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RMU + AJK Obs & Gynae MCQs

The document contains multiple-choice questions (MCQs) related to gynecology, covering topics such as amenorrhea, PCOS, bacterial vaginosis, and uterine prolapse. It outlines key symptoms, diagnostic methods, and treatment options for various conditions, including endometriosis and ovarian torsion. Additionally, it discusses management strategies for ectopic pregnancy and urinary incontinence.

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razarabia58
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17 views4 pages

RMU + AJK Obs & Gynae MCQs

The document contains multiple-choice questions (MCQs) related to gynecology, covering topics such as amenorrhea, PCOS, bacterial vaginosis, and uterine prolapse. It outlines key symptoms, diagnostic methods, and treatment options for various conditions, including endometriosis and ovarian torsion. Additionally, it discusses management strategies for ectopic pregnancy and urinary incontinence.

Uploaded by

razarabia58
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GYNECOLOGY MCQs

1. 2° Amenorrhea → Most common cause is pregnancy.


2. PCOS → Symptoms: Hirsutism, irregular cycles, obesity, infertility.
3. Ovarian reserve marker → AMH (Anti-Müllerian Hormone).
4. Absolute contraindications for COCs: Breast cancer (Liver disease less likely)
5. Bacterial vaginosis (BV):
→ IOC: Saline wet mount (for clue cells) but Gram stain (Gold standard)
→ Treatment: Oral Metronidazole (First line), Clindamycin (Alternative)
6. Trichomoniasis → Common co-infection: Bacterial Vaginosis, PID (Pelvic
Inflammatory Disease).
7. Overactive bladder → Most effective drug: Anticholinergics (e.g., Oxybutynin,
Solifenacin), Beta-3 agonists (Mirabegron, if no HTN).
8. Most common risk factor for stress urinary incontinence → Vaginal delivery
(Multiparity).
9. Patient with HTN, previous myomectomy, multiple adhesions, and vaginal mass
protruding out, still sexually active--- Likely diagnosis: Uterine prolapse (Pelvic Organ
Prolapse)
10. Uterine prolapse treatment → Surgical correction (Abdominal Sacrocolpopexy)
11. Ovarian torsion → Diagnosis on Clinical Presentation (Doppler showing
absent/reduced blood flow.)
12. Endometriosis → Cyclic pelvic pain, dysmenorrhea, dyspareunia, and infertility.
13. Dermoid cyst (4 cm) → Treatment: Laparoscopic cystectomy
14. Asherman syndrome:
→ Cause: Secondary amenorrhea due to endometrial scarring
→ History of: Multiple D&C or endometrial infection (TB, post-abortion infection)
15. PCOS → LH:FSH ratio (Classically 2:1, but not diagnostic).
16. Endometrial cancer → Key symptom: Postmenopausal bleeding.
Q1

a) Imperforate hymen – Cyclical abdominal pain, primary amenorrhea, and bluish


bulging hymen suggest hematocolpos.

b) Investigations:
Pelvic ultrasound
MRI (if needed)

c) Treatment:
Hymenotomy (cruciate incision & drainage of collected blood)
Q2:

a) Differential Diagnosis:
Ruptured ectopic pregnancy
Miscarriage
Hemorrhagic corpus luteum rupture

b) Key parts of history, examination & investigations:

History:
Last menstrual period, pain onset, nature, vaginal bleeding, dizziness, prior ectopic
pregnancy, contraceptive use.

Examination:
Vitals, abdominal & pelvic examination (cervical motion tenderness, adnexal mass).

Investigations:
Transvaginal ultrasound, serum β-hCG, hemoglobin, blood group & Rh typing.

c) Management:
Immediate resuscitation (IV fluids, blood transfusion if needed).
Urgent laparotomy/laparoscopy if ruptured.
Methotrexate for unruptured ectopic (if criteria met).

Q3

a) History components:
Onset, duration, severity of symptoms
Precipitating/aggravating factors (e.g., cough, exertion)
Obstetric history (parity, mode of delivery)
Menopausal status
Any neurological symptoms
b) Investigations:
Urinalysis & culture
Urodynamic studies
Pelvic ultrasound

c) Best Treatment:
Stress incontinence → Pelvic floor exercises, mid-urethral sling surgery.
Urge incontinence → Bladder training, anticholinergic medications.

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