Mcq Subject: Gynaecology & Obstetrics

A 22-year-old nulliparous woman has recently become sexually active. She consults you because of painful coitus, with the pain located at the vaginal introitus. It is accompanied by painful involuntary contraction of the pelvic muscles. Other than confirmation of these findings, the pelvic examination is normal. Of the following, what is the most common cause of this condition?

A. Endometriosis

B. Psychogenic causes

C. Bartholin's gland abscess

D. Vulvar atrophy

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A 35-year-old woman is observed to have CIN grade III on colposcopic biopsy. T/t includes:a) Cold knife conizationb) Simple hysterectomyc) Radical hysterectomyd) Lap assisted hysterectomye) LEEP

A. abcd

B. bcde

C. acde

D. abde

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Sensory afferent fibres from the fallopian tubes ascend to :

A. T 8

B. T 10

C. L 2

D. L 4

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A 42 year old female patient has abnormal uterine bleeding with mild atypical hyperplasia of endometrium. The treatment of choice is :

A. Oral contraceptive pills

B. Progesterone

C. Total hysterectomy

D. Oestrogens

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A menopausal woman, 55 years old, complains of post coital bleeding. What impoant cause of such bleeding should be ruled out?

A. Ca cervix

B. Ca endometrium

C. Fibroid uterus

D. Adenomyosis

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The pathognomonic feature of abdominal pregnancy is :

A. Fetus appears lateral to lumbar spine on X-ray

B. Small uterus

C. Fetus easily palpable

D. Positive pregnancy test

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Management of stage IIB cancer cervix is?

A. Radiotherapy

B. Radiotherapy with combination with chemotherapy

C. Chemotherapy

D. Hysterectomy

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A female with recurrent aboion and isolated prolonged APTT is most likely associated with

A. >Lupus anticoagulant

B. >DIC

C. >Von wilebrand disease

D. >Hemophilia

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Ultrasound examination of a developing fetus demonstrates a fluid-filled sac at the base of the fetus’ spine that connects to the spinal canal and apparently contains pa of the spinal cord. A dietary deficiency of which of the following is most strongly associated with this type of lesion?

A. Calcium

B. Folate

C. Iron

D. Vitamin C

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A five year old girl is brought to a pediatrician because she is developing breasts. Physical examination shows large hyperpigmented macules with irregular margins on one side of her back. Which of the following bony abnormalities would most be likely associated with these symptoms?

A. A combination of osteitis fibrosa cystica and osteomalacia

B. A generalized thinning of bony spicules

C. Excessive bony deposition with obliteration of marrow

D. Multiple localized whorls of connective tissue

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