Q: A 24-year-old woman presents with a history of delayed menstruation, facial hair growth, and acne. On examination, she is overweight, and ultrasound reveals enlarged ovaries with multiple cysts. What is the most likely diagnosis?
(a) Polycystic ovary syndrome (PCOS)
(b) Premature ovarian failure
(c) Ovarian cancer
(d) Hypothyroidism
Answer: (a) Polycystic ovary syndrome (PCOS)
Q: A woman with a history of pelvic inflammatory disease (PID) presents with infertility. What is the most likely cause of her infertility?
(a) Endometriosis
(b) Uterine fibroids
(c) Tubal adhesions
(d) Polycystic ovary syndrome (PCOS)
Answer: (c) Tubal adhesions
Q: Which of the following is a risk factor for the development of ovarian cancer?
(a) Nulliparity
(b) Early menopause
(c) Use of combined oral contraceptives
(d) Family history of breast cancer
Answer: (d) Family history of breast cancer
Q: A woman presents with heavy bleeding and clots during menstruation, along with pelvic pressure. Ultrasound shows a well-defined, solid, non-mobile mass in the uterus. What is the most likely diagnosis?
(a) Endometriosis
(b) Uterine fibroids
(c) Ovarian cyst
(d) Cervical cancer
Answer: (b) Uterine fibroids
Q: What is the most common cause of vaginal discharge in women of reproductive age?
(a) Vaginal atrophy
(b) Bacterial vaginosis
(c) Trichomoniasis
(d) Chlamydia infection
Answer: (b) Bacterial vaginosis
Q: A 34-year-old woman presents with a positive pregnancy test, lower abdominal pain, and vaginal bleeding. An ultrasound shows an empty uterus. What is the most likely diagnosis?
(a) Ectopic pregnancy
(b) Molar pregnancy
(c) Early miscarriage
(d) Ovarian cyst rupture
Answer: (a) Ectopic pregnancy
Q: Which of the following is a known contraindication for the use of oral contraceptive pills (OCPs)?
(a) History of deep vein thrombosis (DVT)
(b) History of dysmenorrhea
(c) Family history of ovarian cancer
(d) Age over 35 years
Answer: (a) History of deep vein thrombosis (DVT)
Q: A woman with a history of chronic pelvic pain and heavy menstruation presents with a large palpable pelvic mass. Ultrasound reveals a “chocolate cyst.” What is the most likely diagnosis?
(a) Ovarian cyst
(b) Endometrioma
(c) Fibroid uterus
(d) Ovarian cancer
Answer: (b) Endometrioma
Q: What is the best initial investigation for a woman with suspected fibroids?
(a) Pelvic MRI
(b) Transvaginal ultrasound
(c) Hysteroscopy
(d) Laparoscopy
Answer: (b) Transvaginal ultrasound
Q: A 28-year-old woman presents with a lump in her breast that has been present for several months. The lump is firm, mobile, and well-circumscribed. What is the most likely diagnosis?
(a) Breast cancer
(b) Fibroadenoma
(c) Mastitis
(d) Cystic fibrosis
Answer: (b) Fibroadenoma
Q: A 30-year-old woman presents with secondary amenorrhea. She has a history of weight loss, excessive exercise, and stress. What is the most likely diagnosis?
(a) Polycystic ovary syndrome (PCOS)
(b) Hypothalamic amenorrhea
(c) Premature ovarian failure
(d) Endometrial hyperplasia
Answer: (b) Hypothalamic amenorrhea
Q: A 60-year-old woman presents with postmenopausal bleeding. Which of the following is the first step in management?
(a) Endometrial biopsy
(b) Ultrasound scan of the pelvis
(c) Hysterectomy
(d) Hormonal replacement therapy
Answer: (b) Ultrasound scan of the pelvis
Q: A 25-year-old woman presents with heavy and irregular menstruation and pelvic pain. On examination, her uterus is enlarged. Ultrasound reveals multiple fibroids. What is the most likely diagnosis?
(a) Endometrial carcinoma
(b) Uterine fibroids
(c) Adenomyosis
(d) Pelvic inflammatory disease
Answer: (b) Uterine fibroids
Q: A 20-year-old woman presents with chronic pelvic pain, dysmenorrhea, and dyspareunia. On examination, her uterus is retroverted, and the posterior fornix is tender. What is the most likely diagnosis?
(a) Ovarian cyst
(b) Endometriosis
(c) Uterine fibroids
(d) Pelvic inflammatory disease
Answer: (b) Endometriosis
Q: Which of the following is the most effective method for preventing sexually transmitted infections (STIs)?
(a) Intrauterine device (IUD)
(b) Oral contraceptive pills
(c) Male condom
(d) Diaphragm
Answer: (c) Male condom
Q: A woman who is 32 weeks pregnant presents with headache, visual disturbances, and high blood pressure. Her urine dipstick shows 3+ protein. What is the most likely diagnosis?
(a) Preeclampsia
(b) Gestational hypertension
(c) Eclampsia
(d) Chronic hypertension
Answer: (a) Preeclampsia
Q: A 35-year-old woman presents with vaginal itching, discomfort, and a thick white discharge. On examination, the vaginal pH is normal, and the discharge has a “cottage cheese” appearance. What is the most likely diagnosis?
(a) Bacterial vaginosis
(b) Candidiasis
(c) Trichomoniasis
(d) Pelvic inflammatory disease
Answer: (b) Candidiasis
Q: Which of the following is a contraindication to the use of an intrauterine device (IUD)?
(a) History of ectopic pregnancy
(b) History of fibroids
(c) History of pelvic inflammatory disease (PID)
(d) Nulliparity
Answer: (c) History of pelvic inflammatory disease (PID)
Q: A 28-year-old woman presents with a 3-month history of abdominal bloating, fatigue, and changes in her bowel movements. On examination, she has tenderness in the lower abdomen. What is the most likely diagnosis?
(a) Irritable bowel syndrome
(b) Ovarian cyst
(c) Endometriosis
(d) Colorectal cancer
Answer: (c) Endometriosis
Q: A 45-year-old woman presents with an inability to conceive after 12 months of trying. Her cycles are regular, and her partner has a normal semen analysis. What is the most appropriate next step?
(a) Laparoscopy
(b) Semen analysis of her partner
(c) Hysterosalpingography (HSG)
(d) Ovulation induction
Answer: (c) Hysterosalpingography (HSG)
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