> 1.11, SAB13:Best method to prevent CA Cervix in young wome Modification of sexual behavior HPV vaccine Cessation of smoking Frequent screening for CIN Barrier method of contraception moom> Key:B 1.11. SBAI4:For a 60 yo postmenopausal for 5 years is diagnosed adenocarcinoma stage 1A grade V/Best T/M option for her is Adjuvant chemotherapy Chemotherapy Radiotherapy TAH TAH+BSO Key:E moog> 1.12. SBA1S:Pt p3A2.35 yo had H/O D&C S days back .now complains of abdominal distension, pain, vomiting and constipation for 3 days. which of the following complications is life threatening? A. Bowel injury PID RPOCS Pelvic abcess Uterine perforati Key:A B. c. D. E.1.5. SBA22:A p2 Pre Usg shows multip! A B. i D. E. 1.5, SBA23: A 14 yo girl wil Tooks pate .what is most essemt 1.9, SBA24:% of reourrent PpOR> mooo> 18-20% 20-22% Key:D 7 . sented in gynea OPD with Bis ofirreyular eyele and weight gain For 9 months 1omm in bilateral over jes. what is your diagnosis Je small follicles larges PCOS. Leuteal cyst Ovarian cyst Functional cyst Endometriotic cy Key:A resented in OPD .O/E she a heavy menstrual bleeding sinee menarche P tial investigation for her? Complete blood count USG pelvis Coagulation profile ferritin Hb electrophoresis Key: miscarriage in couple is 1% 2% 3% 4% 5% Key: 1.9. SBA2S:TVS can detect pregnancy as early as A B. ie D. 4 weeks S weeks 6 weeks weeks8 year Woma ae ‘aie? ‘Man sub fertite x ie Cause, ‘hi Initial Wreatment you ior r a ae a oe B. Ics} ctu D. Ovulation induction E. Surgery Key: D BAIT: According ‘ 19 WHO (2010) criteria seme Concentration shout ie Semen analysis parameter, minimum sperm A. 12 millionmnt Bo 13 mitlionimt C14 mitlionmt 1S mitlionmt E. 16 millionmt Key:D 1 to conceive Hust will offer her? A. Ovulation induction eatment option you B. TUL Cc. IVF D. Icsi E. Laparoscopic ovarian drilling, Key: A 1.10. SBA19:Commonest cause of cervical cancer is Early age at first intercourse Human papilloma virus 16 and 18 Multiple sex partners Cigarette smoking Immunodeficiency Key: B A B. G D. E. ve i roductive tract SBA20: Sperm can survive in female reproductive 1.10. A. 12 hours B. 24 hours C. 36 hours D. 48 hours E. 72 hoursE. 8 weeks Key: B 1.9, SBA26:A normal pregnancy can be detected on TVS with BhCG level upto A. 1000 1U/L B. 1200 1U/L C. 15001U/L D. 16001U/L E, 1800 1U/L Key:c. 1.5, $BA27: A young girl 20 yo presented in gyn OPD with complaint of weight gain ,bloating fa headache, inritibilty and abdominal pain every month before her cycle, O/E breast is mildly tender according to history she has A. Normal Physiological change in menstruation B. Endometriosis CC. Pre memstrual syndrome D. Fibrocystic breast disease E. Adenomyosis, Key:C 1.5. SBA28:A 25YO gir! suffering from PMS presented in gyn OPD. She has been advised io take SSRIs fo cyclical suppression but her symptoms are not getting better affecting her interpersonal relationship .what will be your next step in her management A. Vitamins +minerals B. Healthy life style+ Cognitive behavorial thearpy C. Cognitive behavorial therapy + transdermal oestradiol D. COCP+YOGA E. Gnrh +HRT Key: ..tenteachers. resistant PMS 1,9, $BA29: Gold standard for diagnosis of ectopic pregnancy is Beta HCG Trans abdominal ultra sound Frans vaginal Ultrasound Laparoscopy Urine pregnancy test Key: TVS... 90% sensitive and 95% specific Poop> 19. SBA3O: After medical teatment of ectopic pregnancy serum beta HCG levels should be measurat on following days A. Day 1,3 and7Rag S weeks: back reSENLey Y IS empty with, adnexal p than oPD 4 Mass of less th, ler UPT is positive On uly Ve On ultrasound "in 40mm Her beta HCG levees " se 8 ye WA LCG level is 3000 1Ur., stor tis ase reo oath “men is soft non tender. what will be your management for 1.9. SBA33:A 30 yo g2 excessive vomiting .O/E her abdomen is 5 there is complete mote .regarding comple AL moo Expectant management Methotestrate alone Methotextrate and folie acid Emergeney laparotomy Laparoscopy, Keyie I Previous NVD 1 year back presented in OPD. aL Id weeks of gestation with of snon tender with fundal height of 20 weeks On Ultrasound te mole most appropriate is Raised beta heg Diploid in origin 46xy/xx ‘Triploid in origin 69 xxy ‘Two sperm fenilizes an empty ovum Sinlge sperm fertilizes two ovums Key:B 1.9.SBA34:Definitive diagnosis of molar pregnancy is made by monp> Transabdominal ultrasound ‘Transvaginal Ultrasound Beta Heg, Histological examination of reatianed History Key:D products of conceptions A: ot » came for follow up after 56 days hi f i astic disease came for fol A 35:P1 P3A2 afier treated for gestational troPh bl for : 1 oa on herbla HCG me within ormal range -when will be her next follow up of evacuation. her beta HCG level of conception 6 months from da 6 months from date of evacuation {6 months from last beta heg 6 months from 1* beta heg 6 months fiom date of evacuation until normalization of beta HCG mOnD> Key:B wv days back she is vitally lar pregnancy at hospital fe 1.9. SBA36:Pt P2A] had D&C due to complete mol charge her what contraceptive method is best stable with decreasing bheg levels. you are planning to dis for her A. cocP B. IUCD C. Sub dermal implants D. Barrier method E PoP Key:D 1,9. SBA37:1n normal pregnancy beta HCG level after 48 hours is A. Unchanged B. Doubled C. 3 times D. 4 times E. Decreases Key:B 1.3.SBA38:Which of the following method has lowest % of un intended pregnancy within | year of typical use Cocps cu-lucD LNG-IUS Barrier methods Progestogen only implanis, Keyl 1.3 . SBA39:what is the main mode of action Of cu-IUCD Pone> A. Spermicidal B. Causes thickening of cervilee mucus CC. Inhibits implantation D. Inflammatory reaction E. Toxieto Key:C13.SBa4o, SAME For emep ne led Bency Contrag, mer Ulipristal acctate Svonogestrg| Cocp Culuep Pops. Key:b L3.SBAq 1, moom> YOUNG school teacher sonttaception advice she suffers Ton mig Suitable option for he, a AL Cue lucD, B. LNG. lus G cocps D. Pops E. Barrier method Key:A A. Oral Progesterone for 3 months B. LNG-IUS Cc. Dec D. TAH E. Depot inj medroxyprogesterone Key:B 1.3.SBA43:Most common complication of CU-IUCD is A. Perforation Expulsion Infection Heavy menstrual bleeding. Ectopic pregnancy Key:B..1 IN 20 moOp 1.3.SBA44: A 32 old la c sshe wants contraception all NVDs, last child born is 3 months of 3A 32 old lady P2+0 all wes for 3 cus hich of the following is the most likely contraception of choie for 3 years «whic! A. coce B. 1UCD C. JadelleD. Uniplant E. Norplant Key:E 1.9. SBA4S:surgical termination by vacuum aspiration can be done upto A. Sweeks B. 10 weeks C. 12 weeks D. 14 weeks E. 16 weeks Key:D 1.5.SBA46:A 45 yo PS previous NVDs presented in OPD with C/O Heavy menstrual bleeding for last | year with passage of clots.O/E abdomen is soft nontender. uterus is bulky ,mobile with fullness in posterior fx.On scan endometrial thickness is 4 mm with 4x5 em fibroid on posterior wall not distorti the cavity. She has uncontrolled D.M.what T/M option is suitable for her? coce LNG-IUS Medroxyprogesterone injection Antifibrinolyties GnRH analogue Key:B moom> LS.SBAAT7:A P6 44 yo previous NVDs presented with HMB for2 years and pressure symptoms for last 6 ‘months. Utasound showing multiple fibroids. largest being measured as 6x Tem on lundal region. Which surgical option is best for her? . . TAH ‘Myomectomy TAH+BSO. Endometrial resection Endometrial ablation Key: rone> 1.5.1. SBA48:A ps last child born 3 yrs back wants effective TM fo ants effective TIM for secondary dysmenorthes option for her will be Semnoh best A. NSAIDs B. cocp C._LNG-IUS D. Life style modification E. GaRH analog Key:C .ten teachers page 5519: SBA49:In early stapes of Hormally developing intrauterine Pregnancy beta HCG doubles after every AL 12 hours AL 24 hours B. 36 hours C. 48 hours D. 72 hours Key: D 2A young 22 yo PG for 2 hours with passage of mil Bestational sac. O/F At B weeks of yestation presented in labor room with per vaginal bleeding 1d clots. On ultrasound there ate retained products of conception with no * is open with P/V bleeding. you diagnose her as cave of Complete miscarriage Incomplete miscarriage Missed miscarriage Inevitable miscarriage ‘Threatened miscarriage Key:B A B. ic! D. E, Obstetrics SBA: TOTAL 50 SBAL:Secondary PPH most commonly occurs on; A. 2-3 days C. 7-10days D. Within 24 hours after delivery E, Within 48 hours after deliveryKey. B 2.5:1.SBA2:A 32 years old female G2P1 at 3Sweeks presented in emergenc (AERROSCEEMGESIGD . OJE her BP 110/70mmhg pulse with complaint o et 92/min, temp 98F.on PA examination abdomen tense tender with diagnosis is; A. Placenta previa C. Vasa previa D. Local injury E. Labour Key.B SBA3:A 29 years old Pd delivered 4 hours ago vaginally with episiotomy .she complains of B. sweating and palpitations s@QRRIIEBGIBOIGRs what is immediate step B. Give IV fluids C. Uterine message D. Give 02 inhalation E. Blood transfusion Keya 2.62, SBA4: A diabetic multigravida reported in labour,after 6 hours cervix fully dilated head was dence y Fes Thalassaemia Folate deficiency Vit B12 deficiency Sickle cell anaemia SPASO: Which ofthe followings the coc oF TT STSTTEIBREM: sestition> B. Fetal infections C. Malnutrition D. Fetal renal agenesis E. Maternal smoking Key.A, 2-11 SBASI:A 32 year old female G2PL at 36 weeks presented in emerweney wit ia, O/E BP 130/80mmhg,pulse examination , abdoman soft mild tendmess at epigastic re platelets 40x10°ALT L701U/L Her 80/min temp 98F. On Pa Her investigation shows vurine RIE protein ++. what is most probable diagnosis? A. Preeclampsia B. Eclampsig D. Acute fatty liver of pregnancy E. Placental abruption Key.c2.11. SBA32: 32 ye, 2“ 2°21 Old PG known case of hich of th: olled type 2 diabetes for the which of the Nis most likly last 10 years She ‘weeks and concern regarding A. Mactosomia ctal outcome, C. Congenital anomalies D. Shoulder dystocia E. Caudal regression syndrome Key. B 2.11. SBA33:A 23 year old PG at § weeks of gestation presented in antenatal clinic for booking, she is Known case of hypoth: ak thyroxin SOmeg OD,her thyroid function tess are within normal limit, ho ” A. Weekly B. 4 weekly D. Just at booking visit E, 2 weekly Key.c 2.11. SBA34: Which one of the Tollow!ngeardiae abnormality eominon im Pakistan prey females A. Congenital heart disease B, Ischemic heart disease C. Pulmonary hypertension D. Mitral incompetence Key.E 2.3. SBA3S: The administration of which of the followin (GEIS US SSSA NNED A. Enalapril B. Lithium CC. Nitrofiurintin E. Warfarin Key.D 2.5.13SBA36: 23 year old, newly married gidESESETRASTARATEAGHD, She shoul be advised « Gas Fo? A. Three months.B. Four months. C__Six months Two weeks Key.D 2.14, SBA37: AMSHIRMERROuId be seen as an opportunity for? ‘A. Education of mother B. Screening of chromosomal anomalies. C. Reassurance of mother. D. sgn ceoeers veh n a Key.E 2.11. SBA38: 29 year old P10 (a booking visit) at 10 weeks of gestation. SRST SSRIS A, Anomaly scan at 20 weeks B. FBC. c_Msu. E. Observe the pregnancy 2.1L Key. D 2-11. SBA39: 32 years old G2P(I5UEHTEBS for booking visit at 16 weeks with p js appropriate for her? A. Fetal growth sean, an " D. MSU. E. FBC. Key.C 2.11. SBAM0:Which ofthe [low intis NOT ass far: sereoning of GDN A. Previous GDM. B. Previous Macrosomia (> 4.5kg). C._ Maternal BMI >30kg/m2 E- Family history (frst degree) of Diabetes, women from South Asia Key.DV 2.11, SBASL- Which Of the f following en oe Foal chs, GSmmaTeRe» In patient it EEE, c Thicke Ting of end, lotheli, 5 Giomentess Nelial membrane E, Glomerulonephritig Key.B 2. SBA42:Which of the following i A. Chrotie Kidney dsegg ee RRR B. Autoimm une disease, such as SL C. Chronic HT} ose E. Multipte pregnancy, Key.D 2.5.4, SPAS Anhydeamnios i A. Gest B. C. Fetal cleft tip and palate. D. Multiple pregnancy. E. Fetal esophageal atresia, Ssociated with which of the following? Key.B 5.3. SBA44: Which of the following is CORMSEIBEIor for dc GIOSABIEGR? A. Chronic maternal disease. B. Maternal smoking, alcohol and drug use. C._ Fetuses with chromosomal defects. D. Chronic HTN £, Uncontrolled GDM. Key.E 2.5.4.SBA45:Which one is@(OMEGHES regarcing aammoueMuiRy A. Protect the fetus from mechani injury. B._ Prevent limb contracture by allowing movement ofthe Fetus C. Prevent adhesions between fetus and amnion D. Permit fetal lung development E. Key.E2-4. SBA46:(UERETESRGEOEINS a severe intractable FATA and vo A. 10-80% of pregnancies, B. 6.9% ain nancies D. 30% of pregnancies. E. 10% of pregnan ing that affects? Key.c 211. SBAS7- Obst (GORSESEMEGOOOOGE pregnancies. tk normally presents? ALF halto reye C. During tabour pain D. 24 houts aher delivery E. 6 weeks afer delivery. Key.B 2.11, SBA4S: Women with obstettic ch AL After 37 weeks. B. After 34 weeks, C. Alter 38 weeks, D. After 40 weeks. E. After dl weeks. wlestasis are normally offered delivery? Key.A, 13.SBA.9:The como EB fog? A. Streptococci, B. Pseudomonas. C. Proteus. Di E. Klebsiella. 2 Key.D 2.5:13SBAS0-The fst tine a Er CERT ster pregnaney is? 5 GRD Gentamycin, Nitrofurantain. Uraxin Ampicillin mone