Mcq’s

Q1. A 13 yrs od girl comes to the gynae clinic with her mother c/o severe pain associated with her
menstruation. You diagnose her as Primary dysmenorrhea. The treatment of choice is

a) Tranexmic acid b) Mefanemic acid c) Mirena d) Progesterone e) COCP’s

Q2 Mrs. Kim is G2P1 attends gynae clinic with a h/o amenorrhea 10 weeks and bleeding pv you perform
transvaginal ultrasound and diagnose her as Missed Miscarriage .You offer her medical termination of
pregnancy The drug used is

a) Oxytocin b) Progesterone c) Estrogen d) Misoprostol e) Methergin

Q3 Mrs. Hakim G3P2 previous 2 C sections attends emergency with ammenorhea 5 weeks and h/o
severe abdominal pain and fainting attack. You diagnose her as a case of Ectopic pregnancy appropriate
management in her case would be

a) Conservative b) Methtrexate c) Laparotomy d) Laparoscopy e) Hysteroscopy

Q 4 Mrs. Tom is diagnosed as a case of Molar pregnancy and underwent a suction curettage yesterday
her follow up will include

a) Serum bhcg weekly b) Serum bhcg twice weekly c) Serum bhcg thrice weekly d) Serum bhcg
after 2 weeks e) Serum bhcg after 4 weeks

Q 5 Mrs. Tim is diagnosed as a case of Molar pregnancy and underwent a suction curettage 4 weeks
back on follow up she c/o continuous vaginal bleeding. appropriate management in her case would be

a) Conservative b) diagnostic curettage c) Laparotomy d) Laparoscopy e) Hysteroscopy

Q 6 Mrs. Hans is a 43 yrs old woman who underwent surgical evacuation h/p report shows partial mole.
What would you do

a) Start COCP b) prescribe methotrexate c) start serial hcg d) Register the patient at a nationally
recognized centre e)start antibiotics

Q 7.A 25 yrs old single lady presents in OPD with h/o cyclical heavy menstrual bleeding for the last 6
months. Previously her cycle was 6/30 and now is 10/30 days Her most likely diagnosis is

a) Fibroid uterus b) adenomyosis c) Ca endometrium d)endometriosis e) Ovarian cyst

Q 8 .A 32yrs old lady P2 presents with h/o HMB .There is firm mass arising from the pelvis 18weeks You
diagnose her as case of fibroid uterus to confirm your diagnosis you will perform

a) Complete blood count b) Ultrasonography c) X- Ray abdomen d) Colposcopy e) Hysteroscopy

Q 9 A 48yrs old lady P6 with multiple fibroid uterus presents with HMB, appropriate management will
include

a) Methotrexate b) Metformin c) Myomectomy d) Hysterectomy e) Uterine artery embolization

Q 10 . Mrs. Chris is 28 yrs old and attend gynae clinic with h/o early pregnancy and spotting . On
ultrasound you diagnose her as ectopic pregnancy .She would be a good candidate for medical
treatment if

a) Bhcg >20000 b) clinically unstable c) clinically stable d) fetus is alive e) with intraperitoneal
bleed

Q 11 Mrs. John has an early pregnancy scan at 8 weeks which shows an anembryonic pregnancy this is
also called

a) Threatened abortion b) clinically unstable c) clinically stable d) fetus is alive e) with

intraperitoneal bleed

Q 12 Mrs. Hakim is 45yrs old and presents with amenorrhea of 15weeks with excessive vomiting and
bleeding vaginally . On examination the uterus is 24 cm palpable and is soft with no fetal heart audible.
Your clinical diagnosis is

a) Threatened abortion b) Missed abortion c) Gestational trophoblastic disease d) Gestational

diabetes e) Incomplete abortion

Q13 Mrs Tim is 32 yrs old attends emergency with early pregnancy, severe abdominal pain and bleeding.
You diagnose her as a case of ectopic pregnancy. The following can be the risk factors for ectopic
pregnancy EXCEPT

a) IUCD b) Pelvic inflammatory disease c) endometriosis d) previous pelvic surgery

e) Recurrent Candida infections

Q 14 Mrs. Khan24yrs, has just had a first trimester miscarriage . She wants to know what is the
commonest cause of this .You inform her that the commonest cause is

a) Diabetes mellitus b) Hypertension c) Chromosomal abnormalities d) Renal abnormalities

e) cervical abnormalities

Q 15 Mrs. Lee is P0+ 4 .You will perform all the investigations to find out the cause of these miscarriages
Except

a) Karyotyping b)Anti cardiolipin antibodies c) Anti Phospholipid antibodies d) Anti thyroid

antibodies e) OGTT
SAQ’S

Q1 Mrs. Haroon is G2P0+1 attends gynae clinic with 10 weeks amenorrhea and slight vaginal bleeding.
She says she has lost all the symptoms of pregnancy like nausea, vomiting and breast tenderness (5)

a) What is the most likely diagnosis?

b) What investigations you will perform and why?
c) What treatment options are available for her?

Q2 Mrs. Karim is 39yrs old lady who underwent assisted reproduction. She has missed her period and
serum Bhcg is 1900 iu. Transvaginal ultrasound performed shows no intrauterine gestational sac (5)

a) What is the most likely diagnosis?

b) What investigations you will perform and why?
c) What treatment options are available for her and why?

Q3 Mrs. John is 38yrs old lady rushed to Emergency with h/o amenorrhea 5weeks severe abdominal
pain and her BP 90/50 Pulse 120 /min (5)

a) What is the most likely diagnosis?

b) What investigations you will perform and why?
c) What treatment options are available for her?

Q 4. Mrs. Hans 45yrs old lady presents with amenorrhea of 18 weeks, excessive vomiting and passage of
vesicles vaginally (5)

a) What is the most likely diagnosis?

b) What investigations you will perform and why?
c) What treatment options are available for her and how you will plan her followup?

Q5 Mrs. Rahim is 36yrs old lady G5P0+4 who attends gynae OPD, You are arranging for starting
treatment for this patient (5)

a) What is the most likely diagnosis?

b) What investigations you will perform and why?
c) What treatment options are available for her and how you will plan her follow up?