GYNECOLOGY BLOCK III
PART I: MULTIPLE CHOICE QUESTIONS
1. Clinical manifestation of hydatid form mole is
a) Firm uterus on palpation
b) Low levels of HCG
c) Hypermesis gravidarum
d) Small uterus for gestation
2. Hair, bone and teeth are likely to be found in the following ovarian cyst
a) Dermoid
b) functional
c) follicular
d) corpus luteum
3. risk factor of vaginal candidiasis cancer include
a) diabetes mellitus
b) early menopause
c) induced abortion
d) use of tomoxifen
4. in management of fibroids endocoagulation is aimed at
a) destroying uterine lining to control heavy bleeding
b) relieve severe abdominal pain and fullness
c) total removal of uterus, tubes and ovaries
d) prevent blood flow leading to shrinkage and death
5. foetal causes of abortion include
a) acute febrile condition
b) cervical incompetence
c) chromosomal abnormalities
d) thyroid dysfunction condition
6. indications of hysteroscopy include
a) unexplained uterine bleeding
b) Tubal patency testing with dyes
c) suspected ectopic pregnancy
d) secure tissue for ovarian biopsy
7. Causes of secondary amenorrhea include
a) Turners syndrome, imperforate hymen
b) Imperforate hymen, excessive exercise
c) Anorexia nervosa, Turners syndrome
d) Excessive exercise, anorexia nervosa
8. Marsupilization is a surgical procedure performed on the
a) Cervix orifice
b) labia majora
c) vaginal orifice
d) vaginal walls
9. Regrowth and thickening of endometrium occur in the following phases of menstrual cycle
a) Menstrual phase
b) Proliferative phase
c) Luteal phase
d) Secretory phase
10. Common site for breast tumours to occur is
a) Upper outer quadrant
b) Lower outer quadrant
c) Innermost quadrants
d) Axillary lymphnodes
11. Marsupilization is a surgical procedure performed on the
a) Cervical orifice
b) labia majora
c) Vaginal orifice
d) Vaginal walls
12. Uterine fibroids located on the outer border of myommetrium are termed as
a) Subserosa
b) Pendiculated
c) Intramural
d) Subsmucosal
13. Clinical manifestation of strawberry cervix is indicative of
a) candidiasis
b) bartholin abcess
c) bacterial vaginosis
d) cervicitis
14. Stage III of cervical cancer indicates
a) cancer cells spread in upper part of the vagina
b) cancer cells within the cervix
c) carcinoma involving mucosa of the bladder and rectum
d) cancer cells in the lower third of the vagina
15. Hyadatid form mole result from
a) Gross malformation of trophoblast
b) Gross malformation of blastocyst
c) Abnormal malformation of embryoblast
d) Abnormal malformation of endometrium
16. After right total mastectomy, The nurse should
a) Place client right arm in a dependent sling
b) Keep client right arm on the bed beside her
c) Place client right arm across the body
d) Elevate clients right arm on a pillow
17. Risk factor of vaginal candidiasis cancer include
a) diabetes mellitus
b) early menopause
c) induced abortion
d) use of tomoxifen
18. Foetal causes of abortion include
a) acute febrile condition
b) cervical incompetence
c) chromosomal abnormalities
d) thyroid dysfunction condition
19. Thickening of endometrium occurs in the following phases of menstruation
a) Secretory
b) Proliferative
c) Menstrual
d) luteal
20. Clinical manifestation of ovarian cysts include
a) Menorrhagia
b) Weight loss
c) Retrograde menstruation
d) Irregular menstruation
11. The main uterine support is (1mk)
a) Uterosacral
b) Round
c) Transverse cervical
d) Broad wide
12. A woman complains of milky whitish discharge with fishy Odor and no history of itching.
The most likely diagnosis is?
a) Candidiasis
b) Bacterial vaginosis
c) Trichomoniasis
d) Urethral infection
13. The most likely cause of uterine bleeding in 13 years old girl is:
a) Uterine cancer
b) Ectopic pregnancy
c) Systemic bleeding diathesis
d) Anovulation menstrual cycle
14. A drug used for ovulation induction I secondary amenorrhea:
a) Bromocriptine
b) Clomephene citrate
c) Mifepristone
d) Mifenamic acid
15. The most likely location for ectopic pregnancy is:
a) Ampulla
b) Isthmus
c) Fimbria
d) Abdomen
16. Second degree uterine prolapsed is characterized by:
a) Complete protrusion of the uterus outside the introitus
b) Descent of the uterus within the vagina
c) Descent of the cervix below the ischeal spines
d) Descent of the uterus outside the vulva during straining
17. A 20 years old lady with complains of oligomenorrhea, hirsuitism and weight gain. Ultra
sound reveals bulky ovaries. Most likely diagnosis is:
a) Ovarian cancer
b) Polycystic ovarian disease
c) Cushing’s syndrome
d) Pelvic inflammatory disease
18. A 43 years old woman has heavy menstrual bleeding with flooding and clots. The most
effective remedy to reduce her bleeding would be:
a) Dilatation and curettage
b) Tranexamic acid injection
c) Misoprostol suppository
d) Comprehensive history
19. Cervical cancer with involvement of the right Ureter and pelvis indicates ca cervix stage?
a) Stage I
b) Stage II
c) Stage III
d) Stage IV
20. The priority nursing intervention for a patient with septic abortion would be?
a) Taking vaginal and cervical swab for culture and sensitivity
b) Take relevant history empasizing on why abortion was done
c) Evacuating the infected products of infection as soon as possible
d) Starting her on normal saline infusion and intravenous Ceftriaxone
e) Hormones involved in proliferative phase of menstruation are
a. Progesterone, corpus luteum
b. Corpus luteum , estrogen
c. Luteinising hormone, estrogen
d. Progesterone,luetinising hormone
f) Indication of dilatation and curettage include
a. Complete abortion
b. Incomplete abortion
c. Undiagnosed pelvic pain
d. Retained intrauterine device
g) Best treatment of amenorrhea related to high prolactin level is
a. Bromocriptine
b. Clomiphene
c. Mifepristone
d. Tomoxifen
h) Distinguishing clinical feature of bacterial vaginosis include
a. Curdy white like vaginal discharge
b. Strawberry appearance of the vagina
c. Fish smelling like vaginal discharge
d. punctuate retrograde vaginal bleeding
i) Medical management of threatened abortion involve
a. administer pheonobarbitone
b. administer syntocinon
c. manual vacuum aspiration
d. dilatation and curettage
j) Hydatid form mole occurs as a result of
a. Gross malformation of blastocyst
b. Gross malformation inner cell mass
c. Gross malformation of the zygote
d. Gross malformation of trophoblast
k) Polycystic ovarian syndrome manifests with
a. Dry skin on face
b. Excessive hair growth
c. Regular ovulation pattern
d. Low levels of insulin
l) Stage ( ii) cancer of the uterus involve
a. Tumour in the endometrium
b. Tumour in the cervix
c. Tumour in the vagina
d. Tumour in the bladder
m) Risk factors of cancer of the cervix are
a. Early child bearing,smoking
b. Nullpartity, early menopause
c. Nullparity,late menopause
d. Late childbearing,multiparity
n) Complications related to menopause include
a. osteomylitis
b. Osteoporosis
c. Increase in estrogen
d. Decrease vaginal PH
PART II: SHORT ANSWER QUESTIONS
11. List six(6) predisposing factors to cancer of cervix 3
12. State four (4) types of uterine fibroids 4
13. Describe nursing management of a patient with pelvic inflammatory disease 5
14. Explain five(5) specific management of rape trauma syndrome 5
15. Outline six (6) clinical manifestations of breast cancer 3
16. Explain medical management of amenorrhea 4
17. Describe management of a patient with pelvic inflammatory disease 5
18. State four(4) types of spontaneous abortion 4
19. List four clinical manifestations of vesicovaginal fistula 2
20. Outline five(5) causes of female infertility 5
21. State four(4) types of obstetric fistulas with the structures involved 4
22. State four(4) periods in a woman life where amenorrhea is considered normal 4
23. Outline the management of pelvic inflammatory disease 4
24. Explain the advice you would give to young ladies to prevent vaginal infections 4
25. Explain four (4) possible female factors that can cause infertility 4
26. List eight(8) causes of infertility in women 4
27. State pathophysiology of pelvic inflammatory disease 4
28. Outline four(4) causes of vesicovaginal fistula 4
29. Explain specific management related to rape trauma syndrome 4
30. State four(4) types of uterine fibroids 4
PART III: ESSAY/ LONG ANSWER QUESTIONS
2. Mrs.Kamau is brought to the outpatient and she appears acutely ill. She
reports of severe abdominal pain. Investigations were done and she was
diagnosed of ruptured ectopic pregnancy.
a) List four (4) sites of ectopic pregnancy 2
b) Outline six (6) risk factors of ectopic pregnancy 3
c) State two (2) surgical procedures that can be performed
in ectopic pregnancy 2
d) Describe specific management of mrs.kamau for the first 24 hours 13
2. Mrs.X has been admitted with a diagnosis of ruptured ectopic pregnancy
a) Outline four (4) clinical manifestations of ectopic pregnancy 2
b) List four (4) sites of ectopic pregnancy 2
c) Outline five ( 5) risk factors of ectopic pregnancy 5
d) Describe specific management of Mrs.kamau until discharge 11
2. Regina, a 23 years old, Para 0+2 is brought by her husband to the hospital with severe
abdominal pain and active per vaginal bleeding. According to L.M.P, you discover
that she is 11 weeks pregnant.
a) Define abortion 1
b) State five(5) causes of abortion 5
c) Outline four (4) types of abortion 4
d) Using nursing process, describe specific management of Regina until discharge 10
1. Mrs. Rin 45 years old has been admitted with diagnosis of breast cancer.
She is due for mastectomy
a. List six(6) signs and symptoms of breast cancer 3
b. State two(2) types of mastectomy procedures 4
c. Outline three(3) nursing diagnosis for Mrs.Rin 3
d. Describe specific post-operative management for Mrs.Rin until
discharge10
