Q: A 35/40 primip is seen in the obstetric clinic. Clinical examination suggests a shoulder presentation. Which investigation is most appropriate?
(a) Down syndrome screening
(b) Ultrasound scan
(c) External cephalic version
(d) Urine dipstick to assess for protein
Answer: (b) Ultrasound scan
Q: A patient presents with heavy vaginal bleeding. The internal os is open, and a fetus is seen on ultrasound. What type of miscarriage is this?
(a) Inevitable
(b) Threatened
(c) Missed
(d) Incomplete
Answer: (a) Inevitable
Q: A patient presents with mild vaginal bleeding. The internal os is closed, and a viable pregnancy is observed on ultrasound. What type of miscarriage is this?
(a) Inevitable
(b) Threatened
(c) Missed
(d) Incomplete
Answer: (b) Threatened
Q: A spike in concentration of which hormone is primarily responsible for ovulation?
(a) Oestrogen
(b) Progesterone
(c) LH
(d) FSH
Answer: (c) LH
Q: A woman has an intrauterine system fitted on day 10 of her menstrual cycle. What should she be advised regarding contraception?
(a) The IUS is effective immediately, no contraception needed
(b) Use another form of contraception for 3 days
(c) Use another form of contraception for 7 days
(d) Use another form of contraception until after her next menstrual period
Answer: (c) Use another form of contraception for 7 days
Q: A 28-year-old woman presents with pelvic pain, dysmenorrhea, and dyspareunia. On examination, a tender nodule is felt in the posterior fornix. What is the most likely diagnosis?
(a) Endometriosis
(b) Ovarian cyst
(c) Pelvic inflammatory disease
(d) Fibroid uterus
Answer: (a) Endometriosis
Q: Which of the following is the most common cause of abnormal uterine bleeding in a premenopausal woman?
(a) Endometrial hyperplasia
(b) Fibroid uterus
(c) Polycystic ovary syndrome
(d) Ovarian cancer
Answer: (b) Fibroid uterus
Q: What is the most appropriate management for a woman with a diagnosis of ectopic pregnancy and stable vital signs?
(a) Immediate laparotomy
(b) Methotrexate therapy
(c) Expectant management
(d) D&C (Dilation and Curettage)
Answer: (b) Methotrexate therapy
Q: A 26-year-old woman with regular cycles presents with infertility after 1 year of trying to conceive. On examination, she has a normal uterus and no pelvic pain. What is the next best step in her management?
(a) Laparoscopy
(b) Semen analysis
(c) Hysterosalpingography (HSG)
(d) Luteal phase defect evaluation
Answer: (b) Semen analysis
Q: A woman presents with postmenopausal bleeding. What is the most likely cause of the bleeding?
(a) Endometrial carcinoma
(b) Vaginal atrophy
(c) Ovarian cyst rupture
(d) Uterine fibroids
Answer: (a) Endometrial carcinoma
Q: Which of the following contraceptive methods is considered the most effective in preventing both pregnancy and sexually transmitted infections (STIs)?
(a) Oral contraceptive pills
(b) Intrauterine device (IUD)
(c) Male condom
(d) Diaphragm
Answer: (c) Male condom
Q: What is the most common site for the development of an ectopic pregnancy?
(a) Ovaries
(b) Uterine cavity
(c) Fallopian tubes
(d) Peritoneal cavity
Answer: (c) Fallopian tubes
Q: In which of the following conditions is the risk of developing cervical cancer most significantly increased?
(a) Multiple sexual partners
(b) Early menarche
(c) Family history of ovarian cancer
(d) Late menopause
Answer: (a) Multiple sexual partners
Q: A 40-year-old woman presents with a pelvic mass, irregular periods, and mild abdominal pain. Ultrasound reveals a 5 cm ovarian cyst with thickened septations. What is the most likely diagnosis?
(a) Ovarian cystadenoma
(b) Dermoid cyst
(c) Ovarian cancer
(d) Endometrioma
Answer: (c) Ovarian cancer
Q: A woman presents with postcoital bleeding and a visible ulcer on the cervix. Which of the following is the most likely diagnosis?
(a) Cervical cancer
(b) Pelvic inflammatory disease
(c) Cervicitis
(d) Ovarian cyst rupture
Answer: (a) Cervical cancer
