at collet Tine: thour of ' = ori ary smenorthora. sit Erect 3 inches Tego is+ ot er ie An - ‘ovarian area, What is spe gives history of b Hypotal ic ig. Pinwitary adenoma a remer's cyncrome aw period eon ciated with low 2 Bee ce bs a bast ory of ro Ee with OBE Era wo abdominal pall: examination? utero? is 6 7, the arerioe OY vity. Type the Ultrasound *h some pYDSESS miscarriage complet f Incormplet® B «. Missed di "Threatened x 3-yrs-old sexually active fema presents with maalodorone prey ee dischary | with burning #00 itebing, Which rganisen Is for her s¥™P" os Chi yin trachomatis p. E.Coli . Gardenella vaginalis ( d. Neisseria gonorrhet 4 - oe multipat eel vere had endometrial ablation for her er menstrual prob yeas vot willing fo" erectomy. WHS of % cnorrhoric afteF ae oh percentage ° women bec a 40 b. 60 c. 80 a, 100 5. Al pied woman man attends 6Y' nae OPD with histor women acid and mefanasti ae nae BO aed periods. St free seo © Mahcoe agents a8 rst ine IS ae blood loss. What og ™ b. 30-50 , 60-80 d. 80-100examinati w c, OD 10M geny, islet of her condition? eatlyy ry of wpe jikelY wv 6. A 50-yrs f Yrs-old woman com ‘continence is excluded- we . Detrusor instability : Unstable urethra . Urethral diverts . Vesico-vaginal fist™® ee ashe uit and 7, A49-yrs. x -yrs-old P, presents (3) story last 2 months, She also £i¥° 1 find the © ving urinary leakage fo, hematuria. Which oy e in use in following is the best next : a. Cystoscopy D b. Office cystometrics Placement of d. Urine analysis ecology clinic with heayy 8& A 39 us woman presen - toe ati reveals bulky uterus . A 39-yrs-old_multiparom seme, Po methods of treatment What will be _ She denies menstrual bleeding 4” ology: without adenxal path your next treatment for her? a. Danazol b. Mefenemic acid c. Norethisterone d. Mirena with complaints ot heavy eylial menstrual bleeding. “he ths. On general examination the resence of a firm, non tender ‘A 30-yrs-old nullipart comes passing urine for the last six mom is not separate from the * Glso has hesitancy. in pas ‘ patient is anaemic, and ‘abdominal examination shows Pp mass arising from the On bimanual palpation mass uterus, Most likely diagnosis i: ‘a. Adenomyosis ) b. Fibroid uterus 5 . Ovarian cyst Se d. Pregnancy 6 10, A 16-yrs-old unmarried girl is bi ¢ aon ui ee to gynae OPD with complaint of primary characteristics. Which of the follov ort stature and has no secondary sexual diagnosis? 1g investigations will confirm your provisional a. Karyotyping b. Pelvic ultrasound Serum FSH/LH - h 4d. Serum prolactin 11. A 30-yrs-old Ps presents is in your advise because condom clinic as she is What will you advise Tepe during sexual « is very much worried and want ¢o a. Immediate douching the given scenario? ourse last night on TIBy etopese, le. b. IUCD insertionmes -yrs-old pullipar® comes vat " sere for the last 4 years A menstruation and dee f pale ise of her symptoms? : ry cal ise cat wey pm Adenomyosis b. En jometriosis f vaginal ory of vaginal spoting and chy hist alos iS closed, Ultrasound ¢ Ovarian cyst - d. Pelvic inflammatory diseas® will you Bive her? pain. USG shows this condition? b. MRI : c. Trans abdominal scan d. Trans vaginal scan == a t of severe n cate er 7 6 mont! ‘and is having all treatment option for her at this azol fol ine side effects of the GTU: hi e stage. h ‘a. Conservative surgery b. Gonadotrophins ¢. NSAIDs d. Continuous, Progesterone naccology Clinic with history of inability to conceive for what investigation will 16. A young. couple presents in gy! history and clinical examination, the last two years. After taking you like to order first? ‘a. Endometrial biopsy b. FSH & LH levels D . Laparoscopy d. Semen analysis vida comes with complaint of : recurren ‘ epee, After sventgation cervical carcinoma is diagnosed ee bleeding rs safecatment of choice in this patient who has completed es oe to the r family is: 2. Abdominal hysterectomy 17.A 44-yrs-old multigra b. Covi cone biopsy . Radiation followed by sur d. Trachelectomy ae,na »!rineal henvi go ori ness, After iad: ring sain aaron fais reel J iad} a yt gvesti6e po riate HY wi sho sa fa ‘ye 5198 ( ed for intrauterine he gore ‘contraindication of at a ‘Ascites pb. Ht nephrosis c. Pyometra Pojco-vagina! fistula 29.4 55970 attends yma clinic with nistory of something coming o vagina. She ‘underwen! abaominal BY my at th ‘of 42 for heavy, periods: on exami she has pginal vault.Dr that exte™ ntroits: what is he best erestinen jon for this patient? a, Abdomil 1popexY dom posterior repaie c. Colpocleisis a. Vaginal34, 35. clinic Wil ~ A 2S-yrs-old lady attends 798 © eneult for contrace J requests traceny, cll Ang her baby. Which os 19 east fee in unis Pipe is 4 28.y dae! Woman comes agth PM ion? ing ig «) Of baby Ome ner 8 Is the best option # ian pl mbined oral cont Togesterone only pills : Using condoms | amenorrhoca of 16 weeks with milq ~ Withdrawi method of esto do minal examination reveals funda) A ™Ultiparous jady with nistorY ©“ OpD- Son Snow-storm appearance without paginas bleeding attends 5 report atin her ease? fetes 4 larger than dates UM ag of trea "S. What is the preferred ™ &- Dilatation and curage Evacuation and ¢ §, Medical termination Suction evacuation th history of continuous dribbling of urine, She vaginal delivery following prolong labour js the most likely cause of her symptoms? B.C Roticed this leakage two At home three moaths back WBAt @. Stress incontinence - b. Ureterovaginal fistula D © Urethral sphincter in 4. Vesico vaginal fistula resents in gynae OPD with foul smelly blood Indy P? + A SS-yrs-old post menopausal lady examination shows unhealthy and suspicious nae eee ee etme ants iavoWving both lips of cervix. Cervical biopsy comme cervical carcinoma. Which of the following is the most commonest type? a. Adeno acanthoma b. Adenocarcinoma ¢. Clear cell carcinoma d. Squamous cell carcinoma A multiparous woman has come in gynae OPD with history of something coming out of vagina. On examination cervix is lying outside the introitus with cystocele ++. How do you categorize this condition? a 2 b. 3” degree © Complete procideatia 4. Elongated cervix ane oon sdy Bis dribbling of urine during sneezing, coughing and while incon is Her urodynamic studies are normal so diagnosis of genuine stress wate: She has no improvement inspite of pelvie floor exercises for six months. What : 2 Burch Cojint Nett best management option in this patient?ine for the last one year. al thickness of 1mm, She et a tris! hyperplasia. Which of #ouowine os : typi denomato ia with # ia ¢ ‘3 ‘adenomatous ype without atyP from the stairs. Sbe is a Bde ae fall 07 ations. Which ofthe & Cyc hype pave Ig tal i9E m jad sractere whied SES 9 s.yrsold OY imatoid minis OF roble™ own case of nungne on cat of ber PF” yng 9 Be ICL aay eshing drome ent : Seoking js duc 1 the tubal d. steroids ties told that te the ‘ost common organism after investiBa infection” A sab-fer P ee eecul pelvic infe for i 2 as an i, bacillus - nylococeus SUT 4. somo s vaginalis termens! ual and posteoital 938 te ii acooking and adv sie s = ae fe Ps prvecultD examination her cervi® is ease oF to have Pap, wear for cyt0lOEy. Pap § e ‘a. Ayre’s SP b.. Biopsy forceps & Colposcopy d._ HysteroscoPY ae Be coer i pistory of subfertility FY ; an ass retract 6 wa s years tory oe omer abdominal ioe sith aig, i - r pregnancy i Her BP is 90/50mm nt Hg and pulse is 100 Pp e for PF episode a eran ‘scan shows empty uterus and ‘suspicion of echogenic shadow festightt adenexa. WHat is the most likely diagnosis? eeacute appendicitis b. Ectopic pregnancy « pelvic inflammatory disease 4. Threatened miscarriage She has intermittent lower 41.A 16-yrs-old girl presents with primary amenorrhea. cyclical pain. OD examination she has 9 mbrane at introitus is vi abdominal seeracteristics and # bluish bulging el 4 Ng weeks size tender abdominal mass. What would palpation reveals Fully cause of her problem given in the above scenario? a Degenerating subserous fibroid b. Imperforate hymen ¢. Transverse vaginal septum 4. Twisted ovarian cyst rmal secondary sexual isible. ‘Abdominal be the most————— 42.4 “A SSey, Syry *Ymptoms 4, P08 wishes for hormone Teplacement therapy for severe the a but a explains her (0 avoid these medications, Which ot q Wing is the See contraindication for this therapy? Bani Che breast disease In nic liver disease : controlled hypertension “terine fibroid 43.4 2.) . zen ¢ enesarean section for prolonged rupture of old, P2 had lower segmen! patie: last ‘ees ene presents with history of fever with rigors and severe bs ‘ominal discomfort. Examination reveals tender lower abdomen. On vaginal aos uterus is tender with fullness in the pouch of Douglas. Identify the ndition, ane a. Endometrioma b. Endometritis €. Pelvic abscess d. Tubo-ovarian mass 44. A 25-yrs-old woman presents with history of three recurrent pregnancy losses at 16 to 18 weeks of gestation, After investigations she comes to know that some tumor is responsible for her problem. Identify the type of the affecting condition. a Intramural b. Parasitic c. Pedunculated d..,Submucosal 45. A 55-yrs-old woman attends Gynae clinic scan shows endometrial thickness of 8mm. differentiated adenocarcinoma. Identify the most stage the disease? a, CT scan b. Laparoscopy c. MRI d. Ultrasound abdomen with post menopausal bleeding. Transvaginal ‘An endometrial biopsy shows moderately suitable investigation required to 1) eels ee