Q: A 32-year-old woman presents with irregular menstrual cycles, obesity, and hirsutism. What is the most likely diagnosis?
(a) Polycystic ovary syndrome (PCOS)
(b) Hyperthyroidism
(c) Primary ovarian insufficiency
(d) Uterine fibroids
Answer: (a) Polycystic ovary syndrome (PCOS)
Q: A 50-year-old woman presents with hot flashes, night sweats, and vaginal dryness. She has not had a menstrual period for 8 months. What is the most likely diagnosis?
(a) Perimenopause
(b) Ovarian cancer
(c) Menopause
(d) Premature ovarian failure
Answer: (c) Menopause
Q: A woman presents with a painless lump in the breast. On examination, the lump is mobile, firm, and well-circumscribed. What is the most likely diagnosis?
(a) Fibroadenoma
(b) Breast cancer
(c) Cystic breast disease
(d) Lipoma
Answer: (a) Fibroadenoma
Q: What is the first-line treatment for a woman with diagnosed symptomatic pelvic organ prolapse?
(a) Surgery
(b) Pelvic floor exercises
(c) Vaginal pessary
(d) Hormonal therapy
Answer: (c) Vaginal pessary
Q: A 24-year-old woman presents with severe abdominal pain and dyspareunia. On examination, the uterus is fixed and retroverted. What is the most likely diagnosis?
(a) Endometriosis
(b) Ectopic pregnancy
(c) Uterine fibroids
(d) Pelvic inflammatory disease
Answer: (a) Endometriosis
Q: Which of the following is the most common cause of secondary amenorrhea in a woman of reproductive age?
(a) Polycystic ovary syndrome (PCOS)
(b) Premature ovarian failure
(c) Thyroid dysfunction
(d) Uterine fibroids
Answer: (a) Polycystic ovary syndrome (PCOS)
Q: A 45-year-old woman presents with menorrhagia, and on pelvic ultrasound, an enlarged uterus with multiple fibroids is found. What is the next best step in management?
(a) Hysterectomy
(b) Endometrial biopsy
(c) MRI of the pelvis
(d) Hormonal therapy
Answer: (d) Hormonal therapy
Q: A woman presents with a history of infertility and a history of pelvic inflammatory disease (PID). What is the most common complication of PID that may contribute to infertility?
(a) Endometriosis
(b) Ovarian cysts
(c) Tubal adhesions
(d) Uterine fibroids
Answer: (c) Tubal adhesions
Q: Which of the following is the most appropriate test for screening for cervical cancer in women aged 21–65?
(a) Pap smear every year
(b) HPV testing only
(c) Pap smear every 3 years
(d) Colposcopy every year
Answer: (c) Pap smear every 3 years
Q: A woman with a history of recurrent miscarriages presents to the clinic. Which of the following tests should be performed to evaluate her recurrent pregnancy loss?
(a) FSH and LH levels
(b) Antiphospholipid antibodies
(c) Pelvic ultrasound
(d) Endometrial biopsy
Answer: (b) Antiphospholipid antibodies
Q: A 38-year-old woman presents with postcoital bleeding and a visible, irregular lesion on the cervix. What is the most likely diagnosis?
(a) Cervical cancer
(b) Cervicitis
(c) Polycystic ovary syndrome
(d) Endometrial carcinoma
Answer: (a) Cervical cancer
Q: A woman presents with heavy menstrual bleeding and a firm, non-tender pelvic mass. Ultrasound reveals a large mass in the uterus. What is the most likely diagnosis?
(a) Endometriosis
(b) Uterine fibroids
(c) Ovarian cyst
(d) Uterine cancer
Answer: (b) Uterine fibroids
Q: What is the first-line treatment for a patient with primary dysmenorrhea?
(a) Laparoscopic surgery
(b) NSAIDs
(c) Oral contraceptive pills
(d) Progesterone therapy
Answer: (b) NSAIDs
Q: A 45-year-old woman presents with heavy bleeding, irregular cycles, and hot flashes. What is the most likely cause of her symptoms?
(a) Menopause
(b) Endometrial hyperplasia
(c) Uterine fibroids
(d) Polycystic ovary syndrome (PCOS)
Answer: (a) Menopause
Q: A 30-year-old woman presents with infertility and pelvic pain. Laparoscopy reveals chocolate cysts on both ovaries. What is the most likely diagnosis?
(a) Endometriosis
(b) Ovarian cysts
(c) Pelvic inflammatory disease
(d) Uterine fibroids
Answer: (a) Endometriosis
Q: Which of the following is the most common complication of an intrauterine device (IUD)?
(a) Uterine perforation
(b) Pelvic inflammatory disease
(c) Ovarian cysts
(d) Ectopic pregnancy
Answer: (b) Pelvic inflammatory disease
Q: A 40-year-old woman presents with a history of irregular periods, excessive hair growth, and acne. On ultrasound, multiple small cysts are noted on the ovaries. What is the most likely diagnosis?
(a) Ovarian cancer
(b) Polycystic ovary syndrome (PCOS)
(c) Endometriosis
(d) Uterine fibroids
Answer: (b) Polycystic ovary syndrome (PCOS)
Q: What is the most common site for implantation of an ectopic pregnancy?
(a) Ovary
(b) Uterine cavity
(c) Fallopian tube
(d) Abdominal cavity
Answer: (c) Fallopian tube
Q: A woman presents with irregular cycles and excessive bleeding. An ultrasound shows a thickened endometrial lining. What is the next step in management?
(a) Hysterectomy
(b) Endometrial biopsy
(c) Oral contraceptives
(d) D&C (Dilation and Curettage)
Answer: (b) Endometrial biopsy
Q: Which of the following is the best initial treatment for a woman diagnosed with pelvic organ prolapse?
(a) Pelvic floor exercises
(b) Hysterectomy
(c) Vaginal pessary
(d) Surgical repair
Answer: (a) Pelvic floor exercises
