OGJP EOP MCQ 21

R1
No. Ques

1. 1) 17 years old female come to Gynae clinic with her mother. She is having imperforated Hymen
a) No menstruations
b) No menstruations with cyclical pain
c) No menstruations with cyclical pain and secondary sexual characters

2. ? age, 8 WOG, abdominal discomfort, passing of bloody tissue per vaginal, on US, uterus is empty,
normal ovaries.
A. Complete miscarriage
B. Tubal abortion
C. Chronic ectopic pregnancy

3. Five year old w down syndrome has just been diagnosed with type 1 diabetes.
A. this happens more frequently with advanced maternal age
B. down syndrome happens because of extra copy of 21st chromosome
C. Down syndrome has middle range IQ and smthg - -

4. PCR a method used to make dna sample

A. majority rely on thermal recycling same as in forensic
B. amplify 1 region of DNA from short to Long dna strand
C. all pcr can reduce sensitivity due to contamination

5. A 34 year old, P2 just delivered a healthy male newborn. Her third stage of labour was uneventful
and perineal tear was repaired without any complication
A. After the baby cries, it will send a signal to the hypothalamus releasing oxytocin and act at
muscle alveoli to start breastfeeding.
B. Postpartum Day 1, the uterus is at between the umbilical and pubic symphysis (2 weeks)
C. Yellowish discharge (rubra -red blood first)

6. G5P4, 9 week of pregnancy with hemoglobin level of 9 g/dL came for booking. What investigation
should be done
First trimester < /1g/aL
:

A. Peripheral blood smear

Second trimester < 10 5 g/dt
B. Hb electrophoresis
: .

C. Stool occult blood third trimester < 11g/dL

:

7. Mother take bronchitis medication at 24\28 weeks. What bronchitis medications that causes
neonatal hemolysis?
A. Erythromycin
B. Co-amoxiclav
neonatal hemolysis a gray baby syndrome
C. Chloramphenicol > cause

8. Neonate with anomaly and low birth weight. Most probable cause is?
A single umbilical cord IUGR
nutrient to fetr cause
B true umbilical knot & constrict blood flow 1 Oca
.

,
,

C small placenta

9. Patient has rheumatic disease, dyspnea on exertion, what is the cause?

 OGJP EOP MCQ 21
10.

11 A 24 year old, G2P1 came to the antenatal clinic at 18 weeks of gestation with a family history of
twin pregnancy. On ultrasound examination, she was diagnosed with multiple pregnancy. What is
the most common type of multiple pregnancy associated with the above condition?
a) Monochorionic Monoamniotic
b) Monochorionic Diamniotic
c) Dichorionic Diamniotic

12

13 24 year old primigravida with 40weeks and 10 days of gestation come for IOL in the hospital. Her
bishop’s score is 9. What is the suitable method of IOL?
> cervix is favourable

A. Prostin (3mg) placed in posterior fornix

B. ARM
C. Cervical ripening balloon

14 pt in LR for surgical IOL for prolonged labour. head engaged. ARM done. CTG abnormal. What
abnormal of CTG?

A. prolonged deceleration
B. early deceleration
C. bradycardia

15

16 35 years old, POA 30weeks, presented with an episode of vaginal spotting. Histopathology of
benign ectropion
A. Dysplasia
B. Metaplasia
C. Anaplasia

17 Ascension of microorganism from the genital tract can cause preterm birth.
Which is the commonest vaginal microorganism that can lead to it?
A. Streptococcus agalactia
B. Chlamydia trachomatis
C. Gardnella vaginalis (BV)

18 Most common type of urinary fistula in obstructed labour

A. Urethrovaginal fistula
B. Vesicovaginal fistula VVF
C. Ureterovaginal fistula

19

20 a 6 weeks pregnant woman presented with heavy vagina bleeding and lower abdominal pain. Upon
ultrasound scan, the uterus was empty and the ovary was normal. Serum BhCG reduced 48hr later.
 OGJP EOP MCQ 21
What is the possible diagnosis?
A. Complete miscarriege
B. Chronic Ectopic pregnancy

21 Diagnostic test for HMB (heavy menstrual bleeding)

Pictorual blood loss assessment chart> 100 point (80ml)

22 31y old went to a fertility clinic for contraception. what are the contraidication of COCP?

A. PID
B. benign ovarian cysts
C. hypertension

23 23 yrs old woman went to a gynae clinic for hmb for 12 months. What is the first line investigations

1. Coagulation screening
2. Full blood count

24 Positive cleft sign: ovarian cyst

25 A 25 years old nulliparous woman came to the hospital for cervical cancer screening for the first
time. Her result is borderline nuclear changes. What to do next?
A. Immediately go for colposcopy (myabe) > repeat after 6 months + refer to colposcopy it
B. Follow up after 6 months persistent 2-3
borderline smear .

C. Follow up after 3 months

26 A 38 year old woman presented with chronic pelvic pain at a gynaecological clinic . She had an
intentional, incomplete dissection of the ovary during a difficult oopherectomy.
What is the most probable cause of her chronic pelvic pain?

A. Pelvic congestion syndrome

B. Ovarian remnant syndrome (after oophrectomy)
C. Residual ovary syndrome (after hysterectomy)

27

28

29

30 60 year old woman, presented with post menopausal bleeding for 3 months. What is the
appropriate investigation?
A. Hysteroscopy
B. Transvaginal ultrasound (endometrial carcinoma- scan endometrial thickness)
C. Speculum examination
OGJP EOP MCQ 21
R2

1. Internal iliac vein ligation, least affected:

A. Ovaries(have ovarian vein)
B. Cervix
C. Vagina

2. Klinfelter syndrome(boy with extra X chromosome) with osteoporosis

A. Calcium and vitamin D
C. Got brain development prob n psychiatric disorder

3. Genome sequencing
A. Methods of sequencing important to both medical and biological fields
B. First time by Sang et.al
C.

4. Primigravida, subfertility, use ovulation

A. Ovulation 24h-36h after LH
B. Mid Cylce Pain need medication
C. SI follow Device

5. Primi 29w, with Hb 9(? Macam), X feel SOB, or palpitation when do housechores. Which
statement best describe this situation.
A. Hemodilution effect will cause anemia (Something like this)
B. Further vasodilation cause increase in CO to compensate decrease in systemic vascular
resistance
C. Increase CO and Increase Bp Blablabla

6. Primigravida at 30 weeks with family history of bronchial asthma - presented with cough,
wheezing, SOB. Test to do:
A. Sputum for sensitivity and culture
B. Sputum for acid fast bacilli
C. Chest X-ray with abdominal shield

9. 32 yo primi type 2 dm on metformin 32 weeks AfI 30(polyhydramnios) normal fetal

parameters Polyhydramnios
A. Preterm Maternal Dm :

diabetes mellitus
B. Polyhydramnios caused by syphilis :

I can be
Placental Tumour
:

C. Duodenal atresia fetal multiple pregnancy

:

: tracheo-oesophageal
10. 16weeks bp 150/90 no sign and symptoms of impending eclampsia normal ultrasound best fistula
investigation duodenal atresia
:

A. FBC & Lft (liver FX test)

B. FBC & URINE protein (HELLPsyndrome)
C. Lft and connective tissue screening
OGJP EOP MCQ 21
12. Mode of delivery for patient G3P2 with history of intrauterine death presented with
transverse lie with other parameters of ultrasound normal and normal maternal vital signs.
Previous delivery all SVD.
a. C-sect (transverse lie)
b. ECV
c. SVD

13. Uneventful pregnancy. Bishop scoring is 9. What is method of induction?

a. prostin
b. ARM
c. foley's

14. Patient Gravida3 sent for LSCS, what instrument is used for this procedure?:
A. Straight Mayo scissors cut peritoneum
B. Curved Mayo scissors cut peritoneum
C. Non teethed Forcep to hold peritoneum

15. Medical officer wants to plot partogram, what is the best way to assess fetal descend?
(same as PY)
A. Abdomianl exam
B. VE
C. both

16. Postmenopausal, vaginal bleeding, dyspareunia, no loss of weight & appetite

A atrophic vaginitis (thinning, drying and inflammation of the vaginal walls that may
occur when your body has less estrogen.)
B endometrial ca
C cervical ca

17. Previously done Suction and curretage, secondary amenorrhea

A ashermann syndrome (fibrosis & adhesion)
B kailemann syndrome
C something mann also

18. A 41 y/o obese woman was having HMB. There was no palpable abdominal mass. Choose
most relevant Ix for above condition.
a. endometrial tissue sampling
b. pelvis uss
c. FBC

19. A 35 y/o woman @35w gestation presented with an episode of vaginal spotting of fresh red
blood. On speculum examination changes were noted to the vaginal portion of cervix. There
was also contact bleeding on taking a swab. What is the histological change that occured with a
benign ectropion?
a. dysplasia
b. metaplasia (squamous changed to weak columnar)
c. hyperplasia
OGJP EOP MCQ 21
20. A 40 y/o nullip. woman came to gynae clinic with a complaint of lower abdominal mass,
dysmenorrhoea, and dyspareunia for 2 years of duration. On abdominal palpation the mass was
16 weeks pregnancy size and firm in consistency. Clinically the mass is tender and unable to get
below it. Propose the most likely diagnosis.
a. adenomyosis (tender)
b. degenerative uterine fibroid
c. endometrioma

21. A 19 y/o unmarried, sexually active lady with multiple sexual partners came to gynae clinic
for painless indurated vulva ulcer with clean base and clear serum discharge. Which of the
-

following is the most likely caused by sexually transmitted infections?

a. herpes simplex virus
b. chancroid
c. chancre (primary syphilis) by Treponema pallidum

22. Honey comb and bilateral ovarian cyst in USG, tested positive for pregnant, what is the
most likely the condition is
-complete hydatidiform mole(with theca lucein cyst)

23. patient is under lithium medication, what is the most suitable and appropriate
contraception?
-lithium looks like is a anti-epileptic drug, cocp will interact with lithium, so I think
contraindicated

23. 40 years old, with regular heavy menstrual bleeding, what is the suitable contraception for
her?
Cocp and depo,provera can treat HMB
OGJP EOP MCQ 21
R3

1. Non pathological vaginal discharge (py)

A. endocervical
B. endometrial
C. bartholin cyst (gland)

2. 42 years old pregnant lady with polyhydramnios. What is the possible anomaly.
A. anencephaly
B. duodenal atresia
C. tracheo-oesophageal fistula

9. 34yo primi with sga, the causes

A. Transplacental rubella infection
B. patau syndrome
C. fetal alcoholic syndrome

10. 45yo g6p5 pre-existing type 2 dm insulin with polyhydramnios, the most likely complication
is
A. Fetal anomalies
B. Lga
C. Cord prolapse

13. 25 years old lady at 22 weeks of gestation, with family history of thalassemia, has Hb
9.9g/dL. What is the next investigation for this patient?
A. Peripheral blood film
B. Serum iron and ferritin level
C. Hb electrophoresis

14. G3P2 lady 38weeks present with labour pain. After abdominal examination reveal good
uterine contractions, average fetal size with engaged head. Vaginal examination show right
occipital posterior position and adequate head flexion, the most frequent rotation degree will
be?
A. 90 degree
B. 135
C. 45

18. 24 year old primigravida admitted with symptoms of preterm labour. What is the common
cause
A. Stretch agala
B. Chlamydia tric
C gardinella vagin
OGJP EOP MCQ 21
19. Women jn labour needed to undergo emlscs, appropriate next step
A.take inform consent
B. Inform anaest
C. Urinary catheter

20. Women attend early pregnancy clinic visit with hx of heavy vagibal bleeding and cramps
and pain. Poa 6w. Ultrasound shows empty uterus normal ovaries no free fluid bchg lvl drops
after r8hrs
A. Complete miscarriage
B.incomplete miscarriage
C. Missed miscarriage

21. Pv spotting (imb) investigation

A. Pipelle sampling
B. Pap smear
C. Ultrasound (polyps)