GYANE-2025

Compiled by: DR MANOHAR LAL, DR ALI AHMED, DR AUSAF AHMED, DR GIANCHAND

1. Patient diagnosed with ovarian Cancer underwent laparotomy

for diagnostic staging. It show unilateral ovarian tumor with
ruptured capsule. Stage would be:
A. 1C 1C
B. 2B
C. 1A
4. 2C

2. Patient diagnosed with ovarian cancer. On examination the

tumor growth is involving uterus and fallopian tube. Other 2A
structures normal. Stage:
a. 2A
b. 2B
c. 3A
 d. 1C
3. Ovarian cancer staging laparotomy shows unilateral ovarian
tumor with mets on liver capsule. Stage would be: 3/4

4. Female 9week gestational amenorrhea, present with minor

vaginal bleed. You reassured but she is anxious for his fetus for TVUSS
wellbeing. What test to check well being:

5. 35 yrs old women present with irregular menstrual bleed. She

is advised u/s . What endometrial thickness is considered More than 4mm / more than
abnormal in this patient 15mm

6. A 60-years old lady presents with postmenopausal bleeding;

endometrial biopsy shows carcinoma endometrium.
The treatment option is: Total abdominal
a. Chemotherapy hysterectomy bilateral
b. Radiotherapy salpingooophorectomy (BSO)
c. Total abdominal hysterectomy
d. Total abdominal hysterectomy bilateral
salpingooophorectomy (BSO)
e. Total abdominal hysterectomy with BSO, pelvic
lymphadenectomy
7. 28-years old lady presented with history of induced
abortion 02 days back followed by severe lower abdominal
pain.
On ultrasound scan uterus was enlarged with dilated cavity
echoes but uterine outline could not be ascertained properly. Uterine perforation
What would be the most probable diagnosis?
a. Uterine perforation
b. Retained products of contraception
c. Visceral damage
d. Cervical trauma
e. Septicaemia

8. 30-years old lady attends gynae OPD with complaint of

amenorrhea of 03 months. Excessive hair growth on face and
markedly increased weight gain. She is married for past three
years and not conceived up till now. What would be the most
likely diagnosis on the basis of history given by the patient: Polycystic ovarian syndrome
a. Androgen secreting tumor
b. Uterine pathology
c. Polycystic ovarian syndrome
d. Psychologically upset
e. Early pregnancy

9. Female had mild Endometriosis , investigation Laproscopy

10.
11. 14 year girl had pain on first day of menstruation, your best Reassurance and analgesics
option
12. Scenario were about PID , cervical motion tenderness, fever, PID
diagnoss:
13. Sexually active Woman present with bilateral lower abd pain,
cervical motion tenderness, vaginal discharge. TLC is 12000 Empirical antibiotic /
cell/mcl. Next step in management: ultrasound

14. Vaginal atrophic related vulval pruritis will be treated by

Topical estrogen

15. Female patient had 4 x 6 cm mass in lower abdomen had solid

componenet causing pain ( scenrioa was like that ), next option Imidiate laproscopic
Cystectomy

16. Girl age 16 year still have amenorrhea, her secondary

development was normal, her elder sister had menstrural Constitutional delay
bleeding and this stage, was is likely diagnoss

17. Female patient with 8 week amenorrhea. Ultrasound shows Hydatidiform mole
stary sky and vesicle and no fetal tissue:
18. A 16-years old young girl has been admitted in causality
department with acute urinary retention. Examination reveals a
cystic tender mass in lower abdomen. Ultrasound showed
distended bladder enlarged uterus with dilated cavity. Vulval
examination reveals blemish membranes at introitus. The
diagnosis is consistent with:
a. Imperforated hymen Imperforated hymen
b. Resistant ovarian syndrome
c. Testicular feminization syndrome
d. Transverse vaginal septum
e. Tumer's syndrome

19. Female patient with 6 week gestational amenorrhea, passes

grape like structure. To confirm a diagnosis of molar pregnancy Serum bHCG
next test:

20. Female patient develops bloating, headache, breast mastalgia PMS ( pre-menstrual
about 8-10 days every month before her menstruation. syndrome )
Diagnosis:
21. A 20-years old woman is referred to Gynaecology clinic
having had amenorrhea for the last 6 months and negative
pregnancy test. She had recently noticed an increased Late onset congenital
growth of hair on the face & chin and chemistry of adrenal hyperplasia
hormonal assays show high level of hydroxy progesterone.
 What is the like diagnosis?
a. Adrenal adenoma
b. Adrenal carcinoma
c. Cushing syndrome
d. Polycystic ovary syndrome
e. Late onset congenital adrenal hyperplasia

22. Female patient with abdominal pain and spotting. On

examination cervix appear normal. CIN// ovarian
There is tenderness in right vaginal fornix. Pap smear show carcinoma// cervical cancer
abnormal cells:

23. Recently married mediacal student 25 yrs old wants

contraception for 1 year. Best method would be : COCP

24. An 18 years old girl, recently married wants contraception. Rapidly reversible// cheap//
She should be advised with one that is: no side effects//
independent of intercourse

25.
26. An infertile couple visits to an infertility clinic with semen
analysis report. According to ‘World health organization’
(WHO)
criteria; what is the reference limit for total sperm number in
 an
ejaculate? 39 million
a. 33 million
b. 36 million
c. 39 million
d. 42 million
e. 45 million

27. A young Female patient presents with irregular menstrual

bleed. On examination she has a normal looking cervix. But she
is still worried and wants to really rule out malignancy. Out of Hysteroscoy
following which test can be performed in opd setting:

28.
29.
30. Female phad 3 abdominal surgery in 6 year want to do
laproscopic examination, what is contraindication in this
patient Multipule abdominal
a. Multipule abdominal incision incision
b. Generalized peritonitis
c. Stroke
d. CVD
e.
31. Ovarian cancer common presentation Asymptomatic / abdominal
 pain

32. Dysplasia involve top two third CIN-II

33. Fetal chromosomal abnormality, Parental karyotyping

34. PCOS long term consequence diabetes and

ischemic heart disease

35. Most common cause of acute severe abdomen pain in a young

patient with ovarian tumor, ultrasound had no fluid level, Torsion
hemodynamically female was stable:

36. 45-years old woman had abdominal hysterectomy due to

menorrhagia 02 weeks ago. She has come to gynecology clinic Vesico-vaginal fistulas
with complaints of continuous leakage of urine day and night.
Which of the following could have caused this problem?
a. Vesico-vaginal fistulas
b. Overflow incontinence due to postoperative pain &
inflammation
c. Detrusor instability
d. Urinary tract infection
e. Displacement of urethra-vesical angle
37. Female patient presents with painful blisters on vulva and
vagina. HSV (herpes simplex virus)
Beforehand she had flu and malaise like symptoms.
38. 30-years old woman presents in outpatient department with
test positive for syphilis using VDRL screening test. Which of
the
following is sensitive test for syphilis?
a. Ziehl-Nelson stain FTA-ABS test
b. PCR
c. FTA-ABS test
d. Cholesterol lecithin-cardiolipin antigen test
e. RPR test

39. Most common cervical cancer is Squmous cell carcinoma

40. A 35-years old woman presented at gynaecology OPD with C/O

irregular menstrual bleeding. Her TVS revealed endometrial
polyp. Best management option is:
a. Hysteroscopic guided polypectomy Hysteroscopic guided
b. HRT polypectomy
c. Follow up after six months
d. Dilatation & curettage
e. TAH & BSO

41. Considering Cervical intra epithelial neoplasia (CIN) as a

 premalignant condition of carcinoma cervix it is classified as
low
risk when the cellular changes involve:
a. Superficial one third Bottom one third
b. Intermediate one third
c. Bottom one third
d. Top two third
e. Whole thickness of epithelium

42. Considering fundus of uterus as the commonest site for

implantation of concepts, it is said to be ectopic pregnancy Cervix
when
implantation occurs in:
a. Anterior wall of body of uterus
b. Posterior wall of body of uterus
c. Lateral wall of body of uterus
d. Lower segment of uterus
e. Cervix

43. A 55-year-old woman presents with post-menopausal bleeding.

She is diagnosed as a case of carcinoma endometrium stage II.
What is the best management option?
a. TAH + BSO Radical hysterectomy at
b. Radical hysterectomy at cancer cent cancer cent
 c. Radical hysterectomy at local hospital
d. TAH postoperative radiotherapy
e. Brachytherapy+ external beam radiotherapy

44. A 22-years old woman, para 0+0 was admitted in gynaecology

emergency department with history of overdue 25 days, lower
abdominal pain and syncopal attacks. She was looking pale with
BP of 90/60 mmHg, low volume and feeble pulse. Clinical Laparotomy
diagnosis of acute abdomen due to ectopic pregnancy was
made.
Which management option will be best to treat her?
a. Diagnostic laparoscopy
b. Laparotomy
c. Treatment of shock and observation
d. Blood transfusion
e. Transvaginal scan

45. 17 year girl have 1 year bleeding, The commonest problem

observed in adolescent girls is:
a. Acne
b. Hirsutism Menorrhagia
c. Obesity
d. Polymenorrhoea
e. Menorrhagia
46. Which form of long-acting reversible contraception (LARC) is
associated with delay in return of fertility?
a. Nexplanon Progesterone only injectable
b. Copper T (Depot
c. Progesterone only injectable (Depot MedroxyProgesterone MedroxyProgesterone
Acetate) Acetate)
d. LNG IUS
e. Jadelle

47. young woman is worried about excessive vaginal discharge

and post coital bleeding. Diagnosis of cervical ectropion is
made,
this refers to a:
a. Stratified squamous keratinize epithelium covering Columnar epithelium
ectocervix covering the area
b. Stratified squamous non-keratinized epithelium covering surrounding
ectocervix external cervical os
c. A disruption of lining epithelium
d. Columnar epithelium covering the area surrounding
external cervical os
e. Cuboidal epithelium covering ectocervix

48. An 18-year-old girl is brought in OPD for the complaints of not

menstruating yet. On examination she is 04-feet 02-inches tall
with webbed neck and wide carrying angle.
 Best diagnostic tool in her case is:
a. CT scan Karyotyping
b. Hormonal assays
c. Karyotyping
d. MRI
e. Ultrasound

49. 49-years old woman has not menstruated for last 10 months Elevated serum FSH and LH
and has night sweats and hot flushes. Which one of the
following
hormone assays suggests the diagnosis of menopause:
a. Elevated serum FSH and LH
b. Elevated serum prolactin
c. Elevated serum T3 and T4
d. Elevated serum beta-hCG
e. Elevated serum DHAE

50. A 40-year-old lady para 4+0 presents with the symptoms of

severe dysmenorrhea and dyspareunia. Diagnostic laparoscopy
confirmed severe endometriosis.
Most suitable option to completely cure symptoms is: Hysterectomy + BSO
a. Danazol
b. GnRH, agonists
c. Hysterectomy + BSO
d. Laparoscopic removal of endometriosis
 e. Nonsteroidal anti-inflammatory drug

51. Mrs. John 37-years, para 4+0 complaints of irritating vaginal

discharge after taking a course of cephalosporin last week.
Speculum examination revealed thick curdy white vaginal
discharge with red and excoriated vulva.
What is the likely diagnosis? Vulvo-vaginal candidiasis
a. Vulvo-vaginal candidiasis
b. Trichomoniasis
c. Bacterial vaginosis
d. Gonorrhoea
e. Chlamydia

52. A 30 years old woman presented with menorrhagia for last one
year. On ultrasound examination there is uterine fibroid of 3cm.
Her Hb is 5 g/dL. The treatment option for her:
a. GnRH agonist Correction anaemia and
b. Progesterone receptor modulator hysteroscopy guided
c. COC pills transcervical resection of
d. Levonorgestrel intrauterine system (LNG-IUS) fibroid
e. Correction anaemia and hysteroscopy guided transcervical
resection of fibroid

53. A 70-years-old woman presented with post-menopausal

bleeding. The commonest cause of post-menopausal bleeding is:
 a. Atrophic vaginitis
b. Carcinoma cervix Atrophic vaginitis
c. Endometrial carcinoma
d. Endometrial hyperplasia
e. Endometrial polyps

54. The main risk factor for causing cervical cancer:

a. Cigarette smoking
b. Multiparty Human papilloma infection
c. Age 50 years
d. Human papilloma infection
e. Herpes simples type II infection

55. A 20-years old woman is referred to Gynaecology clinic

having had amenorrhea for the last 6 months and negative
pregnancy test. She had recently noticed an increased
growth of hair on the face & chin and chemistry of Late onset congenital
hormonal assays show high level of hydroxy progesterone. adrenal hyperplasia ( 2
What is the like diagnosis? mcqs were same )
a. Adrenal adenoma
b. Adrenal carcinoma
c. Cushing syndrome
d. Polycystic ovary syndrome
e. Late onset congenital adrenal hyperplasia
56.
57. 16-years old girl is referred to gynaecology clinic by her
general practitioner with primary amenorrhea. She gave history
of excessive weight gain and lethargy; secondary sexual
characteristics are normal on clinical examination. Investigation
reveals raised serum thyroid stimulating hormone (TSH) and Hypothyroidism
prolactin levels. What is likely cause?
a. Pituitary Prolactinoma
b. Hypothyroidism
c. Hyperprolactinemia
d. Androgen insensitivity syndrome
e. Gonadal dysgenesis

58. .A 30-years old woman attends early pregnancy antenatal clinic

at six-week pregnancy according to LMP with heavy vaginal
bleeding and crampy lower abdominal pian. An ultrasound scan
is performed which shows an empty uterus, normal ovaries
with Ectopic pregnancy
serum βHCG report of 1200 IU/L. Test is repeated after 48
hours
later, serum βHCG levels is 400U/L.
What is the likely diagnosis?
a. Missed Miscarriage
 b. Incomplete miscarriage
c. Complete miscarriage
d. Ectopic pregnancy
e. Molar pregnancy

59. 47-years old woman presented with history of dyspareunia,

itching and sourness. On examination there is skin with
fissuring
and loss of anatomy of vulva. How will you confirm your
diagnosis? Biopsy
a. Biopsy—Dx. Lichen sclerosis
b. Colposcopy
c. Vaginal swab
d. On clinical examination
e. Pap smear

60.

61. Ishcemic heart disease which contraceptive will be avoided COCP

62. A woman aged 34 years and her 32-year-old partner have had 8 IVF and ICSI
years’ infertility and have attended a fertility clinic. The woman
has been shown to have a normal hormone profile with normal
 ovarian reserve and the TVUSS is normal. A HyCoSy has
demonstrated tubal patency. The SFA has shown a sperm count
of 6 million/ml and motility of 20%.
What should they be advised is the most suitable treatment?
a. IVF and ICSI.
b. IUI.
c. PGD.
d. Ovulation induction.
e. IVF alone

63. A 38-year-old para 4, Lecturer having BMI 35, BP 160/100

requests for long term contraception, the best choice for her is?
a. Contraceptive intrauterine Device
b. Contraceptive Implant LNG-IUS
c. Depo-Provera Injection
d. COCs
e. LNG-IUS

64. Puberty is the process of reproductive and sexual development

and maturation that changes a child into an adult.
First physical sign of puberty is: Breast development
a. Pubic hair growth
b. Axillary hair growth
c. Growth spurt
d. Breast budding
 e. Menstruation

65. A 50-year-old nulli parous obese woman present with heave

menstrual bleeding. Endometrial carcinoma is best diagnosed
by:
a. Transvaginal ultrasound Hysteroscopically guided
b. Magnetic resonance imaging endometrial biopsy
c. CT scan
d. Fractional curettage
e. Hysteroscopically guided endometrial biopsy

66. Ovarian follicular reserve, FSH LH can be best measured at

a. Early follicular phase
b. Mid follicular phase
c. Late follicular phase Early follicular phase
d. Mid luteal phase
e. During menstruation

67. The most appropriate treatment ruptured ectopic pregnancy: Immediate laparotomy and
a. Methotrexate injection salpingectomy
b. Immediate laparotomy and salpingectomy
c. Expectant management
d. Laparotomy and tubal repair
e. Hysterectomy
68. A multiparous woman presents with chronic pelvic pain (CPP)
refractory to medical treatment.
What is the gold standard investigation to diagnose CPP?
a. Pelvic ultrasound Laparoscopy
b. TVUSS
c. Laparoscopy
d. CT scan
e. MRI

69. A 7-year-old girl is brought you for precocious puberty. The

frequently found cause Central precocious puberty (CPP) is:
a. Craniopharyngioma
b. Hydrocephalus Idiopathic
c. Hypothalamic hamartoma
d. Idiopathic
e. McCune-Albright syndrome

70. A young 18-year-old woman presented in with ultrasound

report that reveals ovarian cyst of 8 x 6cm size.
The most common ovarian tumour in this age group is:
a. Inflammatory ovarian cyst Germ cell tumours
b. Germ cell tumour
c. Serous cystadenoma
d. Sex cord stromal tumour
e. Mucinous cystadenoma
71.
20-years old para 0+1 came with complain of 10 weeks
gestational amenorrhea and bleeding P/V with passage of clots
for 02 hours. O/E BP is 90/60 mmHg, pulse is 100 beats/min, Perform MVA ( manual
cervical os is open, RPOCs felt. vacuum aspiration )
What is the appropriate treatment of this case?
a. Do U/S pelvis
b. Give misoprostol tablet
c. Perform MVA—surgical termination up to 14 weeks
d. Do evacuation-- surgical termination after 14 weeks
e. Start syntocinon infusion

72. 45-years old woman presents with irregular heavy vaginal

bleeding. Ultrasound reveals enlarged uterus with endometrial
thickness of 1.8 cm and right adnexal mass of 8x8 cm. A
provisional diagnosis of granulosa cell tumor is made. She
should have, following tumor marker to support the diagnosis: Inhibin
a. Serum inhibin
b. CA-125
c. Alpha fetoprotein
d. Beta HCG
e. TSH
73. women with discharge, in examination strawberry cervix is Trichomonas Vaginalis
there .

74. A 65-year-old woman has presented with postmenopausal Total abdominal

bleeding for one month. She is diagnosed as a case of carcinoma hysterectomy with bilateral
endometrium stage-I. The best treatment option for her is.. salpingooophorectomy

75. .The well-established aetiology for carcinoma of cervix is: HPV infection

76. A 14-years old girl presents with primary amenorrhea,

short stature, webbed neck. She is diagnosed as "Turner's
syndrome". The karyotype of this syndrome is:
a. 46XX 45XO
b. 46XY
c. 45XO
d. 47XXX
e. 47XXY

77. A 33-years old patient has been diagnosed as having

adenomyosis. Which of the following symptoms is most
consistent with this diagnosis? Secondary dysmenorrhea
a. Infertility
b. Secondary dysmenorrhea
c. Mood swings
d. Painful defecation
 e. Dyspareunia

78. Commonest etiological factor for early miscarriage is likely to

be: Chromosomal abnormalities

79. Which of the following types of fibroids causes an excessive

bleeding?
a. Cervical
b. Broad ligament Sub-mucosal fibroids
c. Sub-mucosal
d. Subserosal
e. Transmural

80. 55-year-old para 6 + 0 presents with utero-vaginal prolapse.

The most likely cause of weakness of:
a. Pubocervical fascia Uterosacral and cardinal
b. Round & ovarian ligaments ligaments
c. Perineal body
d. Rectovaginal fascia
e. Uterosacral and cardinal ligaments

81. Pre mature ovarian failure is defined as total failure of ovaries 40 years
in
a woman under the age of:
 a. 30 years
b. 32 years
c. 35 years
d. 37 years
e. 40 years

82. A 30-year-old woman attends gynae clinic. Her first-degree

relatives had ovarian cancer and she is found to be BRCA
(Breast
ovarian cancer syndrome) mutation carrier. She is at of risk of
developing ovarian cancer particularly High grade serous cancer
a. Clear cell carcinoma
b. Mucinous carcinoma
c. High grade serous cancer
d. Granulosa call tumour
e. Dysgerminoma

83. A 42-year-old woman came in OPD with complaints of leakage

of
urine on coughing, sneezing and household work. What is the Stress incontinence
type of incontinence?
a. Urge incontinence
b. Mixed incontinence
c. Stress incontinence
d. Overactive bladder
 e. Vesico vaginal fistula

84. Cervical cancer is a rare outcome of Human papilloma virus

(HPV) infection. Out of several HPV types, which types have
highest oncogenic potential:
a. 6
b. 11 16 and 18
c. 16 and 18
d. 41
e. 44

85. Evaluating tubal factor in woman with infertility and mild

endometriosis, the most likely problem is:
a. Peri-tubal fine adhesions
b. Altered tubal motility Peri-tubal fine adhesions
c. Occlusion of tubal lumen
d. Destruction of tubal ciliary function of epithelium
e. Adjacent endometrioma of ovary

86. Ureter is at risk of injury during hysterectomy due to its close

relationship with: Uterine artery, Cervix and
a. Uterine artery vault of vagina
b. Internal iliac artery
c. Cervix
d. Vault of vagina
 e. Uterine artery, Cervix and vault of vagina

87. young girl of 18-year age came with primary amenorrhea due
to absent uterus ovaries are normal in appearance. She has MayerRokitansky, Kuster
normal secondary sexual characteristics. Hauser (MRKH) syndrome

88. GnRH agonists being peptide in nature need not to be

administered by:
a. Intra muscular injection Oral route
b. Slow-release depot-formulation
c. Intra nasal sprays
d. Oral route
e. Sub-dermal patches

89. A 30-years old Para 2+0 visits family planning clinic. After
evaluation and counselling, she is motivated for combined oral
contraceptive pill. The principal mechanism of action of this
drug is mediated by: Negative feedback effect on
a. Negative feedback effect on pituitary pituitary
b. Negative food back effect on hypothalamus
c. Effects on cervical mucus
d. Effects on tubal motility
e. Effects on endometrial receptivity

90. 55 year old female had bleeding problem diagnoss intra mural myomectomy
 fibroids best option for treatment
91. A 35-years old woman present with confirmed diagnosis of
over
active bladder syndrome (OAB). It refers to combination of:
a. Frequency and burning micturition Frequency, urgency and/or
b. Frequency and urgency of micturition urge incontinence
c. Frequency, dysuria and urge incontinence
d. Frequency, urgency and/or urge incontinence
e. Frequency and dysuria

92. 42-year-old woman para 6 presents with complains of severe Adenomyosis

progressive dysmenorrhea and menorrhagia. Pelvic
examination demonstrates a tender enlarged uterus, diagnoss:

93. An 80-years old, para 8+2 female came with the complaint of
something coming out of vagina for last 5 years and no other
associated complains. She is known case of cirrhosis of liver and
hypertension. On pelvic examination there is moderate
cystocele, mild rectocele and 2nd degree cervical descent.
The most appropriate treatment option is: Lee Fort operation
a. Anterior colporrhaphy
b. Lee Fort operation
c. Manchester repair
d. Ring pessary insertion
 e. Vaginal hysterectomy

94. A 25-year-old woman para 0+4 comes in OPD for consultation.

The commonest uterine malformation responsible for recurrent
abortions is:
a. Uterus bicornis bicollis Sub-septate uterus ( 2 mcqs
b. Sub-septate uterus were same )
c. Uni-cornuate uterus
d. Uterus didelphys
e. Rudimentary horn

95. A 25-year-old woman para 0+4 comes in OPD for consultation. Sub-septate uterus
The commonest uterine malformation responsible for recurrent
abortions is:
a. Uterus bicornis bicollis
b. Sub-septate uterus
c. Uni-cornuate uterus
d. Uterus didelphys
e. Rudimentary horn

96. Which one of the following hormone assays suggests the

diagnosis of menopause: Elevated serum FSH and LH

97. A 70-year-old lady is diagnosed with stage 1a vulval cancer.

Best treatment modality for her is:
 a. Chemotherapy
b. Radiotherapy Wide local excision
c. Radical vulvectomy
d. Radio + chemotherapy
e. Wide local excision

98. The most appropriate treatment ruptured ectopic pregnancy: immediate laparotomy and
salpingectomy

99. Female patient 28 yrs old. Just got married. She developed Herpes simplex virus
painful blisters and ulcers on external genitalia.. few months
back her husband suffered from similar illness. On examination
painful ulcers, marigins not elevated. No
lymphadenopathy. .. HSV

100.

THE END