Gynecology PDF

GYNECOLOGY
Section A
1. Anatomy of Female Genital Tract.........................................................................187
2. Reproductive Physiology and Hormones in Females...........................................190
3. Menopause and HRT............................................................................................194
4. PCOD, Hirsutism and Galactorrhea......................................................................197
5. Congenital Malformations....................................................................................200
6. Sexuality and Intersexuality.................................................................................202
7. Infections of Genital Tract....................................................................................206
8. Urogynecology.....................................................................................................211
9. Infertility...............................................................................................................216
10. Contraception.......................................................................................................220
11. Uterine Fibroid.....................................................................................................229
12. Endometriosis and Dysmenorrhea.......................................................................232
13. Disorders of Menstruation...................................................................................235
14. Gynecological Oncology.......................................................................................241
15. Gynecological Diagnosis and Operative Surgery..................................................258
16. Miscellaneous......................................................................................................263
Section B
Practice Questions..................................................................................................266
(Comprising of Questions from Recent Exams and NEET Pattern Questions)
Section A
1. ANATOMY OF FEMALE
GENITAL TRACT
188 Jaypee’s Triple A
ANATOMY OF FEMALE GENITAL TRACT (QUESTIONS)
1. Prepuberty ratio of corpus of uterus and cervix is? 9. Weight of nulliparous uterus is: (DNB 2011)
a. 1:2 a. 30-40 gms
b. 1:1 b. 40-60gms
c. 2:1 c. 50-80 gms
d. 3:1 d. 80-100gms Ref: Shaw’s 15/e p6
Ref: Shaw’s 15/e p8 10. All of the following pelvic structures support the vagina,
2. All of the following are classified as primary supports of except: [AIIMS May 04]
uterus EXCEPT: a. Perineal body
a. Transcervical ligament b. Pelvic diaphragm
b. Pubocervical ligament c. Levator ani muscle
c. Uterosacral ligament d. Infundibulopelvic ligament
d. Broad ligament Ref: Shaw’s 15/e p16, 17, 33
Ref: Shaw’s 15/e p331 11. Protective bacterium in normal vagina is: (J & K 01)
3. Ovarian artery is a branch of: a. Peptostreptococcus
a. Abdominal aorta b. Lactobacillus
b. Common iliac artery c. Gardnerella vaginalis
c. Internal iliac d. E. coli
d. External iliac Ref: Shaw’s 15/e p127
Ref: Shaw’s 15/e p19 12. With reference to vagina which of the following statement
4. All are supports of uterus except: is not correct: (UPSC 07)
a. Mackenrodt’s ligament a. It has mucus secreting glands
b. Round ligament b. It is supplied by uterine artery
c. Uterosacral ligament c. It is lined by stratified squamous epithelium
d. Transcervical ligament d. Its posterior wall is covered by peritoneum
Ref: Shaw’s 15/e p18 Ref: Shaw’s 15/e p4, 20
5. Length of female urethra is: 13. A woman presents with a fluctuant non-tender swelling at
a. 20 mm the introitus. The best treatment is: (AI 08)
b. 40 mm a. Marsupialization
c. 60 mm b. Incision and drainage
d. 80 mm c. Surgical resection
Ref: Shaw’s 15/e p12 d. Aspiration
6. The following artery is not a branch of the anterior division Ref: Shaw’s 15/e p125
of internal iliac artery: (DP PGMEE 2009) 14. Parts of fallopian tube from ovary to uterus are: (Delhi 06)
a. Uterine a. Infundibulum – Ampulla – Isthmus – Intramural
b. Internal pudendal b. Ampulla – Isthmus – Intramural – Infundibulum
c. Iliolumbar c. Infundibulum – Ampulla – Isthmus – Intramural
d. Vaginal d. Isthmus – Ampulla – Infundibulum – Intramural
GYNECOLOGY
Ref: BDC 4/e Vol-II, p389 Ref. Shaw’s 15/e p11

7. Size of uterus in inches is: (DNB 2005) 15. Barr bodies are not present in: (DNB 01)
a. 5 × 4 × 2 a. XO
b. 4 × 3 × 1 b. XXY
c. 3 × 2 × 1 c. XX
d. 4 × 2 × 1 Ref: Shaws 15/e p6, 14/e p6 d. XXX Ref. Shaw’s 15/e p110,111
8. Vestibule of vagina develops from: (DNB 2009) 16. Commonest site of fertilization is: (DNB 04, MH 08)
a. Wolffian duct a. Isthmus
b. Mullerian duct b. Ampulla
c. Genital tubercle c. Infundibulum
d. Urogenital sinus d. Interstitial
Ref: Dutta Gynae 6/e p34 Ref. Shaw’s 15/e p11, Dutta Obs, 6/e p21
Ans. 1. a. 1:2 2. d. Broad ligament 3. a. Abdominal aorta 4. b. Round ligament

5. b. 40 mm 6. c. Iliolumbar 7. c. 3 × 2 × 1 8. d. Urogenital sinus
9. c. 50-80 gms 10. d. Infundibulopelvic... 11. b. Lactobacillus 12. a. It has mucus...
13. a. Marsupilization 14. a. Infundibulum... 15. a. XO 16. b. Ampulla
Anatomy of Female Genital Tract 189
17. True about isthmus are all except: (TN 03) c. Paraurethral gland
a. Measures 20 mm in length d. Cowper gland
b. Forms lower uterine segment Ref. Jeffcoate 7/e p728; Shaw’s 15/e p95 Table 7.1
c. Mucosa similar to endometrium
d. Present between cervical mucosa and endometrial mucosa 19. Retroversion of uterus is prevented by: (DNB 2011)
Ref: Shaw’s 15/e p8 a. Uterosacral ligament
18. Bartholin’s’ gland correspond to: (UP 07) b. Mackenrodt ligament
a. Bulbourethral gland c. Round ligament
b. Urethral gland d. Broad ligament
Ref: Jeffcoate 7/e p46, BD Chaurasia vol 2 4/e p320
GYNECOLOGY
Ans. 17. a. Measures... 18. d. Cowper 19. c. Round ligament

2. REPRODUCTIVE PHYSIOLOGY AND
HORMONES IN FEMALES
Reproductive Physiology and Hormones in Females 191
REPRODUCTIVE PHYSIOLOGY AND HORMONES IN FEMALES (QUESTIONS)
1. Self breast examination by females is advisable to be done b. Clomiphene citrate

at which of the following time? c. Tamoxifen
a. Premenstrual period d. Raloxifen Ref: Shaw’s 15/e p314
b. During menses 10. LH surge occurs due to:
c. 7-10 days after menses a. Positive feedback
d. Ovulatory period b. Negative feedback
Ref: Textbook of Gynaecology by D C Dutta 6/e p565, 5/e p538 c. Local reaction
2. Post-ovulation, the cervical mucus: (DNB 2005) d. Rupture of follicle Ref: Shaw’s 15/e p46
a. Shows pattern on drying 11. Size of ovarian follicle at ovulation is?
b. Is thick a. 0.5 to 1 cm
c. Is thin and cellular b. 1 to 1.5 cm
d. Seroconversion during pregnancy c. 1.5 to 2 cm
Ref: Shaws 15/e p14/e p38, 39, 194, Dutta 6/e p114 d. 2 to 2.5 cm Ref: Dutta Obs 7/e p20
3. The amount of blood loss during each menstrual period is 12. Normal blood loss in menstruation is?
about: (DNB 2006) a. 20 to 40 mL
a. 10 cc b. 40 to 80 mL
b. 35 cc c. 80 to 120 mL
c. 50 cc d. 120 to 150 mL Ref: Shaw’s 15/e p299
d. 100 cc Ref: Shaws 14/e p256
13. Ferning pattern of mucus under influence of:
4. The pH of vagina in adult woman is: (DNB 2006) a. Progesterone
a. 4.5 b. Estrogen
b. 6.5 c. Testosterone
c. 7.5 d. Prostaglandins Ref: Shaw 15/e, p37
d. 7.0
14. Size of Graafian follicle is: (MAHE 02)
Ref: Dew Hurst 6/e p Dutta, Novak
a. 2 mm
5. Ovulation is characteristically associated with: (DNB 2010) b. 3 mm
a. Decreased FSH c. 4 mm
b. Decreased LH d. 6 mm Ref: Jeffcoat’s 8/e p56, 7/e p61
c. LH surge
15. Which of the following is seen in the ovulatory phase?
d. Prolactin surge Ref: Shaw’s 15/e p41
(AIIMS May 11)
6. Vaginal pH is most acidic in: (DNB 2011)
a. Stimulation of continuation of reduction division of
a. Menstruation
oocytes
b. Pregnancy
b. Inhibin A is increased
c. Puerperium
c. FSH increases steroid synthesis in granulosa cells
d. Infancy
d. Activin causes FSH to act on granulosa cells
Ref: Jeffcoate 7/e p27, Novak Gynaecology 12/e p192 Ref: Leon speroff 8/e, p213, 223, 226, 229
GYNECOLOGY
7. Primordial follicles are developed completely with in: 16. In ovarian cycle, increased levels of LH are due to:
a. 14 weeks (Kolkata 2009) a. Increased progesterone (AIIMS May 11)
b. 8 weeks b. Increased estrogen
c. 4 weeks c. Increased FSH
d. 28 weeks Ref: Williams Obs 23/e p99 d. Increased androgens Ref: Shaw’s 15/e p41
8. Mature Graafian follicle preovulatory is less than: 17. In 40 days of menstrual cycle the ovulation occurs at:
a. 12mm (Karnataka 2009) a. 14th day (UP 03)
b. 14mm b. 20th day
c. 18 mm c. 26th day
d. 25mm Ref: Dutta Obs, 7/e, p-20 d. 30th day
9. An antihormonal substances used to induce ovulation is: Ref: Shaw 15/e p30
a. Mifepristone
Ans. 1. c. 7-10 days... 2. b. Is thick 3. c. 50 cc 4. a. 4.5

5. c. LH Surge 6. b. Pregnancy 7. b. 8 weeks 8. c. 18 mm
9. b. Clomiphene citrate 10. a. Positive feed back 11. c. 1.5 to 2 cm 12. b. 40 to 80 ml
13. b. Estrogen 14. d. 6 mm 15. a. Stimulation of... 16. b. Increased...
17. c. 26th day
18. The corpus luteum secretes: (DNB 04) d. None of the above Ref: KDT 6/e, p307, Jeffcoate 7/e, p60-63
a. Estrogens 26. True about clomiphene citrate: (PGI June 07)
b. Progesterone a. Commonly causes hyperstimulation syndrome
c. Both b. Used for ovulation induction
d. None c. Multiple pregnancies seen in 3-8% cases
19. Apoptosis can occur by change in hormone levels in the Ref: Shaw 15/e p314
ovarian cycle. When there is no fertilization of the ovum, 27. True about clomiphene citrate is: (AIIMS May 09/May 10)
the endometrial cells die because: (AIIMS Nov. 03) a. Enclomiphene has antiestrogenic effect
a. The involution of corpus luteum causes estradiol and b. Chance of pregnancy is three fold as compared to placebo
progesterone levels to fall dramatically c. Risk of multiple pregnancy is 2-4%
b. LH levels rise after ovulation d. It can also be used for male infertility with oligozoospermia
c. Estradiol levels are not involved in the LH surge

Ref: Novak 15/e p1153-1154; Shaw 15/e p314; Jeffcoates 8/e p22-24;
phenomenon
Ref: Leon speroff 8/e p1294-1295,1281
d. Estradiol inhibits the induction of the progesterone
receptor in the endometrium 28. Side effect of clomiphene citrate includes all except:
Ref: Jeffoate 7/e, p83-84 Leon Speroff 7/e, p121-122 a. Multiple pregnancy [AIIMS Nov 07]
b. Increase risk of ovarian ca
20. Corpus luteum functions maximally without an implantaton
c. Multiple polycystic ovary
for …… days: (PGI June 00)
d. Teratogenic effect on off springs
a. 9
Ref: Shaw’s 15/e p314; Jeffcoates 7/e p105; Leon Speroff 7/e p1182
b. 12
c. 6 29. Danazol is used in the treatment of: (AIIMS May 02)
d. 15 Ref: 31; Jeffcoate 7/e p59 a. Cyclical mastalgia
b. Breast cyst
21. In a study it is observed that the right ovary ovulates more
c. Non – cyclical mastalgia
than the left, all are possible explanations for the cause
d. Epithelial changes in breast
except: (AIIMS Nov 2010)
Ref: Shaw 15/e p313; KDT 5/e p271
a. Anatomical asymmetry
b. Difference in blood supply to both sides 30. Which of the following statements are true about
c. Right handedness is more common in population mifepristone: (PGI Dec. 01)
d. Some embryological basis a. Also called RU – 486
Ref: humrep.oxfordjournal.org/content/12/8/1730.full.pdf b. It is a 19 – norsteroid
c. Acts on receptors
22. Which of the following is not related with menstrual cycle:
d. Given only intravenously
a. Hormonal changes (AI 2011)
e. Used for menstrual regulation
b. Vaginal cytology
Ref: Shaw 15/e p237, 246, 317
c. Estrous cycle
d. Endometrial sampling 31. Following are the features of inhibin except:(Karnataka 06)
Ref: Leon speroff 7/e p116-120 a. Non steroidal water soluble protein
b. Secreted by Graafian follicle
23. Naturally occuring estrogens are: (PGI Dec 08)
c. Stimulates FSH secretion
a. Estrone
d. Increased secretion of inhibin occurs in polycystic ovarian
b. Estradiol
disease
c. Estriol
Ref: Shaw 15/e p45; Dutta Gynae 5/e p72;
d. Diethylstilbesterol
Leon Speroff 7/e p197, 8/ p212,213,172
GYNECOLOGY
e. Pregnanediol
Ref: Shaw 15/e p42; Jeffcoate 7/e p67; KDT 6/e p297 32. True about proliferation phase of the endometrium is:
a. It starts and proceeds rapidly for 3 – 5 days (UP 03)
24. The production of cervical mucus is stimulated by:
b. The glands of the functional layer are simple tubules with
a. Progesterone (AIIMS Nov. 02)
regular epithelium
b. Estradiol
c. Intense hyperemia
c. Estriol
d. All of the above Ref: Shaw 15/e p32
d. Pregnenolone Ref: Shaw 15/e p42-43,215
33. In a 25 day cycle ovulation occurs on: (Delhi 04)
25. In an infertile woman, endometrial biopsy reveals
a. 14th day
proliferative changes. Which hormone should be preferred?
b. 13th day
a. MDPA (AI 01)
c. 11th day
b. Desogestrol
d. 12th day Ref: Shaw 15/e p30
c. Norethisterone
Ans. 18. c. Both 19. a. The involution of... 20. c. 6 21. c. Right handedness...
22. c. Estrus cycle 23. a, b and c 24. b. Estradiol 25. a. MDPA
26. b and c 27. a. Enclomiphene... 28. d. Teratogenic... 29. a. Cyclical mastalgia
30. a, b and c 31. c. Stimulates ... 32. d. All of the above 33. c. 11th day
Reproductive Physiology and Hormones in Females 193
35. Ovulation in a female with 38 day cycle occurs at: (Delhi 06) 41. Corkscrew shaped endomentrial glands is seen in:
a. 14th day a. Early proliferative phase (AP 06)
b. 8th day b. Late proliferative phase
c. 24th day c. Early secretory phase
d. 30th day Ref: Shaw 15/e p30 d. Late secretory phase Ref: Shaw 15/e p33
36. Fall of temperature at ovulation is by: (Delhi 06) 42. Sourse of progesterone during normal menstrual cycle:
a. 0.5 degree Fahrenheit a. Corpus luteum (Mahe 07)
b. 1.0 degree Fahrenheit b. Stroma
c. 0.5 degree Celsius c. Surface epithelium of ovary
d. 1.0 degree Celsius Ref: Shaw 15/e p215 d. None Ref: Shaw 15/e p44
36. Ovulation coincides with: (Delhi 2008) 43. Granulosa cell produces estrogen with the help of:
a. High estrogen and high progesterone a. Alkaline phosphatase (Karnataka 2009)
b. LH surge b. Aromatase
c. Low estrogen and high progesterone c. Acid phosphatase
d. Progesterone peak Ref: Shaw 15/e p30 d. Glucuronidase Ref: Dutta Gyna 6/e p72, 73
37. Ovary secretes: (UP 2008) 44. Danazol is a: (CUPGEE 01)
a. Oestrogen and progesterone a. Androgen derivative
b. Oestrogen progesterone, testosterone and androgens b. Oestrogen
c. FSH and LH c. Progesterone
d. ACTH, Inhibin, TSH d. FSH derivative Ref: Shaw 15/e p313
Ref: Shaw 15/e p36 45. Anti progesterone drug is: (Karn. 06)
38. The corpus luteum of menstruation presents for: (DNB 02) a. Cyproterone
a. 5 days b. Mifepristone
b. 10 days c. Spironolactone
c. 14 days d. Tamoxifen Ref: Shaw 15/e p317
d. 30 days 46. Tamoxifen is: (UP 07)
Ref: Dutta Gynae. 6/e p88; 5/e p84 a. Non steroidal antiprogesterone
39. Effect of progesterone on lipids: (DNB 03, 08) b. Non steroidal antioestrogenic
a. Lowers LDL, increases HDL c. Synthetic progestogen norethindrone
b. Lowers HDL and LDL d. Competitive inhibitor of the 5 alpha-reductase
c. Lowers HDL and increases LDL Ref: Shaw 15/e p316
d. Increases LDL and HDL Ref: KDT 7/e, p317
40. Inhibin inhibits the secretion of which hormone: (TN 04) 47. An antihormonal substance used to induce ovulation is:
a. FSH a. Mifepristone (RJ 2008)
b. LH b. Clomiphene citrate
c. Estrogen c. Tamoxifen
d. Prolactin Ref: Shaw 15/e p45 d. Raloxifen Ref: Shaw 15/e pg -314
GYNECOLOGY
Ans. 34. c. 24th day 35. a. 0.5 degree... 36. b. LH surge 37. b. Oestrogen...
38. c. 14 days 39. c. Lowers HDL... 40. a. FSH 41. d. Late secretory phase
42. a. Corpus luteum 43. b. Aromatase 44. a. Androgen... 45. b. Mifepristone
46. b. Non steroidal... 47. b. Clomiphene citrate
3. MENOPAUSE AND HRT
Menopause and HRT 195
MENOPAUSE AND HRT (QUESTIONS)
1. Hot flushes correspond to surge of: (MHPGM-CET 2010) 9. HRT is contraindicated in all except: (DNB 06)
a. FSH a. Breast Ca.
b. LH b. Cervix Ca.
c. GnRH c. Endometrial Ca.
d. Estrogen d. Coronary artery disease Ref: Shaw’s 15/e p66
Ref: Dutta Gynae 6/e p59, Shaw’s Text book of Gynecology 14/e p42 10. Estrogen replacement for post menopausal symptoms
2. HRT is useful in all except: (DNB 2008) causes an increase in: (AIIMS May 02)
a. Hot flushes a. LDL
b. Osteoporosis b. Cholesterol
c. Vaginal atrophy c. VLDL
d. Breast cancer d. Triglycerides Ref: Shaw’s 15/e p67
Ref: Dutta Gyne 6/e p62, Jeffcoate 8/e p86, 7/e p98, Novak 15/e 11. Estrogen administration in a menopausal woman increases
p1243 the: (AIIMS May 06)
3. In premature menopause FSH levels are: (DNB 2010) a. Gonadotropin secretion
a. 35 IU/mL or more b. LDL – cholesterol
b. 40 IU/mL or more c. Bone mass
c. 45 IU/mL or more d. Muscle mass Ref: Shaw’s 15/e p66, 67
d. 75 IU/mL or more Ref: Shaw’s 15/e p70 12. True regarding postmenopausal osteoporosis is:
4. Absolute contraindication of HRT is: (DNB 2011) a. Decreased vitamin D (PGI May 00)
a. Vaginal atrophy b. Decreased serum calcium
b. Active thrombophlebitis c. Normal serum chemistries
c. Osteoporosis d. Decreased vitamin C
d. Breast cancer Ref: Shaw’s 15/e p66 e. Amenorrhea
5. A 22-years-old female with mobile 4 cm size ovarian cyst Ref: Dutta Gynae. 6/e p59
treatment is: (Karnataka CET 2009) 13. All of the following are the advantages of using Raloxifene
a. Laparotomy over estrogen in post menopausal women except: (AI 04)
b. HRT a. Reduces fracture rates
c. Debulking b. Avoids endometrial hyperplasia
d. None Ref: Dutta Gynae 6/e p289,290 c. Reduces the incidence of venous thrombosis
6. Drugs NOT used for menopausal flushing include: d. No increase in incidence of breast carcinoma
a. Clonidine (AP 2011) Ref: Shaw’s 15/e p69
b. Estrogen 14. A 48 years old female suffering from severe menorrhagia
c. SERM (selective estrogen receptor modulators) (DUB) underwent hysterectomy. She wishes to take
d. Tibolone hormone replacement therapy. Physical examination and
Ref: Dutta Gynae 6/e p61, Shaw 15/e, p69 breast are normal but X – ray shows osteoporosis. The
7. Hormone replacement therapy is not given for: treatment of choice is: (AIIMS May 01)
a. Progesterone
GYNECOLOGY
a. Urogenital atrophy (AIIMS Nov 06)
b. Vasomotor symptoms b. Estrogen and progesterone
c. Prevention of osteoporosis c. Estrogen
d. Prevention of coronary heart disease d. None
Ref: Shaw’s 15/e p66, 67 Ref: Shaw’s 15/e p66, 69
8. A 33 year old female presents with history of 6 months 15. Basanti devi 45 yrs old woman presents with hot flushes
amenorrhea. Biochemical investigations showed increased after stopping of menstruation. ‘Hot Flush’ can be relieved
FSH and decreased estradiol. Diagnosis is? by administration of following agents: (AI 02)
a. PCOD a. Ethinyl estradiol
b. Hyperprolactinemia b. Testosterone
c. Premature menopause c. Fluoxymesterone
d. Ectopic pregnancy Ref: Dutta Gynae 6/e p463 d. Danazol
Ref. Shaw 15/e p67; Novak 14/e p1326; Williams Gynae. 1/e p495
Ans. 1. b. LH 2. d. Breast cancer 3. b. 40 IU/mL... 4. d. Breast cancer

5. d. None 6. c. SERM... 7. d. Prevention... 8. c. Premature...
9. b. Cervix Ca. 10. d. Triglycerides 11. c. Bone mass 12. a and b
13. c. Reduces... 14. c. Estrogen 15. a. Ethinyl estradiol
16. All of the following appear to decrease hot flushes in 18. Irregular shedding of the endometrium occurs due to:
menopausal women except: (AI 05) a. Epithelium being immature (UP 04)
a. Androgens b. It does not show the deciduous – like edema of the
b. Raloxifene secretory phase
c. Isofl avones c. Regression of the corpus luteum function
d. Tibolone Ref: Shaw’s 15/e p69 d. Over activity of the corpus luteum function
17. Withdrawl bleeding occurs when progestins are administerd 19. A 30 year old housewife reports with 6 months amenorrhoea.
continuously and: (UP 04) Her serum LH and FSH are high with low estradiol levels.
a. Estrogen concentration is suffi cient What is the most likely cause of amenorrhoea: (UPSC 06)
b. Structural abnormality in the pelvis a. Pituitary tumour
c. Associated with endocrine disorder b. Polycystic ovarian disease
d. Atrophic endometrium Ref: Dutta gynae 6/e, p534 c. Exercise induced
d. Premature menopause Ref: Shaw 15/e p70]
GYNECOLOGY
Ans. 16. b. Raloxifene 17. a. Estrogen... 18. d. Over activity... 19. d. Premature...
4. PCOD, HIRSUTISM AND
GALACTORRHEA
PCOD, HIRSUTISM AND GALACTORRHEA (QUESTIONS)
1. A 28-year old lady, Rani is suspected to have polycystic b. Can cause infertility
ovarian disease. Sample for testing LH and FSH are best on c. May be associated with abnormal glucose tolerance test
the following days of menstrual cycle: (DP PGMEE 2010) d. Results in postdated pregnancy
a. 1-4 (AI 02) Ref: Dutta Gynae. 4/e, p421 - 425; Shaw 15/e p369-371; Williams Gynae.
b. 8-10 1/e, p383 onwards
c. 13-14 9. The following hormone is raised in polycystic ovarian
d. 24-26 syndrome: (AI 06)
Ref: Jeffcoate 6/e p205 a. 17 – OH progesterone
2. All are true about polycystic ovarian disease except: b. Follicular stimulating hormone
a. Persistently elevated LH (DNB 2008) c. Luteinizing hormone
b. Increased LH/FSH ratio (AIIMS Nov 08) d. Thyroid stimulating hormone
c. Increased DHEAS Ref: Shaw’s 15/e p370
d. Markedly decresed prolactin 10. PCOD- hormonal status: (PGI Dec 08)
Ref: Dutta Gynae 6/e p460, 461 a. LH decreased
3. Increased LH: FSH ratio is found in: (UPSC 02) b. LH increased, FSH normal to low
a. Premature menopause c. FSH ioncreased
b. Sheehan syndrome d. 17 OH progesterone normal
c. Polycystic ovary syndrome e. Testosterone increased
d. Turner’s syndrome Ref: Shaw’s 15/e p370
Ref: Shaw’s 15/e p370 11. True about PCOD: (PGI June 09)
4. All are true about PCOD except: a. ↑LH and ↓FSH
a. Hirsutism b. ↑FSH and ↓LH
b. Obesity c. ↑LH and ↓FSH
c. Secondary amenorrhea d. Hyperinsulinemia
d. Primary amenorrhea e. ↑TSH
Ref: Shaw’s 15/ep370, 371 Ref: Shaw 15/e p370; Dutta Gynae. 5/e, p440-441; Williams Gynae 1/e,
5. A 20 year lady comes in OPD with complaint of p384-386
oligomenorrhea, obesity,and hirsutism 12. Which of the following is the most likely diagnosis in a 27
a. PCOD year old obese woman presenting with oligomenorrhea,
b. Ca endometrium infertility and hirsutism? (AI 04)
c. Prolactinoma a. Polycystic ovaries
d. Choriocarcinoma b. Endometriosis
Ref: Shaw’s 15/ep370, 371 c. Pelvic inflammatory disease
6. True regarding polycystic ovarian disease: (AP 2011) d. Turner’s syndrome
a. Raised LH levels Ref: Shaw 15/e p371; Novak 14/e, p1076
b. Menorrhagia 13. In PCOD symptoms and signs seen are: (PGI June 07)
c. Alopecia a. Amenorrhoea
GYNECOLOGY
d. weight loss b. Alopecia

Ref: Shaw’s 15/e p370 c. Theca cell hyperplasia
7. Which of the following is used for hirsutism in females d. Hyperandrogenism
EXCEPT: e. Anovulation
a. Spironolactone Ref: Shaw 15/e p369-371; Williams Gynae. 1/e, p386
b. Oxandrolone 14. True about Stein Leventhal syndrome is/are: (PGI June 03)
c. Finasteride a. Oligomenorrhea and amenorrhea
d. Flutamide b. Seen in post – menopausal women
Ref: Shaw’s 15/e p117-118 c. Innumerate cysts in ovary
8. Which of the following statements is incorrect regarding d. BRCA – 1 is associated
polycystic ovarian disease? (AI 06) e. Theca cell hypertrophy
a. Elevated LH hormone Ref: Shaw 15/e p369-371
Ans. 1. a. 1-4 2. d. Markedly... 3. c. Polycystic... 4. d. Primary...

5. a. PCOD 6. a. Raised LH levels 7. b. Oxynandrolone 8. d. Results in...
9. c. Luteinizing... 10. b, d and e 11. a. ↑LH and ↓FSH 12. a. Polycystic...
13. a, b, c, d and e 14. a, c and e
PCOD, Hirsutism and Galactorrhea 199
15. In PCOD which of the following is seen: (PGI Dec. 02) c. Testosterone
a. Hirsutism d. LH: FSH ratio
b. Secondary amenorrhoea Ref: Shaw’s 15/e p116-117
c. Streak ovaries 21. Persistent anovulation not treated leads to all except:
d. ↑↑FSH / LH a. Hirsutism (PGI June 99)
e. ↑Oestrogen b. Ovarian carcinoma
Ref: Novak 14/e, p1078 - 1079; Williams Gynae. 1/e, p385 - 386 c. Endometrial carcinoma
16. In polycystic ovarian disease, all of the following are seen d. Increased risk of CVS disease
except: (PGI Dec. 01) Ref: Shaw’s 15/e p369-370
a. Endometrial carcinoma 22. A 20 year average weight female presented with
b. Increased FSH oligomenorrhea and abnormal facial hair growth along
c. Streak ovaries with high serum free testosterone level. On USG the ovaries
d. Insulin resistance are normal. The diagnosis: (AIIMS Nov 2010)
e. Hirsutism a. Idiopathic hirsutism
Ref: Shaw 15/e p369-371; Jeffcoate 7/e p385-386, 390; b. PCOD
Williams Gynae. 1/e, p390 for option ‘a’ c. Testosterone secreting tumor
17. Treatment of Hirsutism in PCOD, drugs used are: d. Adrenal hyperplasia
a. Menopausal gonadotropin (PGI Dec 08) Ref: Shaw’s 15/e p370
b. GnRH 23. All of the following are associated with polycystic ovarian
c. Spironolactone syndrome except: (AI 2010)
d. HCG a. Ovarian carcinoma
Ref: Novak 14/e, p1082 - 1083,15/e p1085-1089; b. Endometrial carcinoma
18. A hirsuite lady with PCOD treatment is: (Kolkata 2009) c. Insulin resistance
a. Ethinyl estradiol + Levonorgestrel d. Osteoporosis
b. Ethinyl estradiol + Desogestrel Ref: Leon speroff 7/e, p470-480, 8/e, p500-518, Novak 14/e, p1082, 15/e,
c. Levonorgestrel p1085
d. None 24. True about PCOS: (PGI May 2010)
Ref: Novak 14/e, p1083, 15/e, p1086 KDT Pharma 6/e, p307 a. High FSH/LH ratio
19. Commonest cause of hirsutism in a teenage girl: b. Unilateral large ovarian cyst
a. Ovarian disease (AIIMS June 97) c. Hirsutism
b. Pheochromocytoma d. Increased risk of diabetes mellitus
c. Obesity e. OCP is given for treatment
d. Adrenogenital syndrome Ref: Shaw 15/e, p369; Novak 14/e, p1077-1083; 15/e. p1076 – 1085,
Ref: Shaw’s 15/e p116 William gynae 1/e, p383,384,385,387,395
20. Kali Rani a 20yr old girl presents with history of rapidly 25. Endometrial hyperplasia is seen in: (AI 04)
developing hirsutism and amenorrhea. To establish the a. Endodermal sinus tumor
diagnosis you would like to proceed with which of the b. Dysgerminoma
following tests in blood: (AI 02) c. PCOD
a. 17 – OH progesterone d. Ca cervix
b. DHEA Ref: Jeffcoate 8/e p395; 7/e p422 – 423; Dutta Gynae 6/e p329
GYNECOLOGY
Ans. 15. a, b and e 16. b and c 17. b and c 18. b. Ethinyl..

19. a. Ovarian disease 20. c. Testosterone 21. b. Ovarian Carcinoma 22. b. PCOD
23. d. Osteoporosis 24. c, d and e 25. c. PCOD
5. CONGENITAL MALFORMATIONS
Congenital Malformations 201
CONGENITAL MALFORMATIONS (QUESTIONS)
1. Mayer-Rokitansky-Kuster-Hauser syndrome consists of: c. Absent vagina

a. Ovaries, uterus, fallopian tubes present (DNB 2008) d. XX phenotype
b. Uterus absent, ovaries present (AIIMS May 09) e. XY phenotype
c. All present Ref. Jeffcoate 7/e p197-198; Shaw 15/e p95, 96; COGDT 10/e p549 ,
d. Uterus present tubes and ovaries absent Williams gynae 1/e p416
Ref: Shaws 15/e p95, 14/e p82 9. SRY gene is located on:
2. The most important indication for surgical repair of a a. Short arm of Y chromosome
bicornuate uterus is: (AIIMS Nov 05) b. Long arm of Y chromosome
a. Infertility c. Short arm of X chromosome
b. Dysmenorrhoea d. Long arm of X chromosome Ref: Shaw’s 15/e p106
c. Menorrhagia 10. Complete failure of mullerian duct fusion will result in:
d. Habitual abortion Ref. Jeffcoate 8/e p189; 7/e p204 a. Uterus didelphys (AI 02; UP 04)
3. Ovary develops from: (PGI June 02) b. Arcuate uterus
a. Mullerian duct c. Subseptate uterus
b. Genital ridge d. Bicornuate uterus Ref: Shaw’s 15/e p98
c. Genital tubercle 11. Rokitansky Kuster Hauser syndrome is associated with:
d. Mesonephric duct a. Ovarian agenesis (AI 01)
e. Sinovaginal bulbs b. Absent fallopian tube
Ref. Shaw’s 15/e p92; Dutta Gynae 5/e p38 c. Vaginal atresia
4. Diagnosis of septate uterus done by: (PGI Dec. 04) d. Bicornuate uterus Ref: Shaw’s 15/e p95
a. USG 12. In complete mullerian duct aplasia all of the following are
b. Uterine sound likely to be absent except: (AI 07)
c. Hysteroscopy a. Ovaries
d. Hysterosalpingography b. Fallopian tubes
e. Laparoscopy Ref: Shaw’s 15/e p100 c. Uterus
5. MC congenital abnormality of uterus is: (PGI Dec. 05) d. Vagina Ref: Shaw’s 15/e p95
a. Uterus didelphys 13. Diethylstilbesterol causes the following defects except:
b. Arcuate a. Renal anomalies (APPG 06)
c. Unicornuate b. Perifimbrial cysts
d. Septate c. T shaped uterus
e. Bicornuate Ref. COGDT 10/e p550 Leon Speroff 7/e, p132 d. Vaginal adenosis Ref. Jeffcoate 8/e p188, 7/e p202
6. Transverse vaginal septum corresponds to: 14. Which of the following condition does not present with
a. External os (PGI Dec. 04; June 04) both mullerian and wolffian duct structures? (AI 2010)
b. Vesical neck a. Antimullerian hormone deficiency
c. Bladder base b. FSH receptor mutation
d. Hymen c. Ovotesticular syndrome
e. Above the external meatus
GYNECOLOGY
d. Mixed gonadal dysgenesis
Ref. Williams Gynae. 1/e p413 Ref. Leon speroff 7/e p344, 348, 8/e p342, 347, 365
7. All of the following are features of mullerian agenesis 15. Diethylstilbestrol use causes: (RJ 2009)
except: (PGI Dec. 04) a. Hepatic adenoma
a. 46 XX karyotype b. Ca cervix
b. Normal breast development c. Ca breast
c. Absent vagina d. Fibroid uterus
d. Ovarian agenesis Ref: Shaw’s 15/e p95 Ref: Jeffcoate 7/e p202
8. True about MRKH syndrome: (PGI May 2010)
a. Absent uterus
b. Absent ovary
Ans. 1. b. Uterus absent... 2. d. Habitual abortion 3. b. Genital ridge 4. a, b, c and e

5. d or e 6. a. External os 7. d. Ovarian agenesis 8. a, c, and d
9. a. Short arm... 10. a. Uterus didelphys 11. c. Vaginal atresia 12. a. Ovaries
13. a. Renal anomalies 14. b. FSH receptor... 15. a. Hepatic adenoma
6. SEXUALITY AND INTERSEXUALITY
Sexuality and Intersexuality 203
SEXUALITY AND INTERSEXUALITY (QUESTIONS)
1. The features of Sheehan’s syndrome may include the 8. A 16 years old female with normal pubic hairs and breast
following except: (DP PGMEE 2009) presented with primary amenorrhea. On examination, there
a. Amenorrhoea was blind vagina and absent uterus. Diagnosis is:
b. Galactorrhoea a. 47, XYY
c. Loss of pubic and axillary hair b. Gonadal dysgenesis
d. Hypothyroidism c. Mullerian agenesis
Ref: Shaw 15/e p289, 290, 14/e p259, 263, 13/e p281, 283, d. 45, XO Ref: Shaw’s 15/e p95
Dutta Gyane 4/e p427, Harrison 17/e p2198, 13/e p2078-2079 9. A 22 years old female presented with primary amenorrhea,
2. A nineteen-year old female has short stature, widespread short stature, widely spaced nipples and webbed neck. The
nipples and primary amenorrhoea. She most likely has karyotype is:
karyotype of: (DP PGMEE 2010) a. 47, XXY
a. 47, XX b. 47, XYY
b. 46, XXXY c. 45, XO
c. 47, XXY d. 46, XY Ref: Shaw’s 15/e p111
d. 45 XO 10. A 16 year old girl presents with primary amenorrhoea and
Ref: Harrison 17/e p2341, Shaw 15/e p110, 111, 14/e p96-97, lack of secondary sexual characters with anosmia, the most
Williams gyanae p370 probable diagnosis is?
3. Commonest genetic defect causing gonadal failure with a. Kallmann’s syndrome
primary amenorrhea: (MHPGM-CET 2010) b. Turner’s syndrome
a. Kallman’s syndrome c. Down’s syndrome
b. Abnormal X chromosome d. Klienfelter’s syndrome Ref: Shaw’s 15/e p285
c. 21-hydroxylase deficiency 11. XXY contains how many barr body?
d. Turner’s syndrome a. 0
Ref: Shaw Text book of Gynecology 15/e p110, 286, 14/e p97 b. 1
4. Asherman’s syndrome can be diagnosed by all except: c. 2
a. Hysterosalpingraphy (DNB 2008) d. None of the above
b. Saline sonography Ref: Shaw’s Gynaecology 15/e p112, 108, 14/e p97
c. Endometrial culture 12. The sequence of development of puberty in girls is: (AI 00)
d. Hysteroscopy Ref: Dutta Obs 6/e p459 a. Thelarche, Pubarche, Menarche
5. Androgen insensitivity syndrome, true is: (DNB 2008) b. Pubarche, Thelarche, Menarche
a. Phenotype may be completely female c. Pubarche, Menarche, Thelarche
b. Predominantly ovarian component in gonads d. Menarche, Thelarche, Pubarche Ref: Shaw’s 15/e p54
c. Always in female 13. The first sign of puberty is girls is: (AI 08)
d. Testes formed abnormally and receptors are normal a. Breast budding
Ref: Shaw’s 15/e p111, 112 b. Growth spurt (peak height velocity)
6. All are features of Turner’s syndrome except: c. Menarche
a. Karyotype is 46 XO d. Pubic and axillary hair growth Ref: Novak 15/e p993
GYNECOLOGY
b. Normal breast 14. Gynaecomastia is seen in: (PGI June 07, Dec. 02)
c. Underdeveloped uterus a. Secondary syphilis
d. Normal secondary sexual characters b. Lepromatous leprosy
e. Primary amenorrhoea Ref: Shaw’s 15/e p111 c. HIV
7. Regarding androgen insensitivity syndrome, which d. Klinefelter’s syndrome
statement is/are true: 15. Gynaecomastia is seen in all of the following conditions
a. Genotype is 46 XX except: (AI 2012)
b. Scanty pubic hair a. Prolactinoma
c. Well developed female external genitalia b. TSH secreting adenoma
d. Uterus absent c. HCG secreting tumor
e. Breast development is adequate Ref: Shaw’s 15/e p111 d. Estrogen secreting tumor
Ref: Harrisons 18/e, p2889, Schwartz 7/e, p541;
Schwartz 7/e p541; Behl 9/e p223
Ans. 1. b. Galactorrhoea 2. d. 45 XO 3. d. Turner’s syndrome 4. c. Saline sonography

5. a. Phenotype may... 6. b and d 7. b, d and e 8. c. Mullerian agenesis
9. c. 45, XO 10. a. Kallmann’s syndrome 11. b. 1 12. a. Thelarche...
13. a. Breast budding 14. b, c, and d 15. a. Prolactinoma
16. During sexual differentiation in males: (Karnataka 05) b. Klinefelter’s syndrome
a. Leydig cells produce Mullerian inhibiting substance c. Kallmann’s syndrome
b. Primitive gonads differentiate into testis due to the d. Vas obstruction
presence of SRY gene Ref: Dutta Gyane 6/e p233
c. Androgen binding protein is responsible for the 24. A 15-year-old female presents with primary amenorrhea.
development of male external genitalia Her breasts are Tanner 4 but she has no axillary or pubic
d. Wolffi an duct regresses hair. The most likely diagnosis is: (AI 06)
Ref: Shaw’s 15/e p108 a. Turner’s syndrome
17. Most common cause of ambiguous genitalia in a female b. Mullerian agenesis
child is: (AI 2011) c. Testicular feminization syndrome
a. Placenta steroid sulfatase deficiency d. Premature ovarian failure
b. Fetal aromatase defi ciency Ref: Shaw’s 15/e p111; Novak 14/e p1037 - 1038
c. Wt 4 mutation 25. Androgen insensitivity syndrome true is: (AIIMS May 08)
d. Congenital adrenal hyperplasia a. Phenotype may be completely female
Ref: Dutta Gyane /e p440 b. Predominantly ovarian component in gonads
18. Commonest cause of female pseudohermaphroditism is: c. Always in female
a. Virilizing ovarian tumor (AI 02) d. Testis formed abnormlly and receptors are normal
b. Ovarian dysgenesis Ref: Shaw 15/e p111-112; Williams Gynae. 1/e p410
c. Exogenous androgen 26. All are seen in testicular feminization syndrome except:
d. Congenital adrenal hyperplasia a. 46XY (PGI June 99)
Ref: Dutta Gynae 6/e p440; Williams Gynae. 1/e p409; b. Primary amenorrhea
Novak 14/e p102 c. Short stature
19. Female pseudohermaphroditism true is: (PGI Dec. 04) d. Vagina may be present
a. 46XX chromosomal pattern Ref: Shaw’s 15/e p111, 112
b. Absent ovary 27. A girl presents with primary amenorrhea; grade V thelarche,
c. Absent uterus grade II pubarche; no axillary hair; likely diagnosis is:
d. Presence of testis a. Testicular feminization syndrome (AI 01)
e. Clitoromegaly b. Mullerian agenesis
Ref: Dutta Gynae 6/e p440; William Gynae. 1/e p409; c. Turners syndrome
Shaw 15/e p113 d. Gonadal dysgenesis Ref: Shaw’s 15/e p111, 112
20. The treatment for a case of virilizing adrenal hyperplasia is: 28.
All of the following statements about Androgen
a. Estrogens (AI 06) insensitivity syndrome are true except: (AI 08)
b. Antiandrogens a. Patients have an XY genotype
c. ACTH b. Pubic hair are abundant
d. Cortisone c. Short vagina may be present
Ref: Shaw’s 15/e p114 d. Ovaries are absent
21. Best prenatal treatment for CAH is: (AIIMS Nov 2011) Ref: Shaw’s 15/e p111, 112
a. Dexamethasone 29. 16 year old female presents with primary amenorrhoea with
b. Betamethasone B/L inguinal hernia. She has normal sexual development
c. Prednisolone with no pubic hair. USG shows no uterus and ovaries and a
d. Hydrocortisone blind vagina. Diagnosis is: (AIIMS May 07)
GYNECOLOGY
Ref: Shaw 15/e p114; CGDT 10/e p120, Leon speroff 8/e p355 a. Turner’s syndrome
22. C/F of Turner’s syndrome: (PGI Dec 06, 09) b. Mullerian agenesis
a. Secondary amenorrhea c. STAR syndrome
b. Edema of hands and feet d. Androgen insensitivity syndrome
c. XO genotype Ref: Shaw’s 15/e p111, 112
d. Mental retardation common 30. In testicular feminization syndrome, gonadectomy is
e. Streak ovaries indicated: (UPSC 04)
Ref: Shaw’s 15/e p111; Dutta 6/e p442 a. As soon as it is diagnosed.
23. A male with azoospermia. On examination size of testis b. At puberty
normal, FSH normal, testosterone normal. Most probable c. Only when malignancy develops in it
cause is: (AIIMS Nov 09) d. When hirsutism is evident
a. Mal descended testis Ref: Novak 14/e p1051, 15/e p1050
Ans. 16. b. Primitive Gonads... 17. d. Congenital adrenal... 18. d. Congenital adrenal... 19. a and e
20. d. Cortisone 21. a. Dexamethasone 22. b, c and e 23. d. VAS obstruction
24. c. Testicular... 25. a. Phenotype... 26. c. Short stature 27. a. Testicular...
28. b. Pubic hair... 29. d. Androgen... 30. b. At puberty
Sexuality and Intersexuality 205
31. 17-yr-girl with amenorrhea, atrophied breast, hypoplastic b. Rokitansky-Kuster-Hauser syndrome
uterus: (AIIMS Nov 09) c. Androgen insensitivity syndrome
a. Turner’s syndrome d. Swyer’s syndrome
b. Gonadal dysgenesis Ref:Jeffcoates 8/e p182, 183, 184; 7/e p197-198, Shaw 15/e p95; 14/e p82,
c. Androgen insensitivity syndrome (COGDT10/e p549)
d. Klinefelter’s syndrome 39. Testicular feminization syndrome is associated with:
Ref: Harrison 17/e p23-41; Jeffcoate 7/e p227; Shaw 15/e p110-111; a. 46 XX (UP 04)
Williams Gynae 1/e p370 b. Presence of vagina
32. Pure gonadal dysgenesis will be diagnosed in the presence c. Primary amenorrhea
of: (AI 03) d. Short stature Ref: Shaw’s 15/e p111-112, 284
a. Bilateral streak gonads 40. A 16 year old girl with blind vagina and absent uterus
b. Bilateral dysgenetic gonads presents to you. The investigation you will like to do first is:
c. One side streak and other dysgenetic gonads a. Intravenous pyelography (Delhi 02)
d. One side streak and other normal looking gonad b. FSH
Ref: Shaw’s 15/e p210, 211 c. Karyotyping
33. A 16 yr old female presents with primary amenorrhea. d. CT scan of pelvis
Examination shows a short blind vagina, with absent Ref: Jeffcoates 8/e p546; 7/e p198; CGDT 10/e p931 fig. 56-2
uterus. The next investigation of choice is: (AI 00) 41. First sign of puberty in females is: (Delhi 06)
a. Karyotyping a. Pubarche
b. IVP b. Menarche
c. Gonadotrophin levels c. Thelarche
d. Serum Prolactin d. All occur together
Ref: Jeffcoate 8/e p545; 7/e p198; CGDT 10/e p931 Fig. 56-2 Ref: Novak 15/e p993; Dutta Gynae. 6/e p49
34. True about Klinefelter’s syndrome: (PGI May 2010) 42. Barr bodies are not present in: (DNB 01)
a. XXY a. XO
b. XO b. XXY
c. Male hypogonadism c. XX
d. Female hypogonadism d. XXX Ref:Shaw 15/e p110
e. FSH normal Ref: Jeffcoats 8/e p212, 213
43. Characteristic of XO chromosomal defect is: (UPSC 86)
35. A patient of 47 XXY karyotype presents with features of a. Short stature
hypogonadism; likely diagnosis is: (AI 01) b. Webbed necked
a. Turners syndrome c. Infertility
b. Klinefelters syndrome d. Widely spaced nipple
c. Edwards syndrome e. All of the above
d. Down syndrome Ref: Jeffcoats 8/e p212, 213 Ref: Shaw 15/e p110-111; Williams Gynae. 1/e p370
36. A girl has primary amenorrhea with normal ovaries, absent 44. Gonadal sex of the fetus is determined by: (Comed 06)
internal genitalia but normal external genitalia. Most a. Secretion of testosterone
probable diagnosis? (AI 10) b. Secretion of antimullerian hormones
a. Mayer-Rokitansky-Kuster-Hauser syndrome c. Sex determining region on the ‘Y’ chromosome
b. Turner’s syndrome d. Secretion of estrogen
c. Noonan’s syndrome Ref: Shaw 15/e p108; Dutta Gynae. 5/e p420
GYNECOLOGY
d. Androgen insensitivity syndrome
45. A female presents with primary amenorrhea and absent
Ref: Shaw’s 15/e p95; Jeffcoats 8/e p182, 183, 184
vagina, the next investigation to be done is: (SGPGI 05)
37. Young male presents with delayed puberty with decreased a. LH/FSH assay
FSH, LH, and testosterone. Which of the following is NOT b. Chromosomal analysis
possible? (All India 2012) c. Urianalysis
a. Kallmann’s syndrome d. Laparoscopy
b. Klinefelter’s sydnrome
46. All of the following are associated with precocious puberty
c. Constitutional delay
except: (AP 2008)
d. Dax-1 gene mutation Ref: Jeffcoats 8/e p212, 213
a. Ovarian feminizing tumour
38. In which of the following conditions do the ovaries b. Mc Cune Albright’s syndrome
functions normally? (AIIMS Nov 2011) c. Testicular feminizing syndrome
a. Turner’s syndrome d. Intracranial tumor
Ref: Jeffcoate 7/e p116-118; Dutta’s 6/e p51
Ans. 31. a. Turner’s... 32. a. Bilateral... 33. a. Karyotyping 34. a, c and e

35. b. Klinefelters... 36. a. Mayer-Rokitansky... 37. b. Klinefelter’s... 38. b. Rokitansky...
39. c. Primary... 40. c. Karyotyping 41. c. Thelarche 42. a. XO
43. e. All of the above 44. c. Sex... 45. b. Chromosomal... 46. c. Testicular...
7. INFECTIONS OF GENITAL TRACT
Infections of Genital Tract 207
INFECTIONS OF GENITAL TRACT (QUESTIONS)
1. “ Strawberry cervix” or vagina is feature of: (DNB 2005) 9. Presence of “clue cells” in the vaginal discharge indicates:
a. Vaginal candidiasis a. Gardnerella vaginosis (AP 2012)
b. HSV infection b. Moniliasis
c. Bacterial vaginosis c. Trichomoniasis
d. Trichomonas vaginitis d. Senile vaginitis Ref: Shaw’s 15/e p131
Ref: Dutta 6/e p164, 5/ p159-160; Shaw’s 15/e p145 10. The drug of choice for the treatment of monilial vaginitis is:
2. Treponema pallidum infection is mostly transmitted in a. Metronidazole (AP 2012)
which week of pregnancy: (DNB 2005) b. Doxycycline
a. 4th week c. Fluconazole
b. 8th week d. Clindamycin Ref: Shaw’s 15/e p147
c. 16th week 11. Herpes genitalis definitive diagnosis is made by: (AP 2011)
d. 28th week a. Tzank smear
Ref: Williams Obs 23/e p1235 b. Culture and isolation
3. Commonest site of genital tuberculosis in women is: c. Biopsy
a. Tubes (DNB 2010, 2005, 07) d. ELISA Ref: Dutta Gynae 6/e p153
b. Uterus 12. “Lead pipe” appearance of the fallopian tube is due to:
c. Cervix a. Tuberculosis (AP 2010)
d. Vagina b. Gonococcus
Ref: Shaws 15/e p154, 14/e p137 Dutta Gynaecology 5/e p137 c. Carcinoma fallopian tube
4. Bartholin cyst infection is caused by: (DNB 2005, 06) d. Ectopic pregnancy
a. Candida Ref: Dutta Gynae 6/e p141
b. Anaerobes 13. A woman present with thick curdy white vaginal discharge.
c. Gonococcus The best treatment for her is:
d. Trichomonas Ref: Shaw’s 15/e p120 a. Miconazole
5. Beading is seen in case of genital tuberculosis in women in: b. Metronidazole
a. Tubes (DNB 2006) c. Nystatin
b. Uterus d. Doxycycline
c. Cervix Ref: Shaw’s 15/e p146-147
d. Vagina Ref: Shaws 14/e p137 Dutta Gynaecology 5/e p137 14. All are risk factors for vaginal candidiasis except:
6. In a smear of vaginal discharge budding yeasts are seen, a. HIV (AIIMS Nov 10)
causative agent is: (DNB 2011) b. Hypertension
a. Trichomonas c. Pregnancy
b. Chlamydia d. Diabetes mellitus Ref. Shaw 15/e p146
c. Candida 15. Clue cells are seen in: (AIIMS May 08)
d. HSV Ref: Shaws 15/e p147, 14/e p131 a. Bacterial vaginosis
7. Whiff test is done for: (DNB 2011) b. Candidasis
GYNECOLOGY
a. Trichomonas c. Trichomoniasis
b. Chlamydia d. Gonorrhoea Ref. Shaw’s 15/e p131
c. Candida 16. A 40-year-old woman presented to the gynecologist with
d. Vaginosis complaints of profuse vaginal discharge. There was no
Ref: Shaw’s 15/e p131 discharge from the cervix on the speculum examination.
8. Drug of choice in senile vaginitis: The diagnosis of bacterial vaginosis was made based upon
a. Oxytocin all of the following findings on microscopy except:
b. Estrogen a. Abundance of gram variable coccobacilli (AIIMS 06)
c. Prostaglandin b. Absence of lactobacilli
d. Progesterone c. Abundance of polymorphs
Ref: Shaw’s 15/e p134 d. Presence of clue cells
Ref. Shaw 15/e p131, 132; CGDT 10/e p670; William’s Gynae. 1/e p51, 63
Ans. 1. d. Trichomonas... 2. d. 28th week 3. a. Tubes 4. c. Gonococcus

5. a. Tubes 6. c. Candida 7. d. Vaginosis 8. b. Estrogen
9. a. Gardinella... 10. c. Fluconazole 11. b. Culture and isolation 12. a. Tuberculosis
13. a. Miconazole 14. b. Hypertension 15. a. Bacterial... 16. c. Abundance...
17. Cervicitis is caused by: (PGI June 03) c. Chlamydia
a. Pseudomonas d. Bacterial vaginosis
b. Staphylococcus Ref: Shaw’s 15/e p135
c. Chlamydia 25. The most sensitive method for detecting cervical chlamydia
d. Trichomonas trachomatis infection is: (AI 04)
e. N. gonorrheae Ref. Dutta Gynae. 6/e p167 a. Direct fluorescent antibody test
18. Acute PID is treated by: (PGI June 03) b. Enzyme immunoassay
a. IV antibiotics (broad spectrum) c. Polymerase chain reaction
b. Drainage of TO mass d. Culture on irradiated MacConkey cells
c. Abdominal hysterectomy Ref. Shaw 15/e p145; Harrison 18/e p1426, Dutta Gunae 6/e. p 126
d. Laparoscopic exploration Ref: Dutta Gynae 6/e p132 26. 45-year-old female complains of lower abdominal pain and
19. Gonorrhoea—which is not a presenting feature: vaginal discharge. On examination, there is cervicitis along
a. Discharge (PGI Dec 08) with a mucopurulent cervical discharge. The Gram smear
b. Acute febrile episodes of the discharge shows presence of abundant pus cells,
c. Hematuria but no bacteria. The best approach to isolate the possible
d. Reddened lips of vulva and vagina causative agent would be: (All India 05)
Ref: Dutta Gynae 6/e p147-148 a. Culture on chocholate agar supplemented with hemin
20. True about Trichomonas vaginalis: (PGI June 05) b. Culture on McCoy cells
a. Flagellated parasite c. Culture on a bilayer human blood agar
b. Fungal infection d. Culture on vero cell lines
c. Curdy white discharge Ref. Dutta 6/e p150; Harrion 18/e p1426
d. Pruritus 27. Drug of choice for Chlamydia in pregnancy: (AI 10)
e. Sexually transmitted a. Doxycycline
Ref. Shaw 15/e p146; William’s Gynae. 1/e p64, 65; Jeffcoate’s 7th/ed, pp b. Tetracycline
340-342 c. Erythromycin
21. Trichomonas—which of the following is true: (PGI June 08) d. Penicillin
a. Foul smelling vaginal discharge Ref. Shaw’s 15/e p145
b. Vaginal pH is 4 28. Creamy fishy odor is caused by: (AI 09)
c. Strawberry vagina a. Trichomonas
d. Infertilitye. Abortion b. Gardnerella
Ref. John Hopkins Manual of Gynaecology and Obstetrics 4/e p430. Shaw c. Candida
15/e p145; Novak 14/e p544; Leon Speroff 7/e p1090 d. Chlamydia Ref. Shaw’s 15/e p131
22. True about bacterial vaginosis: (PGI Dec 04) 29. A lady presented with creamy white vaginal discharge with
a. Intense pruritis fishy odor, drug of choice is: (AIIMS May 09)
b. Gray and White discharge a. Doxycycline
c. Associated with increased vaginal pH b. Ofloxacin
d. Commonly associated with intensive mucosal infl c. Metronidazole
ammation d. Clindamycin Ref. Shaw’s 15/e p131
e. Oral metronidazole is the drug of choice 30. The most common cause of tubal block in India is: (AI 06)
Ref. Shaw 15/e pp 131, 132; CGDT 10/e p670; William’s Gynae. 1/e p50, a. Gonorrhoea infection
51 b. Chlamydia infection
GYNECOLOGY
23. In a patient with pelvic inflammatory disease due to c. Tuberculosis

tuberculosis, which of the following statements is true: d. Bacterial vaginosis
(PGI Dec. 01) Ref. Shaw 15/e p131; CGDT 10/e p670; William’s Gynae 1/e p51
a. Mycobacterium can be grown from menstrual blood 31. Salpingitis/Endosalpingitis is best confirmed by: (AI 08)
b. Associated with infertility a. Hysteroscopy and laparoscopy
c. Ectopic pregnancy is common b. X - ray
d. Dysmenorrhea is a common presentation c. Hysterosalpingography
Ref. Shaw 15/e p156-158; Jeffcoate 7/e p327 d. Sonosalpingography
24. Which of the following cannot be detected by wet film: Ref. Shaw 15/e p446; William’s Gynae. 1/e p74; Gynaecology by
a. Candida (Delhi 08) Ostrzenski (Lippincott Williams 2001/ 282
b. Trichomonas
Ans. 17. b, c and e 18. a and d 19. b and c 20. a, d and e

21. a and c 22. b, c and e 23. a, b and c 24. c. Chlamydia
25. c. Polymerase... 26. b. Culture on... 27. d. Penicillin 28. b. Gardnerella
29. c. Metronidazole 30. c. Tuberculosis 31. a. Hysteroscopy...
Infections of Genital Tract 209
32. Senile vaginitis is due to: (Comed 07) a. Trichomonas vaginalis
a. Gonococcal infection b. Candida infection
b. Cancer cervix c. Gardnerella vaginalis
c. Diabetes d. Herpes infection
d. Estrogen deficiency Ref: Jeffcoate 7th/ed, p337; William’s Gynae. 1/e p51, Shaw’s 15/e p146,
Ref: Shaw 15/e p134 140
33. Most common cause of pelvic inflammatory disease in 41. Surest sign of salpingitis is: (UP 05)
virgin girls is: (UP 07) a. Edema of tubes
a. Gonorrhoea b. Enlargement of tubes
b. Chlamydia c. Seropurulent discharge from the fimbrial part of the tube
c. Treponema pallidum d. Hyperemic tubes
d. Tubercular Ref: Shaw 15/e p451
Ref: Shaw 15/e p157
34. In trichomonas vaginalis: (UP 07, 05) 42. Cystitis is most commonly caused by: (UP 06)
a. Greenish discharge a. E. coli
b. White curdy discharge b. Pseudomonas
c. Blood stained discharge c. Proteus mirabilis
d. Milky discharge d. Neisseria gonorrheae Ref: Shaw 15/e p178
Ref: Shaw 15/e p145 43. Most common cause of acute cervicitis is: (Delhi 02)
35. The commonest type of genital tuberculosis is: (Comed 07) a. E. coli
a. Endosalpingitis b. Chlamydia
b. Exosalpingitis c. Pseudomonas
c. Endometritis d. Gonococcus
d. Interstitial salpingitis Ref: Shaw 15/e p324
Ref: Shaw 15/e p154 44. Which of the following is most likely to show gonococcus
36. Drug of choice in bacterial vaginosis is: (UP 02) in a female: (DNB 96)
a. Metronidazole a. Urethra
b. Doxycycline b. Vagina
c. Clindamycin c. Cervix
d. Ciprofl oxacin d. Rectum
Ref: Shaw 15/e p131 Ref: Harrison 17th/ed, pp 916, 917
37. Frothy discharge with red ulceration in the vagina is seen 45. Criteria for diagnosis of Gardnerella vaginosis include all
with infection of: (UP 03; DBN 02) except: (Karnataka 10)
a. Trichomoniasis a. pH more than 4.5
b. Moniliasis b. Presence of clue cells
c. Chlamydia c. White discharge
d. Bacterial vaginosis d. Fishy odor when mixed with 10% KOH (Amine test
Ref: Shaw 15/e p145 positive)
38. Vulval mycosis is seen with: (UP 03) Ref: Harrison 17/e p827; Shaw 15/e p131
a. Immunodeficiency conditions 46. Hysterosalpingogram findings in tubercular salpingitis
includes all except: (Karnataka 10)
GYNECOLOGY
b. Diabetes mellitus
c. PID a. Bilateral cornual block with extravasation of dye
d. Syphilis patient b. Rigid, nonperistaltic lead pipe appearance
Ref: Shaw 15/e p146 c. Powder burn appearance
39. All are true about genital tuberculosis except: (UP 03) d. Tobacco pouch appearance
a. Fallopian tubes are commonest site Ref: Shaw 15/e p157
b. Sterility is common presenting symptoms 47. The commonest complication of pregnancy after complete
c. Bloodstream is the commonest method of spread treatment of genital tuberculosis is: (AI 91)
d. Primary focus is most often in the lung a. Abortion
Ref: Shaw 15/e p154 b. Ectopic pregnancy
40. Treatment of both partners is mandatory in all the following c. Malpresentation
except: (UP 04; AP 08) d. Intrauterine death
Ref: Shaw 15/e p160
Ans. 32. d. Estrogen defi... 33. d. Tubercular 34. a. Greenish... 35. a. Endosalpingitis
36. a. Metronidazole 37. a. Trichomoniasis 38. a and b 39. b. Sterility is...
40. c. Gardnerella... 41. c. Seropurulent... 42. a. E. coli 43. d. Gonococcus
44. c. Cervix 45. c. White discharge 46. c. Powder burn... 47. b. Ectopic pregnancy
48. An infertile woman underwent hysterosalpingogram. b. Glandular epithelium
It showed bilateral beaded tubes with enlargement at c. Stratifi ed sqamous epithelium
ampulla, The organism responsible is: (Kerala 01) d. Squamous epithelium
a. Chlamydia Ref: Shaw 15/e p144; Dutta Gynae. 5/e p143
b. Gonococci 50. Pelvic inflammatory disease can cause: (Karnataka 09)
c. Tuberculosis a. Dysmenorrhea
d. None b. Menstrual symptoms
Ref: Shaw 15/e p157 c. Both of the above
49. Gonococci has affinity for: (TN 02) d. None of the above
a. Columnar epithelium Ref: Shaw 15/e p451
GYNECOLOGY
Ans. 48. c. Tuberculosis 49. a. Columnar... 50. c. Both of...

8. UROGYNECOLOGY
UROGYNECOLOGY (QUESTIONS)
1. A young nulliparous woman had 3rd degree of uterovaginal 8. Birth trauma is a risk factor for: (Mahe 07)
prolapse without any cystocele or rectocele. There is no a. Prolapse uterus
stress incontinence. The uterus is retroverted. Uterocervical b. Endometriosis
length is 3 inches. All other symptoms are normal. The best c. PID
treatment plan for her will be: (Feb DP PGMEE 2009) d. Abortions
a. Observation and reassurance till child bearing is over Ref: Shaw 15/e p332; Williams Gynae 1/e p533
b. Shirodkar’s vaginal repair 9. The most appropriate method for collecting urine for
c. Shirodkar’s abdominal sling culture in case of vesicovaginal fistula is: (AI 04)
d. Fothergill’s operation Ref: Shaw’s 15/e p342 a. Suprapubic needle aspiration
2. What causes stress incontinence? b. Midstream clean catch
a. VVF c. Foley’s catheterisation
b. RVF d. Sterile speculum
c. Ureterovaginal fistula Ref: Shaw 15/e p185; Dutta Gynae 5/e p404
d. Procidentia Ref: Shaw’s 15/e p336 10. Most useful investigation for VVF is: (AI 10)
3. Most common cause of vesicovaginal fistula in India is: a. Three swab test
a. Gynae surgery (AIIMS Nov. 02) b. Cystoscopy
b. Irradiation c. Urine culture
c. Obstructed labour d. IVP
d. Trauma Ref: Principles & Practice of Obs & Gynae Vol. II for P-G’s 3/e by Pankaj
Ref: Shaw 15/e p184; William Gynae. 1/e p573 Desai, Narendra Malhotra p613, Telinde 9/e p1104
4. Kamla, a 48 years old lady underwent hysterectomy. On 11. Chassar Moir technique is used in: (AMU 05)
the seventh day, she developed fever, burning mictuirition a. VVF
and continuous urinary dribbling. She can also pass urine b. Stress incontinence
voluntarily. The diagnosis is: (AIIMS May 01) c. Urethrocoele
a. Vesicovaginal fi stula d. Enterocoele
b. Urge incontinence Ref: Shaw 15/e p186, 187; Dutta Gynae. 5/e p405
c. Stress incontinence 12. A case of obstructed labor which was delivered by cesarean
d. Ureterovaginal fi stula Ref: Shaw’s 15/e p185 section, complains of cyclical passage of menstrual blood in
5. Treatment of genuine stress incontinence: (PGI Dec. 04) urine. Which is the most likely site of fistula: (AI 04)
a. Anterior colporrhaphy a. Uretherovaginal
b. Posterior colporrhaphy b. Vesicouterine fistula
c. Colposuspension c. Vesicovaginal fistula
d. Pelvic floor exercise d. Ureterouterine fistula
e. Sling operation Ref: Shaw 15/e p188; Jeffcoate 7/e p266
Ref: Shaw 15/e p192, 193, 194; 14/e p174; Dutta gynae 5/e p387-389, 13. Multipara with LSCS, presents with cyclical hematuria,
Textbook of gynae, shielaBalakrishnan 1/e p329-330 diagnosis can be: (PGI Dec 08)
6. Which is true regarding retroverted uterus: (PGI Dec. 01) a. VVF
GYNECOLOGY
a. May present congenitally b. Vesicouterine fistula

b. Associated with endometriosis c. Bladder endometriosis
c. It is a cause of infertility d. Ca. cervix
d. Causes menorrhagia Ref: Shaw 15/e p188
e. Associated with PID 14. Patient of rectovaginal fistula should be initially treated
Ref: Shaw 15/e p345-347; Jeffcoate 7/e p295-297 with: (AI 05)
7. Most common genital prolapse is: (AI 02) a. Colostomy
a. Cystocoele b. Primary repair
b. Procidentia c. Colporrhaphy
c. Rectocoele d. Anterior resection
d. Enterocoele Ref: Novak 14/e p704; 15/e p711, Sabiston T.B. of Surgery 17/e p1500;
Ref: Dutta Gynae. 4/e p193; Novak 14/e p898 Washington Manual of Surgery 3/e p279
Ans. 1. c. Shirodkar’s... 2. d. Procidentia 3. c. Obstructed labour 4. d. Uretero-vaginal...

5. a, c, d and e 6. b, c, d and e 7. a. Cystocoele 8. a. Prolapse...
9. c. Foley’s... 10 b. Cystoscopy 11. a. VVF 12. b. Vesicouterine...
13. b. and c 14. a. Colostomy
Urogynecology 213
15. The recommended non surgical treatment of stress c. Women under 40 years who are desirous of retaining
incontinence is: (AI 09) their menstrual and reproductive function
a. Pelvic floor muscle exercises d. Women over 40 years, those who have completed their
b. Bladder Training families Ref: Shaw 15/e p341
c. Electrical stimulation 23. Fothergill’s repair is also known as: (UP 06)
d. Vaginal cone/weights a. Khanna’s sling operation
Ref: Dutta Gynae 5/e p586; Novak 14/e p 875; Williams Gynae 1/e p525- b. Manchester operation
526; Textbook of gynae, sheila balakrishnan 1/e p328 c. Le Fort’s repair
16. Kelly’s plication operation is done in: (PGI June 05) d. Shirodkar’s abdominal sling operation
a. Stress incontinence Ref: Shaw 15/e p339
b. Vault prolapse 24. Genital prolapse is best repaired after .......... month of child
c. Rectal prolapse birth: (DNB 92)
d. Uterine prolapse a. 1
e. Cervical incontinence b. 2
Ref: Shaw 15/e p193; 14/e p174, Textbook of Gynae shiela Balakrishnan 1/e c. 3
p330 d. 6 Ref: Shaw 15/e p337
17. Which of the following surgeries for stress incontinence has 25. Following operations are used for genital prolapse except:
highest success rate: (AI 2011) a. Fothergill’s (DNB 92)
a. Burch colposuspension b. Fenton’s
b. Pereyra sling c. Ward Mayo
c. Kelly’s stitch d. Le Forte
d. Tension free vaginal tape (TVT) Ref: Shaw’s 15/e p194 Ref: Shaw 15/e p338-342
18. Among the surgeries to correct SUI, the long-term success 26. Most important structure preventing uterine prolapse is:
rate is maximum with: (All India 2002, 2011) a. Round ligament (DNB 94)
a. Burch’s colposupension b. Broad ligaments
b. Stamey’s repair c. Cardinal ligament
c. Kelly’s stitch d. Uterosacral ligament
d. Aldridge surgery Ref: Jeffcoate 8/e p40, 41
Ref: Telinde 9/e p1052-1056
27. Ward Mayo’s operation is indicated in: (DNB 97)
19. In which one of the following conditions is sling operation a. Carcinoma uterus
done: (UPSC 07) b. Nullipara prolapse
a. Multiple prolapse c. Procidentia
b. Nulliparous prolapse d. Carcinoma cervix Ref: Dutta Gynae 6/e p217; 5/e p211)
c. Cystocoele
28. According to Shaw’s classification, III degree is: (DNB 02)
d. Rectocoele
a. Cervix above introtius
Ref: Shaw 15/e p342
b. Cervix at the level of introtius
20. Treatment of choice in second degree of prolapse of uterus c. Cervix outside the introtius
in 24 years nulliparous woman is: (UP 01) d. Procidentia
a. Fothergill’s repair Ref: Shaw 15/e p332
b. Shirodkar’s procedure
29. Urinary incontinence in uterovaginal prolapse is mostly
c. Abdominal sling operations
GYNECOLOGY
due to: (AIIMS 91)
d. Le Fort’s repair Ref: Shaw 15/e p341-342
a. Detrusor instability
21. In uterine prolapse, decubitus ulcer in the cervix is caused b. Stress incontience
by: (UP 04) c. Urge incontinence
a. Friction d. True incontinence
b. Malignant change Ref: Shaw 15/e p336
c. Venous congestion
30. Cystocele is formed by……………of the bladder:
d. Trophic changes
a. Base (UPSC 85; PGI 88)
Ref: Jeffcoate 7/e p279-280; Shaw’s 15/e p335
b. Superior surface
22. Le Fort’s operation is done in: (UP 05) c. Trigone
a. Elderly menopausal patients with advanced prolapse d. Posterior
b. Young women suffering from second or third degree Ref: Dutta Gynae 6/e p204
prolapse
Ans. 15. a. Pelvic Floor... 16. a. Stress... 17. d. Tension... 18. a. Burch’s...
19. b. Nulliparous... 20. c. Abdominal... 21. c. Venous... 22. a. Elderly...
23. b. Manchester... 24. d. 6 months 25. b. Fenton’s 26. c. Cardinal...
27. a and c 28. c. Cervix outside... 29. b. Stress incontience 30. a. Base
31. The best way to treat decubitus ulcer in a case of genital 38. Which is not seen in ureteric fistulas: (AP 2008)
prolapse is by: (KARNAT 99) a. Pyelonephritis
a. Bed rest b. Amenorrhea
b. Antibiotics c. Repair is done by fascial split
c. Antiseptic dressing d. Hydronephrosis
d. Reduction with tampon Ref: Shaw 15/e p185
Ref: Shaw 15/e p335; Jeffcoate 7/e p287 39. Vesicovaginal fistula by obstetric labour manifests after
32. Which of the following is the site of bladder injury in .............. delivery: (DNB 2008)
abdominal hysterectomy: (UP 01) a. Within 24 hours
a. Anterior wall b. Within 72 hours
b. Posterior wall c. Within 1st week
c. Medial wall d. After 1st week
d. Lateral wall Ref: Jeffcoates 8/e p243
33. Vesicovaginal fistula repair surgery, the bladder drainage 40. Commonest site of injury of the ureter in hysterectomy:
should be done for: (UP 06) a. Where it enters the bladder (UPSC 85; PGI 88)
a. 6 days b. Crossing by uterine artery
b. 10 days c. Where it enters the pelvis
c. 12 days d. None of the above
d. 14 days Ref: Telinde Operative Gynae 9/e p1084
Ref: Shaw 15/e p187 41. Kelly’s suture is done in: (Calcutta 00; CUPGEE 06)
34. A 70 year old female patient presents with recurrent a. Stress incontinence
dysuria, with urine routine microscopy normal and urine b. Cervical incontinence
culture negative. Treatment that should be given is: c. Genitourinary prolapse
a. Local antifungal cream (Delhi 99) d. Vaginoplasty
b. Antibacterial chemotherapy Ref: Shaw 15/e p193
c. Hormone replacement therapy 42. ‘Boari’s Operation’ is: (AP 97)
d. None of the above a. Renal pelvic flap
Ref: Shaw 15/e p64 b. Urinary diversion
35. Clinically vesicovaginal and ureterovaginal fistula are c. Bladder flap
differentiated by: (Delhi 04) d. Ureterorectal anastomosis
a. USG Ref: Bailey & Love 24/e p1313
b. IVP 43. A primipara who had a prolonged labour and difficult
c. Cystoscopy with dye vaginal delivery three months ago presents with complaints
d. Methylene blue three swab test Ref: Shaw 15/e p186 of incontinence of loose stools and flatus from the day of
delivery. The most likely diagnosis: (UPSC 99)
36. Bonney’s test is used to demonstrate: (DNB 99, 91) a. Chronic diarrhoea
a. Stress incontinence b. Rectovaginal fistula
b. Urge incontinence c. Haemorrhoids
c. Fibroids d. Complete perineal tear
d. True incontinence Ref: Shaw 15/e p191 Ref: Shaw 15/e p166-167
37. Dye test for fistula, all are true except: (Kolkata 2009) 44. One week after an extended hysterectomy, the patient leaks
GYNECOLOGY
a. If the middle swab is stained with dye, the diagnosis is urine per vaginum. In spite of the leakage, she has to pass
vesicovaginal fistula urine from time to time. The most likely cause is:(UPSC 97)
b. If the lower swab is stained with dye, the diagnosis is a. Vesicovaginal fistula
urethrovaginal fistula b. Ureterovaginal fistula
c. Upper most swab stained with urine but not with dye c. Stress incontinence
and lower two swabs are dry, diagnosis is ureterovaginal d. Overflow incontinence Ref: Shaw’s 15/e p185
fistula. 45. Commonest cause of rectovaginal fistula is: (TN 90)
d. If the middle swab is stained with dye, the diagnosis is a. Following Wertheim’s operation
genuine stress incontinence. b. Pressure necrosis during labour
Ref: Shaw 15/e p186 c. Improper repair of perineal tear
d. Abnormal presentation Ref: Shaw’s 15/e p172, 173
Ans. 31. d. Reduction... 32. b. Posterior wall 33. d. 14 days 34. c. Hormone...
35. d. Methylene blue... 36. a. Stress... 37. d. If the middle... 38. b. Amenorrhea
39. d. After 1st week 40. c. Where it... 41. a. Stress... 42. c. Bladder...
43. d. Complete... 44. b. Uretero... 45. c. Improper...
Urogynecology 215
46. Incontinence in elderly female is most commonly due to: 49. Current indications for use of use of Ring pressary are all
a. Detrusor instability (CUPGEE 99) except: (AP 2010)
b. True stress incontinence a. Puerperium
c. Vesicovaginal fistula b. Stress urinary incontinence
d. Outlet obstruction c. A woman unfit for surgery
Ref: Dutta Gynae 5/e p389; Shaw 15/e p195 d. During early pregnancy
47. Marshall-Marchetti-Krantz surgery is done for: (Karn. 96) Ref: Novak 15/e p920; Dutta Gynae 6/e p211; Jeffcoats 8/e p262
a. Stress incontinence 50. Indication of Manchester operation in prolapse:
b. Urge incontinence a. Nulliparous (PGI Dec 03)
c. Vesicovaginal fistula b. Women of < 35 years age
d. Bladder obstruction c. Patient who wants child bearing function
Ref: Dutta Gynae 6/e p404; Shaw 15/e p193 d. Congenital elongation of cervix
48. Important postoperative management of a case of VVF is: Ref: Shaw 15/e p339; Principles and Practice of Obs & Gynae for PG’s
a. Continuous bladder drainage (AIIMS 84) Pankaj Desai 3/e p559
b. Antibiotics
c. Complete bed rest
d. Early ambulation Ref: Shaw 15/e p187
GYNECOLOGY
Ans. 46. a. Detrusor... 47. a. Stress... 48. a. Continuous... 49. Stress urinary....
50. b. Women...
9. INFERTILITY
Infertility 217
INFERTILITY (QUESTIONS)
1. Infertility by Chlamydia is due to: (DNB 2009) b. Presence of NaCl under estrogenic effect
a. Endometritis c. LH/FSH
b. Oophoritis d. Mucus secretion by glands Ref: Shaw 15/e p215
c. Cervicitis 9. Drugs used for ovulation induction are: (PGI Nov 10)
d. Salpingitis Ref: Shaw’s 15/e p145 a. GnRH
2. IVF and embryo transfer is done in infertility due to: b. Clomiphene citrate
a. Azoospermia (DNB 2009) c. Gonadotropins
b. Tubal cause d. Letrozole
c. PID e. Danazol Ref: Shaw’s 15/e p216, 217
d. Uterine agenesis Ref: Shaw’s 15/e p218, 219 10. Antihormonal substance used to induce ovulation: (AI 07)
3. In the perspective of the busy life schedule in the a. Mifepristone
modern society, the accepted minimum period of sexual b. Clomiphene citrate
cohabilitation resulting in no offspring for a couple to be c. Tamoxifen
declared infertile is: (AIIMS May 05) d. Raloxifen
a. One year Ref: Shaw 15/e p217; Williams Gynae. 1/e, p450 - 451
b. One and a half - year 11. A patient treated for infertility with clomiphene citrate
c. Two years presents with sudden onset of abdominal pain and
d. Three years distension with ascites, the probable cause is:
Ref: Shaw 15/e p200 a. Uterine rupture (AIIMS May 01)
4. Infertility is seen in: (PGI Dec. 02) b. Ectopic pregnancy rupture
a. Fibroid uterus c. Multifetal pregnancy
b. Endometriosis d. Hyperstimulation syndrome
c. Adenomyosis Ref: Shaw 15/e p315; Novak 14/e, p1225; Recent Advances in Obstretics &
d. PID Gynecology no 21 p 123 Onwards; Williams Gynae. 1/e, p452 - 455
Ref: Dutta Gynae. 6/e, p229, 230; Novak15/e, p 1160, 1157; Williams 12. Fallopian tube dysmotility is seen: (AIIMS Nov. 09; 08)
Gynae. 1/e, p 427; Jeffcoates 7/e, p 701-703 a. Noonan’s syndrome
5. Kamla, a 30 yrs old lady examined for infertility by b. Turner’s syndrome
hysterosalpingography, reveals ‘bead – like’ fallopian tube c. Kartagener’s syndrome
and clubbing of ampulla. Most likely cause is: (AI 02) d. Marfan’s syndrome
a. Gonococcus Ref: Leon Speroff 7/e, p239; www.emedicine.com
b. Mycoplasma 13. Fallopian tube patency is checked by: (PGI Dec. 02)
c. Chlamydia a. Hysterosalpingography
d. Mycobacterium tuberculosis b. Laparoscopy
Ref: Shaw’s 15/e p158 c. Hysteroscopy
6. The risk of Asherman syndrome is the highest if Dilatation d. USG
and Curettage (D and C) is done for the following condition: e. CT scan
a. Medical termination of pregnancy (AIIMS May 06)
GYNECOLOGY
14. Lady with infertility with bilateral tubal block at cornua;
b. Missed abortion best method of management is: (AIIMS Nov. 06)
c. Dysfunctional uterine bleeding a. Laparoscopy and hysteroscopy
d. Postpartum hemorrhage b. Hydrotubation
Ref: Clinical Gynecologic Endocrinology & Infertility, Leon Speroff 7/e, p. c. IVF
1045, Net search www.asherman syndrome.com d. Tuboplasty Ref: Dutta Gynae 6/e p247
7. What is the cause for luteal phase defect ? (PGI Dec. 05) 15. An infertile woman has bilateral tubal block at cornua
a. Progesterone is inadequately secreted diagnosed on hysterosalpingography. Next step in
b. Excess estrogen is secreted treatment is: (AIIMS Nov 2011)
c. Excess progesterone is secreted a. IVF
Ref: Dutta Gyane 6/e p237 b. Laparoscopy and hysteroscopy
8. Fern test is due to: (SGPGI 05) c. Tuboplasty
a. Presence of NaCl under progesterone effect d. Hydrotubation Ref: Dutta Gynae 6/e p247
Ans. 1. d. Salpingitis 2. b. Tubal cause 3. a. One year 4. a, b, c and d

5. d. Mycobacterium... 6. d. Post partum... 7. a. Progesterone... 8. b. Presence of...
9. b, c and d 10. b. Clomiphene... 11. d. Hyperstimulation... 12. c. Kartagener...
13. a and b 14. c. IVF 15. b. Laparoscopy...
16. Post coital test detects all of the following except: c. Karyotyping
a. Fallopian tube block (AIIMS May 01) d. FNAC of testes
b. Cervical factor abnormality Ref: Dutta Gyane 6/e p233, 232; Shaw’s 15/e p204
c. Sperm count 24. Semen analysis of a male of an infertile couple shows
d. Sperm abnormality Ref: Shaw 15/e p204 absence of spernatozoa but presence of fructose. The most
17. Post coital test (PCT) is done for: (PGI June 05) probable diagnosis is:
a. Cervical receptivity a. Prostatic infection
b. Sperm motility b. Mumps orchitis
c. Absolute sperm count c. Block in efferect duct system
d. Viable sperm count d. All of the above
e. Endometrial function Ref: Dutta Gynae 6/e p232, 233
Ref: Shaw 15/e p204; Novak 14/e, p 1220; Williams Gynae. 1/e, p 439 25. Intrauterine insemination means implantation of:
18. Cervical hostility is tested by following except: a. Semen (PGI June 05)
a. Spinnbarkeit (PGI Dec. 97) b. Washed semen
b. Post coital test c. Million of sperm
c. Miller Kuzrok test d. Fertilized ova
d. Keller test Ref: Dutta Gynae 6/e p250
Ref: Shaw 15/e pg-204
19. Which is a not an essential criteria according to WHO for 26. In vitro fertilization is indicated in: (AIIMS Dec. 97)
normal semen analysis: (AIIMS Nov. 07) a. Tubal pathology
a. Sperm count > 20 million/mL b. Uterine dysfunction
b. Volume > 1 mL c. Ovarian pathology
c. Sperm with normal morphology (strict criteria) > 15% d. Azoospermia
d. Motility > 25% with rapidly progressive motility Ref: Shaw 15/e p214; Clinical Endocrinology & Infertility by Leon Speroff
Ref: Novak 14/e, p 1193; 15/e p 1141; Leon Speroff 7/e, p 1144 7/e, p 1216, John Hopkins manual of obs and gynae 4/e, p432
20. Aspermia is the term used to describe: (AI 05) 27. Aspiration of sperms from testes is done in: (AI 07)
a. Absence of semen a. TESA
b. Absence of sperm in ejaculate b. MESA
c. Absence of sperm motility c. ZIFT
d. Occurrence of abnormal sperm d. GIFT
Ref: Dutta Gynae 6/e, p232; Shaw’s 15/e p203 Ref: Novak 15/e, p1147; Dutta’s Gynae 6/e p251; Shaw’s 15/e p209
21. A 25 year old infertile male underwent semen analysis 28. In semen banks, semen is preserved at low temperature
Results show: sperm count – 15 million/mL; pH – 7.5 ; using: (DNB 06)
volume – 2 mL; no agglutination is seen. Morphology shows a. Dry ice
60% normal and 60% motile sperms. Most likely diagnosis b. Deep freeze
is: (AI 02) c. Liquid nitrogen
a. Normospermia d. Liquid air Ref: Jeffcoate 7/e, p 723
b. Oligospermia 29. Which is not an assisted reproduction technique: (AI 95)
c. Azoospermia a. GIFT
d. Aspermia b. ZIFT
Ref: Novak 14/e, p 1193; Leon Spiroff 7/e, p 1144 c. IVF and ET
GYNECOLOGY
22. Which of the following is true about obstructive d. Artificial insemination Ref: Shaw’s 15/e p219
azoospermia: (AI 09) 30. Asherman syndrome is due to: (UP 01)
a. ↑ FSH and ↑ LH a. Overdose drugs
b. Normal FSH and Normal LH b. Postabortion curettage
c. ↑ LH, Normal FSH c. Speticemia
d. ↑ FSH, Normal LH d. Contraceptive pills
Ref: Shaw’s 15/e p204 Ref: Dutta gynae 4/e, p421; Shaw 15/e p210)
23. In azoospermia, the diagnostic test which can distinguish 31. Best test for diagnosis of tubal patency is: (UP 03)
between testicular failure and obstruction of vas deferens a. Laparoscopy
is: (UPSC 04) b. Hysterosalpingography
a. Estimation of FSH levels c. Endometrial biopsy
b. Estimation of testosterone levels d. Mantoux test Ref: Shaw 15/e p213; Leon Spiroff 7/e, p 1048
Ans. 16. a. Fallopian tube... 17. a. Cervical... 18. d. Keller test 19. b. Volume > 1 mL
20. a. Absence of... 21. a. Normospermia 22. b. Normal FSH... 23. a. Estimation...
24. c. Block in... 25. b. Washed semen 26. a. Tubal pathology 27. a. TESA
28. c. Liquid nitrogen 29. d. Artificial... 30. b. Postabortion... 31. a. Laparoscopy
Infertility 219
32. Secondary amenorrhoea after abortion due to intrauterine 37. Endometrial biopsy for infertility is taken on ..... day:
adhesions is seen in: (Delhi 97) a. 2 to 4 days (Just after menstruation) (Jipmer 90, UP 08)
a. Uterine inertia b. 12 to 4 (Mid cycle phase/LH surge)
b. Imperforate hymen c. 23 to 26 (Premenstrual)
c. Bicornuate uterus d. 9 to 11 Ref: Shaw 15/e p215
d. Asherman’s syndrome Ref: Shaw 15/e p210 38. Best test for measuring Graffian follicle maturation is:
33. Luteal phase is best diagnosed by: (Delhi 97) a. Fern test (Jipmer 03)
a. Serum progesterone levels b. Endometrial biopsy
b. Endometrial biopsy c. Transvaginal ultrasonography
c. Basal body temperature d. Abdominal ultrasonography
d. Ultrasonography Ref: Shaw 15/e p216
Ref: Novak 14/e, p 1225; Williams Gynae. 1/e, p 360; Novak 15/e p1161 39. Increased FSH levels in azoospermic male indicates:
34. Absence of sperms in semen is called: (MP 2009) a. Testicular atrophy (UPSC 02)
a. Aspermia b. Hypothalamic failure
b. Azoospermia c. Cryptorchidism
c. Astenospermia d. Hypospadias
d. Necrospermia Ref Shaw 15/e p203 Ref: Shaw 15/e p204
35. In which condition fructose is deficient in ejaculation: 40. Antisperm antibodies are usually present in the:
a. Blockage of epididymis (RJ 2008) a. Cervix (UPSC 01)
b. Absence of seminal vessels b. Vagina
c. Testicular atrophy c. Uterus
d. Leydig cell pathology d. Fallopian tube Ref: Dutta 6/e p230; 5/e, p223
Ref: Dutta Gynae 6/e p233; 5/e, p226, see figure 41. Sonosalpingography is done for:
36. PESA/MESA is helpful in: (Orissa 05) a. Measuring basal body temperature (TN 03)
a. Pretesticular azoospermia b. To detect pregnancy
b. Testicular azoospermia c. Testing tubal patency
c. Post-testicular azoospermia d. Determining anovulatory cycle Ref: Shaw’s 15/e p213
d. Asthenospermia
Ref: Novak 15/e p1147; 14/e, p1201
GYNECOLOGY
Ans. 32. d. Asherman’s... 33. b. Endometrial... 34. b. Azoospermia 35. b. Absence of...
36. c. Post testicular... 37. c. 23 to 26... 38. c. Transvaginal... 39. a. Testicular atrophy
40. a. Cervix 41. c. Testing tubal...
10. CONTRACEPTION
Contraception 221
CONTRACEPTION (QUESTIONS)
1. Method of sterilization least suited for recanalization is: 8. Ideal contraception in lactation: (DNB 2008)
a. Clips (Feb DP PGMEE 2009) a. Lactational amenorrhea
b. Bipolar cauterization b. POP’s
c. Fallopian rings c. COP’s
d. Pomeroy’s techniques d. Barrier methods
Ref: Shaw 15/e p241 Ref: Dutta Obs 7/e p152, 559, Shaws 14/e p219
2. Contraindications for the use of intrauterine contraceptive 9. All of the following are contraindications to IUD use except:
device include all except: (DP PGMEE 2009) (DNB 2009)
a. Pelvic inflammatory disease a. PID
b. Thromboembolic disease b. Pregnancy
c. Pelvic tuberculosis c. Uterine bleeding
d. Ovarian cancer d. Young female
Ref: Dutta 7/e p539, 6/e p537-538 Ref: Dutta Obs 7/e p539
3. The failure rate of combined oral contraceptive (Estrogen + 10. Centrochroman is a: (DNB 2009)
Progesterone): (DP PGMEE 2009) a. Male contraceptive
a. 1-2% b. Female contraceptive
b. 5-6% c. Tocolytic
c. 10-12% d. Abortifacient
d. 16-18% Ref: Dutta Obs 7/ep 560, 6/e p558
Ref: Shaw’s 14/e p201-208, 13/e p226-236, Dutta 7/e p547, 6/e p533-556 11. Pearl index is: (DNB 2009)
4. A primipara with a cardiac lesion has come on the 40th day a. Failure rate/1 women years
of delivery asking for contraception. The contraceptive b. Failure rate/10 women years
choice is: (DP PGMEE 2010) c. Failure rate/100 women years
a. Condom with spermicidal jelly d. Failure rate/1000 women years
b. Oral contraceptive pill Ref: Dutta Obs 7/e p533
c. Intrauterine contraceptive device 12. Billings method of contraception is: (DNB 2010)
d. Laparoscopic sterilization a. Barrier
Ref: Dutta 7/e p278, 6/e p280 b. Hormonal
5. Yuzpe method is a type of: c. Behavioural
(UPSC 2000 , MHPGM-CET 2010) d. None
a. Emergency post-coital hormonal contraception Ref: SPM Park 20/e p436, Dutta Obs 6/e p534
b. Emergency post-coital IUCD contraception 13. Progestrone of choice in emergency contraception is:
c. Male contraception a. DMPA (DNB 2010)
d. Reversible minilaparotomy b. Levonorgestrel
Ref: Dutta Obs 7/e p552, Shaw’s Text book of Gynaecology 13/e p233 c. Norgesterone
6. LNG-IUS (levonorgestrel intrauterine system) is: d. Micronised progesterone
a. A non hormone releasing IUCD (DNB 2006) Ref: Shaw 15/e p237, 14/e p213
GYNECOLOGY
b. A hormone releasing IUCD 14. OCP are contraindicated in: (DNB 2011)
c. A barrier a. Heart disease
d. A behavioural contraceptive b. Thromboembolism
Ref: Dutta Obs 7/e p538, 6/e p541 c. Breast cancer
7. The most common site of ligation in Pomeroys female d. All of the above
sterilisation is: (DNB 2008) Ref: Dutta Obs 7/e p545
a. Isthmus 15. Not an absolute contraindication to use of OCP is:
b. Ampullary a. Age over 35 and smoking >15 cigarettes daily
c. Cornual b. Migraine (DNB 2011)
d. Fimbrial c. Active hepatitis
Ref: Dutta Obs 7/e p554 d. Diabetes
Ref: Leon Speroff 7/e p906
Ans. 1. b. Bipolar... 2. b. Thromboembolic... 3. a. 1-2% 4. a. Condom with...

5. a. Emergency... 6. b. A hormone... 7. a. Isthmus 8. b. POP’s
9. d. Young female 10. b. Female... 11. c. Failure... 12. c. Behavioural
13. b. Levonorgestrel 14. d. All of the above 15. d. Diabetes
16. Mode of action of Cu-T are all except: (AP 2010) d. CuT 200B
a. Impaired sperm ascent Ref: Dutta Obs 7/e p537, 538
b. Causes biochemical changes, causes gametocytic and 24. Which one is NOT TRUE about injectable contraceptive
spermatolytic changes ‘depot medroxyprogesterone acetate? (AP 2012)
c. Increase fallopian tube motility a. Causes cervical mucus thickening
d. Inhibits ovulation b. Pregnancy rate 3%
Ref: Dutta Obs 7/e p538 c. Inhibits ovulation
17. All are true about female condom except: (AP 2010) d. Produces endometrial atrophy
a. It is made from polyurethane Ref: Dutta Obs 7/e p550
b. It covers the vagina and external genitalia 25. Emergency contraception mechanisms include all except:
c. Failure rate is 2 per HWY a. Inhibiting ovulation (AP 2011)
d. Prevents STD b. Prevention of implantation
Ref: Dutta Obs 7/e p535 c. Interference in early pregnancy
18. All of the following mechanisms of action of oral d. Inhibiting fertilization
contraceptive pill are true, except: (AP 2010) Ref: Dutta Obs 7/e p557, 552
a. Inhibition of ovulation 26. IUCD should NOT be inserted during: (AP 2011)
b. Prevention of fertilization a. Suspected pregnancy
c. Interference with implantation of fertilized ovum b. Postcoital contraception
d. Interference with placental functioning c. Menstruation
Ref: Dutta Obs 7/e p544 d. Post abortive period
19. The most effective contraceptive method recommended in Ref: Dutta Obs 7/e p539
lactating mothers is: (Al 09) 27. Once a week pill: (AP 2011)
a. Barrier method a. Progestogen only pill
b. Progesterone only pill b. Centrochroman
c. Oral contraceptive pills c. Triphasic combined pills
d. Lactational amenorrhea d. Combined oral pills
Ref: Williams Obs, 23/e, p 694, Dutta Obs, 7/e p 558 Ref: Dutta Obs 7/e p559, 560
20. Combined oral contraceptive pills are protective against all, 28. Oral contraceptive pills are not contraindicated in:
except: (AP 2012) a. Non lactating mothers (AP 2011)
a. Hepatic adenoma b. Obesity
b. Depression c. Hypertension
c. Benign breast disease d. Thromboembolism Ref: Dutta Obs 7/e p545
d. Endometriosis
29. Knaus-Ogino method is what type of contraceptive method?
Ref: Dutta Obs 7/e p547
a. Calender method
21. Failure rate of sterilization is least with: (AP 2012) b. Withdrawal method
a. Pomeroy’s technique c. Barrier method
b. Fimbriectomy d. Cervical mucus rhythm method
c. Yoon ring Ref: Shaw’s 15/e p223
d. Minilaparotomy
30. Which contraceptive should be used after molar pregnanacy?
a. Barrier
AP – 2012; DNB – 2008; DNB – 2012; FMCG – SEPT. 2009;
b. Hormonal contraceptives
GYNECOLOGY
KARNATAKA – 2006; UPSC – 2004;

c. IUCD
22. Indications for removal of IUD are: (AP 2012) d. Natural method
a. Excessive uterine bleeding Ref: Shaw’s 15/e p257
b. Flaring up of pelvic infection
31. OCP are absolutely contraindicated in:
c. Uterine perforation
a. Benign breast disease
d. All of the above
b. Ovarian cancer
c. Active liver disease
23. Longest time for replacement is seen in which of the d. Endometrial cancer
following intrauterine devices? (AP 2012) Ref: Dutta Obstetrics 7/e p545, 6/e, p545; Shaw Gynaecology 14/e, p208
a. CuT 380A
b. Multiload 375
c. CuT 250
Ans. 16. d. Inhibits... 17. c. Failure rate... 18. d. Interference... 19. b. Progesterone only pill
20. b. Depression 21. a. Pomeroy’s... 22. d. All of the above 23. a. CuT 380A
24. b. Pregnancy... 25. c. Interference... 26. a. Suspecte... 27. b. Centchroman
28. a and b 29. a. Calender method 30. a. Barrier 31. c. . Active liver...
Contraception 223
32. Breakthrough bleeding is seen in: d. Today
a. Coitus Ref: Dutta’s Obs 7/e p534; Shaw 15th/ed p 222
b. Hormonal use 39. Which one of the following is not a correct statement
c. DMPA use regarding the use of condom: (UPSC 07)
d. OCP use a. Air should be squeezed out of tip
Ref: Dutta Obstetrics 6/e, p548 b. It should be tested by inflating
33. Most common complication of IUCD: c. It should be unrolled on erect penis
a. Bleeding d. K-Y jellly may be used for lubrication
b. Uterine perforation Ref: Practice of Fertility Control S.K. Chaudhari 6/e p82; Leon Speroff 7/e
c. Expulsion of IUCD p998
d. Cervical carcinoma 40. Which one of the following is the most common problem
Ref: Shaw 15/e, p540, 541 associated with the use of condom: (UPSC 02)
34. Non invasive method for locating an expelled Cu-T: a. Increased monilial infection of vagina
a. Hysteroscopy b. Premature ejaculation
b. USG c. Contact dermatitis
c. Laparoscopy d. Retention of urine
d. Laparotomy Ref: Shaw 15/e p224, 14/e p202
Ref: Shaw 15/e, p229 41. All are contraindications of diaphragm EXCEPT: (UP 05)
a. Multiple sex partners
35. Which of the following is correct for the calculation of pearl b. Recurrent UTI
index: (AIIMS Nov. 03) c. Uterine prolapse
No. of accidental pregnancies × 1200 d. Herpes vaginitis
a. –––––––––––––––––––––––––––––––––– Ref: Shaw 15/e p225
No. of patient observed × months of use
42. Spermicidal agents are: (PGI June 06)
No. of accidental pregnancies × 1200 a. Nonoxynol
b. –––––––––––––––––––––––––––––––––– b. Menfegol
No. of patient observed × 2400
c. Progestasert
No. of patients observed × months of use d. Levonorgestrel
c. –––––––––––––––––––––––––––––––––– Ref: Shaw 15th/ed p 224
No. of accidental pregnancies
Version I
No. of patient observed × 2400 43. Amount of estrogen in low dose oral contraceptive pills:
d. ––––––––––––––––––––––––––––––––––
No. of accidental pregnancies × 1200 a. 30 μg (AIIMS Nov. 01)
b. 40 μg
Ref: Dutta Obs 7/e p533 c. 50 μg
d. 20 μg
36. Pearl’s index indicates: (PGI June 05)
Ref: Jeffcoates 8/e p756-757
a. Malnutrition
b. Population Version II
c. Contraceptive failure 44. Minimum effective dose of ethinyl estradiol in combination
d. LBW oral pills is: (AIIMS May 04)
e. IUGR a. 20 μg
GYNECOLOGY
Ref: Dutta Obs. 7/e p533 b. 35 μg
37. Reversible methods of contraception are: (PGI June 05) c. 50 μg
a. Female sterilization d. 75 μg
b. OCP Ref: Dutta Obs. 7/e p544; 6/e p542; Shaw 15th/ed p 231
c. IUCD 45. Use of OCP’s are known to protect against following
d. Barrier malignancies except: (AIIMS Nov. 02)
e. Depot injection a. Ovarian carcinoma
Ref: Dutta Obs. 6/e p532; 7/e p534 b. Endometrial carcinoma
38. Not a barrier contraceptive: (UP 2008) c. Uterine sarcoma
a. Diaphragm d. Carcinoma cervix
b. Centrochroman Ref: Dutta Obs. 7/e p547; 6/e p545; Shaw 15/e p231; 14/e p208; Harrison
c. Condom 17/e p563
Ans. 32. c. DMPA, 33. a. Bleeding, 34. b. USG,

No. of accidental pregnancies × 1200
35. a. –––––––––––––––––––––––––––––––– 36. c. Contraceptive failure 37. b, c, d, and e
No. of patient observed × months of use
38. b. Centochroman 39. b. It should be... 40. c. Contact... 41. a. Multiple...
42. a and b 43. a. 30 μg 44. a. 20 μg 45. d. Carcinoma cervix
46. Use of oral contraceptives decreases the incidence of all of 54. A 20-years old nulliparous women is on oral contraceptives
the following except: (AIIMS May 05) pills. She is currently diagnosed as having pulmonary
a. Ectopic pregnancy tuberculosis. Which anti-tubercular drug decreases the
b. Epithelial ovarian malignancy effect of OCPS: (AIIMS May 01)
c. Hepatic adenoma a. INH
d. Pelvic infl ammatory disease b. Pyrazinamide
Ref: Shaw’s 15/e p231 c. Ethambutol
47. OCP gives protection against following cancers: d. Rifampicin Ref: Dutta Obs 7/e p546
a. Endometrial (PGI June 06) 55. OCP’s are containadicated in patients receiving:
b. Ovary a. Rifampicin (AIIMS Nov. 07)
c. Cervix b. Ethambutol
d. Breast c. Streptomycin
e. Liver d. Pyrazinamide Ref: Dutta Obs 7/e p546
Ref: Shaw’s 15/e p231 56. Newer progestational contraceptives primarily act by:
48. OCP’s cause all except: (AIIMS Dec. 98) a. Oviductal motility (AIIMS May 03)
a. Dysmenorrhea b. Uterine endometrium
b. Mastalgia c. Cervix
c. Nausea d. Inhibiting ovulation
d. Chloasma Ref: Shaw’s 15/e p233; (read cerazette)
Ref: Shaw’s 15/e p232 57. DMPA-True: (PGI Dec 09)
49. Adverse effects of combined OCPs are: (PGI Dec 09) a. Failure @ 0.3/100 WY
a. Liver disorders b. 150 mg/3 monthly delivered
b. PID c. Weight gain
c. Weight gain d. Glucose intolerance occur
d. Acne e. Anemia improves
e. Endometriosis Ref: Dutta Obs 7/e p547, 548 Ref: Shaw’s 15/e p234
50. T
he use of combined OCP’s is associated with an increased 58. True regarding DMPA including the following except:
incidence of: (AIIMS Nov. 03) a. 0.3% failure rate (AI 09)
a. Bacterial vaginosis b. Does not have protective effect on Ca endometrium
b. Chlamydial endocervicitis c. Can be given in seizures
c. Vaginal warts d. Useful in treatment of menorrhagia
d. Genital herpes Ref: Shaw’s 15/e p234
Ref: Novak 14/e p275; CGDT 9/e p727; Leon Speroff 7/e p904-905 59. To avoid contraception, DMPA is given: (HP 05)
51. In a young female of reproductive age an absolute a. Monthly
contraindication for prescribing OCP’s is: (AIIMS May 05) b. 3 Monthly
a. Diabetes c. 6 Monthly
b. Hypertension d. Yearly
c. Obesity Ref: Dutta Obs. 7/e p550; 6/e p548; Park 20/e p433-434; Leon Speroff 7/e
d. Impaired liver function p962-963
Ref: Dutta Obs 7/e p545 60. In a woman on subdermal progesterone implant, the
52. Absolute contraindication of OCP’s is: (PGI June 02) menstrual abnormality seen is: (AIIMS May 01)
GYNECOLOGY
a. Breast cancer a. Menorrhagia

b. Mentally ill b. Metrorrhagia
c. Migraine c. Polymenorrhea
d. Fibroid d. Amenorrhea
e. Hyperlipidemia Ref: Novak 14/e p283
Ref: Dutta Obs 7/e p545 61. Mirena is: (AIIMS May 05)
53. Contraindications to OC pills: (PGI June 01) a. Used in abortions
a. Heart disease b. Antiprogesterone
b. Uterine malformations c. Progesterone IUCD
c. Menorrhagia d. Hormonal implant Ref: Shaw’s 15/ep228
d. Liver failure
e. Epilepsy Ref: Dutta Obs 7/e p545
Ans. 46. c. Hepatic adenoma 47. a and b 48. a and b 49. a and c
50. b. Chlamydial... 51. d. Impaired liver... 52. a. Breast cancer 53. a, d, and e
54. d. Rifampicin 55. a. Rifampicin 56. d. Inhibiting... 57. a, b,c and e
58. b. Does not have... 59. b. 3 Monthly 60. b. Metrorrhagia 61. c. Progesterone...
Contraception 225
62. Use of Levonorgestrel releasing IUCD is helpful in all of b. PID
the following conditions except: (AIIMS Nov. 02) c. Uterine malformation
a. Menorrhagia d. Controlled diabetese.
b. Dysmenorrhea e. Previous ectopic pregnancy
c. Premenstrual symptoms Ref: Park 18/e p364; Shaw 15/e p228; Jeffcoate 7/e p798-799
d. Pelvic inflammatory disease Ref: Dutta Obs 7/ep543 70. Emergency contraceptives are effective if administered
63. Benefits of LNG IUCD: (PGI Dec 09) within following period after unprotected intercourse:
a. Endometriosis a. 24 hours (AIIMS May 04)
b. Fibroid uterus b. 48 hours
c. PID c. 72 hours
d. Contraception d. 120 hours
e. Extrauterine endometroosis Ref: Shaw 15/e p237; Current concepts in contraception and women death,
Ref: Shaw 15/e p228; Dutta Obs 7/e p543 p 105, Leon Speroff 8/e p1042
64. Which of the following statements is incorrect regarding 71. Drugs used in emergency contraception: (PGI Dec 06)
levonorgestrel releasing intrauterine contraceptive devices: a. Levonorgestrel
a. There is increased incidence of menorrhagia (AI 06) b. Estrogen + progesterone
b. This system can be used as hormone replacement therapy c. Danazol
c. This method is useful for the treatment of endometrial d. Mifepristone
hyperplasia e. Misoprostol
d. Irregular uterine bleeding can be a problem initially Ref: Shaw’s 15/e p237
Ref: Dutta Obs. 7/e p543; 6/e p537 72. Emergency contraceptive of choice is: (PGI Dec 09)
65. All of the following mechanisms might account for a a. OCP
reduced risk of upper genital tract infection in users of b. Danazol
progestin – releasing IUDs, except: (AI 06) c. Levonorgestrel
a. Reduced retrograde menstruation d. Mifepristone
b. Decreased ovulation Ref: Shaw 15/e p237, Novak 14/e p283,285
c. Thickened cervical mucus 73. Permanent sterilization is all except? (PGI Dec. 05)
d. Decidual changes in the endometrium a. Electrocoagulation
Ref: The Contraception Report’ March 02, Vol. 13 No. 1 b. Vasectomy
66. Contraceptive LNG – IUD (levonorgestrel intrauterine c. Clipping
device) has the cumulative pregnancy rate at 5 years of: d. Tube ligation
a. 0.5 (AI 02) e. Medroxyprogesterone
b. 1.0 Ref: Dutta Obs. 7/e p534; 6/e p532
c. 1.5 74. Sterilization procedure with maximum chances of reversal
d. 2.0 is: (AIIMS May 02)
Ref: Shaw’s 15/e p228 a. Pomeroy’s tubal ligation
67. Characteristics of an ideal candidate for Copper-T insertion b. Irwing’s technique
include all of the following except: (AIIMS May 05) c. Laparoscopic tubal ligation with silastic bands
a. Has born at least one child d. Laparoscopic tubal ligation with clips
b. Is willing to check IUD tail Ref: Shaw’s 15/e p241
c. Has a history of ectopic pregnancy 75. During Pomeroy’s method of female sterilization, which
GYNECOLOGY
d. Has normal menstrual periods portion of the tube is ligated? (UPSC 07)
Ref: Shaw’s 15/e p228 a. Isthmus
68. Composition of Nova - T: (PGI June 05) b. Ampullary
a. Copper and silver c. Isthmo-ampullary
b. Copper and aluminium d. Cornual Ref: Dutta Obs 7/e p554
c. Copper only 76. Sterilization is commonly performed at which site of
d. Copper and Selenium fallopian tube: (AI 07)
e. Copper and molybdenum a. Ampulla
Ref: Shaw 15/e p227 b. Infundibulum
69. Contraindication of IUCD: (PGI Dec. 04) c. Isthmus
a. Oligomenorrhea d. Cornua
Ref: Dutta Obs 7/e p554, 555
Ans. 62. c. Premenstrual... 63. All 64. a. There is increased... 65. b. Decreased...
66. a. 0.5 67. c. Has a history... 68. a. Copper and... 69. b, c and e
70. d. 120 hours 71. a, b, c and e 72. c. Levonorgestrel 73. e. Medroxy...
74. d. Laparoscopic... 75. c. Isthmo-ampullary 76. c. Isthmus
77. Which one of the following is not true regarding 85. Which of the following is the safest method of sterilization
Centrochroman? (UPSC 04) in immediate post partum period: (UP 04)
a. It is estrogenic a. Minilaparotomy
b. It acts on the endometrium b. Laparoscopy
c. It is a synthetic hormone c. Hysteroscopic method
d. It is developed in India d. None
Ref: Dutta Obs 7/e p560, 559; 6/e p553 Ref: Dutta Obs. 7/e p555; 6/e p552,554
78. Which one of the following is the ideal contraceptive for a 86 Which of the following has LEAST pregnancy failure rate:
patient with heart disease: (AI 05) a. OCP (UP 05)
a. IUCD b. IUCD
b. Depo-provera c. Diaphragm
c. Diaphragm d. Condom
d. Oral contraceptive pills Ref: Dutta Obs. 7/e p534, 547; 6/e p532
Ref: Shaw 15/e p244 87. Absolute contraindications of oral contraceptive pill are all
79. Ideal contraceptive for a couple living in different cities EXCEPT: (Delhi 02)
meeting only occasionally: (AIIMS May 2011) a. Valvular heart disease
a. Barrier method b. Focal migraine
b. IUCD c. Breast cancer
c. OCP d. Smoking
d. DMPA Ref: Dutta Obs. 7/e p545; 6/e p543
80. Ideal contraceptive for lactating mother is: 88. True about centrochroman are all, EXCEPT: (Delhi 03)
a. Barrier method (AIIMS May 2011) a. It is synthetic nonsteroidal contraceptive
b. Combined OCP b. The only side effect is oligomenorrhea
c. Lactational amenorrhoea c. Safe in liver disease
d. Progesterone only pill d. Can be used as postcoital pill
81. Return of fertility is delayed after cessation of oral Ref: Dutta Obs 7/e p560; Shaw 15/e p236
contraception by: (UPSC 07) 89. Oral contraceptive pills do not decrease risk of: (Delhi 03)
a. 2 weeks a. STDs
b. 3 weeks b. Benign breast disease
c. 4 weeks c. Ovarian cyst
d. 6 weeks d. Ectopic pregnancy
Ref: Dutta Obs. 6/e p547; Shaw 15/e p232 Ref: Shaw’s 15/e p231
82. A 20 years old girl was raped around 13th day of her cycle. 90. Maximum success rate in reversal of sterilization is achieved
The best possible emergency contraception to be offered in cases which follow: (Delhi 03)
would be: (UPSC 07) a. Pomeroy’s technique
a. Centrochroman tablets b. Parkland’s technique
b. Cu-T insertion c. Uchida’s technique
c. Levonorgestrel tablets d. Laparoscopic ring application
d. Ethinylestradiol tablets Ref: Shaw’s 15/e p241
Ref: Dutta Obs. 7/e p557; 6/e p549; Shaw 15/e p237 91. IUCD with highest incidence of ectopic pregnancy is:
83. All are absolute contraindication of oral contraceptive pills a. Lippe’s loop (Karnataka 09, Delhi 05)
GYNECOLOGY
EXCEPT: (UP 01) b. Copper T

a. Pulmonary hypertension c. Progestasert
b. H. mole d. All have equal incidence
c. Breast carcinoma Ref: Shaw 15/e p230
d. Uterine bleeding 92. Unsuccessfulness of DMPA has been primarily because of:
Ref: Leon Speroff 7/e p906; Shaw 15/e p231-232 a. Breakthrough bleeding (Delhi 06)
84. Complication of OCP are all EXCEPT: (UP 02, Delhi 08) b. Effect on lactation
a. Weight loss c. Delay in return of fertility
b. Hyperlipidemia d. Failure rate
c. Hypertension Ref: Leon Speroff 7/e p964-965
d. Depression
Ref: Shaw 15/e p231-232; Jeffcoate 7/e p804-805
Ans. 77. a and c 78. c. Diaphragm 79. a. Barrier method 80. d. Progesterone...
81. d. 6 weeks 82. c. Levonorgestrel... 83. b. H. mole 84. a. Weight...
85. a. Minilaparotomy 86. a. OCP 87. d. Smoking 88. c. Safe in...
89. a. STDs 90. d. Laparoscopic... 91. c. Progestasert 92. a. Breakthrough..
Contraception 227
93. The composition of Mala-N is: (Karnataka 2008) b. Intrauterine contraceptive method
a. Norgestrel 0.30 mg and ethinyl estradiol 30 mg c. Post coital intrauterine contraceptive device
b. Nogestrel 3.0 mg and ethinyl estradiol 3.0 mg d. Tubal ligation
c. Norgestrel 0.30 mg and ethinyl estradiol 0.03 mg Ref: Dutta Obs. 7/e p552; 6/e p549
d. Norgestrel 30 mg and ethinly estradiol 30 mg 102. Which of the following IUD is used for patients with
Ref Dutta, 565 menorrhagia: (AP 06)
94. RU-486 is used in all of the following except: (DNB 01) a. CuT 250
a. Postcoital contraception b. Multiload
b. Cervical ripening c. Nova T
c. Induction of labor d. Progestasert (Levonorgestrel)
d. MTP Ref: Shaw 15/e p237, 317 Ref: Dutta Obs. 6/e p541; Shaw’s 15/e p228
95. All are postcoital contraceptives except: (DNB 01) 103. Safe period in rhythm method is (In a female with 28 days
a. IUD menstrual cycle): (MAHE 01)
b. Danazol a. Initial 14 days
c. High dose estrogen b. Later 14 days
d. Medroxyprogesterone acetate c. First and last 7 days
Ref: Novak 14/e p283-285; Shaw’s 15/e p236, 237 d. 10–21 days of the cycle
96. Post tubectomy recanalization is best with: (AP 2008) Ref: Shaw’s 15/e p223
a. Mini laparotomy 104. Which one of the following hormonal contraceptive
b. Laparoscopic CANNOT be used during lactation: (UPSC 02)
c. Hysteroscopic a. Mini – pill
d. Vaginal sterilization b. Norplant
Ref: Shaw 15/e p241 c. DMPA
97. The most commonly performed mode of tubectomy in d. Combined oral contraceptive pills
minilap: (AP 2008) Ref: Shaw 15/e p243, 232
a. Irving 105. Third generation oral contraceptive pills containing
b. Madlener norgestrel and gestodene along with estrogens: (UPSC 02)
c. Pomeroy a. Are more lipid-friendly
d. Uchida b. Decrease the risk of venous thromboembolism
Ref: Shaw 15/e p240 c. Increase the risk of break through bleeding
98. The highest incidence of ectopic pregnancy amongst contra- d. Are not used for emergency contraception
ceptive users is observed with: (AIIMS 93, UPSC 07) Ref: Dutta Obs 548, 549
a. Combined contraceptive pills 106. Pearl index is a measure of: (Karnataka 09, TN 03)
b. Cu-T intrauterine contraceptive device a. Potency of contraceptives
c. Progestasert intrauterine device b. Fertility rate
d. Lippes loop intrauterine device c. Potency of disinfectant
Ref: Shaw 15/e p267 d. Couple protection rate
99. LNG-IUD releases what amount of levonorgestrel (in mg) Ref: Dutta Obs. 7/e p533; 6/e p531
per day? (MH 2008) 107. In which of the following situations it is preferable not to
a. 10 insert IUCD: (UPSC 04)
b. 20 a. Postmenstrual
GYNECOLOGY
c. 30 b. Emergency postcoital
d. 40 c. Six weeks after delivery
Ref: Shaw 15/e p228 d. Immediately following mid – trimester abortion
100. Laparoscopic approaches are usually performed: Ref: Shaw 13/e p224; Dutta Obs. 6/e p537
a. Immediately postpartum 108. The levonorgestrel IUD prevents the pregnancy primarily
b. >4 weeks postpartum by: (UPSC 07)
c. > 6 weeks postpartum a. Suppressing ovulation
d. Any time b. Making endometrium unreceptive
Ref: Dutta 7/e p556; 6/e p554 c. Making cervical mucus thick
101 Yuzpe method is used in: (Manipal 06) d. Making inflammatory changes within endometrium
a. Post coital hormonal regime Ref: Dutta Obs 7/e p539
Ans. 93. c. Norgestrel... 94. c. Induction of labour 95. d. Medroxy... 96. b. Laparoscopic
97. c. Pomeroy 98. c. Progestasert... 99. b. 20 100. c. > 6 weeks...
101. a. Post coital... 102. d. Progestasert... 103. c. First and... 104. d. Combined...
105. a. Are more... 106. a. Potency of... 107. d. Immediately... 108. b and c
109. Contraceptive which is not an interceptive is: (Bihar 03) 111. Emergency contraception include the following except:
a. Cu – T a. Oral contraceptive (UPSC 06, 04)
b. Norplant b. Copper – T
c. RU – 486 c. Levonorgestrel tablets
d. OC pills Ref: Dutta Obs 7/e p551 d. DMPA
110. Absolute contraindications to the use of combined oral Ref: Shaw 15/e p236-237; Novak 14/e p383-385
contraceptives include the following, except: (J & K 05) 112. Eligibility criteria for sterilization include the following
a. Porphyria except: (UPSC 06)
b. Cerebral haemorrhage a. Age of the female should be above 22 years
c. Previous herpes genitalis b. Age of the male should be below 60 years
d. Past history of trophoblastic disease c. Age of the female should not be more than 45 years
Ref: Dutta Obs. 6/e p446; Shaw 15/e p231-232 d. Couple should have at least two children
New guidline at least 1 child of > 1 year age
Ref: Park 20/e p437
GYNECOLOGY
Ans. 109. b. Norplant 110. c. Previous... 111. d. DMPA 112. b. Age of the male...
11. UTERINE FIBROID
UTERINE FIBROID (QUESTIONS)
1. The risk of sarcoma developing in a fibroid uterus is d. Treated with analgesics

approximately: (DP PGMEE 2009) Ref: Shaw 15/e p355; Jeffcoate 7/e p502
a. <1% 9. Sucheta, a 29-year-old nulliparous women complains of
b. 10% severe menorrhagia and lower abdominal pain since 3
c. 30% months. On examination there was a 14 weeks size uterus
d. 50% with fundal fibroid. The treatment of choice is:
Ref: Shaw’s 15/e p355, 14/e p326-327, 13/e p341, 349, 350 a. Myomectomy (AIIMS May 01)
2. Sarcomatous change should be suspected in case of uterine b. GnRH analogues
fibroid when there occurs: (MHPGM-CET 2010) c. Hystrectomy
a. Increase in the size d. Wait and watch
b. Pain Ref: Shaw 15/e p360; Jeffcoate 7/e p496-498
c. Bleeding 10. Uterine fibromyoma is associated with: (PGI June 02)
d. All of the above a. Endometriosis
Ref: Shaw Gynecology 15/e p355, 14/e p319 b. Pelvic inflammatory disease
3. Pressure symptom is due to which fibroid: (DNB 2006) c. Ovarian Ca
a. Submucous d. Amenorrhea
b. Subserous e. Tamoxifen Ref: Jeffcoate 8/e p461; 7/e p490
c. Both of the above 11. Treatment of red degeneration of fibroid during pregnancy:
d. None of the above a. Analgesics (PGI Dec. 03)
Ref: Shaws 15/e p357, 14/e p319 b. Laparotomy
4. Retention of urine is seen in the following type of cervical c. Termination of pregnancy
fibroid: (DNB 2007) d. Removal at cesarean section
a. Anterior Ref: Shaw 15/e p364; Dutta Obs 6/e p309; Jeffcoate 7/e p502
b. Posterior 12. Submucosal fibroid is detected by: (PGI Dec. 05, 02)
c. Central a. Hysteroscopy
d. Lateral Ref: Jeffcoate 8/e p464, 7/e p493 b. Hysterosalpingography
5. Red degeneration most commonly occurs in: (DNB 2008) c. USG (transabdominal)
a. 1st trimester d. Laparoscopy
b. 2nd trimester Ref: John Hopkin’s Manual of Obs and Gynae 4/e p449; William’s Gynae
c. 3rd trimester 1/e p203 Dutta Gynae 5/e p268-269
d. Puerperium 13. The drug which reduces the size of myoma includes:
Ref: Shaws 15/e p355, 14/e p318, Dutta Obs 7/e p309, 6/e p256 a. GnRH agonist (PGI Dec. 05)
6. Mifepristone is used in: (DNB 2010) b. Danazol
a. Ectopic pregnancy c. Progesterone
b. Fibroid uterus d. Mifepristone
c. Molar pregnancy e. Estrogen
d. Habitual abortion Ref: Shaw’s 15/e p317 14. Decreased vascularity of fibroid is seen with: (PGI Dec. 06)
GYNECOLOGY
7. A pregnant woman with fibroid uterus develops acute pain a. GnRH agonist
in abdomen with low-grade fever and mild leukocytosis at b. Danazol
28 weeks. The most likely diagnosis is: (AIIMS Nov. 03) c. Mifepristone
a. Preterm labor d. Clomiphene citrate
b. Torsion of fibroid Ref: Shaw’s 15/e p359; 14/e ped, p323; Dutta Gynae 4/e p261-262
c. Red degeneration of fibroid 15. Management options in a 26-year-old woman with 7×8 cm
d. Infection in fibroid size fibroid: (PGI June 09)
Ref: Shaw 15/e p355; Dutta Obs. 7/e p309, 6/e p314 a. Follow-up
8. Not true about red degeneration of myomas is: b. OCP
a. It occurs commonly during pregnancy (AIIMS May 02) c. Myomectomy
b. Immediate surgical intervention is needed d. Hysterectomy
c. Due to interference with blood supply e. Danazol Ref: Shaw’s 15/e p359-360
Ans. 1. a. <1% 2. d. All of the... 3. b. Subserous 4. b. Posterior

5. b. 2nd trimester 6. b. Fibroid uterus 7. c. Red degen... 8. b. Immediate...
9. a. Myomectomy 10. a. Endometriosis 11. a. Analgesics 12. a, b and c
13. a, b and d 14. a, b and c 15. a and c
Uterine Fibroid 231
16. True regarding fibroid uteri: (PGI June 02) 22. A uterus which has a submucous fibroid and protruding
a. Estrogen dependente tumor into cavity is best diagnosed by: (RJ 08)
b. Capsulated a. Hysteroscopy
c. Can lead to red degeneration in pregnancy for which b. Hysterosalpingography
urgent surgery is required c. USG
d. Danazol used in treatment Ref: Shaw 15/e p352, 355, 359 d. TVS Ref: Shaw 15/e p358
17. In fibroid which is not seen: (AI 07) 23. Not true about Red degeneration of myomas is:(MAHA 05)
a. Amenorrhea a. It occurs commonly during pregnancy
b. Pelvic mass b. Immediate surgical intervention is needed
c. Infertility c. Due to interference with blood supply
d. Menstrual irregularity d. Treated with analgesics
Ref: Shaw 15/e p356-357; Jeffcoate 8/e p463-464 Ref: Shaw 15/e p355; Dutta Obs. 7/e p309; 6/e p256
18. All of the following measures reduce bleeding during 24. A 30 year old, para two, with two live children has
myomectomy except: (DNB 08) menorrhagia for 2 years. She was ligated 4 years back. On
a. Pre operative correction of anemia investigation, she is found to have a 2 cm × 2 cm submucous
b. Pre operative pOC Pills myoma. What will be the best management option for her:
c. Ligation of pedicle a. Total abdominal hysterectomy (UPSC 06)
d. GnRH analogues b. Danazol 400 mg twice daily for 3 months
e. Local injection of vasoconstrictive agents c. GnRH analogues
Ref: Dutta Gynae 5/e p574-575 d. Hysteroscopic myoma resection
19. All are used to shrink fi broids EXCEPT: (UP 06) Ref: Shaw 15/e p362-363
a. Estrogen 25. Treatment for uterine fibroid include all of the following
b. Danazol except:
c. Mifepristone a. OC pills (MH 2008)
d. GnRH analogue b. RU 486
Ref: Shaw 15/e p359; Dutta Gynae. 5/e p271; William’s Gynae. 1/e p203- c. Danazol
205) d. GnRH analogs
20. Commonest degenerative changes observed in uterine Ref: Dutta Gynae, 5/e p270-271, Shaw 15/e p359
myoma is: (DNB 02, 92) 26. Fibroid uterus: (Karnataka 2009)
a. Red degeneration a. Usually increases after menopause
b. Hyaline degeneration b. Usually regresses after menopause
c. Malignant change c. Usually remains the same after menopause
d. Hemorrhage Ref: Jeffcoate 8/e p470; 7/e p501 d. None of the above
21. Endometrial polyp treatment is done by: (Delhi 2008) Ref: Shaw’s 15/e p352
a. Hysteroscopy 27. Asymptomatic myomas: (Karnataka 2009)
b. Dilatation and Curettage a. Needs follow-up
c. Endometrial biopsy b. Does not need removal if it is small
d. Suction evacuation c. All of the above
Ref: Jeffcoate 8/e p267; Novak 14/e p 789 d. None of the above Ref: Shaw 15/e p359
GYNECOLOGY
Ans. 16. d. Danazol... 17. a. Amenorrhea 18. b. Pre Op... 19. a. Estroge
20. b. Hyaline... 21. a. Hysteroscopy 22. a. Hysteroscopy 23. b. Immediate...
24. c. GnRH analogs 25. a. OC pill 26. b. Usually... 27. c. All of the above
12. ENDOMETRIOSIS AND
DYSMENORRHEA
Endometriosis and Dysmenorrhea 233
ENDOMETRIOSIS AND DYSMENORRHEA (QUESTIONS)
1. Which of the following is the most common extrauterine 9. A 35 year old woman presents with infertility and palpable
site to be affected by endometriosis? (Feb DP PGMEE 2009) pelvic mass. Her CA-125 level is 90 mIU/mL Diagnosis is:
a. Vagina a. Ovarian Ca (AIIMS May 2010)
b. Rectovaginal septum b. Endometrioma
c. Sigmoid colon c. Tuberculosis
d. Broad ligament (except tubes and ovaries) d. Borderline ovarian tumor
Ref: Shaw’s 15/ep466 Ref: Novak Gynecology 14/e p1466, 1146, 1147; William’s Gynae, 1/e
2. A 35 years old woman with dysmenorrheal and menorrhagia p232, 210. Text book of gynae, sheila balakrishnan, p185
of 6 months duration showed an enlarged uterus of 20 10. True about endometriosis is/are: (PGI June 06)
weeks which was tender. The possible diagnosis is: a. MC in 3rd or 4th decade
a. Adenomyosis (Feb DP PGMEE 2009) b. Premenstrual spotting
b. Fibroid c. Endometrial sarcoma is most common malignancy
c. Carcinoma endometrium associated with it
d. PID Ref: Shaw’s 15/e p475 d. True cyst
3. Definitive treatment of Adenomyosis is: (DNB 2011) e. Seen is first degree relative
a. Hormone Therapy Ref: Dutta Gyane 7/e p506, 307, 309; Shaw 15/e p466-469; Jeffcoate 8/e
b. Cryotherapy p343, 7/e p368-370
c. Curettage 11. Endometriosis is commonly associated with: (PGI Dec. 02)
d. Hysterectomy Ref: Shaw’s 15/e p475 a. B/L chocolate cyst of ovary
4. Commonest site of endometriosis: (DNB 2011) b. Adenomyosis
a. Vagina c. Fibroid
b. Ovary d. Luteal cyst
c. Urinary bladder e. Endometritis
d. Peritoneal cavity Ref: Shaw15/e p466; Jeffcoate 7/e p370; Novak 14/e p1145,15/e p517
Ref: Shaws 14/e p421, Novak 14/e p1145, Jeffcoates 7/e p368, 369, 370 12. Pain in endometriosis correlates with: (PGI June 00)
5. ‘Powder burn’ spots pelvic viscera are seen in: (AP 2012) a. Depth of invasion
a. Pelvic inflammatory disease b. Multiple sites
b. Germ cell tumours of ovary c. CA 125
c. Tuberculosis d. Stage of disease
d. Endometriosis Ref: Shaw’s 15/e p466 Ref: Shaw’s 15/e p468
6. Which one may not be associated with secondary congestive 13. Treatment of endometriosis include: (PGI Dec. 02)
dysmenorrhoea? (AP 2012) a. Estrogen
a. Endometriosis b. Progesterone
b. Fibroid uterus c. OCP
c. Chronic Pelvic infection d. Danazol
d. Metropathia haemorrhagica e. GnRH Ref: Shaw’s 15/e p472
Ref: Dutta Gynae 6/e p181 14. Drugs used in endometriosis are: (PGI Dec. 01)
GYNECOLOGY
7. The diagnostic test of choice for endometriosis is: (AP 2010) a. Testosterone
a. Hysteroscopy b. Danazol
b. Laparoscropy c. GnRH
c. Colposcopy d. Progesterone
d. Sonosalpingography Ref: Dutta Gynae 6/e p308 e. Estrogen
Ref: Shaw 15th/ed p472, 473; Novak 14/e p1164-1169
8. Most common symptom of endometriosis is:
a. Infertility 15. Causes of secondary dysmenorrhea in a young female:
b. Dysmenorrhea a. Tuberculosis (PGI June 05)
c. Dyspareunia b. Adenomyosis
d. Abdominal pain c. CIN
Ref: Shaw’s Gynaecology 15/e p468, 14/e, p421-426; d. Endometriosis
Novak 14/e, p1164-1170 e. Subserous fibroid Ref: Dutta Gyane 6/e p181
Ans. 1. b. Rectovaginal... 2. a. Adenomyosis 3. d. Hysterectomy 4. b. Ovary

5. d. Endometriosis 6. d. Metropathia... 7. b. Laparscopy 8. b. Dysmenhorrhea
9. b. Endometrioma 10. a, b, d and e 11. a. B/L chocolate... 12. a. Depth of...
13. b, c, d and e 14. b, c and d 15. a, b, d and e
16. Scar endometriosis can occur in following: (Delhi PG 00) 22. Which of the following modalities have shown best result
a. Classical cesarean section for premenstrual syndrome? (AIIMS Nov. 02)
b. Hysterotomy a. SSRI
c. Episiotomy b. Progesterone
d. All of the above Ref: Jeffcoate 8/e p346; 7/e p371 c. Oestrogen
17. Endometriosis is explained by: (SGPGI 05) d. Anxiolyties
a. Sampson’s implantation theory Ref: Dutta Gynae 6/e p182, 183; Jeffcoate 8/e p589
b. Metastatic epithelium 23. Laparoscopy detects: (DNB 01)
c. Histogenesis by induction a. Endometriosis
d. Coelomic metaplasia theory b. Ca uterus
e. All of the above Ref: Shaw 15/e p465, 466 c. Ca cervix
18. Best investigation to establish the diagnosis of d. Ca rectum Ref: Shaw 15/e p470
endometriosis is: (AI 00) 24. Which of the following is the drug of choice to treat
a. Laparoscopy endometriosis: (UPSC 00)
b. USG a. Testosterone propionate
c. X-ray pelvis b. Norethisterone
d. CT Scan c. Medroxyprogesterone
Ref: Shaw 15/e p470; Novak 14/e p1145, 1146, 15/e p516 d. Danazol Ref: Novak 14/e p1165; Jeffcoate 8/e p354
19. True regarding adenomyosis is: (AI 01) 25. In the etiology of endometriosis Sampson’s theory is:
a. Most common in nullipara a. Implantation theory (Jipmer 03)
b. Progestin are agents of choice for medical managements b. Coelomic metaplasia theory
c. Presents with menorrhagia, dysmenorrhea, and an c. Metastatic theory
enlarged uterus d. Histogenesis by induction Ref: Shaw’s 15/e p465
d. More common in young women 26. Treatment of endometriosis in an infertile female:
Ref: Shaw 15/e p474, 475; Novak 15/e p484, 485 a. Danazol (MAHE 05)
20. All are used in treating spasmodic dysmenorrhea except: b. Clomiphene
a. Bromocriptine (DNB 02) c. Gn RH analogue
b. Ibuprofen d. Progesterone Ref: Shaw’s 15/e p473
c. Mefenamic acid Note: Dydrogesterone given in luteal phase relieves pain
d. Norethisterone and ethinyl estradiol without compromising infertility as it does not prevent
Ref: Dutta Gynae 6/e p179-180; 5/e p174, 175; Jeffcoate 8/e p581, 582; 7/e ovulation.
p622, 623 27. Which one of the following sites of endometriosis is not
21. A 20 year old woman gives a history of sharp pain in the treated by medical therapy: (UPSC 06)
lower abdomen for 2–3 days every month approximately 2 a. Rectosigmoid
weeks before the menses. The most probable etiology for b. Ovarian
her pain is: (AI 03) c. Episiotomy
a. Endometriosis d. Pulmonary Ref: Jeffcoate 8/e p253
b. Dysmenorrhea 28. Which of the following is not a usual cause of
c. Pelvic tuberculosis postmenopausal bleeding? (MH 2008)
d. Mittelschmerz Ref: Dutta Gynae 6/e p181, 5/e p178 a. Endometriosis
b. Carcinoma endometrium
GYNECOLOGY
c. Carcinoma cervix
d. Senile endometritis Ref: Shaw 15/e p71
Ans. 16. d. All of the above 17. e. All of the above 18. a. Laparoscopy 19. c. Presents...
20. a. Bromocriptine 21. d. Mittelschmerz 22. a. SSRI 23. a. Endometriosis
24. c. Medroxy... 25. a. Implantation theory 26. d. Progesterone 27. b. Ovarian
28. a. Endometriosis
13. DISORDERS OF MENSTRUATION
DISORDERS OF MENSTRUATION (QUESTIONS)
1. The most common cause of secondary amenorrhoea is: 9. In the medical management of dysfunction uterine
a. Polycystic ovarian disease (DP PGMEE 2009) bleeding, all are used, except: (AP 2012)
b. Premature ovarian failure a. Nonsteroidal anti inflammatory agents
c. Pregnancy b. Tranexamic acid
d. Prolactinoma c. Progestogens
Ref: Shaw’s 15/e p290, 14/e p259, 13/e p263 d. Androgens
2. Lactational amenorrhoea is due to: (DNB 2008) Ref: Shaw’s 15/e p304
a. Prolactin induced inhibition of GnRH 10. A 13 – years old young girl presents in the casualty with acute
b. Prolactin induced inhibition of FSH pain in the lower abdomen. She has history of cyclical pain
c. Oxytocin induced inhibition of GnRH for last 6 months and she has not attained her menarche yet.
d. Oxytocin induced inhibition of FSH On local genital examination, a tense bulge in the region of
Ref: Dutta Obs 7/ep147 hymen was seen. The most probable diagnosis is:
3. All are causes of primary amenorrhea except: (DNB 2008) a. Mayer-Rockitansky-Kuster-Hauser syndrome
a. Kallman‘s syndrome b. Testicular feminization syndrome (AIIMS May 06)
b. Sheehan’s syndrome c. Imperforate hymen
c. Rokitansky’s syndrome d. Asherman’s syndrome
d. Turner’s syndrome Ref: Shaw 15/e p96-97
Ref: Dutta Gynae 6/ep451, 452, 458 11. The commonest cause of primary amenorrhoea is:
4. Evidence based treatment to menorrhagia are all except: a. Genital tuberculosis (AIIMS Nov. 03)
a. Ethamsylate (DNB 2008) b. Ovarian dysgenesis
b. Tranexamic acid c. Mullerian duct anomalies
c. POP’s d. Hypothyroidism
d. COP’s Ref: Leon Speroff 7/e p420; Shaw 15/e p284
Ref: WILLIAMS gynaecology 1/e p187, Shah 12/e p242 12. Which is not a cause of primary amenorrhea?
5. Which is not a cause of primary amenorrhoea: (DNB 2008) a. Sheehan’s syndrome (AI 09/AI 2011/AIIMS May 2010)
a. Sheehan’s syndrome b. Kallmann’s syndrome
b. Kallman’s syndrome c. Mayer-Rokitansky-Kuster-Hauser syndrome
c. Mayer-Rokitansky-Kuster-Hauser Syndrome d. Turner syndrome
d. None of the above Ref: Shaw 15/e p284, 285, 288; 14/e p256-257
Ref: Dutta Gynae 6/e p451, 452, 458 13. A woman has 2 kids. She presents with galactorrhea and
6. A woman suffers from pain exactly during the mid amenorrhea for 1 year. The most probable diagnosis is:
menstrual cycle coinciding with ovulation. What is the a. Pregnancy (AIIMS May 02)
diagnosis? (AP 2010) b. Pituitary tumor
a. Mittelschmerz c. Sheehan’s syndrome
b. Mittelblut d. Metastasis to pituitary from other carcinoma
c. Metrorrhagia Ref: Novak 14/e p1104, 1109; Shaw’s 15/e p291
d. Metropathia haemorrhagica 14. Mrs. Sinha having her youngest child of 6 years age
GYNECOLOGY
Ref: Dutta Gynae 6/e p181 presents to her family physician with complaints of pruritis
7. Abnormal uterine bleeding is/are: vulvae and amenorrhea. On examination she is found to
a. Blood loss of more than 80 ml have loss of pubic and axillary hairs, patch of vitiligo and
b. Cycle duration is more than 35 days or less than 21 days hypotension. She is lethargic and has cold intolerance. She
c. Bleeding period lasting 7 days or more has got multiple skin infections and anemia. All of the
d. Irregular bleeding during a regular cycle following should be used to treat her. Except:
Ref: Dutta Gynae 6/e p185, 186 a. Cortisol (AIIMS Nov. 01)
b. Insulin
8. Anovulatory DUB is due to?
c. Ethinyl estradiol
a. Absence of progesterone
d. Thyroid extract
b. Excess of estrogen
Ref: Jeffcoate 8/e p547, 556
c. Hypothalmic pituitary defect
d. High progesterone Ref: Dutta Gynae 6/e p188
Ans. 1. c. Pregnancy 2. a. Prolactin... 3. b. Sheehan’s 4. a. Ethamsylate

5. a. Sheehan’s... 6. a. Mittelschmerz 7. All 8. a. Absence of...
9. d. Androgens 10. c. Imperforate... 11. b. Ovarian... 12. a. Sheehan’s...
13. b. Pituitary tumor 14. b. Insulin
Disorders of Menstruation 237
15. Hypothalamic amenorrhea is seen in: (AIIMS Nov. 01) 22. Commonest cause of postmenopausal bleeding in India is:
a. Asherman syndrome a. Ca endometrium (AI 07; AIIMS May 07)
b. Stein-Leventhal syndrome b. Ca cervix
c. Kallman syndrome c. Ca vulva
d. Sheehan’s syndrome d. Ovarian tumor
Ref: Shaw’s 15/e p284 Ref: Gynae. for PG’s by Bijoy Sree Sen Gupta 2/e p156-157; Shaw 15/e
16. Primary amenorrhoea with anosmia is seen in: p392; Jeffcoate 8/e p438, 434, 7/e p471
a. Kallman syndrome (AIIMS June 00) 23. A teenage girl presented in OPD with moderate acne and
b. Laurence-Moon-Biedl syndrome history of irregular menses. What treatment will you give?
c. Foster – Kennedy syndrome a. Oral isotretinoin (AIIMS Nov 2010)
d. Sheehan’s syndrome b. Oral acitretin
Ref: Shaw 15/e p284; Harrison 17/e p2198 c. Oral minocycline
17. A 19-year old patient complains of primary amenorrhea. d. Cyproterone acetate
She had well developed breast and pubic hair but on Ref: Shaw’s 15/e p371
examination there was absence of uterus and vagina. 24. Primary Amenorrhea: (PGI Dec 08)
Likely diagnosis is: (AIIMS Nov 2010) a. Absence of Menarche by 14 Years without secondary
a. XYY sexual characters
b. Mullerian agenesis b. Absebce of Menarche by 16 Yrs with secondary sexual
c. Gonadal dysgenesis characters
d. Klinefelter syndrome c. Absence of secondary sexual characters by 16 Yrs
Ref: Jeffcoates 8/e p184 7/e p197-198, Shaw’s 15/e p286 Ref: Shaw 15/e p284
18. A 30-years-old woman para 2+0, hypertension has 25. Causes of secondary amenorrhea are: (PGI June 01)
menorrhagia. Which is best treatment for her? a. Turner’s syndrome
a. Combined pills (AIIMS May 2011) b. Endometriosis
b. Mirena c. Asherman’s syndrome
c. Hysterectomy d. Thyroiditis
d. Transcervical resection of endometrium e. PCOD
Ref:Novak 15/e p788, Williams Gynae 1/e p187-188 Ref: Shaw 15/e p288, 289; 14/e p259-260
19. A 45 years old lady presented with dysfunctional uterine 26. Lady recovered from severe PPH, complains of failure of
bleeding. On transvaginal USG thickness of endometrium lactation and mensturation, which of the following can be
was found to be 8 mm. What should be the next step in the seen: (PGI Dec 08)
management of this patient? a. Increased excretion of Na+
a. Histopathology (AIIMS Nov 08/AIIIMS Nov 2011) b. Retention of water
b. Hysterectomy c. Increased prolactin
c. Progesterone d. Increased GnRH
d. OCP e. Incrased TSH
Ref: Shaw’s 15/e p303 Ref: Dutta Gynae 6/e p465; Jeffcoate 8/e p546, 547
20. Raja Devi 45 years old woman presented with history 27. A patient with amenorrhea had bleeding after giving a trial
of poly-menorrhea for last six months. The first line of of progesterone. This implies: (PGI Dec. 01)
management is: (AI 02) a. Sufficient estrogen
a. Hysterectomy b. Sufficient progesterone
GYNECOLOGY
b. Progesterone for 3 cycles c. Normal ovarian function
c. Dilatation & curettage d. Intact endometrium
d. Oral contraceptive for 3 cycles e. Intact pituitary axis
Ref: Jeffcoate 8/e p571; 7/e p610; Shaw’s 15/e p303 Ref: Dutta Gynae. 6/e p469, 5/e p447; Shaw’s 15/e p291
21. In a 45 years old lady with DUB for 6 months duration, best 28. Positive progesterone challenge test in a patient of
line of management is: (AIIMS June 00) secondary amenorrhea is seen in: (PGI June 04)
a. Progesterone for 6 months a. Asherman syndrome
b. OCP for 6 months b. Endometrial TB
c. Dilatation and curettage c. Hypopituitarism
d. Hysterectomy d. Premature ovarian failure
Ref: Shaw’s 15/e p303 e. PCOD
Ref: Shaw’s 15/e p291; Dutta Gynae 6/e p469
Ans. 15. c. Kallman syndrome 16. a. Kallman syndrome 17. b. Mullerian agenesis 18. b. Mirena
19. a. Histopathology 20. c. Dilatation... 21. c. Dilatation... 22. b. Ca cervix
23. d. Cyproterone... 24. a and b 25. c, d and e 26. a. Increased...
27. a, c and e 28. e. PCOD
29. In a case of secondary amenorrhea who fails to get b. Fibroid
withdrawal bleeding after taking E and P, the fault lies at c. Granulosa cell tumor
the level of: (PGI June 05) d. Irregular ripening of endometrium
a. Pituitary e. Irregular shedding of endometrium
b. Hypothalamus Ref: Shaw 15/e p301-302 Table 22.2
c. Ovary 37. Treatment for 32 years old multipara with dysfunctional
d. Endometrium uterine bleeding (DUB) is: (PGI Dec. 00)
Ref: Dutta Gynae. 6/e p469; 5/e p447; Shaw’s 15/e p291 a. Progesterone
30. Child with primary amenorrhea with negative progesterone b. Danazol
challenge test but positive combined progesterone and c. Prostaglandins
estrogen test. Diagnosis may be: (PGI June 07) d. Endometrial ablation
a. Mullerian agenesis e. Hysterectomy
b. PCOD Ref: Novak 15/e p788; Shaw’s 15/e p304
c. Asherman syndrome 38. All are causes of postmenopausal bleeding except:
d. Prolactinoma a. Carcinoma in situ of cervix (PGI Dec. 00)
Ref: Dutta Gynae. 6/e p469 b. Ca. endometrium
31. Average blood loss in normal menstruation: (PGI June 05) c. Ca. ovary
a. 50 mL d. Ca. fallopian tube
b. 80 mL Ref: Dutta Gynae 6/e p559
c. 100 mL 39. Postmenopausal bleeding is associated with all except:
d. 120 ml a. Ca cervix (PGI Dec. 04)
e. 10 mL b. CIN
Ref: Novak 14/e p461, Shaw 15/e p283 c. Ca ovary
32. Polymenorrhoea means: (PGI Dec 08) d. Endometrial Ca
a. Menses < 21 days e. Ca fallopian tube
b. Menses >35 days Ref: Dutta Gynae 6/e p559
c. Painful menses 40. A woman of 50 years who attained menopause, coming with
d. DUB one epidose of bleeding P/V. Which of the following is to
Ref: Shaw 15/e p283 be done: (PGI June 09)
33. Initial evaluation in adolescent with abnormal uterine a. Assess for H/o HRT
bleeding: (PGI June 05) b. Hysterectomy
a. Haemogram c. Paps Smear
b. Platelet count d. Endometrial biopsy
c. USG e. DUB
d. D & C Ref: Dutta Gynae 6/e p560
e. Examination under anesthesia 41. Evaluation of a patient with postmenopausal bleeding is
Ref: Novak 14/e p450-454,15/e p390-397; done by: (PGI June 05)
Dutta Gynae. 6/e p54, 5/e p52-53 a. Pap smear
34. Most common cause of puberty menorrhagia: (PGI June 07) b. USG
a. Anovulation c. Endometrial biopsy
b. Malignancy d. Dilatation & curettage
GYNECOLOGY
c. Endometriosis Ref: Dutta Gynae 6/e p560

d. Bleeding disorder 42. 35 year old, mother of two children is suffering from
Ref: Dutta Gynae 6/e p54; Shaw’s 15/e p301 amenorrhea from last 12 month. She has a history of
35. Puberty menorrhagia is treated by: (PGI June 02) failure of lactation following second delivery but remained
a. Progesterone asymptomatic thereafter. Skull X-ray shows empty sella
b. Progesterone and estrogen diagnosis is: (AI 02)
c. GnRH analogues a. Menopause
d. Danazol b. Pituitary tumor
e. Surgery c. Sheehan’s syndrome
Ref: Shaw 15/e p302; Novak 14/e p451-454,15/e p394-397 d. Intraductal papilloma of breast
36. Causes of dysfunctional uterine bleeding can be: Ref: Williams Gynae 1/e p374; Leon Speroff 7/e p438, Jeffcoate 8/e p546,
a. Uterine polyp (PGI Dec. 01) 547, 7/e p582-583
Ans. 29. d. Endometrium 30. d. Prolactinoma 31. a. 50 ml 32. a and d

33. a, b and c 34. a. Anovulation 35. a, b and c 36. d and e
37. a and d 38. a. Carcinoma... 39. b. CIN 40. a and d
41. a, b, c and d 42. c. Sheehan’s...
Disorders of Menstruation 239
43. 35 year old female patient, Radha, having children aged c. Endometriosis
5 and 6 years has history of amenorrhea and galactorrhea. d. Ovarian tumor
Blood examination reveals increased prolactin. CT of head Ref: Shaw 15/e p301 to 222
is likely to reveal: (AI 02) 51. Simple hyperplasia of the endometrium is treated with
a. Pituitary adenoma progesterone for —— days: (UP 04)
b. Craniopharyngioma a. 14
c. Sheehan’s syndrome b. 21
d. Pinealoma c. 5
Ref: Shaw’s 15/e p291 d. 10
44. A patient had a spontaneous abortion, then she came with Ref: Jeffcoate 8/e p570, 7/e p424)
amenorrhea and FSH 6 IU/ml what is the most probable Note: Endometrial hyperplasia benefits from progesterone therapy
diagnosis? (AI 10) for 21 days and not 10 days like other conditions, because 10 day
a. Ovarian failure therapy does not suppress ovulation.
b. Uterine synechiae
52. Irregular shedding of the endometrium occurs due to:
c. Pregnancy
a. Epithelium being immature (UP 04)
d. Pituitary failure
b. It does not show the decidua-like edema of the secretory
Ref: Leon speroff 7/e p415-425, 8/e p443 for FSH signifi cance and 459 for
phase
ashermann syndrome
c. Regression of the corpus luteum function
45. The most common cause of secondary amenorrhea in India d. Over withdrawal activity of the corpus luteum function
is: (AI 05) Ref: Shaw 15/e p307
a. Endometrial tuberculosis
53. Withdrawl bleeding occurs when progestins administered
b. Premature ovarian failure
continuously: (UP 04)
c. Polycystic ovarian syndrome
a. Estrogen concentration is sufficient
d. Sheehan’s syndrome
b. Structural abnormality in the pelvis
Ref: Read below
c. Associated with endocrine disorder
46. Halban’s disease is due to: (Jipmer 05, 02) d. Atrophic endometrium
a. Persistent corpus luteum Ref: Dutta Gynae 6/e p469
b. Deficient corpus luteum
54. Secondary amenorrhea after abortion due to intrauterine
c. Persistent trophoblast
adhesions is seen in: (Delhi 02, 97)
d. Deficient trophoblast
a. Uterine inertia
Ref: Shaw 15/e p307; Jeffocate 7/e p604; Dutta Gynae 4/e p178, 5/e p184
b. Imperforate hymen
47. Evidence-based treatment for menorrhagia is all except: c. Bicornuate uterus
a. OCPs (AI 09/AIIMS May 2010) d. Asherman’s syndrome
b. Progesterone for three months cyclically Ref: Dutta Gynae 6/e p459, 5/e p438
c. Tranexamic acid
55. All are causes of amenorrhea EXCEPT: (Delhi 01)
d. Ethamsylate
a. Pituitary adenoma
Ref: Williams Gynae 1/e p187
b. Chronic nephritis
48. Which of the following is not indicated in menorrhagia: c. Tubercular endometritis
a. NSAID’s (AI 02) d. Adenomyosis
b. Clomiphene Ref: Shaw 15/e p475
c. Norethesterone
GYNECOLOGY
56. Cause of postmenopausal bleeding is: (Delhi 02)
d. Tranexamic acid
a. Arrhenoblastoma
Ref: Shaw’s 15/e p304
b. Cystadenoma
49. 14 year old girl presented with vaginal bleeding with c. Granulosa cell tumor
occasional amenorrhea, next step is: (UP 03) d. Hilus cell tumor
a. BT, CT Ref: Shaw 15/e p424
b. Clinical history and examination
57. Initial treatment of dysfunctional uterine bleeding in a
c. Ultrasound
young female is: (Delhi 02)
d. TLC, DLC, ESR
a. Oral pills
Ref: Novak 14/e p450-454
b. Danazol
50. Dysfunctional uterine bleeding is associated with: (UP 03) c. Hysterectomy
a. Metropathia-hemorrhagica d. Androgens
b. Fibroid uterus Ref: Shaw 15/e p304; 14/e p215, fi g. 22.6; Dutta Gynae 6/e p191; 5/e p187
Ans. 43. a. Pituitary... 44. b. Uterine... 45. a. Endometrial... 46. a. Persistent...

47. d. Ethamsylate 48. b. Clomiphene 49. b. Clinical... 50. a. Metropathia...
51. b. 21 52. d. Over activity... 53. a. Estrogen... 54. d. Ashermana’s...
55. d. Adenomyosis 56. c. Granulosa... 57. a. Oral pills
58. Swiss cheese pattern endometrium is seen in: d. Metrorrhagia
a. Carcinoma endometrium (Karnataka 2010) Ref: Shaw 15/e p288
b. Metropathia hemorrhagica 63. In a case of secondary amenorrhoea who fails to get
c. Hydatidiform mole withdrawal bleeding after taking estrogen and progesterone,
d. Halban’s disease the fault lies at the level of: (Karnataka 05)
Ref: Shaw 15/e p303 a. Pituitary
59. Cystoglandular hyperplasia is seen in: (DNB 02) b. Hypothalamus
a. Menorrhagia c. Ovary
b. Polymenorrhoea d. Endometrium
c. Oligomenorhoea Ref: Dutta Gynae 6/e p469; 5/e p447
d. Metropathia haemorrhagica 64. In cystic glandular hyperplasia what is seen: (Manipal 06)
Ref: Dutta Gynae 6/e p188 a. Normal menstrual bleeding
60. M/C cause of postmenopausal bleeding is: (Delhi 2008) b. Amenorrhea and bleeding
a. Endometrial carcinoma c. Hypomenorrhea
b. Senile vaginitis d. None of the above
c. CA cervix Ref: Shaw 15/e p302, Dutta Gynae 5/e p184-185
d. Ovarian carcinoma 65. The progestogen with the greatest haemostatic effect used
Ref: Gynae for PG’s by Bijoy Shree Sen Gupta 2/e p156-157 in dysfunctional uterine bleeding (DUB) is: (UPSC 01)
61. Hypothalamic amenorrhea is seen in: (Karnataka 2008) a. Medroxyprogesterone
a. Kallman’s syndrome b. Hydroxyprogesterone
b. Sheehan’s syndrome c. Norethisterone
c. Asherman syndrome d. Dydrogesterone
d. Stein-Leventhal syndrome Ref: Jeffcoate 8/e p570, 7/e p608; Dutta Gyane 6/e p534
Ref: Shaw 15/e p285 66. Causes of secondary amenorrhea are:
62. Asherman’s syndrome is characterized by: (TN 90, MP 09) a. Asherman’s syndrome
a. Amenorrhea b. Thyroiditis
b. Dysmenorrhea c. PCOD
c. Leucorrhea d. All of the above
GYNECOLOGY
Ans. 58. b. Metropathia... 59. d. Metropathia... 60. a. Endometrial... 61. a. Kallman’s...

62. a. Amenorrhea 63. d. Endometrium 64. b. Amenorrhea... 65. c. Norethisterone
66. d. All of the above
14. GYNECOLOGICAL ONCOLOGY
A. Uterus
B. Cervix
C. Ovary
D. Miscellaneous Tumors
GYNECOLOGICAL ONCOLOGY (QUESTIONS)
A. UTERUS 8. Not a predisposing factor for endometrial cancer is:

a. Obesity (DNB 2010)
1. A 80-year-old female who has never taken estrogen develops b. Hypertension
pink vaginal discharge. An endometrial biopsy shows c. Nulliparity
adenocarcinoma of the endometrium. Papanicolaou’s smear d. D Early menopause
is negative. Of the following, what is the most important Ref: Dutta 4/e p329, 330
indicator of prognosis: (DP PGMEE 2010) Ref: Dutta Gynae 6/e p360, 4/e p334, Novak 15/e p1266-1268
a. Body habitus 9. The risk of endometrial cancer is highest with the following
b. Level of CA-125 histological pattern of endometrial hyperplasia:
c. Nutritional status a. Simple hyperplasia without atypia (AIMS May 06)
d. Histologic type of tumor b. Simple hyperplasia with atypia
2. Which of the following is not a risk factor for Ca. c. Complex hyperplasia without atypia
endometrium? d. Complex hyperplasia with atypia
a. Family history Ref: Shaw’s 15/e p307; Dutta Gynae 6/e p329
b. Early menopause 10. The risk of complex hyperplasia of endometrium with
c. Obesity atypia progressing to malignancy in a postmenopausal
d. Use of HRT woman is: (AIIMS 04, 05)
Ref: Dutta Gynae 6/e p354 a. 3%
3. Swiss cheese pattern of endometrium is seen in: b. 8%
a. Secretory endometrium c. 15%
b. Hyperplastic endometrium d. 28% Ref: Dutta Gynae 6/e p329
c. Cystic glandular hyperplasia 11. Percentage change of cystic glandular hyperplasia turning
d. Endometrial carcinoma to malignncy: (PGI June 05)
Ref: p303 Shaw’s Textbook of Gynaecology 15/e a. 0.1%
4. LEAST likely feature of fibroid: b. 2%
a. Dysmenorrhoea c. 1%
b. Infertility d. 10%
c. Menorrhagia e. 15%
d. Metrorrhagia Ref: Dutta Gynae 6/e p329; Novak 14/e p1346; 15/e p,1252-1253, Williams
Ref: Shaw 15/e p356-357 Gynae. 1/e p689
5. Serous carcinoma of endometrium is associated with which 12. What is the ideal treatment for a 55 years female with simple
mutation? hyperplasia of endometrium with atypia? (AI 08)
a. p53 a. Simple hysterectomy
b. PTEN b. Medroxyprogesterone acetate (MPA)
c. K ras c. Levonorgestrel (LNG)
d. p16k d. IUCD
Ref: Novak’s Gynae 15/e p1270 Ref: Dutta Gynae 6/e p331; Jeffcoate 7/e p425
GYNECOLOGY
6. In case of endometrial cancer, if metastasis is seen in the 13. All of the following are known risk factors for development
vagina, what FIGO stage it would be? (AP 2012) of endometrial carcinoma except: (AI 03, 02)
a. Stage IIIa a. Obesity
b. Stage IIIb b. Family history
c. Stage IIIc c. Use of hormone replacement therapy
d. Stage IVa Ref: Dutta Gynae 6/e p357 d. Early menopause Ref: Shaw’s 15/e p416, 417
7. Chronic treatment with tamoxifen can cause: 14. Risk for endometrial cancer are: (PGI 04, 00)
a. Ca endometrium a. Obesity
b. Ca cervix b. Pregnancy before 20 years age
c. Ca ovary c. P.C.O.D.
d. Ca vagina d. Combined OC pills
Ref: Shaw’s 15/e p317 e. Artificial menopause Ref: Shaw’s 15/e p416, 417
Ans. 1. d. Histologic... 2. b. Early meno... 3. c. Cystic... 4. a. Dysmenorrhoea,

5. a. p53 6. b. Stage IIIb 7. d. Ca Vagina 8. d. D Early...
9. d. Complex... 10. d. 28% 11. c. 1% 12. a. Simple...
13. d. Early Menopause 14. a and c
Gynecological Oncology 243
15. All are the risk factors for endometrial carcinoma except: b. Ib
a. Multiparity (PGI June 09) c. IIb
b. Obesity d. IIa Ref: Novak 15/e p1265, Shaw 15/e p-420
c. Early menopause 23. Carcinoma endometrium with positive superficial inguinal
d. Unopposed estrogen therapy lymph node status is classified as stage: (AI 04)
e. Hypertension a. I
Ref: Shaw’s 15/e p416, 417 b. II
16. Long term tamoxifen therapy may cause: (AI 99, 98; PGI 99) c. III
a. Endometrium Ca d. IV
b. Ovary Ca Ref: Novak 15/e p1265,Shaw 15/e p-420
c. Cervix Ca 24. True about endometrial carcinoma in clinical stage III:
d. Vagina Ca a. Vaginal metastasis (PGI June 09)
Ref: Shaw 15/e p-417,Novak 14/e p1345,15/e p1251-1252 b. Para aortic lymph node involvement
17. Which of the following is not seen with corpus cancer c. Pelvic lymph node involvement
syndrome in cancer endometrium? (AIIMS Nov 2010) d. Peritoneal involvement
a. Multiparity e. Inguinal lymph node involvement
b. Diabetes mellitus Ref: Novak 15/e p1265, Shaw 15/e p-420
c. Hypertension 25. Lymph nodes not involved in Ca endometrium is:
d. Obesity a. Para-aortic (AIIMS 08)
Ref: Jeffcoates 8/e p472, 473, Dutta gynae 5/e p351 b. Presacral
18. A 50-year-old woman, nulliparous, diabetic and obese c. Inferior mesenteric
presenting with postmenopausal bleeding likely diagnosis d. Inguinal
is: (PGI 2000) Ref: AJCC Cancer Staging Manual 6/e p267
a. Carcinoma in situ of cervix 26. A perimenopausal lady with well differentiated
b. Carcinoma endometrium adenocarcinoma of uterus has more than half myometrial
c. DUB invasion, vaginal metastasis and inguinal lymph node
d. None of the above metastasis. She is staged as: (AIIMS 03)
Ref: Jeffcoate 8/e p472, 473; Novak 14/e p1349 a. Stage IIIB
19. True about endometrial carcinoma: (PGI 01) b. Stage IIIC
a. Predisposed by diabetes mellitus, hypertension and c. Stage IV A
obesity d. Stage IV B Ref: Novak 15/e p1265,Shaw 15/e p-420
b. Adenosquamous type is commonest 27. A lady presented with Carcinoma endometrium involving
c. Commonly associated with Ca cervix >50% of myometrium extending to vagina and positive
d. Common age group affected is between 20 and 40 years peritoneal cytology but no involvements of para-aortic and
Ref: Jeffcoate 8/e p472, 473, 474; Shaw 15/e p-417 pre-aortic nodes. What is the stage of disease?
for option a, 418 for option b, 416 for option c & option d; Novak 14/e a. III A (AIIMS Nov 2010)
p1345,15/e p1256-1257 b. III B
20. The most malignant endometrial carcinoma is: (JIPMER 03) c. III C1
a. Adenocarcinoma d. III C2
b. Adenoacanthoma Ref: Williams gynae 1/e p699, shaw 15/e p420, Novak 15/e p1265
c. Mixed adenosquamous carcinoma 28. Stage III B endometrial Ca -true is: (PGI June 08, Dec. 06)
GYNECOLOGY
d. Clear cell carcinoma a. Vaginal metastasis
Ref: Shaw’s 15/e p418 b. Lymph node metastasis (para-aortic)
21. Investigation of choice in a 55 years old postmenopausal c. Bowel involvement
woman who has presented with postmenopausal bleeding: d. Lung metastasis
a. Pap smear (AI 06, 98) e. Serosa involved
b. Fractional curettage 29. Stage-IIIB endometrial carcinoma true is/are: (PGI June 09)
c. Transvaginal ultrasound a. Vaginal metastasis
d. CA - 125 estimation b. Lymph node metastasis (paraaortic)
Ref: Dutta Gynae 6/e p560; Jeffcoate 8/e p579 c. Pelvic lymph node involvement
22. The stage of cancer endometrium with invasion of 10 mm of d. Positive peritoneal cytology
myometrium is: (AI 00) e. Rectal invasion
a. Ia Ref: Novak 15/e p1265, Shaw 15/e p-420
Ans. 15. a and c 16. a. Endometrium Ca 17. a. Multiparity 18. b. Carcinoma...

19. a. Predisposed... 20. d. Clear cell... 21. b. Fractional... 22. b. Ib
23. d. IV 24. a, b, c and d 25. c. Inferior... 26. d. Stage IV B
27. b. III B 28. a. Vaginal... 29. a and d
30. Choice of adjuvant treatment for endometrial carcinoma 37. A female patient has adenocarcinoma uterus along with
stage I A grade I is: (AI 04) sarcoma of uterus. It is known as: (AIIMS June 00)
a. Radiotherapy a. Homologous sarcoma
b. Chemotherapy b. Sarcoma uterus
c. Chemotherapy + Radiotherapy c. Mixed mullerian carcinogenesis
d. No treatment d. Heterologous sarcoma
Ref: Shaw 15/e p-420, Novak 15/e p1275 Ref: Jeffcoate 8/e p482
31. The following are indications for postoperative radiotherapy 38. All are true regarding sarcoma botryoides except: (PGI 01)
in a case of carcinoma endometrium except: a. Seen in vagina
a. Myometrial invasion of more than half thickness b. Grape like clusters are seen
b. Positive lymph nodes (AIIMS 04, 05) c. Seen in elderly women
c. Endocervical involvement d. It is an adenocarcinoma
d. Tumor positive for estrogen receptors e. Familial incidence is common
Ref: Shaw’s 15/e p420 Ref: Robbin’s Pathology 7/e p1071 – 1072
32. Indication for radioterhapy in carcinoma endometrium 39. True statement regarding Sarcoma botryoides:
include all except: (AIIMS Nov. 07) a. Involvement of vagina (PGI May 2010)
a. Pelvic node involvement b. Grape like growth seen
b. Deep myometrial involvement c. Common in old age
c. Enlarged uterine cavity d. Malignant
d. Poor differentiation Ref: William gynae 1/e p683; Jeffcoate 8/e p483
Ref: Shaw’s 15/e p420 40. Long term used taxmoxifen causes: (UP 00, RJ 09)
33. Indication of adjuvant radiotherapy in Ca endometrium is/ a. Endometrium Ca
are: (PGI 05) b. Ovary Ca
a. Cervical involvement c. Cervix Ca
b. Lymph node involvement d. Vagina Ca
c. Carcinoma in situ Ref: Shaw 15/e p-417
d. Papillary serous tumor 41. Best investigation for carcinoma endometrium with
e. Estrogen receptor positive endocervical involvement is: (UP 02)
Ref: COGDT 9/e p924; Shaw 15/e p-420, Novak 15/e p, 1275 onwards a. Transvaginal USG
34. Which of the following direct lymph node dissections in b. Endocervical curettage
endometrial carcinoma: c. Punch biopsy
a. Penetration into half of myometrium d. Pap smear
b. Clear cell Ca Ref: Novak 14/e p1350; COGDT 10/e p860)
c. Fundal involvement 42. Endometrial hyperplasia is caused by: (UP 03)
d. Peritoneal metastasis a. Estrogen
e. Papillary serous carcinoma b. Smoking
Ref: Shaw’s 15/e p420 c. Ovulation inducing drugs
35. An 80-year-old female who has never taken estrogen, d. Asherman’s syndrome
develops pink vaginal discharge. An endometrial Ref: Jeffcoate 7/e p394)
biopsy shows an adenocarcinoma of the endometrium. 43. Simple hyperplasia of the endometrium is treated with
Papanicolaou smear is negative. Of the following what is progesterone for—— days: (UP 04)
GYNECOLOGY
the most important indicator of prognosis? (AI 04) a. 14

a. Body habitus b. 21
b. Level of CA – 125 c. 5
c. Nutritional status d. 10
d. Histologic type of tumour Ref: Jeffcoate 7/e p396
Ref: Dutta Gynae 6/e p360
44. Polycystic ovarian disease is associated with: (UP 04)
36. Following can cause endometrial cancer: (AP 2008) a. Ovarian cancer
a. Metropathia hemorrhagica b. Endometrial carcinoma
b. Gynandroblastoma c. Congenital adrenal hyperplasia
c. Dysgerminoma d. Vaginal carcinoma
d. All of the above Ref: Shaw 15/e p-417
Ref: Shaw’s 15/e p307, 378, 381
Ans. 30. d. No treatment 31. d. Tumor... 32. c. Enlarged... 33. a, b and d

34. a, b and e 35. d. Histologic... 36. a. Metropathia... 37. c. Mixed...
38. c, d and e 39. a, b and d 40. a. Endometrium Ca 41. b. Endocervical...
42. a. Oestrogen 43. b. 21 44. b. Endometrial...
45. Commonest cause of carcinoma endometrium is: (UP 05) 54. The treatment of choice in a 56 years old woman with
a. Unopposed estrogen endometrial cancer is: (UPSC 85; PGI 88)
b. Multiple sex partner a. Irradiation
c. Early marriage b. Wertheim’s hysterectomy
d. Early menarche Ref: Shaw 15/e p-416 c. Pan hysterectomy
46. A postmenopausal diabetic woman presents with bleeding d. Irradiation and later panhysterectomy
per vaginum. The most likely diagnosis is: (Delhi 97) Ref: Shaw 15/e p-420; Williams Gynae. 1/e p699; Dutta 5/e p345
a. Carcinoma vulva 55. Predisposing factors for endometrial carcinoma is: (PGI 88)
b. Carcinoma cervix a. Early menopause
c. Carcinoma endometrium b. Late menopause
d. Carcinoma ovary c. Nulliparity
Ref: Shaw 15/e p-416 d. Hypertension
47. Stage IV endometrial carcinoma, treatment is: (Delhi 99) e. Diabetes mellitus
a. Surgery Ref: Shaw 15/e p-316-317
b. Radiotherapy 56. Commonest histology of carcinoma of endometrium is:
c. Chemotherapy a. Squamous cell (Kerala 94)
d. Radiotherapy, Chemotherapy and hormonal therapy b. Clear cell
Ref: Shaw 15/e p-420 c. Adenocarcinoma
48. Treatment of choice in a postmenopausal lady with atypical d. Anaplastic carcinoma
endometrial hyperplasia is: (Delhi 00) Ref: Dutta Gynae 5/e p342’ Shaw 15/e p-318
a. Estrogens 57. The treatment of choice in endometrial carcinoma stage I is:
b. Hysterectomy (Karn. 94)
c. Progestogens a. External radiotherapy
d. Radiotherapy b. Intracavitary radiation
Ref: Jeffcoate 8/e p396; 7/e p425; Williams Gynae. 1/e p691) c. Hysterectomy
49. All are risk factors for carcinoma endometrium EXCEPT: d. Chemotherapy
a. Multiple sexual partners (Delhi 00) Ref: Shaw 15/e p-420; Williams Gynae. 1/e p699-700)
b. Diabetes 58. In a case of endometrial cancer, if metastasis is seen in the
c. Hypertension vagina, what FIGO stage it would be: (UPSC 04)
d. Infertility Ref: Shaw 15/e p-316-317 a. Stage III a
50. Atypical endometrial hyperplasia undergoes malignant b. Stage III b
transformation in: (Delhi 00) c. Stage III c
a. 10% d. Stage IV a Ref: Shaw 15/e p-420
b. 25%
c. 45%
d. 70% Ref: Dutta Gynae 6/e p329
B. CERVIX
51. Endometrial hyperplasia is caused by: (AIIMS May 94) 59. A patient with carcinoma cervix who has completed
a. Estrogen radiotherapy comes with uraemia. The most common cause
b. Perimenopausal age is: (DP PGMEE 2010)
c. Ovulation inducing drug a. Bilateral ureter invasion
d. Smoking Ref: Shaw 15/e p-316
GYNECOLOGY
b. Radiation nephritis
52. Commonest malignancy of the body of the uterus is: c. Ureteric stenosis due to radiation
a. Adenoacanthoma (AIIMS 84) d. Unconnected causes Ref: Novak 15/e p1331
b. Squamous cell carcinoma 60. FIGO Cervical cancer stage IA2 includes: (AP 2011)
c. Sarcoma a. Stromal invasion less than 3 mm in depth and 7 mm or
d. Adenocarcinoma less in horizontal spread
Ref: Shaw 15/e p-318; Dutta Gynae 5/e p342 b. Stromal invasion between 3 and 5 mm with horizontal
53. Second stage of carcinoma endometrium is treated by: spread of 7 mm or less
a. Surgery (AI 91) c. Visible lesion or a microscopic lesion with more than 5
b. Radiotherapy followed by surgery mm of depth or horizontal spread of more than 7 mm
c. Chemotherapy d. Visible lesion 4 cm or less in greatest dimension
d. Progesterone followed by surgery Ref: Dutta Gynae 6/e p342
Ref: Shaw 14/e p376
Ans. 45. a. Unopposed... 46. c. Carcinoma... 47. d. Radiotherapy... 48. b. Hysterectomy

49. a. Multiple sexual... 50. b. 25% 51. a. Estrogen 52. d. Adeno...
53. b. Radiotherapy... 54. c. Pan... 55. b, c, d and e 56. c. Adeno...
57. c. Hysterectomy 58. b. Stage III b 59. a. Bilateral... 60. …
61. In which stage vaginal involvement is seen earlier in ca d. Weight loss
cervix: Ref: Shaw 13/e p177
a. IIIb 69. Most common type of human papilloma virus causing Ca
b. IIIa cervix are:
c. II a. 16 and 18
d. IV b. 1 and 33
62. Carcinoma cervix involving upper 2/3 of vagina are classed c. 6 and 11
as: (DNB 2006) d. 2 and 14
a. IIA Ref: Shaw’s 15/e p400
b. lIlA 70. Best method of treatment for CIN 3 (carcinoma in situ):
c. lIB a. LEEP (NEET Pattern Question)
d. IIIB b. Conization
Ref: Shaw’s 15/e p412 c. Laser ablation
63. Most commonly associated human papilloma virus with d. Cryosurgery
cancer cervix is: (DNB 2011) Ref: Dutta Gynae 6/e p326, 327, 328
a. HPV 16 71. In Ca. cervix for staging investigation used is:
b. HPV 24 a. MRI (NEET Pattern Question)
c. HPV 32 b. CECT
d. HPV 36 c. USG
Ref: Novak’s 15/e p580 d. Biopsy
64. Carcinoma cervix originates in the: (DP PGMEE 2009) Ref: Dutta Gynae 6/e p341
a. Columnar epithelium 72. Which cancer may be prevented by vaccine?
b. Squamous epithelium a. Ca. of breast (NEET Pattern Question)
c. Transformation zone b. Ca of cervix
d. Uterine isthmus c. Ca. of ovary
Ref: Shaw’s 15/e p400, 14/e p359, 13/e p382, Devita 7/e p1297, Dutta d. Ca. of pancreas Ref: Shaw’s 15/e p406
Gynae 6/e p340
73. True about CIN: (PGI Dec. 04)
65. PAP smear shows Ca in situ-what is the best next logical a. Premalignant lesion
procedure: (DNB 2008) b. HPV predisposes
a. Conization c. Pap smear can detect it
b. Colposcopy and biopsy d. Chlamydia infection can predispose
c. Hysterectomy e. Occurs at squamo-columnar junction
d. HPV viral Ref: Shaw 15/e p-400; Novak 14/e p1404
e. D.N.A. testing
74. A patient is diagnosed to have CIN II. She approaches. you
Ref: Dutta Gynaecology 6/e p328, 5/e p112
for advice. You can definitely tell her the risk of malignancy
66. Management of stage II b CA cervix is: (DNB 2009) as: (AI 98; AIIMS 01)
a. Radiotherapy a. 15%
b. Radiotherapy + chemotherapy b. 60%
c. Surgery c. 30%
d. Chemotherapy d. 5%
Ref: Shaw’s 15/e p414; Novak 15/e p1317 Ref: Dutta Gynae 6/e p323
GYNECOLOGY
67. In brachytherapy for carcinoma cervix, dose of radiation at 75. In a cervical low grade squamous intra epithelial lesion
point A is? (LSIL) in Bethesda system includes: (PGI May 2010)
a. 1000 rad a. CIN I
b. 4000 rad b. CIN II
c. 8000 rad c. CIN III
d. 10000 rad Ref: Dutta Gynae 6/e p350 d. Squamous metaplasia Ref: Shaw 15/e p400
68. Complication, which results in mortality, in carcinoma 76. Pap smear is useful in the diagnosis of all EXCEPT:
cervix: a. Gonorrhea (AIIMS May 02)
a. Bleeding b. Trichomonas vaginalis
b. Infection c. Human papilloma virus
c. Renal failure d. Inflammatory changes Ref: Novak 15/e p585
Ans. 61. c. II 62. a. IIA 63. a. HPV 16 64. c. Transformation zone

65. b. Colposcopy... 66. b. Radiotherapy... 67. c. 8000 rad 68. c. Renal failure
69. a. 16 and 18 70. a. LEEP 71. d. Biopsy 72. b. Ca of cervix
73. All 74. d. 5% 75. a. CIN I 76. a. Gonorrhea
77. Acetic acid staining of cervix show all of the following except: 85. A 40 year old owman presents with abnormal cervical
a. Squamous dysplasia (AIIMS May 02) cytology on PAP smear suggestive of CIN (III). The next
b. Cervical carcinoma in situ best step in management is: (AI 2010)
c. Cervical polyp a. Hysterectomy
d. Cervical dysplasia b. Colposcopy and LEEP
Ref: Novak 15/e p588, 14/e p576 c. Colposcopy and cryothereapy
78. All of the following are indications of colposcopy: d. Conization
a. Suspicious pap smear (PGI Dec. 05) Ref: Novak 15/e p599, 601
b. Obvious mass seen 86. A female 35 years P3 L3 with CIN III on colposcopic biopsy.
c. Suspected invasive carcinoma What would you do? (AI 09)
d. Patient who refuse biopsy a. LEEP
Ref: Shaw 15/e p403; CGDT 10/e p837; Williams Gynae 1/e p630 b. Conization
79. Rekha a 45-years-old woman has negative pap smear with c. Hysterectomy
positive endocervical curettage. Next step in management d. Cryotherapy
will be: (AI 01) Ref: CGDT 10/e p840; Jeffocate 7/e p421
a. Colposcopy 87. A 35-year-old P3+O is observed to have CIN grade III on
b. Vaginal hysterectomy colposcopic biopsy. T/t includes: (PGI Nov-10)
c. Conisation a. Cold knife conization
d. Wertheim’s hysterectomy b. Simple hysterectomy
Ref: Shaw’s 15/ep406 c. Radical hysterectomy
80. Pap smear of Lelawati, 45 years female, shows CIN grade d. Laparoscopy assisted hysterectomy
III. Which of the following is the next step in management: e. LEEP Ref: Novak 15/e p599, 601
a. Punch biopsy (AIIMS 00) 88. True about Ca cervix: (PGI Dec. 06)
b. Large loop excision a. 90% associated with HPV
c. Colposcopy directed biopsy b. Nulliparity
d. Cone biopsy Ref: Shaw’s 15/e p405 c. OCP
81. Cone biopsy is indicated in all the following conditions d. Immunocompromised patients
except: Ref: Dutta Gynae 6/e p322, 323
a. Indefinite diagnosis on colposcopy (AIIMS 00) 89. Predisposing factors for Ca. cervix: (PGI Dec 08)
b. CIN-III a. Multiple sex partners
c. Cervical metaplasia b. Genital wart
d. Microinvasive carcinoma c. HPV 16, 18
Ref: Shaw’s 15/e p406, 413 for ‘d’ d. Virginity
82. Cone biopsy of cervix is indicated in all cases showing: e. Late menarche Ref: Shaw’s 15/e p400
a. Parametrial invasion (PGI 04) 90. Risk factor for Ca Cervix: (PGI Dec. 04)
b. Abnormal pap smear a. HPV
c. Endometrial Ca b. Smoking
d. Endocervical curettage positive c. Late Menarche
e. Clear cell Ca d. Nulliparity
Ref: Dutta Ganae 6/e p589 e. Early sexual intercourse
83. Therapeutic conisation is indicated in: (AIIMS 00) Ref: Shaw’s 15/e p399, 400
GYNECOLOGY
a. Microinvasive carcinoma 91. Carcinoma cervix is more common in: (PGI 01)
b. CIN (III) a. HIV patient
c. Unsatisfactory colposcopy with cervical dysplasia b. Multiparity
d. Cervical metaplasia c. Smoking
Ref: Shaw 15/e p413; Novak 14/e p584 - 585,15/e,p604 d. Nulliparity
84. A 35-year-old lady with post coital bleeding management is: e. Family history Ref: Shaw’s 15/e p3991, 400
(AIIMS Nov 09; May 08) 92. M/C agent responsible for Ca cervix is: (Al 07)
a. Clinical examination and pap smear a. HPV 16
b. Visual examination with lugol iodine b. HPV 18
c. Visual examination with acetic acid c. HPV 31
d. Colposcopy Ref: Dutta Gynae 6/e p325 d. HPV 36
Ref: Novak 15/e p580
Ans. 77. c. Cervical polyp 78. a and c 79. c. Conisation 80. c. Colposcopy...
81. c. Cervical... 82. b and d 83. a. Microinv... 84. d. Colposcopy
85. b. Colposcopy... 86. a. LEEP 87. a, b and e 88. a and d
89. a, b and c 90. a, b and e 91. a, b and c 92. a. HPV 16
93. HPV associated with adenocarcinoma of cervix: (PGI 05) 101. In Ca cervix lymphatic spread involve which of the
a. Type 6 following lymph node/nodes: (PGI 02)
b. Type 18 a. Obturator LN
c. Type 11 b. External iliac LN
d. Type 42 c. Inguinal LN
94. Most common type of human papilloma virus causing Ca d. Femoral LN
cervix are: (PGI 03) e. Hypogastric LN
a. 16 and 18 Ref: Dutta Gynae 6/e p348
b. 1 and 33 102. LN involved in cervical cancer: (PGI Dec. 05)
c. 6 and 11 a. Inguinal LN
d. 2 and 14 b. Obturator LN
e. 2 and 5 c. Hypogastric LN
Ref: Shaw’s 15/e p400 d. External Iliac LN
95. High Risk HPV includes: (PGI 02) e. Femoral LN
a. Type 16 Ref: Dutta Gynae 6/e p348
b. Type 18 103. A 55- years old lady presenting to out patient department
c. Type 11 (OPD) with postcoital bleeding for 3 months has a 1× 1 cm
d. Type 12 nodule on the anterior lip of cervix. The most appropriate
Ref: Dutta Gynae 6/ep323 investigation to be done subsequently is: (AI 03)
96. Virus associated with cancer cervix: (PGI 01) a. Pap smear
a. HPV b. Punch biopsy
b. HIV c. Endocervical curettage
c. EBV d. Colposcopy Ref: Shaw’s 15/e p409
d. HTLV 104. A 50-year-old women presents with postcoital bleeding.
Ref: Shaw 15/e p-400; Williams Gynae. 1/e p619 - 621 A visible growth on cervix is detected on per speculum
97. MC Site of Ca Cervix: (PGI Dec 08) examination. Next investigation is: (AI 01)
a. Endocervix a. Punch biopsy
b. Ectocervix b. Colposcopic biopsy
c. Squamo-columnar junction c. Pap smear
Ref: Dutta Gyane 6/e p340 d. Cone Biopsy Ref: Shaw’s 15/e p409
98. A case of carcinoma cervix is found in altered sensorium 105. Meena 45-year-old female presents with postcoital
and is having hiccups. Likely cause is: (AI 01) bleeding. On per speculum examination a friable mass is
a. Septicemia found in cervix. Next step in management is:
b. Uremia a. Colposcopy directed biopsy (AIIMS Nov. 00)
c. Raised ICT b. 6 monthly pap smear
d. None of the above c. Only observation
Ref: Shaw 15/e p-400; Novak 14/e p564; Williams Gynae 1/e p619 d. Punch biopsy Ref: Novak 15/e p1306
99. All of the following investigations are used in FIGO staging 106. A patient complaint’s of postcoital bleed; no growth is seen,
of carcinoma cervix except: (AIIMS Nov. 08) on per speculum examination; next step should be: (AI 01)
a. CECT a. Colposcopy biopsy
b. Intravenous Pyelography b. Conisation
GYNECOLOGY
c. Cystoscopy c. Repeat pap smear

d. Proctoscopy d. Culdoscopy Ref: Dutta Gynae 6/e p325
Ref: Dutta Gynae. 6/e p341, 345, 5/e p328; Novak 14/e p1410 107. False statement about treatment of Ca cervix: (PGI June 05)
100. Which of the following statements about squamous cell a. Radiotherapy is helpful in all stages
carcinoma of cervix is false: (AI 08) b. Prognosis of surgery good if done in early stages
a. Common at squamocolumnar junction c. When radiotherapy is given, para aortic LN’s should be
b. CT scan is mandatory for staging included
c. Post coital bleeding is a common symptom d. Chemotherapy is reserved for late stages
d. HPV 16 and 18 are associated with high risk of e. From stage Ib onwards same prognosis with surgery and
carcinogenesis RT
Ref: Jeffcoates 7/e p470-472; Dutta Gynae 6/ep340 341, 345 Ref: Novak 14/e p1417 - 1418, 1436; 15/e p1326, 1333,
William Gynae. 1/e p658 - 659
Ans. 93. b. Type 18 94. a. 16 and 18 95. a and b 96. a. HPV

97. c. Squamo... 98. b. Uremia 99. a. CECT 100. b. CT scan...
101. a, b and e 102. b, c and d 103. b. Punch biopsy 104. a. Punch biopsy
105. a and d 106. a. Colposcopy... 107. c and e
108. A lady undergoes radical hysterectomy for stage Ib ca cervix. b. Well-defferentiated squamous cell carcinoma
It was found that cancer extends to lower part of body of c. Hydroureter
uterus and upper part of cervix Next step of management d. Adenocarcinoma
will be: (AIIMS May 2010) Ref: Jeffcoate 8/ep441, 442, 7/e p574 - 575; Novak 14/e p1426)
a. Chemotherapy 116. Commonest tumor of the cervix is: (Comed 08)
b. Radiotherapy a. Squamous cell carcinoma
c. Chemoradiation b. Adenocarcinoma
d. Follow up c. Sarcoma
Ref: Novak gynae 14/e p1436, 1426, 1418-1421, 1408 d. Adenoacanthoma
109. Treatment of Ca cervix stage IB includes: (PGI Nov-10) Ref: Shaw 15/e p-407
a. Surgery 117. Most common site for carcinoma cervix is: (UP 04)
b. Chemotherapy a. Endocervix
c. Radiotherapy b. Ectocervix
d. Cryotherapy c. Near the internal os
e. Leep d. Vault
Ref: Novak gynae 15/e p1332, Devita 8/e,p1508-1509 Ref: Dutta Gynae 6/e p340; Shaw 14/e p365
110. Treatment of stage III B carcinoma cervix is: 118. Carcinoma cervix in stage III B of FIGO classification
a. Wertheim procedure (AIIMS Nov 2010) treatment: (UP 03, 96)
b. Schauta procedure a. Surgery
c. Chemotherapy b. Radiotherapy
d. Intracavitary brachytherapy followed by external beam c. Chemotherapy
RT d. Immunotherapy
Ref: Novak 15/ep1333; 14/e p1436, 1427, shaw 15/e p414 Ref: Novak 15/ep1333, 14/e p1418
111. True statement regarding Ca cervix involving parametrium 119. Most common cause of death in carcinoma cervix is:
but not pelvic involvement: (PGI May 2010) a. Widespread metastasis (Delhi 03)
a. Stage II A b. Renal failure
b. Stage II B c. Operative interference
c. Radiotherapy should be given d. Hazards of radiotherapy
d. Hysterectomy can be useful Ref: Jeffcoate 8/e p438, 7/e p472; Dutta Gynae 6/ep346
e. Staging should be done after cystoscopy.
120. Treatment of choice in a patient with carcinoma cervix stage
Ref: Novak 15/ep1309, 1317; 14/e p1407-1409, Shaw 15/e p412-415
III is: (Delhi 03)
112. Point B in the treatment of carcinoma cervix receives the a. Surgery
following dose of: b. Radiotherapy
a. 7000 cGy c. Chemotherapy
b. 6000 cGy d. All of the above
c. 5000 cGy Ref: Shaw 15/e p-414; Novak 15/e p1333, 14/e p1418
d. 10,000 cGy
121. Following agent is implicated in carcinoma cervix: (DNB 02)
Ref: Novak, 15/e p1326; 14/e p1428
a. Herpes simplex
113. Unsatisfactory colposcopy means: (Karnataka 02) b. Human papilloma virus
a. Failure to visualize cervix c. EB virus
b. Failure to visualize transformation zone d. Adenovirus Ref: Shaw 15/e p-400
GYNECOLOGY
c. Failure to visualize squamous epithelium
122. A 40-year-old lady with CIN III. Best management is:
d. Failure to visualize columnar epithelium
a. Conisation (DNB 01)
Ref: Dutta Gynae 6/e p324, 325, 116
b. Wertheim’s hysterectomy
114. Human papilloma virus is associated with this carcinoma: c. Total abdominal hysterectomy
a. Carcinoma cervix (Mahe 07) d. Punch biopsy
b. Carcinoma uterus Ref: Shaw 15/e p-405; Jeffcoate 7/e p. 421
c. Fibroids
123. Commonest malignancy in women in India is: (DNB 97)
d. None of the above
a. Ca-breast
Ref: Shaw 15/e p-400; Williams Gynae. 1/e p619
b. Oral Ca
115. Poor prognostic factors in the management of cancer cervix c. Ca-cervix
are the following except: (UPSC 07) d. Ovarian Ca
a. Young age Ref: Shaw 15/e p-399
Ans. 108. d. Follow up 109. a, b and c 110. d. Intracavitary... 111. b, c and e

112. b. 6000 cGy 113. b. Failure to... 114. a. Carcinoma... 115. b. Well-differentiated...
116. a. Squamous... 117. b. Ectocervix 118. b. Radiotherapy 119. b. Renal failure
120. b. Radiotherapy 121. a and b 122. c. Total... 123. c. Ca-cervix
124. Treatment for stage IIIb CA Cervix: (Delhi 2008) d. Condyloma
a. Radiotherapy Ref: Dutta Gynae 6/e p325, 5/e p113; Novak 14/e p576
b. Chemotherapy 132. In carcinoma cervix, the causative etiological factor is:
c. Surgery a. Condyloma accuminata (UPSC 02)
d. Extended hysterectomy followed by Radiotherapy b. HPV 16,18
Ref: Shaw 15/e p-414 c. HPV 6, 11
125. In CA cervix, with extension to lower third of vagina, stage d. HSV 1 and 2
is: (Delhi 2008) Ref: Shaw’s 15/e p400
a. 1A2 133. In which stage vaginal involvement is seen earlier in ca
b. 1A cervix: (RJ 2008)
c. 2B a. Illb
d. 3A b. Illa
Ref: Shaw 15/e p-412 c. II
126. Radical hysterectomy is done in which one of the following: d. IV
a. Carcinoma in situ (APP06) Ref: Shaw 15/e p-412
b. Endocervix cancer stage IA 134. Time taken for conversion of CIN cervix to invasive
c. Microinvasive carcinoma of cervix carcinoma is —— years: (J & K 01)
d. Carcinoma cervix stage IB a. 5
Ref: Shaw 15/e p-414; Dutta Gynae. 5/e p338 b. 10
127. Presence of hydronephrosis in staging of carcinoma cervix c. 15
denotes FIGO disease: (Karn 06) d. 20
a. Stage II-B Ref: Shaw 15/e p-400
b. Stage III-A 135. Staging of Carcinoma cervix with microscopic involvement
c. Stage III-B of length >3 mm but <5mm, with invasion no wider than 7
d. Stage IV-A mm? (MH 2008)
Ref: Shaw 15/e p-412 a. Ia1
128. A 45 years multiparous women, on punch biopsy shows b. Ia2
carcinoma in situ, Best treatment modality is: (UP 2008) c. Ib
a. Conisation d. IIa Ref: Shaw 15/e p-412
b. Wertheim’s hysterectomy 136. A patient with carcinoma cervix presents with:
c. Radiotherapy a. Menorrhagia (Karnataka 2008)
d. Abdominal hysterectomy with bilateral b. Metrorrhagia
salpingoophrectomy c. Amenorrhoea
Ref: Shaw 15/e p-406 d. Polymenorrhagia
129. Type of papilloma virus which is strongly associated with Ref Shaw’s 15/e p409; Novak 14/e p1404
carcinoma cervix is: (AMU 05)
a. 33
b. 34 C. OVARY
c. 56
d. 55 137. The most common ovarian neoplasm to undergo torsion is:
Ref: Dutta Gynae 6/e p323 a. Mucinous cyst adenocarcinoma (DP PGMEE 2009)
b. Benign cystic teratoma
GYNECOLOGY
130. Human papilloma virus (HPV) serotype most often

c. Immature teratoma
associated with invasive carcinoma cervix is:
d. Dysgerminoma
a. HPV – 11 (Karn. 05, SGPGI 05)
Ref: Novak’s 15/e p413, 14/e p473; Dutta Gynae 6/e p298
b. HPV – 16
c. HPV – 18 138. A 22-year-old female with mobile 4 cm size ovarian cyst
d. HPV – 31 treatment is: (RJ 2008)
Ref: Novak 15/e p580 a. Laparotomy
b. HRT
131. Finding on colposcopy suggestive of malignancy:
c. Debulking
a. Candidiasis (Orissa 04)
d. Expectant management
b. Papilloma
Ref: Shaw 15/e p368
c. Punctuation
Ans. 124. a. Radiothe... 125. d. 3A 126. d. Carcinoma... 127. c. Stage III-B

128. d. Abdominal... 129. a. 33 130. b. HPV – 16 131. c. Punctuation
132. b. HPV 16, 18 133. b. Illa 134. b. 10 135. b. Ia2
136. b. Metrorrhagia 137. b. Benign cystic... 138. d. Expectant...
139. Treatment of stage II carcinoma ovary is: (AP 2010) 147. Young girl having very high AFP, which ovarian tumour is
a. Surgery only suspected: (NEET Pattern Question)
b. Chemotherapy a. Germ cell tumor
c. Surgery and Chemotherapy for 4-5 cycles b. Brenner’s tumor
d. Surgery + Radiotherapy c. Epithelial cell tumor
Ref: Dutta Gynae 6/e p378, 379 d. Theca cell tumor
140. Which one of the following is not a germ cell tumour of Ref: Shaw’s 15/e p423, 424
ovary? (AP 2010) 148. All of the following are known risk factors for the
a. Dysgerminoma development of ovarian carcinoma except: (AIIMS 03)
b. Teratoma a. Family history of ovarian carcinoma
c. Yolk sac tumor b. Use of oral pills
d. Brenner’s tumor c. Use of Clomiphene
Ref: Dutta Gynae 7/e p371 d. BRCA - 1 positive individual
141. An ovarian neoplasm in a 14-year old girl is most likely to Ref: Shaw’s 15/e p422
be: (DP PGMEE 2009) 149. Which of the following strategy has been recommended to
a. Germ cell tumor reduce the heredity risk for ovarian cancer in women with
b. Epithelial tumor BRCA - 1 and BRCA - 2 mutations: (AIIMS 05)
c. Sertoli Leydig cell tumor a. Use of oral contraceptive pills
d. Granulosa cell tumor b. Screening with transvaginal ultrasound
Ref: Novak 15/e p1393, Shaw’s 14/e p380, 13/e p359 c. Screening with CA - 125
142. Ovarian tumour which is bilateral in 10 percent cases is: d. Prophylactic oophorectomy
a. Dysgerminoma (DNB 2008) Ref: Novak 15/e p1365, 14/e p1471
b. Endodermal sinus tumour 150. M/C malignant ovarian Tm in young age group:
c. Immature teratoma (PGI June 05/04)
d. Embryonal cell carcinomas a. Dysgerminoma
Ref: Shaw’s 15/ep378 b. Dermoid
143. A lady with CA ovary in follow up with raised CA-125 c. Mucinous cystadenoma
level, next step: (DNB 2008) d. Fibroma
a. CT e. Granulosa cell tumor
b. PET Ref: Shaw 15/e p378, 377; Novak 15/e p1394
c. MRI 151. Ovarian tumors commonly arise from: (UP 05)
d. Clinical exam and serial follow up of CA-125 a. Stroma
Ref: Novak 15/e p1386 b. Surface epithelium
144. Marker for granulosa cell tumor: (DNB 2008) c. Germinal epithelium
a. CA 19-9 d. Endoderm
b. CA 50 Ref: Shaw’s 15/e p373 14/e p334
c. Inhibin 152. True about Brenner tumor: (PGI 03)
Ref: Novak 15/e p1408 a. Usually bilateral
145. The pseudomyxoma peritonei occurs as a complication of b. Resembles fibroma
the following ovarian tumour: (DP PGMEE 2010) c. Accounts for 20% of all ovarian tumors
a. Serous cystadenoma d. Common in postmenopausal age group
GYNECOLOGY
b. Mucinous cystadenoma Ref: Shaw 15/e p376
c. Dysgerminoma 153. A 25-year-old married nullipara undergoes laparoscopic
d. Gonadoblastoma cystectomy for ovarian cyst which on histopathological
Ref: Shaw’s 15/e p375, 14th , 13/e p367 examination reveals ovarian serous cisadenocarcinoma.
146. Seminoma corresponds to: What should be the next management? (AIIMS Nov 08)
a. Choriocarcinoma a. Serial C-125 measurement and follow up
b. Dysgerminoma b. Hysterectomy and bilateral pingo-oophorectomy
c. Granulosa tumor c. Hysterectomy + radiotherapy
d. Luteal cyst d. Radiotherapy
Ref: Shaw’s 15/e p378 Ref: Novak 14/e p1479-1480; 15/e p1371
Ans. 139. c. Surgery and ... 140. d. Brenner’s tumour 141. a. Germ cell tumor 142. a. Dysgerminoma
143. b. PET 144. c. Inhibin 145. b. Mucinous... 146. b. Dysgerminoma
147. a. Germ cell tumour 148. b. Use of oral pills 149. d. Prophylactic... 150. a. Dysgerminoma
151. b. Surface... 152. b and d 153. a. Serial...
154. Chemotherapeutic drug effective in the treatment of e. Radiosensitive
epithelial ovarian cancer is: (Karn. 02) Ref: Novak 14/e p1508 - 1509, 1511,15/e, p1395-1397
a. Carboplatin 162. Chemotherapy for dysgerminoma is: (AP 05)
b. Paclitaxel a. Cisplatin, etoposide, bleomycin
c. Cyclophosphamide b. Cyclophosphamide, vincristine, prednisolone
d. Methotrexate c. Adriamycin, cyclophosphamide, cisplatin
Ref: Shaw’s 15/e p442, Novak 15/e p1378 d. Methotrexate, oncovin, cyclophosphamide
155. True about granulosa cell tumours: (PGI Dec. 05) Ref: Novak 14/e p1508 - 1509, 1511,15/e, p1395-1397
a. MC malignant tumour of ovary 163. A 12-years-old female is admitted as a patient of
b. It secretes hormones dysgerminoma of right ovary 4 x 5 cm in size with intact
c. As endometrial hyperplasia capsule. Best treatment will be: (AIIMS 01)
d. Chemotherapy sensitive a. Ovarian cystectomy
Ref: Shaw’s 15/ep379; Novak 14/e p1520 - 1521,15/e p1408 b. Oophorectomy on the involved side
156. The most common pure germ cell tumour of the ovary: c. Bilateral oophorectomy
a. Choriocarcinoma (AI 05) d. Hysterectomy with bilateral salpingo-oophorectomy
b. Dysgerminoma Ref: Novak 15/e p1397
c. Embryonal cell tumor 164. True about dermoid cyst of ovary: (PGI 03)
d. Malignant teratoma a. It is teratoma
Ref: Novak 15/e p1394 b. Frequently undergoes torsion
157. Which of the following is the most common pure malignant c. X-ray is diagnostic
germ cell tumor of the ovary? (AIIMS 04, 05) d. Invariably turns to malignancy
a. Choriocarcinoma e. Contains sebaceous material and hairs
b. Gonadoblastoma Ref: Shaw 15/e p-376-377; Williams Gynae. 1/e p214 - 215
c. Dysgerminoma 165. True about yolk sac tumour: (PGI 02)
d. Malignant teratoma a. Also called endodermal sinus tumour
Ref: Novak 15/e p1394 b. Always have elevated AFP level
158. Malignant germ cell tumours of ovary includes all of the c. Schiller Duval bodies seen
following except: (PGI 04) d. Highly malignant
a. Choriocarcinoma e. Arise from epithelial cells of ovary
b. Arrhenoblastoma Ref: Novak 15/e p1403
c. Brenner’s tumor 166. True about endodermal sinus tumours: (PGI Dec. 05)
d. Serous cystadenoma a. Schiller duval bodies seen
e. Teratoma b. It is a benign tumour
Ref: CGDT 10/e p875; Devita 7/e p1391; c. ↑ed hCG
Novak 14/e p1506; d. It is seen in young individuals
15/e p1394, Williams Gynae. 1/e p741 e. It is a malignant tumour
159. Features of dysgerminoma are: (PGI June 06) Ref: Williams Gynae. 1/e p742;
a. Unilateral Jeffcoates 8/e p507, Novak 15/e, p1403
b. Post-menopausal 167. Smt. Pushpa is a suspected case of ovarian tumors. On
c. Virilising laparotomy bilaterally enlarged ovaries with smooth
d. Cut section gritty surface was seen: (AIIMS 00)
GYNECOLOGY
Ref: Shaw 15/e p-378; CGDT 9/e p937 a. Granulosa cell tumor
160. True about dysgerminoma: (PGI June 09) b. Krukenberg tumor
a. Radiosensitive c. Dysgerminoma
b. MC malignant germ cell tumor d. Primary adenocarcinoma
c. Bilateral Ref: Shaw 15/e p425-426; CGDT 10/e p877
d. Common in postmenopause 168. The following tumors commonly metastasise to the ovary,
Ref: Shaw 15/e p-378 except: (J & K 05)
161. True about dysgerminoma of ovary: (PGI Dec. 04) a. Malignant melanoma
a. Blood spread seen b. Stomach
b. Schiller-Duval bodies seen c. Esophagus
c. Increase alfa fetoprotein d. Lymphoma
d. Bleomycin, etoposide and cisplatin given Ref: Novak 15/e p1412 1413, 14/e p1525 - 1527
Ans. 154. a and b 155. b and c 156. b. Dysgerminoma 157. c. Dysgerminoma

158. b, c and d 159. a. Unilateral 160. b. MC malignan... 161. d and e
162. a. Cisplatin... 163. b. Oophorectomy... 164. a, b and e 165. a, b, c and d
166. a, d and e 167. b. Krukenberg tumor 168. c. Esophagus
169. A 55-year-old female presents with abdominal pain, b. DHEA
distension, ascites and dyspnea. Her CA-125 levels are c. Testosterone
elevated The most likely diagnosis is: (AI 2012) d. LH + FSH estimation
a. Ca ovary Ref: Shaw 15/e p-380; Williams Gynae. 1/e p391
b. Ca cervix 177. A 20 years female presents with a ovarian mass 6 × 6 × 6
c. Ca lung cm in size. Ultrasonography reveals solid structures in the
d. Lymphoma mass. Her serum biomarkers such as AFP, ƒ-hCG and CA
Ref: Jeffcoates 8/e p514, Novaks 15/e p1366 125 are normal, however, her serum alkaline phosphatase
170. Pain of ovarian carcinoma is referred to: was found to be elevated. The most likely diagnosis is:
a. Back of thigh (AIIMS May 2010) a. Dysgerminoma (AIIMS Nov 2011)
b. Cervical region b. Endodermal sinus tumor
c. Anterior surface of thigh c. Malignant teratoma
d. Medial surface of thigh d. Mucinous cystadenocarcinoma
Ref: Lasts Anatomy 10/e p302 Ref: Novak 15/e p1394, 14/e p. 1505 Shaw 15/e p378
171. True about Meig’s syndrome: (PGI Dec. 06) 178. Smt. Pushpa is a suspected case of ovarian tumors. On
a. Lymphatic dysplasia laparotomy bilaterally enlarged ovaries with smooth
b. 2 – 30 years age surface was seen: (AIIMS 00)
c. Associated with ascites and pleural effusion a. Granulosa cell tumor
d. No treatment required b. Krukenberg tumor
Ref: Shaw’s 15/e p381; Dutta Gynae 6/e p296 c. Dysgerminoma
172. Most common ovarian cyst to undergo torsion: (AI 07) d. Primary adenocarcinoma Ref: Shaw 15/e p-379
a. Benign cystic teratoma 179. In a case of dysgerminoma of ovary one of the following
b. Dysgerminoma tumor markers is likely to be raised: (AI 05)
c. Ovarian fibroma a. Serum hCG
d. Brenner’s tumor b. Serum alpha-fetoprotein
Ref: Novak 15/e p413; Dutta Gynae 6/e p298 c. Serum lactic dehydrogenase
173. The pseudomyxoma peritonei occurs as a complication of d. Serum inhibin
the following ovarian tumours: (AIIMS May 06) Ref: Novak 15/e p1392; Shaw 15/e p-378
a. Serous cyst adenoma 180. Which is raised in dysgerminoma? (AI 09)
b. Mucinous cyst adenoma a. AFP
c. Dysgerminoma b. LDH
d. Gonadoblastoma c. hCG
Ref: Shaw’s 15/e p375 d. CA-A 19-9 Ref: Shaw 15/e p-378
174. In a suspected case of ovarian cancer, imaging work up is 181. All of the following are the markers for malignant germ cell
required for all of the following except: (AI 06) tumors of ovary except: (AIIMS 05)
a. Detection of adnexal lesion a. CA - 125
b. Characterization of lesion b. Alpha-feto protein
c. Staging c. hCG
d. Assess resectability d. LDH
Ref: Novak 15/e p1368, 1366; Jeffcoate 7/e p550 Ref: Novak 15/e p1324; 14/e p1505; Shaw 15/e p-378, 387
175. A 45-year-old female is having bilateral ovarian mass, 182. CA - 125 is specifically associated with: (PGI 02)
GYNECOLOGY
ascites and omental caking on CT scan. There is high a. Colon Ca
possibility that patient is having: (AI 03) b. Breast Ca
a. Benign ovarian tumor c. Ovarian Ca
b. Malignant epithelial ovarian tumor d. Bronchogenic Ca
c. Dysgerminoma of ovary e. Pancreatic Ca Ref: Shaw 15/e p-387
d. Lymphoma of ovary 183. A lady with CA ovary in follow up with raised CA-125
Ref: Shaw’s 15/e p427 level, Next step: (AIIMS May 08)
176. A 20-year-old young girl, presents with history of rapidly a. CT
developing hirsutism and amenorrhea with change in b. PET
voice. To establish a diagnosis you would like to proceed c. MRI
with which of the following tests in blood: (AI 02) d. Clinical exam and serial follow up of CA 125
a. 17 OH progesterone Ref: Novaks Gynae 15/e p1407; 14/e p1496
Ans. 169. a. ovary 170. d. Medial... 171. d. No treatment... 172. a. Benign cystic...
173. b. Mucinous... 174. c. Staging 175. b. Malignant... 176. c. Testosterone
177. a. Dysgerminoma 178. b. Krukenberg... 179. c. Serum lactic... 180. b. LDH
181. a. CA - 125 182. c. Ovarian Ca 183. b. PET
184. Marker for granulosa cell tumor: (AIIMS May 08) d. Ca-125 estimation
a. CA 19-9 Ref: Novak 15/ep419, 14/e p472
b. Ca 50
Note: Previously OCPs a were given but now it is proved to be
c. Inhibin of not much benifit in recovering already present cyst. But it
d. Teratoma prevents cyst formation.
Ref: Novak 15/e p1407, 14/e p1505 192. Kruti, 56 years old, complained of pain in abdomen, with
185. Bilateral germ cell tumor is: (AIIMS May 07) USG showing 4 cm bilateral ovarian mass with increased
a. Dysgerminoma vascularity. Next line of managements: (AI 2007)
b. Immature teratoma a. USG guided ovarian tapping
c. Embryonal cell carcinoma b. Wait and watch
d. Endodermal sinus tumour c. Surgery
Ref: Jeffcoate 6/e p522; Novak 15/e p1396, 1403, 1404, 14/e p1519, 1517, d. OC pills x three cycles
1514 Ref: Novak – 15/e p430, 14/e p472
186. Surgical staging of ovarian Ca all done except: (AI 09) 193. Which of the following ovarian tumor is most prone to
a. Peritoneal washing undergo torsion during pregnancy: (AI 06)
b. Peritoneal biopsy a. Serous cystadenoma
c. Omental biopsy b. Mucinous cystadenoma
d. Palpation of organs c. Dermoid cyst
187. Laparotomy performed in a case of ovarian tumor revealed d. Theca lutein cyst
unilateral ovarian tumor with ascites positive for malignant Ref: Dutta Obs. 6/e p310; Williams Gynae. 1/e p214
cells and positive pelvic lymph nodes. All other structures 194. A 15 cms X 15 cms ovarian cyst has been diagnosed in an
were free of disease. What is the stage: weeks pregnant lady. Further management includes:
a. Stage II c a. Only follow up without surgical intervention
b. Stage III a b. Laparotomy at 14-16 weeks (PGI Nov 10)
c. Stage III b c. Cesarean delivery and ovariotomy at term
d. Stage III c d. Surgery after delivery
Ref: Novak 15/e p1369, 14/e p1477; AJCC Cancer Staging Manual 6/e e. Immediate operation
p275 - 276; Shaw 15/e p427 Ref: Williams obs 23/e p905-906
188. Bilateral ovarian cancer with capsule breached; ascites 195. All are germ cell tumors of ovary EXCEPT: (UP 01)
positive for malignant cells. Stage is: (AI 01; AIIMS 07) a. Brenner’s tumor
a. I b. Dysgerminoma
b. II c. Polyembryoma
c. III d. Endodermal sinus tumor
d. IV Ref: Shaw 15/e p-376-379, 423
Ref: Novak 15/e p1369, 14/e p1477; Shaw 15/e p427 196. Treatment of malignant ovarian tumours is: (UP 03)
189. What is the stage of ovarian Ca with superficial liver a. Total hysterectomy
metastasis with B/L ovarian mass: (PGI Dec. 06) b. Total salpingo – oophorectomy
a. Stage I c. Total hysterectomy with unilateral salpingo –
b. Stage II oophrectomy
c. Stage III d. Total hysterectomy with bilateral salpingo –
d. Stage IV oophorectomy Ref: Shaw 15/e p428
GYNECOLOGY
e. Ca in situ Ref: Shaw 15/e p-427 197. Which of the following ovarian tumour is associated with
190. All are true about serous cystadenoma of the ovary except: Meig’s syndrome: (UP 04)
a. Bilateral (UP 04) a. Fibroma
b. Unilateral b. Brenner’s tumour
c. Concenteric calcification c. Serous cystadenoma
d. Multiloculated, sticky, gelatinous fluid d. Sarcoma Ref: Shaw 15/e p381
Ref: Shaw 15/e p-374; Dutta Gynae 5/e p282 198. Which of the following is feminizing ovarian tumours:
191. A 35-year-old patient on USG shows 3 x 4 cm clear ovarian a. Granulosa cell tumour (UP 06)
cyst on right side. Next line of management is:(PGI Dec 08) b. Arrhenoblastoma
a. Laparoscopy c. Hilus cell tumour
b. OC pills d. Gynandroblastoma
c. Wait and watch Ref: Shaw 15/e p379
Ans. 184. c. Inhibin 185. a. Dysgerminoma 186. c. Omental biopsy 187. d. Stage III c
188. a. I 189. c. Stage III 190. d. Multiloculated... 191. c. Wait and watch
192. c. Surgery 193. c. Dermoid cyst 194. b. Laparotomy... 195. a. Brenner’s tumour
196. d. Total hyste... 197. a. Fibroma 198. a. Granulosa...
199. Granulosa cell tumour secretes: (UP 06) b. Choriocarcinoma
a. Progesterone c. Theca cell hyperplasia
b. Oestrogen d. Ectopic pregnancy
c. HCG Ref: Shaw 15/e p369
d. Calcitonin 208. Which is NOT true about Krukenberg tumor?
Ref: Shaw 15/e p-379 a. Presence of signet ring cell (Karnataka 2010)
200. Lymphocytic infiltration is diagnostic in: (UP 06) b. The tumor does not retain the shape of normal ovary
a. Brenner’s tumour c. Invariably bilateral
b. Dysgerminoma d. Primary carcinoma being stomach (70%)
c. Dermoid cyst Ref: Shaw 15/e p425-426
d. Struma ovarii 209. Stage Ia ovarian carcinoma false statement: (Kolkata 2009)
Ref: Shaw 15/e p-378 a. Para-aortic lymph node involvement doesn’t affect
201. Classical Meig syndrome is associated with which of the staging
following ovarian tumour: (Delhi 00) b. Grade of tumor is individual prognostic factor
a. Fibroma c. Peritoneal washing is not positive in stage Ia
b. Serous cystadenoma d. For staging laparotomy is done
c. Thecoma Ref: Novak 15/e p1368, 1364, 14/e p1477
d. Endometroid tumour Note: Pelvic and para-aortic lymphnodes are specially
Ref: Shaw 15/e p-381 explored at the time of staging.
202. Dermoid cyst of ovary contains derivatives from: (Delhi 04) 210. Which causes torsion of ovarian tumor:
a. Endoderm a. Trauma (Kerala 03)
b. Mesoderm b. Uterine contraction
c. Ectoderm c. Physical movements
d. All Ref: Shaw 15/e p-376 d. All
Note: MC elements are of ectodermal origin. Ref: Dutta Gynae 6/e p299
203. Not a germ cell tumour is: (AP 08, Delhi 05) 211. Tumor marker most helpful in follow up of a case of
a. Dysgerminoma Epithelial carcinoma of ovary is: (Karnataka 02)
b. Teratoma a. CA – 125
c. Granulosa theca cell tumour b. Serum Alpha Fetoprotein
d. Embryonal cell carcinoma c. Serum human chorionic gonadotropin
Ref: Shaw 15/e p-376-379) d. Human Placental Lactogen
204. The following is most sensitive to radiotherapy: Ref: Shaw 15/e p-387)
a. Serous cystadenoma (DNB 02) 212. Presence of more than two germ cell layer in a tumor is
b. Dysgerminoma called: (Orissa 05)
c. Mucinous cystadenoma a. Dysgerminoma
d. Teratoma Ref: Shaw’s 15/e p439 b. Teratoma
205. Which of the following is true about granulosa cell tumor of c. Theca cell tumor
ovary: (Delhi 2008) d. Seminoma
a. Common in puberty Ref: Shaw’s 15/e p376
b. Associated with CA endometrium 213. Chemotherapy for dysgerminoma is: (AP 05)
GYNECOLOGY
c. Malignant change occur rarely a. Cisplatin, etopisides, belmoycin
d. It is bilateral b. Cyclophosphamide, vincristine, prednisolone
Ref: Shaw 15/e p-379-380, 424) c. Adriamycin, cyclophosphamide, cisplatin
206. Name the stage of ovarian tumors in which the tumour is d. Methotrexate, oncovin, procarbazine
limited to both ovaries, tumours absent on external surface, Ref: Novak 14/e p1511
capsule is intact, no malignant ascites: (AP 2008) 214. Size of ovary cyst, above which considered to be malignant:
a. IA a. 2 cm (CMC 01)
b. IB b. 5 cm
c. IC c. 8 cm
d. IIA Ref: Shaw 15/e p427 Table 29.13 d. 10 cm
207. Theca lutein cysts seen in: (PGI 03) Ref: Dutta Gynae 6/e p289, 290, 377, 5/e p279, 292
a. H. mole
Ans. 199. b. Oestrogen 200. b. Dysgerminoma 201. a. Fibroma 202. d. All

203. c. Granulosa... 204. b. Dysgerminoma 205. b. Associated... 206. b. IB
207. a and b 209. a. Para-aortic... 210. d. All 211. a. CA – 125
212. b. Teratoma 213. a. Cisplatin... 214. c. 8 cm
215. Marker for ovarian cancer is: (TN 02) 223. Which of the following combination is not true:
a. CA-125 a. Call Hexner bodies – GC tumor (AMU 05)
b. Ca 19 – 19 b. Rokitansky bodies – Teratoma
c. Ca 15 – 5 c. Schillar duval bodies – Serous tumor
d. Hypercalcemia d. Reinke crystal – Hilus cell tumor
Ref: Shaw’s 15/e p387 Ref: Dutta Obs 6/e p384, 293, 383; Shaw’s 15/e p381
216. Chemotherapeutic drug effective in the treatment of 224. Ovarian tumor limited to true pelvis with negative nodes
epithelial ovarian cancer is: (Karnataka 02) histological confirmed seeding of abdominal portioned
a. Carboplatin surface. The exact grading: (HPU 05)
b. Paclitaxel a. III A
c. Cyclophosphamide b. III B
d. Methotrexate c. III C
Ref: Novak 15/e p1378, 14/e p1489 d. IV Ref: Shaw 15/e p-427
217 Commonest tumor of ovary occurring in a young woman is: 225. Complications of benign ovarian tumors are all except:
a. Immature teratoma (TN 03) a. Torsion (MAHE 05)
b. Yolk sac tumor b. Bleeding
c. Endometroid tumor c. Pseudomyxoma
d. Dysgerminoma d. Metastasis Ref: Shaw 15/e p382-384
Ref: Shaw 15/e p-378; Devita 7/e p1391 226. The following tumours commonly metastatise to the ovary,
218. Hob nail cells are seen in: (TN 03) except: (J & K 05)
a. Hilus cell tumor a. Malignant melanoma
b. Clear cell carcinoma b. Stomach
c. Dysgerminoma c. Esophagus
d. Arrhenoblastoma d. Lymphoma
Ref: Shaw 15/e p-376 Ref: Novak 15/e p1412, 1413, 14/e p1525 - 1527
219. How much is the risk of ovarian cancer increased above 227. Seminoma corresponds to: (RJ 2009)
normal in a woman with non autosomal dominant genotype a. Choriocarcinoma
with one first degree relative with ovarian cancer: b. Dysgerminoma
a. 2 – 3 times (Karnataka 04) c. Granulosa tumor
b. 5 times d. Luteal cyst
c. 10 times Ref: Jeffcoate 8/e p507, Shaw 15/e p-378
d. 20 times
Ref: Robbins 7/e p285 – 286
220. Increase alfa – fetoprotein is seen in all except: (SGPGI 05)
D. MISCELLANEOUS TUMORS
a. Open spina bifida
228. The colposcopic features suggestive of malignancy are all
b. Dysgerminoma
except: (DP PGMEE 2010)
c. Endodermal sinus tumor
a. Condyloma
d. Bronchial aplasia
b. Vascular atypia
Ref: Shaw 15/e p-378; Dutta Obs 6/e p107
c. White epithelium
221. Treatment modalities for ovarian cancers is: (SGPGI 05) Ref: CGDT 10/e p838, Novak 15/e p588-590, 14/e p576-578
a. Staging laparotomy
229. Schiller Duvall Bodies are seen in: (DNB 2005)
GYNECOLOGY
b. Surgery
a. Endodermal sinus tumor
c. Chemotherapy
b. Choriocarcinoma
d. Combined approach
c. Granuloma cell tumor
Ref: Shaw 15/e p-428
d. Arrhenoblastoma
222. Which of the following statement is true regarding benign Ref: Dutta Obs 6/e p383
cystic teratoma: (SGPGI 05)
230. Call Exner bodies are seen in: (DNB 2007)
a. Rarely Undergo torsion
a. Dysgerminoma
b. Metastasis is common
b. Brenner’s tumor
c. 10% are B/L and malignant
c. Hilus cell tumor
d. Contains Call – hexner bodies
d. Granulosa cell tumor
Ref: Shaw 15/e p-376-377; Jeffcoate 7/e p539
Ans. 215. a. CA 12 216. a and b 217. d. Dysgerminoma 218. b. Clear cell...

219. a. 2 – 3 times 220. b. Dysgerminoma 221. d. Combined... 222. c. 10% are...
223. c. Schillar duval... 224. a. III A 225. d. Metastasis 226. c. Oesophagus
227. c. Granulosa... 228. a. Condyloma 229. a. Endodermal... 230. d. Granulosa...
231. Schiller Duvall Bodies are seen in: (DNB 2010) 240. True about carcinoma vulva: (PGI 04)
a. Endodermal sinus tumor a. Spreads to superficial inguinal nodes
b. Choriocarcinoma b. Spreads to iliac nodes
c. Granuloma cell tumor c. Seen after menopause
d. Arrhenoblastoma Ref: Dutta Gynae 6/e p383 d. Viral predisposition
232. ITGCN predisposes TO: (AP 2011) e. Radiotherapy given
a. Spermatocytic seminoma Ref: Shaw 15/e p395; Dutta Gynae. 5/e p321-322;
b. Yolk sac tumour Williams Gynae. 1/e p668-672
c. Endodermal tumour 241. Brachytherapy is used in: (PGI 00)
d. Embryonal cell carcinoma a. Stage Ib Ca cervix
233. Schiller-Duval body is seen in: b. Ovarian Ca
a. Germ cell tumour c. Stage IV Ca vagina
b. York sac tumour d. Stage II fallopian tube Ca
c. Choriocarcinoma Ref: Dutta Gynae. 6/e p350; Shaw 15/e p-414
d. Granulosa cell tumour Ref: Dutta Gynae 6/e p383 242. Pyometra is a complication associated with all of the
234. Teratoma arise from: following conditions except: (AI 03)
a. Totipotent cells a. Carcinoma vulva
b. Mesodermal cells b. Carcinoma cervix
c. Ectodermal cells c. Carcinoma endometrium
d. Endodermal cells Ref: Shaw 15/e p382 d. Pelvic radiotherapy Ref: Jeffcoate 7/e p350
235. Marker for ovarian cancer is: 243. Characteristic feature of carcinoma fallopian tube:
a. Ca 125 a. Watery discharge P/V (MAHE 01)
b. Ca 19-9 b. Hemorrhage
c. Ca 15-5 c. Pain
d. Hypercalcemia Ref: 15/e p428 d. Sepsis Ref: Shaw 15/e p-421
236. During laparotomy, Pseudomyxoma peritonei can be seen 244. Patient diagnosed as squamous cell intraepi-thelial lesion
in all the following except: which of the following has the highest risk for progression
a. Mucocele of appendix to carcinoma:
b. Ca of large intestine a. Low grade squamous intraepithelial neoplasia
c. Mucinous cystadenoma b. High grade squamous intraepithelial neoplasia
d. Teratoma Ref: Shaw’s 15/e p375 c. Squamous intraepithelial associated with HPV 16
d. Squamous intraepithelial neoplasia associated with HPV
237. Which is most comonly implicated in genital (vulval) warts?
18 Ref: Shaw 15/e p-402; Williams Gynae. 1/e p629
a. HPV 16 (AIIMS May 08)
b. HPV 18 245. Sentinel biopsy most effective in: (AI 2010)
c. HPV 31 a. Cervix cancer
d. HPV 6 b. Endometrium ca
Ref: Jeffcoate 8/e p411 c. Vulval ca
e. Vaginal ca
238. True about Ca vulva associated/predisposed by: (PGI 02)
Ref: Novak 15/e p1441, 14/e p1425-1426, 1562-1563
a. Paget’s disease
b. Vulval intraepithelial neoplasia 246. The most characteristic presentation of fallopian tube
carcinoma is: (DP PGMEE 2009)
GYNECOLOGY
c. Bowen’s disease
Ref: Dutta Gynae.6/e p318, 5/e p307; Shaw’s 15/e p392 a. Mass abdomen
b. Bleeding per vaginum
239. Vulval Ca, True statements: (PGI Dec 09)
c. Excessive watery discharge per vaginum
a. Squamous hyperplasia predisposes
d. Pain abdomen
b. Paget’s disease of vulva predisposes
Ref: Shaw’s 15/e p421, 14/e p377, 13/e p396
c. Lichen sclerosis
d. Condylomata acuminata
e. Dystrophy
Ref: Novak 14/e p591-595; Dutta Gynae 6/e p318, 319, 5/e p321-325
Ans. 231. a. Endodermal... 232. d. Embryonal... 233. b. Yolk sac tumour 234. a. Totipotent cells
235. a. Ca 125 236. d. Teratoma 237. d. HPV 6 238. a, b and c
239. a, b and e 240. a, b and e 241. a. Stage Ib... 242. a. Carcinoma...
243. a. Watery... 244. b. High grade... 245. c. Vulval ca 246. c. Excessive...
15. GYNECOLOGICAL DIAGNOSIS
AND OPERATIVE SURGERY
Gynecological Diagnosis and Operative Surgery 259
GYNECOLOGICAL DIAGNOSIS AND OPERATIVE SURGERY (QUESTIONS)
1. Following are the indications for ‘hysterosalpingography’ 9. B-Lynch suture is applied on: (DNB 2007)
except: (DP PGMEE 2009) a. Cervix
a. Infertility b. Uterus
b. Pelvic infections c. Fallopian tubes
c. Recurrent abortions d. Ovaries
d. Abnormal uterine bleeding Ref: Dutta 7/e p417
Ref: Shaw’s 15/e p501, 14/e p452, 13/e p211, 477 10. Chassar moir operation is done in: (UP 07)
2. Best investigation to assess tubal patency is: a. VVF
a. Rubin’s test (DP PGMEE 2010) b. Vesicouterine fistula
b. Hysterosalpingogram c. Urethrovaginal fistula
c. Laparotomy d. Rectovesical fistula
d. Laparoscopic chromotubation Ref: Shaw 15/e p187
Ref: Shaws 15/e p213, 14/e p191
11. Cervical smear fixation is done by: (DNB 2008)
3. In colposcopy, the following are visualized except: a. Ethyl alcohol
a. Upper 2/3rd endocervix (DP PGMEE 2010) b. Acetone
b. Lower 1/3rd endocervix c. Xyline
c. Vault of vagina d. Formalin
d. Lateral fornix Ref: Dutta Gynae 6/e p111
Ref: Danforth 8/e p830, Shaws 15/e p497-499
12. Goniometer is used for: (DNB 2008)
4. In laparoscopy, change of hypercarbia can be reduced by a. Amount of vaginal secretions
keeping intraperitoneal CO2 pressure: b. To measure width of genital hiatus
a. 10 (MHPGM-CET 2010) c. Gonococcal colony count
b. 12 d. Urethrovesical angle
c. 13 Ref: Novak 15/e p918
d. 14 Ref: Novak’s Gynecology 15/e p775
13. Best indicator of ovarian reserve is: (DNB 2008)
5. Indications for colposcopy include following except: a. FSH
a. Abnormal Pap smear of cervix b. Estradiol
b. Diagnostic directed biopsy c. LH
c. Follow up of cases treated conservatively d. FSH/LH ratio
d. Obvious visible growth Ref: Novak 15/e p1149, 14/e p1203
Ref: Shaw’s 15/e p497, Dutta 5/e p112-113
14. Diagnosis of PID is by: (DNB 2010)
6. Following operations are used for genital prolapse, except: a. Histology
a. Fothergill’s procedure (DNB 2005) b. Diagnostic laparoscopy
b. Fenton’s procedure c. USG
c. Ward Mayo procedure d. Triad of pain, fever, cervical tenderness
d. Le Forte procedure Ref: Dutta Gynae 6/e p130
Ref: Shaw’s 15/e p339, 340, 341, 14/e p298, 308
GYNECOLOGY
15. HSG is done during: (DNB 2010)
7. Best diagnosis of ovulation is by: (DNB 2005) a. Follicular phase
a. Ultrasound b. Secretory phase
b. Laproscopy c. Luteal phase
c. Endometrial biopsy d. During menstruation
d. Chromotubation Ref: Shaw’s 15/e p211
Ref: Shaw’s 15/e p216, Dutta 5/e p228
16. Uterus with submucous fibroid and protruding into cavity
8. Cornification index or eosinophilic index indicates: is diagnosed by:
a. Progesterone effect (DNB 2005) a. Hysteroscopy
b. Estrogenic effect b. Hysterosalpingography
c. Effect of LH c. USG
d. All of the above d. Laparoscopy
Ref: Shaws 14/e p73; Dutta Gynae 6/e p114 115 Ref: Dutta Gynae 6/e p279
Ans. 1. b and d 2. d. Laparoscopic... 3. a. Upper 2/3rd... 4. b. 12

5. d. Obvious... 6. b. Fenton’s... 7. a. Ultrasound 8. b. Estrogenic...
9. b. Uterus 10. a. VVF 11. a. Ethyl... 12. d. Urethrov...
13. a. FSH 14. d. Triad of... 15. a. Follicular... 16. a. Hysteroscopy
17. CA-125 is elevated in all of the following, except: (AP 2012) 25. A high grade squamous intraepithelial lesion (HSIL) was
a. Endometriosis noted on pap smear. What is the next step to be done?
b. Epithelial ovarian cancers a. Radical hysterectomy (AP 2010)
c. Pelvic inflammatory disease b. Colposcopy guided biopsy
d. Germ cell tumors of ovary c. LLETZ
Ref: Dutta Gynae 6/e p377 d. LEEP
18. Conization is required for all the following, except: Ref: Dutta Gynae 6/e p328
a. Endocervical dysplasia (AP 2012) 26. PAP smear was invented by?
b. Non visualization of transformation zone a. John Papanicolaou
c. High grade squamous intraepithelial neoplasia (HSIL) b. George Papanicolaou
d. Where there is discrepancy between findings of cytology, c. Vladimir Papanicolaou
colposcopy and biopsy. d. Ben Papanicolaou
19. Which one of the following CANNOT be diagnosed by Ref: Internet
laparoscopy? (AP 2012) 27. A 38 year old female’s pap smear shows HSIL. What will be
a. Unicornuate uterus the next step?
b. Rudimentary horn a. Repeat pap
c. Bicornuate uterus b. Colposcopy
d. Septate uterus c. Curettage
Ref: Shaw’s 15/e p99, 100 d. Hysterectomy
20. Adequate colposcopy: (AP 2011) Ref: Shaw’s 15/e p405
a. Visualization of squamocolumnar junction 28. Gas used in laproscopic surgery:
b. Visualization of stratified squamous epithelium a. CO
c. Visualization of columnar epithelium b. CO2
d. Visualization of both squamous and columnar epithelium c. O2
Ref: Dutta Gynae 6/e p324 d. Helium
21. Essure is a: (AP 2011) Rer: Dutta Obs 7/e p556, 6/e p555
a. Laparoscopia clip 29. All of the following are advantages of vaginal hysterectomy
b. Laparoscopia band over abdominal hysterectomy except:
c. Hysteroscopic microinserts a. Can be used in obese patient
d. Colposcopic band b. Correction of genital prolapsed
Ref: William 23/e p701 c. Can be used for poor immune status
22. A test of ovulation: (AP 2011) d. More organs visualized
a. 21-day progesterone Ref: Dutta Gynae 6/e p598
b. 3-day progesterone 30. Mini laparotomy is done in all except: (CUPGEE 01)
c. Menstruation a. Ectopic pregnancy
d. Postabortive period b. Internal sterilization
Ref: Shaw’s 15/e p215, 216 c. Uterus elevations
23. Wet mount is prepared for diagnosis of: (AP 2010) d. Tubectomy
a. Bacterial vaginosis Ref: Shaw 15/e p240-241; Dutta Obs. 6/e p187
b. Candidiasis 31. Moschowitz’s repair is done for: (AP 2010)
c. Trichomoniasis a. Enterocele
GYNECOLOGY
d. Senile vaginitis b. Vesicovaginal fistula

Ref: Shaw’s 15/e p146 c. Inversion of uterus
24. A 42 year old woman presents with atypical endometrial d. Stress urinary incontinence
hyperplasia. What is the treatment of choice? (AP 2010) Ref: Shaw’s 15/e p342
a. Hysterectomy
b. OC pills 32. Vaginal smear in old lady shows: (PGI Dec 06)
c. Estrogen a. Atrophic cells on smear
d. Progesterone b. Basal and parabasal cells
Ref: Shaw’s 15/e p307 c. Superficial cells
d. Few intermediate cells seen
Ref: Dutta Gynae 6/e p113, 114
Ans. 17. d. Germ cell... 18. a. Endocervical... 19. d. Septate... 20. a. Visualization...
21. c. Hysteroscopic... 22. a. 21 day... 23. c. Trichomoniasis 24. a. Hysterectomy
25. b. Colposcopy... 26. b. George... 27. b. Colposcopy 28. b. CO2
29. d. More... 30. a. Ectopic... 31. a. Enterocele 32. b and d
Gynecological Diagnosis and Operative Surgery 261
33. The maturation index on vaginal cytology is a diagnostic 41. Time of ovulation is detected by: (PGI June 03)
method for evaluating the: (UPSC 02) a. Urine LH
a. Adequacy of cytotoxic drug therapy b. Urine FSH
b. Gender of an anatomically abnormal child c. Urine hCG
c. Malignant change at squamocolumnar junction of cervix d. Serum estradiol
d. Endocrine status of cervix e. BBT Ref: Dutta Gynae 6/e p235-237
Ref: Dutta Gynae 6/e p113, 1 Endocrine status of cervix 14 42. Which of the following methods for assessment of female
34. Hysteroscopy means visualization of: (PGI June 05) infertility during a menstrual cycle can best predict timing
a. Genital tract of ovulation: (AI 2010)
b. Fallopian tube a. BBT
c. Uterine cavity b. Fern Test
d. Cervix c. Spinnbarkeit Phenomenon
e. Abdominal cavity d. Hormonal study
Ref: Shaw’s 15/e p493 Ref. Leon Speroff 8/e p1161–1164; Dutta Gynae 6/e p236, 5/e p228
35. For hysteroscopy, following are/is used: (PGI Dec 08) 43. Best indicator of ovarian reserve is? (AIIMS Nov. 07)
a. Distilled water a. FSH
b. Air b. Estradiol
c. Glycine c. LH
d. CO2 d. FSH/LH Ratio
Ref: Shaw’s 15/e p493 Ref. Novak 15/e p1149, 14/e p1203 - 1205, Wiliams Gynae 1/e p434;
36. Hysteroscopy is used in all EXCEPT: (AIIMS May 02) Harrison’s 17/e p223
a. Uterine synechiae 44. What is the most common complication after radical
b. Abnormal vaginal bleeding hysterectomy: (UPSC 06)
c. Infertility a. Ureteral injury
d. Recurrent still birth and abortions b. Bladder atony
Ref. Novak 14/e p787, 1302; Shaw 15/e p494, 495 c. Prolapse of vaginal vault
37. Asherman’s syndrome can be diagnosed by all except: d. Bowel dysfunction
a. Hysterosalpingography (AIIMS Nov. 07) Ref: Shaw 15/e p184
b. Saline sonography 45. Feature of postovulatory endometrium on ultrasound is:
c. Endometrial culture a. Single hyperechoic thin line (Delhi 03)
d. Hysteroscopy b. Three line sign
Ref. Williams Gynae. 1/e p420; Leon Speroff 7/e p419 c. Prominent halo
38. Laparoscopy is contraindicated in: (MCI March 11) d. Prominent posterior enhancement
a. Ectopic pregnancy Ref. Transvaginal Ultrasound by Melvin G. Dodson 1/e p86
b. PID 46. Maximum chances of ureteric injury are with: (AI 06)
c. Endometriosis a. TAH
d. Peritonitis b. Wertheims hysterectomy
Ref: Shaw’s 15/e p493 c. Anterior colporrhaphy
39. A 26 year old female with 3 living issues having cervical d. Vaginal hysterectomy
erosion which bleeds to touch, diagnosis can be done by: Ref: Dutta Gynae 5/e p408; Shaw’s 15/e p184
a. Pap smear (PGI Dec. 03) 47. HSG is done: (Delhi 06)
GYNECOLOGY
b. Excision biopsy a. Between menstruation and ovulation
c. Hysteroscopy b. Just after menstruation
d. Colposcopy c. Just before ovulation
Ref. Dutta Gynae. 5/e p257-259; Jeffcoate 7/e p410 - 412 d. At any time Ref: Shaw 15/e p211
40. Occurrence of ovulation is indicated by: (PGI Dec. 03) Note: HSG is done between 6 – 11th day of cycle.
a. LH 48. Laparoscopy detects: (DNB 01)
b. FSH a. Endometriosis
c. Estradiol b. Ca uterus
d. Progesterone c. Ca cervix
e. Cortisol d. Ca rectum
Ref: Dutta Gynae 6/e p236, 237 Ref: Shaw 15/e p470, 486
Ans. 33. d. Endocrine... 34. c. Uterine cavity 35. c and d 36. d. Recurrent...
37. c. Endometrial... 38. d. Peritonitis 39. a, b and d 40. a, c and d
41. a, d and e 42. d. Hormonal... 43. a. FSH 44. a. Ureteral...
45. d. Prominent... 46. b. Wertheims... 47. a. Between... 48. a. Endometriosis
49. Best diagnosis of ovulation is by: (DNB 03) 53. The best predictor of ovulation is: (COMED 08)
a. Ultrasound a. Estrogen peak
b. Laproscopy b. Follicle stimulating hormone (FSH) surge
c. Endometrial biopsy c. Onset of the LH surge
d. Chromotubation d. Preovulatory rise in progesterone
Ref: Jeffcoate 7/e p103; Shaw’s 15/e p216 Ref: Jeffcoates 8/e p92, 7/e p103
50. The intra - abdominal pressure laparoscopy should be set 54. A 25-year old nulliparous woman with third degree uterine
between: (AIIMS 03) descent but no cystocele or rectocele or enetrocele is best
a. 5-8 mm of Hg treated with: (DP PGMEE 2010)
b. 10 - 15 mm of Hg a. Fothergill’s repair
c. 20 - 25 mm of Hg b. Abdominal sling operation
d. 30 - 35 mm of Hg c. Amputation of the cervix and reconstruction
Ref: Shaw 15/e p492; Dutta Gynae. 5/e p584; Novak 14/e p761 d. Le Fort’s operation
51. Sonosalpingography is done for: (TN 03) Ref: Shaw’s 15/e p342, 14/e p304-308, 13/e p326-329
a. Measuring basal body temperature 55. Management of 3rd degree UV prolapse in woman desirous
b. To detect pregnancy of children is: (DNB 2009)
c. Testing tubal patency a. Le Fort repair
d. Determining anovulatory cycle b. Fothergill operation
Ref: Shaw 15/e p213 c. Manchester operation
52. Best test for measuring Graafian follicle maturation is: d. Sling surgery Ref: Shaw’s 15/e p341, 342
a. Fern test (Jipmer 03)
b. Endometrial biopsy
c. Transvaginal ultrasonography
d. Abdominal sonography
Ref: Shaw 15/e p216
GYNECOLOGY
Ans. 49. a. Ultrasound 50. b. 10 - 15 mm... 51. c. Testing tubal... 52. c. Transvaginal...
53. c. Onset of... 54. b. Abdominal... 55. d. Sling...
16. MISCELLANEOUS
MISCELLANEOUS (QUESTIONS)
1. The incidence of bilaterality in a dermoid cyst is 9. Surgical correction of Varicocele, after the diagnosis has
approximately: (DP PGMEE 2009) been confirmed on ultrasound scanning helps to improve
a. 10% the following parameter of the semen analysis the best:
b. 30% a. Sperm count (AP 2010)
c. 50% b. Amount of semen
d. 70% c. Sperm motility
Ref: Shaw’s 15/e p377, 14/e p336-337, 13/e p359-360 d. Morphology of sperm Ref: Jeffcoats 8/e p666
2. Drug causing gynecomastia: (DNB 2007) 10. Most common site of primary tumor for intraocular
a. Spironolactone metastasis is from:
b. Rifampicin a. Breast
c. Penicillin b. Ovary
d. Bumetanide c. Cervix
Ref: Katzung, Goodman Gillman Pharmacology, Harrison Medicine d. Endometrium
3. Pain from ovary is referred to: (DNB 2008) 11. HPV vaccine protect against: (NEET Pattern Question)
a. Gluteal region a. HPV 16 & 18
b. Medial side of thigh b. HPV 16 & 22
c. Anterior of thigh c. HPV 18 & 24
d. Back of thigh d. HPV 22 & 24
4. Schiller Duvall bodies are seen in: (DNB 2008)
a. Endodermal sinus tumor 12. Most common cause of decubitus ulcer in prolapse:
b. Choriocarcinoma a. Trauma (NEET Pattern Question)
c. Granuloma cell tumor b. Venous congestion
d. Arrhenoblastoma c. Irritation
Ref: Dutta Gynae 6/e p383, Jeffcoate 7/e p541, d. Intercourse Ref: Shaw’s 15/e p335
Williams Gynaecology 1/e p742 13. In those mammals which are seasonal breeder, the females
5. M/C cause of vaginal bleeding in a neonate is: (DNB 2009) are receptive only once in a year ; the cycle is termed as:
a. Sarcoma botyrides a. Follicular (AIIMS May 06)
b. Trauma b. Estrous
c. Bleeding disorder c. Menstrual
d. Hormonal Ref: Shaw’s 15/e p51 d. Luteal Ref. Taber’s Dictionary 19/e, p714
6. In which condition fructose is deficient in ejaculation: 14. Menstruation is defined as precocious if it starts before the
a. Blockage of epididymis child reaches the age of: (AIIMS Nov. 04)
b. Absence of seminal vesicles a. 8 years
c. Testicular atrophy b. 10 years
d. Leyding cell pathology Ref: Dutta Gynae 6/e p232 c. 14 years
d. 20 years Ref. Shaw 15/e p56
7. Clomiphene citrate is:
GYNAECOLOGY
a. Anti-androgen 15. Primary peritonitis is more common in females because:

b. Synthetic steroid a. Ostia of fallopian tubes communicate with abdominal
c. Antiestrogen cavity (AI 01)
d. GnRH analogue Ref: Shaw’s 15/e p314 b. Peritoneum overlies the uterus
c. Rupture of functional ovarian cysts
8. Different between vaginal cyst and cystocele: (AP 2011)
d. None of the above Ref. Sabiston 16/e, p777
a. Vaginal cyst not reducible
b. Cystocele is prolapse 16. Postmenopausal estrogen production is due to:
c. Cyst cannot be repaired a. Peripheral aromatization of androstenedione
d. All the above Ref: Dutta Gynae 6/e p210 b. Adrenal – direct production (PGI June 00)
c. Ovarian tumor
d. Ovary testosterone secretion
Ref. Shaw 15/e p62
Ans. 1. a. 10% 2. a. Spironolactone 3. b. Medial side... 4. a. Endodermal...

5. d. Hormonal 6. b. Absence of... 7. c. Anti estrogen 8. a. Vaginal...
9. a. Sperm count 10. a. Breast 11. a. HPV 16 & 18 12. b. Venous...
13. b. Estrous 14. b. 10 years 15. a. Ostia of... 16. a. Peripheral...
Miscellaneous 265
17. 40 years female, mass in pelvis detected clinically, following 22. Treatment of pseudomyxoma peritonei is: (Delhi 2008)
investigations should be done except: (PGI 00) a. Chemotherapy
a. CT b. Radiation
b. Laparoscopy c. Surgery/multiple surgical evacuations
c. Pap smear d. Hormonal therapy
d. USG Ref. Novak 15/e, p410-418 Ref: Internet search
18. CA – 125 increased in all EXCEPT: (UP 00) 23. Fifteen years after menopause, the normal ovarian volume
a. T.B. of genital organ on ULTRASOUND should not measure more than____?
b. Ovarian cancer a. 1 mL (MH 2008)
c. Endometriosis b. 2 mL
d. Stein – Leventhal syndrome c. 8 mL
Ref: Shaw 15/e p428; Harrison 16/e, p554 d. 10 mL
19. Most common cause of pyometra is: (UP 02) Ref: Shaw 15/e p62
a. Senile endometriosis 24. Pseudo meigs syndrome is seen with: (Manipal 04)
b. Carcinoma endometrium a. Fibroids
c. Carcinoma cervix b. Adenomyosis
d. Carcinoma ovary c. Ovarian tumor
Ref: Dutta Gynae 6/ep169, Jeffcoate 7/e, p350 d. Endometriosis Ref: Shaw 15/e p376
20. A patient presented with infertility without significant 25. A 47-year-old woman complains of postcoital bleeding,
clinical problem, most likely diagnosis is: (UP 03) nearly as heavy as menses. The most likely origin of her
a. Fibroid uterus bleeding would be cervical: (KERALA 04)
b. T.B. endometrium a. Polyps
c. Carcinoma cervix b. Ectropion
d. None c. Carcinoma
Ref: Shaw 15/e p156 d. Nabothian cysts Ref: Shaw 15/e p409
21. Hematosalpinx is seen in: (UP 03) 26. Hematocolpos causes: (Karnataka 2009)
a. Haematocolpos a. Retention of urine
b. Torsion of hydrosalpinx b. Primary amenorrhoea
c. Tubal pregnancy c. Both the above
d. All of the above d. Neither a. or b. Ref: Shaw 15/e p96-97
Ref: Shaw 15/e p97; William Gynae 1/e, p207; Jeffcoate 7/e, p146
GYNAECOLOGY
Ans. 17. b. Laparoscopy 18. d. Stein-Leventhal... 19. b. Carcinoma... 20. b. T.B. endometrium
21. d. All of the above 22. c. Surgery... 23. b. 2 ml 24. c. Ovarian...
25. c. Carcinoma 26. c. Both the...
Section B
PRACTICE QUESTIONS
(Comprising Questions from Recent Exams and
NEET Pattern Questions)
GYNECOLOGY
Practice Questions
1. In young male minimum normal sperm production per day 9. Longest part of vaginal fornix? (NEET Pattern Question)
is: (NEET Pattern Question) a. Anterior
a. 20 millions per day b. Posterior
b. 40 millions per day c. Lateral
c. 80 millions per day d. Oblique
d. 120 millions per day Ref: Dutta Gynae 6/e p5
Ref: Shaw’s 15/e p201 10. Precocious puberty is called when puberty comes before
2. Sperms survive in female genital tract: age of: (NEET Pattern Question)
a. 24-48 hours (NEET Pattern Question) a. 6 years
b. 2-4 days b. 8 years
c. Upto 15 days c. 10 years
d. Upto 28 days d. 12 years Ref: Shaw’s 15/e p56; Feffcoates 8/e p103
Ref: Shaw’s 15/e p112; Dutta 7/e p21 11. LH surge occur before ovulation: (NEET Pattern Question)
3. Sperm climbs uterus with what speed: a. 6-12 hours
a. 1-3 mm/min (NEET Pattern Question) b. 12-24 hours
b. 2-3 mm/min c. 24-26 hours
c. 3-4 mm/min d. 36-48 hours Ref: Shaw’s 15/e p41
d. 5-6 mm/min 12. Ist sign of puberty is: (NEET Pattern Question)
Ref: Shaw’s 15/e p197 a. Thelarche
4. Peg cells are seen in: (NEET Pattern Question) b. Pubarche
a. Vagina c. Menarche
b. Tubes d. Height increase Ref: Shaw’s 15/e p53
c. Ovary 13. Postovulatory thickening of endometrium maintained by
d. Cervix which hormone: (NEET Pattern Question)
Ref: Shaw’s 15/e p12 a. Estrogen
5. Vulva includes all except: (NEET Pattern Question) b. Progesterone
a. Mons pubis c. hCG
b. Labia minora d. Inhibin Ref: Shaw’s 15/e p33
c. Clitoris 14. In postmenopausal woman, there is an increased level of:
d. Bartholin gland a. FSH (NEET Pattern Question)
Ref: Shaw’s 15/e p2; Jeffcoates 8/e p18 b. LH
6. Number of follicles in female newborn: c. hCG
a. 1 millions (NEET Pattern Question) d. Estrogens
b. 2 millions Ref: Shaw 15/e p62, Wiliams Gynecology 1/e p434
c. 3 millions 15. Minimum criteria to diagnose PID includes:
d. 4 millions a. Lower abdominal pain (NEET Pattern Question)
Ref: Shaw’s 15/e p28 b. Fever
7. Not a support of uterus: (NEET Pattern Question) c. Cervical motion tenderness
a. Pelvic diaphragm d. Adnexal tenderness
b. Cardinal ligament e. Leucocytosis
c. Uterosacral ligament Ref: Jeffcoate 8/e p326; TeLinder operative Gynaecology 10/e p663
d. Broad ligament 16. A female patient presented with 3 x 4 cm painless ulcer
Ref: Shaw’s 15/e p331 with raised margin on labia majora. Most likely organism
8. Length of uterus in nulliparous: (NEET Pattern Question) responsible for the condition is: (NEET Pattern Question)
a. 5 cm a. HPV
b. 7.5 cm b. Treponema palladium
c. 10 cm c. Chlamydia
d. 12 cm d. Candida Ref: Shaw’s 15/e p142
Ref: Dutta Gynae 6/e p7
Ans. 1. d. 120 millions per day 2. a. 24-48 hours 3. a. 1-3 mm/min 4. b. Tubes
5. d. Bartholin gland 6. b. 2 millions 7. d. Broad ligament 8. b. 7.5 cm
9. b. Posterior 10. b. 8 years 11. c. 24-26 hours 12. a. Thelarche
13. b. Progesterone 14. a. FSH 15. a, c and d 16. b. Treponema...
17. A female from hilly region, belonging to poor socioeconomic 26. Self retaining catheter all except: (NEET Pattern Question)
status, presents with amenorrhea, weight loss, low grade a. Foley’s Catheter
fever, pain in abdomen and infertility. Diagnosis: b. Gibbon’s catheter
a. Pelvic inflammatory disease (NEET Pattern Question) c. Indwelling catheter
b. Genitourinary tuberculosis d. Catheter Melicot Ref: various sources & internet also
c. Bacterial cystitis 27. Most common type of urinary fistula is:
d. Foreign body in genitals Ref: Shaw’s 15/e p156, 157 a. Uterovaginal (NEET Pattern Question)
PRACTICE Qs – Gynecology
18. Genital tuberculosis most common disseminates by: b. Vesicovaginal

a. Lymphatic (NEET Pattern Question) c. Urethrovaginal
b. Hematogenous d. None of the above Ref: Dutta Gynae 6/e p417
c. Local spread 28. Pituitary syndrome with amenorrhea is:
d. None of these Ref: Shaw’s 15/e p154 a. Sheehan syndrome (NEET Pattern Question)
19. Usual causative organism of endocervicitis is: b. Asherman syndrome
a. Herpes simplex virus (NEET Pattern Question) c. HELLP syndrome
b. Chlamydia d. Cushing syndrome Ref: Shaw’s 15/e p288, 289
c. Trichmoniasis 29. In which case homologus artifi cial insemination is used in
d. Candida Ref: Dutta Gynae 6/e p167 females: (NEET Pattern Question)
20. Sequence of events, after salpingitis, in gonorrheal pelvis a. Hormonal disturbance
infection is: (NEET Pattern Question) b. Tubal block
a. Hydrosalpinx, pyosalpinx, pelvic abscess c. Cervical factor
b. Pyosalpinx, hydrosalpinx, pelvic abscess d. All of the above
c. Pelvis abscess, hydrosalpinx, pyosalpinx Ref: Dutta Gynae 6/e p250
d. Pelvic abscess, pyosalpinx, hydrosalpinx 30. Artificial insemination with husband’s semen is indicated
Ref: 15/e p144 in all the following situations, except:
21. A female presented with thick white discharge and pruritus, a. Oligospermia
etiological agent is: (NEET Pattern Question) b. Impotency
a. Gardnerella c. Antisperm antibodies in the cervical mucus
b. Gonococci d. Azoospermia
c. Trichomonas vaginalis Ref: Dutta Gynae 6/e p250; 5/e, p242; Novak 14/e, p1197
d. Candida Ref: Shaw 15/e, p146 31. Progesterone only pills carry the risk of:
22. Most common site for genital tuberculosis is: a. Hypertension (NEET Pattern Question)
a. Ovary (NEET Pattern Question) b. Venous embolism
b. Uterus c. Irregular bleeding
c. Cervix d. Ectopic pregnancy
d. Fallopian tube Ref: Shaw’s 15/e p154 Ref: Shaw’s Textbook of Gynaecology, 15/e p233
23. Gonorrhea 1st involves: (NEET Pattern Question) 32. OCPs do not protect against: (NEET Pattern Question)
a. Vagina a. Ca cervix
b. Vulua b. Ca endometrium
c. Cervix c. Ca ovary
d. Uterus d. Ca rectum
Ref: Shaw’s 15/e p144 Ref: Shaw’s Textbook of Gynaecology, 15/e p231
24. Most common symptom of genital TB: 33. Condom expires within: (NEET Pattern Question)
a. Pain (NEET Pattern Question) a. 2 years
b. Infertility b. 4 years
c. Amenorrhea c. 6 years
d. Vignal discharge Ref: Shaw’s 15/e p156, 157 d. 8 years
25. Site of placement of tension free vaginal tapes in stress Ref: Jeffcoats 8/e p737
urinary incontinence: (NEET Pattern Question) 34. Indicator of contraceptive failure is:
a. At ureterovaginal junction a. Pearl index (NEET Pattern Question)
b. At urethrovaginal junction b. Broca’s index
c. At upper part of urethra c. Sullivan index
d. At middle part of urethra d. None
e. At lower part of urethra Ref: Shaw’s 15/e p194 Ref: Shaw’s 15/e p222; Dutta Obs 7/e p533
Ans. 17. b. Genitourinary... 18. b. Hematogenous 19. b. Chlamydia 20. b. Pyosalpinx...

21. d. Candida, 22. d. Fallopian tube 23. c. Cervix 24. b. Infertility
25. d. At middle part... 26. d. Catheters Melicot, 27. b. Vesicovaginal 28. a. Sheehan syndrome
29. c. Cervical factor 30. d. Azoospermia 31. c. Irregular... 32. a. Ca Cervix
33. c. 6 years 34. a. Pearl index
Practice Questions 269
35. M/C contraception used in India: (NEET Pattern Question) d. 7th day
a. OCP Ref: Dutta Obs 7/e p545; Shaw’s 15/e p231
b. IUCD 43. Best contraceptive for a newly married couple is?
c. Sterilization a. IUCD (NEET Pattern Question)
d. Condom b. Condoms
Ref: Dutta Gynae 6/e p475 c. Vaginal pessary
36. OCP does not protect from which cancer? d. Pills
PRACTICE Qs – Gynecology
a. Ca endometrium (NEET Pattern Question) Ref: Dutta Obs 7/e p559
b. Ca ovary 44. Best contraceptive for newly married lady with rheumatic
c. Ca breast heart disease: (NEET Pattern Question)
d. Ca uterus a. Barrier method
Ref: Shaw’s 15/e p231 b. IUCD
37. Minimum dose for ethinyl estradiol for contraception: c. Norplant
a. 75 mcg (NEET Pattern Question) d. Oral pills
b. 50 mcg Ref: Dutta Obs 7/e p278
c. 30 mcg 45. I-pill contains: (NEET Pattern Question)
d. 20 mcg a. Desogestrel
Ref: Shaw’s 15/e p231 b. Medroxyprogesterone
38. Contraceptive failure rate of vaginal sponge: c. Norethisterone
a. 5% (NEET Pattern Question) d. Levonorgestrel
b. 9% Ref: Internet
c. 11% 46. Amount of levonorgestrel present in IUCD Mirena:
d. 13% a. 55 mg (NEET Pattern Question)
Ref: Shaw’s 15/ep227 b. 65 mg
39. Failure rate of Pomeroy’s method: (NEET Pattern Question) c. 75 mg
a. 0.1% d. 85 mg
b. 0.2% Ref: Shaw’s 15/e p228
c. 0.3% 47. Most commonly used synthetic estrogen is:
d. 0.4% Ref: Shaw’s 15/e p240 a. Ethinylestradiol (NEET Pattern Question)
40. Contraceptive failure in condom use is mostly due to: b. Estradiol
a. Incorrect use (NEET Pattern Question) c. Estrone
b. Irregular use d. Estriol
c. Rupture Ref: Shaw’s 15/e p310
d. Slippage 48. Life of Cu T 380A is: (NEET Pattern Question)
41. In artificial insemination, ovulation is induced by which a. 1 years
drug? (NEET Pattern Question) b. 3 years
a. FSH c. 5 years
b. hCG d. 10 years
c. Oestrogen Ref: Shaw’s 15/e p227
d. Progesterone 49. For hormonal changes examination, vaginal scrapings a
Ref: Dutta Gynae 6/e p243 taken from which wall? (NEET Pattern Question)
42. OCP is started on which day of menstrual cycle: a. Lateral
a. 1st day (NEET Pattern Question) b. Anterior
b. 3rd day c. Posterior
c. 5th day d. Fornices
Ans. 35. c. Sterilization 36. c. Ca. breast 37. d. 20 mcg 38. b. 9%

39. d. 0.4% 40. a. Incorrect use 41. b. HCG 42. a. 1st day
43. d. Pills 44. a. Barrier method 45. d. Levonorgestrel 46. a. 55 mg
47. a. Ethinylestradiol 48. d. 10 years 49. a. Lateral

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GYNECOLOGY

ANATOMY OF FEMALE GENITAL TRACT (QUESTIONS)

Ref: BDC 4/e Vol-II, p389 Ref. Shaw’s 15/e p11

Ans. 1. a. 1:2 2. d. Broad ligament 3. a. Abdominal aorta 4. b. Round ligament

Ans. 17. a. Measures... 18. d. Cowper 19. c. Round ligament

REPRODUCTIVE PHYSIOLOGY AND HORMONES IN FEMALES (QUESTIONS)

1. Self breast examination by females is advisable to be done b. Clomiphene citrate

Ans. 1. c. 7-10 days... 2. b. Is thick 3. c. 50 cc 4. a. 4.5

MENOPAUSE AND HRT (QUESTIONS)

Ans. 1. b. LH 2. d. Breast cancer 3. b. 40 IU/mL... 4. d. Breast cancer

PCOD, HIRSUTISM AND GALACTORRHEA (QUESTIONS)

d. weight loss b. Alopecia

Ans. 1. a. 1-4 2. d. Markedly... 3. c. Polycystic... 4. d. Primary...

Ans. 15. a, b and e 16. b and c 17. b and c 18. b. Ethinyl..

CONGENITAL MALFORMATIONS (QUESTIONS)

1. Mayer-Rokitansky-Kuster-Hauser syndrome consists of: c. Absent vagina

Ans. 1. b. Uterus absent... 2. d. Habitual abortion 3. b. Genital ridge 4. a, b, c and e

SEXUALITY AND INTERSEXUALITY (QUESTIONS)

Ans. 1. b. Galactorrhoea 2. d. 45 XO 3. d. Turner’s syndrome 4. c. Saline sonography

Ans. 31. a. Turner’s... 32. a. Bilateral... 33. a. Karyotyping 34. a, c and e

INFECTIONS OF GENITAL TRACT (QUESTIONS)

Ans. 1. d. Trichomonas... 2. d. 28th week 3. a. Tubes 4. c. Gonococcus

23. In a patient with pelvic inflammatory disease due to c. Tuberculosis

Ans. 17. b, c and e 18. a and d 19. b and c 20. a, d and e

Ans. 48. c. Tuberculosis 49. a. Columnar... 50. c. Both of...

a. May present congenitally b. Vesicouterine fistula

Ans. 1. c. Shirodkar’s... 2. d. Procidentia 3. c. Obstructed labour 4. d. Uretero-vaginal...

Ans. 1. d. Salpingitis 2. b. Tubal cause 3. a. One year 4. a, b, c and d

Ans. 1. b. Bipolar... 2. b. Thromboembolic... 3. a. 1-2% 4. a. Condom with...

KARNATAKA – 2006; UPSC – 2004;

Ans. 32. c. DMPA, 33. a. Bleeding, 34. b. USG,

a. Breast cancer a. Menorrhagia

EXCEPT: (UP 01) b. Copper T

UTERINE FIBROID (QUESTIONS)

1. The risk of sarcoma developing in a fibroid uterus is d. Treated with analgesics

Ans. 1. a. <1% 2. d. All of the... 3. b. Subserous 4. b. Posterior

ENDOMETRIOSIS AND DYSMENORRHEA (QUESTIONS)

Ans. 1. b. Rectovaginal... 2. a. Adenomyosis 3. d. Hysterectomy 4. b. Ovary

DISORDERS OF MENSTRUATION (QUESTIONS)

Ans. 1. c. Pregnancy 2. a. Prolactin... 3. b. Sheehan’s 4. a. Ethamsylate

c. Endometriosis Ref: Dutta Gynae 6/e p560

Ans. 29. d. Endometrium 30. d. Prolactinoma 31. a. 50 ml 32. a and d

Ans. 43. a. Pituitary... 44. b. Uterine... 45. a. Endometrial... 46. a. Persistent...

Ans. 58. b. Metropathia... 59. d. Metropathia... 60. a. Endometrial... 61. a. Kallman’s...

GYNECOLOGICAL ONCOLOGY (QUESTIONS)

A. UTERUS 8. Not a predisposing factor for endometrial cancer is:

Ans. 1. d. Histologic... 2. b. Early meno... 3. c. Cystic... 4. a. Dysmenorrhoea,

Ans. 15. a and c 16. a. Endometrium Ca 17. a. Multiparity 18. b. Carcinoma...

the most important indicator of prognosis? (AI 04) a. 14

Ans. 30. d. No treatment 31. d. Tumor... 32. c. Enlarged... 33. a, b and d

Ans. 45. a. Unopposed... 46. c. Carcinoma... 47. d. Radiotherapy... 48. b. Hysterectomy

Ans. 61. c. II 62. a. IIA 63. a. HPV 16 64. c. Transformation zone

c. Cystoscopy c. Repeat pap smear

Ans. 93. b. Type 18 94. a. 16 and 18 95. a and b 96. a. HPV

Ans. 108. d. Follow up 109. a, b and c 110. d. Intracavitary... 111. b, c and e

130. Human papilloma virus (HPV) serotype most often

Ans. 124. a. Radiothe... 125. d. 3A 126. d. Carcinoma... 127. c. Stage III-B

Ans. 154. a and b 155. b and c 156. b. Dysgerminoma 157. c. Dysgerminoma

Ans. 199. b. Oestrogen 200. b. Dysgerminoma 201. a. Fibroma 202. d. All

EXCEPT: (UP 01) b. Copper T

the most important indicator of prognosis? (AI 04) a. 14