Gynecology 2

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Question 1 of 50

1. Question
Angry looking vagina is seen in:
- Candida albicans
- H. vaginalis
- Syphilis
- Trichomonas vaginalis
Correct

Incorrect

Unattempted
Question 2 of 50

2. Question
Given below are two statements.
Statement I: In genital TB abdominal ostium may be patent with eversion of fimbrial called as tobacco pouch appearance
Statement II: Salpingitis isthmica nodosa is the exclusive pathology to tuberculosis
In the light of the above statements, choose the most appropriate answer from the options given below:
- Both Statement I and Statement II are correct
- Both Statement I and Statement II are incorrect
- Statement I is correct but Statement II is incorrect
- Statement I is incorrect but Statement II is correct
Correct

Incorrect

Unattempted
Question 3 of 50

3. Question
All the statements regarding PID are TRUE EXCEPT
- About 75% of women with tubo-ovarian abscess do not respond to antimicrobial therapy alone and need drainage
- No definite symptoms are defined to diagnose PID
- Evaluation of both vaginal and endocervical secretions is a crucial part of the workup of a patient with PID
- Additional criteria to increase the specificity of the diagnosis include endometrial biopsy, CRP and positive test for gonorrhea or chlamydia and laparoscopy
Correct

1 (False) – Most women with tubo‑ovarian abscess respond to antibiotics alone; only about 25–30% require drainage. The claim that 75% fail antimicrobial therapy is incorrect.

2 (True) – No single symptom is diagnostic; PID diagnosis depends on a constellation of clinical signs.

3 (True) – Evaluating vaginal and endocervical secretions is key to detecting pathogens and guiding treatment.

4 (True) – Endometrial biopsy, CRP testing, STI testing, and laparoscopy are valuable for increasing diagnostic specificity.

Incorrect

1 (False) – Most women with tubo‑ovarian abscess respond to antibiotics alone; only about 25–30% require drainage. The claim that 75% fail antimicrobial therapy is incorrect.

2 (True) – No single symptom is diagnostic; PID diagnosis depends on a constellation of clinical signs.

3 (True) – Evaluating vaginal and endocervical secretions is key to detecting pathogens and guiding treatment.

4 (True) – Endometrial biopsy, CRP testing, STI testing, and laparoscopy are valuable for increasing diagnostic specificity.

Unattempted

1 (False) – Most women with tubo‑ovarian abscess respond to antibiotics alone; only about 25–30% require drainage. The claim that 75% fail antimicrobial therapy is incorrect.

2 (True) – No single symptom is diagnostic; PID diagnosis depends on a constellation of clinical signs.

3 (True) – Evaluating vaginal and endocervical secretions is key to detecting pathogens and guiding treatment.

4 (True) – Endometrial biopsy, CRP testing, STI testing, and laparoscopy are valuable for increasing diagnostic specificity.
Question 4 of 50

4. Question
Regarding genital ulcers find the TRUE statement
- The ulcer of syphilis has irregular margins and is deep with undermined edges
- The chancroid ulcer has a smooth, indurated border and a smooth base
- The genital herpes ulcer is often singular, sub-epidermal and inflamed
- If inguinal buboes with no ulcer is present, the most likely diagnosis is LGV
Correct

1 (False) – Syphilis ulcer (chancre) is painless, with regular margins, indurated base, and clean surface — not irregular and deep with undermined edges.

2 (False) – Chancroid ulcer has soft, irregular edges with necrotic base, not smooth/indurated.

3 (False) – Herpes ulcers are multiple, superficial vesicular lesions that rupture to form shallow painful ulcers, not typically described as sub‑epidermal.

4 (True) – Inguinal buboes without ulcer strongly suggest Lymphogranuloma venereum (LGV), caused by Chlamydia trachomatis (L1–L3).

Incorrect

1 (False) – Syphilis ulcer (chancre) is painless, with regular margins, indurated base, and clean surface — not irregular and deep with undermined edges.

2 (False) – Chancroid ulcer has soft, irregular edges with necrotic base, not smooth/indurated.

3 (False) – Herpes ulcers are multiple, superficial vesicular lesions that rupture to form shallow painful ulcers, not typically described as sub‑epidermal.

4 (True) – Inguinal buboes without ulcer strongly suggest Lymphogranuloma venereum (LGV), caused by Chlamydia trachomatis (L1–L3).

Unattempted

1 (False) – Syphilis ulcer (chancre) is painless, with regular margins, indurated base, and clean surface — not irregular and deep with undermined edges.

2 (False) – Chancroid ulcer has soft, irregular edges with necrotic base, not smooth/indurated.

3 (False) – Herpes ulcers are multiple, superficial vesicular lesions that rupture to form shallow painful ulcers, not typically described as sub‑epidermal.

4 (True) – Inguinal buboes without ulcer strongly suggest Lymphogranuloma venereum (LGV), caused by Chlamydia trachomatis (L1–L3).
Question 5 of 50

5. Question
All are TRUE regarding Dermoid cysts of ovary EXCEPT
- Malignant transformation occurs in less than 2% of dermoid cysts in women of all ages
- Up to 25% of dermoids occur in postmenopausal women
- The risk of torsion with dermoid cysts is approximately 50%
- They are bilateral in approximately 10% of cases
Correct

1 – True:
Malignant transformation (most often to squamous cell carcinoma) occurs in <2% of dermoid cysts, typically in postmenopausal women.

2 – True:
About 10–25% of dermoid cysts are detected in postmenopausal women, though they are most common in reproductive age.

3 – False (Correct Answer):
The torsion risk in dermoid cysts is ~15% (not 50%). Torsion is more likely when cysts are 5–10 cm.

4 – True:
Dermoid cysts are bilateral in ~10–15% of cases.

Incorrect

1 – True:
Malignant transformation (most often to squamous cell carcinoma) occurs in <2% of dermoid cysts, typically in postmenopausal women.

2 – True:
About 10–25% of dermoid cysts are detected in postmenopausal women, though they are most common in reproductive age.

3 – False (Correct Answer):
The torsion risk in dermoid cysts is ~15% (not 50%). Torsion is more likely when cysts are 5–10 cm.

4 – True:
Dermoid cysts are bilateral in ~10–15% of cases.

Unattempted

1 – True:
Malignant transformation (most often to squamous cell carcinoma) occurs in <2% of dermoid cysts, typically in postmenopausal women.

2 – True:
About 10–25% of dermoid cysts are detected in postmenopausal women, though they are most common in reproductive age.

3 – False (Correct Answer):
The torsion risk in dermoid cysts is ~15% (not 50%). Torsion is more likely when cysts are 5–10 cm.

4 – True:
Dermoid cysts are bilateral in ~10–15% of cases.
Question 6 of 50

6. Question
According to the FIGO fibroid classification system type 3 is:
- 50% or more of the fibroid diameter within the myometrium
- Intramural and entirely within the myometrium, without extension to either the endometrial surface or to the serosa
- Abuts the endometrium without any intracavitary component
- Located in cervix or broad ligament
Correct

The FIGO leiomyoma (fibroid) classification system categorizes fibroids based on their location relative to the endometrium and myometrium:

Type 0 – Pedunculated intracavitary fibroid.

Type 1 – Submucosal fibroid with <50% intramural extension.

Type 2 – Submucosal fibroid with ≥50% intramural extension.

Type 3 – Contacts (abuts) the endometrium but is entirely intramural, with no intracavitary component.

Type 4 – Intramural fibroid entirely within the myometrium.

Type 5–7 – Subserosal fibroids (varying degrees of intramural extension).

Type 8 – Other (e.g., cervical or parasitic fibroids). Mnemonic to Remember:
0–2: Inside the cavity (Submucosal)
3–4: In the wall (Intramural)
5–7: Outside the uterus (Subserosal)
8: Elsewhere

Incorrect

The FIGO leiomyoma (fibroid) classification system categorizes fibroids based on their location relative to the endometrium and myometrium:

Type 0 – Pedunculated intracavitary fibroid.

Type 1 – Submucosal fibroid with <50% intramural extension.

Type 2 – Submucosal fibroid with ≥50% intramural extension.

Type 3 – Contacts (abuts) the endometrium but is entirely intramural, with no intracavitary component.

Type 4 – Intramural fibroid entirely within the myometrium.

Type 5–7 – Subserosal fibroids (varying degrees of intramural extension).

Type 8 – Other (e.g., cervical or parasitic fibroids). Mnemonic to Remember:
0–2: Inside the cavity (Submucosal)
3–4: In the wall (Intramural)
5–7: Outside the uterus (Subserosal)
8: Elsewhere

Unattempted

The FIGO leiomyoma (fibroid) classification system categorizes fibroids based on their location relative to the endometrium and myometrium:

Type 0 – Pedunculated intracavitary fibroid.

Type 1 – Submucosal fibroid with <50% intramural extension.

Type 2 – Submucosal fibroid with ≥50% intramural extension.

Type 3 – Contacts (abuts) the endometrium but is entirely intramural, with no intracavitary component.

Type 4 – Intramural fibroid entirely within the myometrium.

Type 5–7 – Subserosal fibroids (varying degrees of intramural extension).

Type 8 – Other (e.g., cervical or parasitic fibroids). Mnemonic to Remember:
0–2: Inside the cavity (Submucosal)
3–4: In the wall (Intramural)
5–7: Outside the uterus (Subserosal)
8: Elsewhere
Question 7 of 50

7. Question
Identify the FALSE statement regarding Test for Ovarian Reserve.
- Total number of antral follicles measuring 2–10 mm in both ovaries is proportional to the number of primordial follicles remaining.
- Small antral follicles (2–6 mm) are likely the primary source of AMH because they contain larger numbers of granulosa cells and a more developed microvasculature.
- Recent studies suggest AMH levels decrease with the use of oral contraceptives and GnRH agonists.
- A single elevated Day‑3 FSH concentration (>10 IU/L) has high specificity for predicting poor response to stimulation or failure to achieve pregnancy.
Correct

While elevated Day‑3 FSH (>10–12 IU/L) can indicate poor ovarian reserve, it has low sensitivity and specificity. A single high reading is not a reliable predictor for IVF outcome; FSH is variable between cycles and can be influenced by estradiol feedback.

Incorrect

While elevated Day‑3 FSH (>10–12 IU/L) can indicate poor ovarian reserve, it has low sensitivity and specificity. A single high reading is not a reliable predictor for IVF outcome; FSH is variable between cycles and can be influenced by estradiol feedback.

Unattempted

While elevated Day‑3 FSH (>10–12 IU/L) can indicate poor ovarian reserve, it has low sensitivity and specificity. A single high reading is not a reliable predictor for IVF outcome; FSH is variable between cycles and can be influenced by estradiol feedback.
Question 8 of 50

8. Question
A 19-year-old girl with painless ulcer in labia majora with everted margins:
- Treponema pallidum
- Chlamydia
- Gonorrhoea
- Herpes genital ulcer disease
Correct

Incorrect

Unattempted
Question 9 of 50

9. Question
Most common route of transmission of endometrial tuberculosis is:
- Direct local spread
- Lymphatic spread
- Retrograde spread
- Hematogenous
Correct

Incorrect

Unattempted
Question 10 of 50

10. Question
Salpingitis/Endo salpingitis is best confirmed by:
- Ultrasonography
- Hysteroscopy and laparoscopy
- X-ray
- Sonosalpingography
Correct

Incorrect

Unattempted
Question 11 of 50

11. Question
During laparoscopy, the preferred site for obtaining cultures in a patient with acute PID is:
- Endocervix
- Endometrium
- Pouch of Douglas
- Fallopian tubes
Correct

Incorrect

Unattempted
Question 12 of 50

12. Question
True about endometriosis is/are:
A. M/C in 3rd or 4th decade
B. Premenstrual spotting is common
C. Endometrial sarcoma is most common malignancy associated with it
D. Endometriotic cyst of the ovary is a true cyst.
E. First-degree relatives have an increased risk of developing endometriosis.
- A, B, D, E only
- A, C, E only
- B, C only
- A, C, D, E only
Correct

Incorrect

Unattempted
Question 13 of 50

13. Question
Cause of secondary dysmenorrhea in a young female except:
- Tuberculosis
- CIN
- Endometriosis
- Subserous fibroid
Correct

Incorrect

Unattempted
Question 14 of 50

14. Question
True regarding adenomyosis is:
- Most common in nullipara
- Progestin are agents of choice for medical management
- Presents with menorrhagia, dysmenorrhea, and an enlarged uterus
- More common in young women
Correct

Incorrect

Unattempted
Question 15 of 50

15. Question
Best investigation to establish the diagnosis of endometriosis is:
- Laparoscopy
- USG
- X-ray pelvis
- CT Scan
Correct

Incorrect

Unattempted
Question 16 of 50

16. Question
Most common cause of puberty menorrhagia:
- Anovulation
- Malignancy
- Endometriosis
- Bleeding disorder
Correct

Due to disturbed hypothalamo-pituitary-ovarian-endometrial axis hence anvoluation

Incorrect

Due to disturbed hypothalamo-pituitary-ovarian-endometrial axis hence anvoluation

Unattempted

Due to disturbed hypothalamo-pituitary-ovarian-endometrial axis hence anvoluation
Question 17 of 50

17. Question
Causes of dysfunctional uterine bleeding can be
A. Uterine polyp
B. Cystic glandular hyperplasia
C. Granulosa cell tumour
D. Irregular ripening of endometrium
E. Irregular shedding of endometrium
- A, B, D, E Only
- B, D, E Only
- A, C, E Only
- A, B, C, D Only
Correct

Incorrect

Unattempted
Question 18 of 50

18. Question
The most common histological finding of endometrium in DUB is:
- Hypertrophic
- Hyperplastic
- Cystic glandular hyperplasia
- Dysplastic
Correct

Incorrect

Unattempted
Question 19 of 50

19. Question
Abnormal uterine bleeding is/are except:
- Blood loss of more than 80 ml
- Cycle duration is more than 35 days or less than 21 days
- Bleeding period lasting 7 days or less
- Irregular bleeding during a regular cycle
Correct

Incorrect

Unattempted
Question 20 of 50

20. Question
Metrorrhagia is produced by the following except:
- Fibroid polyp
- CA endometrium
- IUD
- Intramural fibroid
Correct

Incorrect

Unattempted
Question 21 of 50

21. Question
In DUB, there is:
- Increased estrogen
- Decreased receptors of progesterone
- Decreased receptors of estrogen
- Pituitary imbalance of hormones
Correct

Incorrect

Unattempted
Question 22 of 50

22. Question
Polymenorrhea is defined as cyclic bleeding where
- The cycle is less than 21 days
- There is prolonged bleeding for more than 10 days
- There is excessive bleeding for more than 5 days
- The cycle is protracted from 21-40 days
Correct

Incorrect

Unattempted
Question 23 of 50

23. Question
The following are the features of anovular menstruation except:
- The only symptom may be failure of conception
- It is usually associated with painless periods
- May be associated with premenstrual syndrome
- May be associated with DUB
Correct

Incorrect

Unattempted
Question 24 of 50

24. Question
A 15-year-old girl, complains of heavy periods since 2 months. O/E: wt. 40 kg and BP 120/80 mmHg. All of the following investigations are indicated, except:
- S. TSH
- Platelet count
- Bleeding and clotting timed
- Estradiol levels
Correct

Incorrect

Unattempted
Question 25 of 50

25. Question
Post–menopausal bleeding is associated with all
except:
- Ca cervix
- CIN
- Ca ovary
- Endometrial Ca
Correct

Incorrect

Unattempted
Question 26 of 50

26. Question
Menorrhagia is defined as blood loss per vagina more than:
- 50 mL
- 80 mL
- 110 mL
- 150 mL
Correct

Incorrect

Unattempted
Question 27 of 50

27. Question
Initial evaluation in adolescent with abnormal uterine bleeding:
A. Hemogram
B. Platelet count
C. USG
D. D & C
E. Examination under anaesthesia
- A, B, C, D only
- A, C, E only
- A, C only
- A, B, C only
Correct

Incorrect

Unattempted
Question 28 of 50

28. Question
A 45-year-old female complains of lower abdominal pain and vaginal discharge. On examination, there is cervicitis along with a mucopurulent cervical discharge. The Gram smear of the discharge shows presence of abundant pus cells, but no bacteria. The best approach to isolate the possible causative agent would be:
- Culture on chocolate agar supplemented with hemin
- Culture on McCoy cells
- Culture on a bilayer human blood agar
- Culture on Vero cell lines
Correct

Incorrect

Unattempted
Question 29 of 50

29. Question
A 25-year-old female with history of multiple contacts
presenting with growth on vulva, the probable diagnosis
is:
- Condyloma accuminata
- Verruca plana
- Verruca vulgaris
- Condyloma lata
Correct

Incorrect

Unattempted
Question 30 of 50

30. Question
A lady approaches a physician for contraceptive advice.
On examination, there were two symmetrical ulcers on
vulva, which were well-defined with firm base. Which
of the following is the most likely cause?
- Chancre
- Herpes
- Syphilis
- Malignancy
Correct

Incorrect

Unattempted
Question 31 of 50

31. Question
Cervicitis is caused by:
A. Pseudomonas
B. Staphylococcus
C. Chlamydia
D. Trichomonas
E. N. Gonorrhoea
- A, B, D, E only
- B, C, E only
- B, C only
- A, C, D, E only
Correct

Incorrect

Unattempted
Question 32 of 50

32. Question
Nongonococcal urethritis is caused by:
- Chlamydia
- LGV
- Syphilis
- Gardnerella vaginalis
Correct

Incorrect

Unattempted
Question 33 of 50

33. Question
The most sensitive method for detecting cervical
chlamydia trachomatis infection is:
- Direct fluorescent antibody test
- Enzyme immunoassay
- Polymerase chain reaction
- Culture on irradiated McConkey cells
Correct

Incorrect

Unattempted
Question 34 of 50

34. Question
The most common cause of tubal block in India is:
- Gonorrhea infection
- Chlamydia infection
- Tuberculosis
- Bacterial vaginosis
Correct

Incorrect

Unattempted
Question 35 of 50

35. Question
The risk factors of acute pelvic inflammatory disease
(PID) are the following except:
- Menstruating teenagers who have multiple sex partners
- IUD users
- Women with monogamous partner who had vasectomy
- Previous history of acute PID
Correct

Incorrect

Unattempted
Question 36 of 50

36. Question
Ulceration of the vulva is commonly seen in all except:
- Bacterial vaginosis
- Syphilis
- Chancroid
- Behçet’s disease
Correct

Incorrect

Unattempted
Question 37 of 50

37. Question
Pain in endometriosis correlates with:
- Depth of invasion
- Multiple sites
- CA 125
- Stage of disease
Correct

Incorrect

Unattempted
Question 38 of 50

38. Question
A 35-year-old woman presents with infertility and
palpable pelvic mass. Her CA-125 level is 90 mIU/mL
diagnosis is:
- Ovarian Ca
- Endometriosis
- Tuberculosis
- Polycystic ovaries
Correct

Incorrect

Unattempted
Question 39 of 50

39. Question
A 20-year-old woman gives a history of sharp pain in the lower abdomen for 2–3 days every month approximately 2 weeks before the menses. The most probable etiology for her pain is:
- Endometriosis
- Dysmenorrhea
- Pelvic tuberculosis
- Mittelschmerz
Correct

Incorrect

Unattempted
Question 40 of 50

40. Question
Given below are two statements: one is labelled as Assertion A and the other is labelled as Reason R.
Assertion A: Right ovarian vein syndrome occurs post menstrually
Reason R: Right ovarian vein crosses the ureter at right angle. Due to pelvic congestion or increased blood flow, there may be marked engorgement in the vein → pressure on ureter → stasis → infection → pyelonephritis → pain.
In the light of the above statements, choose the correct answer from the options given below:
- A is false but R is true
- A is true but R is false
- Both A and R are true and R is the correct explanation of A
- Both A and R are true but R is NOT the correct explanation of A
Correct

Incorrect

Unattempted
Question 41 of 50

41. Question
Best time to become pregnant in a Patient of endometriosis is
- Pregnancy is not advisable
- Immediately after surgery
- After 1 year of surgery
- No time specification
Correct

Incorrect

Unattempted
Question 42 of 50

42. Question
Most common site of endometriosis is
- Pouch of Douglas
- Cervix
- Ovaries
- Liver
Correct

Incorrect

Unattempted
Question 43 of 50

43. Question
M/C cause of PID—
- Chlamydia
- Tuberculosis
- Bacterial vaginosis
- Trichomonas
Correct

Incorrect

Unattempted
Question 44 of 50

44. Question
Among the following which cannot be prevented by the use of Condoms:
A. HSV
B. HPV
C. Mycobacterium
D. Treponema
E. Gardnerella
- A, B, D, E only
- B, C, E only
- B, C only
- A, C, D, E only
Correct

Incorrect

Unattempted
Question 45 of 50

45. Question
Which among these is not included in PID?
- Lower abdominal tenderness
- Cervical motion tenderness.
- Oral temperature more than 38.3°C (101°F)
- Severe Vaginal Inflammation
Correct

Incorrect

Unattempted
Question 46 of 50

46. Question
Given below are two statements. Statement I: Fitz hugh cutis syndrome is development of perihepatic adhesions which leads to right upper quadrant pain. Statement II: It is seen in PID due to Chlamydia and N. gonorrheaIn the light of the above statements, choose the most appropriate answer from the options given below:
- Both Statement I and Statement II are correct
- Both Statement I and Statement II are incorrect
- Statement I is correct but Statement II is incorrect
- Statement I is incorrect but Statement II is correct
Correct

Incorrect

Unattempted
Question 47 of 50

47. Question
All these findings are seen in Genital Tuberculosis except:
- Tobacco pouch appearance
- Lead pipe appearance
- Golf club stick appearance
- Violin string appearance
Correct

Incorrect

Unattempted
Question 48 of 50

48. Question
Match the following List I with List II.
Choose the appropriate answers from the options given below
- A - II, B - IV, C - I , D - III
- A - III, B - I , C - IV , D - II
- A - IV, B - II , C - I , D - III
- A - IV, B - III, C - II, D - I
Correct

Incorrect

Unattempted
Question 49 of 50

49. Question
Which of the following Vulval conditions follows a Acanthotic pattern?
- Contact dermatitis
- Psoriasis
- Lichen planus
- Crohn‘s disease
Correct

Incorrect

Unattempted
Question 50 of 50

50. Question
Common vaginal cysts are
- Gartner’s cyst
- Bartholin’s cyst
- Sebaceous cyst
- Cyst of canal of Nuck
Correct

Incorrect

Unattempted