REPRODUCTION MODULE EXAM

DATE: 19-Apr-21

1. IPV is introduced in EPI program as a single dose at the age of:

A. At Birth
B. 6 Weeks
C. 10 Weeks
D. 14 Weeks

2. A-30-years old Para 2+0 came in OPD with histopathology report. She had
laparotomy done due to ovarian tumor. Histopathology report has shown border line
ovarian tumor. She wants to know about it. What are the border line tumors?
A. Well differentiated showing nuclear pleomorphism and cellular atypia but do not
invade basement membrane.
B. Well differentiated showing nuclear pleomorphism, cellular atypia and invasion of
basement membrane
C. Poorly differentiated with features of malignancy and invasion of basement
membrane.
D. Moderately differentiated showing nuclear pleomorphism and cellular atypia but do
not invade basement membrane.

3. A 22 year old second gravida presents at 14 weeks of gestations with history of

painless vaginal bleeding for the last 4 hours. On per vaginal examination the cervical
os is closed. Ultrasound shows a viable intrauterine pregnancy with a cardiac flicker.
A. Complete miscarriage.
B. Topic pregnancy.
C. Incomplete miscarriage.
D. Induced miscarriage.
E. Missed miscarriage.
F. Molar pregnancy.
G. Pregnancy of unknown location.
H. Recurrent miscarriage
I. Septic miscarriage.
J. Threatened miscarriage.

4. Most common histological type of ovarian carcinoma in elderly females is

A. Serous cystadenocarcinoma
B. Serous cystadenoma
C. Malignant teratoma
D. Yolk sac tumor
5. Primigravida just delivered vaginally and went into postpartum hemorrhage. Medical
treatment and B-Lynch failed to control the bleeding and you have no facility of
interventional radiology. What would be your next step of management?
A. B-Lynch
B. Bimanual Massage
C. Hysterectomy
D. Internal Iliac Artery Ligation
E. Misoprostol
F. Oxytocin infusion
G. Ergometrine
H. Temponade Balloon
I. Uterine artery embolization
J. Uterine artery ligation

6. A 24 year old third gravida presents at 12 weeks of gestation with spasmodic lower
abdominal pain and expulsion of products of conception. On vaginal examination
cervical os is closed. Ultrasound shows an empty uterus.
A. Complete miscarriage.
B. topic pregnancy.
C. Incomplete miscarriage.
D. Induced miscarriage.
E. Missed miscarriage.
F. Molar pregnancy.
G. Pregnancy of unknown location.
H. Recurrent miscarriage
I. Septic miscarriage.
J. Threatened miscarriage.

7. Regarding the Multiple Pregnancy, if splitting of single fertilized ovum occurs

between 8-12 days of gestation it results in:
A. Conjoined twins
B. Monochorionic Monoamniotic
C. Dichorionic diamniotic twin
D. Monochorionic diamniotic twin

8. Which one of the following is the cause of central precocious puberty?

A. Adrenal tumors
B. Brain tumor
C. Congenital Adrenal hyperplasia
D. Germ cell tumors
9. A-28-years old p2+3 came in OPD with the complain of scanty periods. She had
history of D&E twice. Her hormonal profile and ultrasound both are normal. The most
likely Investigation to aid in the diagnosis is:
A. Diagnostic D&C.
B. Diagnostic D&E.
C. Hysteroscopy
D. Laparoscopy

10. A 4 month-old child named sadaf was brought to the clinic because she had
diarrhea for 5 days. She did not have general danger signs and she was not coughing.
On examination sadaf was restless and irritable and drinking eagerly, thirsty.
According to IMNCI:
A. Acute Persistent Diarrhea
B. Severe Persistent Diarrhea
C. Acute Watery Diarrhea
D. Dysentery

11. A-28-years old Gravida 2 Para1+0 present at 28 weeks of pregnancy with

repeated vaginal discharge and UTI in her current pregnancy. Her RBS (random blood
sugar) is 175mgdl. Her mother is diabetic and in her previous pregnancy baby is
3.9kg. Booking random blood sugar was Normal. The most likely cause of her
complains is
A. Diabetes Mellitus Type 1
B. Glycosuria
C. Gestational Diabetes
D. PPROM

12. Pseudomyxoma peritonei is a complication of which ovarian tumor:

A. Mucinous cystadenocarcinoma
B. Serous cystadenocarcinoma
C. Brenner tumor
D. Dysgerminoma

13. A-68-years old female, postmenopausal for 16 years came in OPD with complain
of pain in both legs, knees and having backache. Her Dexa-scan report shows severe
osteoporosis. She is a known case of breast cancer and last chemotherapy was taken
5 years back. The best treatment option for her is:
A. Acupuncture
B. Bisphosphonate
C. Hormone replacement therapy
D. Physiotherapy

14. Which of the following is the late complication in IUGR infant after birth?
A. Asphyxia
B. Delayed Neurodevelopment
C. Meconium aspiration syndrome
D. Polycythemia

15. A-30-years female came at 11 weeks gestation. She is having risk of trisomy. The
most appropriate test for prenatal diagnosis is:
A. Amniocentesis
B. Chorionic villous sampling (CVS)
C. Cordocentesis
D. Fragments of DNA

16. Primigravida comes to you with 8 weeks Gestational amenorrhea and pain in the
right iliac fossa. Her urine pregnancy test is positive and pregnancy sac not seen on
ultrasound scan. The most likely diagnosis is:
A. Acute Appendicitis.
B. Ectopic Pregnancy
C. Late Conception.
D. Torsion of ovarian cyst.

17. The chorionic villi are characteristically ABSENT in which of the following tumor
A. Complete mole
B. Partial mole
C. Invasive mole
D. Gestational choriocarcinoma

18. A-23-years old newly married couple they plan to have a baby after 02 years as
they both are studying. The female is having irregular cycles as well and
dysmenorrhea. What is the suitable method of contraception in this case?
A. Copper intrauterine contraceptive device (IUCD)
B. Diaphragm
C. Injection Medroxyprogesterone
D. Oral Combined contraceptive pills

19. After the head delivers through the vulva it immediately aligns with the shoulders.
A. Descent
B. Engagement
C. Extension
D. External Rotation
E. Flexion
F. Internal Rotation
G. Rotation
F. Restitution

20. A 33-year female getting married after 1 month wants to get knowledge regarding
female age factor affecting fertility. At what age female fertility fall sharply?
A. 32 years
B. 34 years
C. 36 years
D. 38 years

21. A 28-year- old female who has recently delivered a baby and is breast feeding,
presents with a breast lump and milky discharge from the nipple. On examination the
lump is tender with reddened overlying skin. Aspiration from the lump reveals yellow
colored thick fluid. The most likely diagnosis is?
A. Breast abscess
B. Ductal papilloma
C. Carcinoma
D. Periductal mastitis

22. First step in mechanism of labor is:

A. Descent
B. Engagement
C. Extension
D. External Rotation
E. Flexion
F. Internal Rotation
G. Rotation
H. Restitution

23. What is the most likely etiological agent for congenital Pneumonia?
A. E. coli
B. Group A streptococcus
C. Group B streptococcus
D. Klebsiella pneumoniae

24. A-18-yrs old female complains that she has not yet started menses. Her mother
told that her daughters right kidney is absent which was noted on Ultrasound. On
examination her height is 5.6 ft, tanner stage lV breast development and female
external genitalia. The most probable diagnosis is Mullerian agenesis. What is the
next step for diagnosis?
A. GNRH
B. Prolactin level
C. SERUM FSH
D. Serum Testosterone and karyotype

25. A 32 year old grand multipara presents at 12 weeks of gestations with history of
induced miscarriage. She has fever of 101 degrees Fahrenheit. On vaginal
examination the uterus is bulky in size, tender on palpation with a foul smelling vaginal
discharge. Ultrasound shows retained products of conception.
A. Complete miscarriage.
B. Topic pregnancy.
C. Incomplete miscarriage.
D. Induced miscarriage.
E. Missed miscarriage.
F. Molar pregnancy.
G. Pregnancy of unknown location.
H. Recurrent miscarriage
I. Septic miscarriage.
J. Threatened miscarriage.

26. G7 P6 just delivered vaginally and starts bleeding heavily. What is the first step of
management?
A. B-Lynch
B. Bimanual Massage
C. Hysterectomy
D. Internal Iliac Artery Ligation
E. Misoprostol
F. Oxytocin infusion
G. Ergometrine
H. Temponade Balloon
I. Uterine artery embolization
J. Uterine artery ligation

27. A primigravida, at 29th week, came in emergency with painless per vaginal
bleeding. Fetal heart sounds are present. The most likely diagnosis is:
A. Ante partum hemorrhage
B. Threatened miscarriage
C. Threatened preterm
D. Missed miscarriage

28. 36 year old G7th P 6 delivered a female baby of 4kg. She starts bleed heavily after
delivery. Medical treatment is failed to contract the uterus. What next step you would
take to manage this patient?
A. B-Lynch
B. Bimanual Massage
C. Hysterectomy
D. Internal Iliac Artery Ligation
E. Misoprostol
F. Oxytocin infusion
G. Ergometrine
H. Temponade Balloon
I. Uterine artery embolization
J. Uterine artery ligation

29. The anterior shoulder lies inferior to the symphysis pubis and delivers first, and the
posterior shoulder delivers subsequently.
A. Descent
B. Engagement
C. Extension
D. External Rotation
E. Flexion
F. Internal Rotation
E. Rotation
F. Restitution

30. A multigravida woman seeks for postcoital contraception. Which of the following is
very effective abortifacient in early pregnancy (up to 49 days of LMP), it is an orally
active steroid antagonist of progesterone and glucocorticoids?
A. Tamoxifen
B. Mifepristone
C. Diethylstilbestrol
D. Clomiphene

31. A-02-year old child brought to a clinic with the complaint of cough for one week
with fast breathing. Upon examination the health care worker found that the child is
running low grade temperature and his respiratory rate was 32/min. There wasnt high
grade fever, fits or vomiting. According to IMNCI the child is classified as:
A. Allergic cough
B. Pneumonia
C. Asthma
D. No pneumonia cough or cold.

32. A neonate is considered as premature before:

A. 35 weeks of gestation
B. 36 weeks of gestation
C. 37 weeks of gestation
D. 38 weeks of gestation

33. Which of the following is the feature of physiological jaundice?

A. Disappearance of jaundice by 2 week in full term infant
B. Jaundice is visible within 24 hrs of birth
C. Rate of rise of bilirubin is less than 5 mg / dl per day
D. Total bilirubin is more than 15mg / dl.

34. A young 18 years old unmarried girl came in OPD with her mother with ultrasound
report showing simple cyst of 5.5×4.5 cm in size in right ovary. She has regular
menstrual cycle and having no symptoms. What is your most likely management
option?
A. Aspiration of cystic fluid
B. Cystectomy
C. Hormonal treatment (OCPS)
D. Reassurance and repeat ultrasound after 3 month

35. A-38-years old female P2+0 with last delivery 4 years back, visited Gynae OPD
with the complain of amenorrhea for one year, irritability and mood disturbance. She is
not practicing any contraception. Her pregnancy test is negative. What is the most
suitable diagnosis in this case?
A. Asherman syndrome
B. Menopause Premature
C. Menopause
D. Polycyclic ovaries

36. When head 3/5th enter into pelvis is:

A. Descent
B. Engagement
C. Extension
D. External Rotation
E. Flexion
F. Internal Rotation
G. Rotation
H. Restitution

37. What is the etiology of Neonatal Hyaline membrane disease?

A. Birth Asphyxia
B. Broncho pulmonary dysplasia
C. Post term delivery
D. Pulmonary surfactant deficiency
38. A-32-years old lady, para 3+0 came in Gynae OPD with the history of heavy
menstrual bleeding for 1 year with passage of clots. Her cycles are regular. Her
examination is unremarkable. Transvaginal scan (TVS) shows bulky uterus and
normal ovaries. What is the first line management option for her?
A. Combined oral contraceptives
B. Levonorgestrel intrauterine system
C. Oral progestogens
D. Tranexemic acid

39. A 35 year old fifth gravida presents in the obstetrics and emergency department in
an active phase of labour. On per vaginal examination she is fully dilated with a flexed
breech presentation. The body is delivered spontaneously up to the nape of the neck.
If the after coming head fails to deliver by the usual maneuvers, which of the following
forceps should be applied?
A. Kielland forceps.
B. Piper forceps.
C. Simpson forceps.
D. Wrigley forceps.

40. A-58-years old postmenopausal female came in OPD with complain of post-coital
bleeding for 6 month and blood stained vaginal discharge for 4 months. On speculum
examination there is a friable mass arising from cervix which bleeds on touch. The
most suitable investigation to confirm the diagnosis is:
A. Biopsy for histopathology
B. CT scan
C. MRI scan
D. Pap smear for cytology

41. A 22 year old third gravida presents at 8 weeks of gestations with vaginal bleeding
for the last 4 hours. She is vitally stable. On per vaginal examination the cervical os is
opened and product felt.
A. Complete miscarriage.
B. Topic pregnancy.
C. Incomplete miscarriage.
D. Induced miscarriage.
E. Missed miscarriage.
F. Molar pregnancy.
G. Pregnancy of unknown location.
H. Recurrent miscarriage
I. Septic miscarriage.
J. Threatened miscarriage.
42. The first sign of Puberty in female is:
A. Increase in height
B. Menarche
C. Thelarche
D. Pubarche

43. A 27 year old third gravida presents at 16 weeks of gestation for her first antenatal
visit. Per vaginal examination reveals a 10 weeks sized uterus with a brownish
discharge coming through the os. Ultrasound shows absence of foetal heartbeat.
A. Complete miscarriage.
B. Topic pregnancy.
C. Incomplete miscarriage.
D. Induced miscarriage.
E. Missed miscarriage.
F. Molar pregnancy.
G. Pregnancy of unknown location.
H. Recurrent miscarriage
I. Septic miscarriage.
J. Threatened miscarriage.

44. Precious Puberty is said to be in girls if thelarche occurs before which age?
A. 7 years
B. 8 years
C. 9 years
D. 10 years

45. You are doing emergency cesarean section of a primigravida due to Twin
pregnancy and uterus is found relaxed. Medical treatment is failed to contract the
uterus. What would be the next step of management?
A. B-Lynch
B. Bimanual Massage
C. Hysterectomy
D. Internal Iliac Artery Ligation
E. Misoprostol
F. Oxytocin infusion
G. Ergometrine
H. Temponade Balloon
I. Uterine artery embolization
J. Uterine artery ligation

46. A 30 year old male presents with a painless testicular mass that is resected.
Biopsy shows a tumor arranged in lobules consisting of large round to polyhedral cells
with prominent cell membrane and nucleoli. Fibrous septa in between lobules show
lymphocytic infiltrate. Tumor cell are positive with PLAP. The most likely diagnosis is:
A. Classic seminoma
B. Embryonal carcinoma
C. Spermatocytic seminoma
D. Yolk sac tumor

47. A 36 year old woman presents with infertility. She complains of having had dull
pelvic pain for 9 months, which is increased during menstruation. Physical
examination and endocrinologic studies are normal. Laparoscopy reveals multiple,
small hemorrhagic lesions over the surface of both ovaries and fallopian tubes and
abundant pelvic scarring. Which of the following is the most likely diagnosis?
A. Adenomyosis
B. Ectopic pregnancy
C. Endometriosis
D. Pelvic inflammatory disease

48. The occiput escapes from underneath the symphysis pubis, which act as a
fulcrum.
A. Descent
B. Engagement
C. Extension
D. External Rotation
E. Flexion
F. Internal Rotation
G. Rotation
H. Restitution

49. G7 P6 delivered vaginally and went into postpartum hemorrhage. Medical

treatment and Temponade is failed to control bleeding. Her family is complete. What
would be your management?
A. B-Lynch
B. Bimanual Massage
C. Hysterectomy
D. Internal Iliac Artery Ligation
E. Misoprostol
F. Oxytocin infusion
G. Ergometrine
H. Temponade Balloon
I. Uterine artery embolization
J. Uterine artery ligation
50. Which one of the following statement is regarding for intrauterine growth
restriction?
A. Below the 3rd percentile for gestational age
B. Below the 5th percentile for gestational age
C. Below the 10th percentile for gestational age
D. Below the 95th percentile for gestational age