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  1.  Commonest cause of vesicovaginal fistula is (A) Obstetric trauma due to prolonged labour (B)Carcinoma of the cervix (C)Injury during gynaecological surgery (D)Forceps delivery.
  2. Ovarian tumor, which is most likely to undergo malignant change is (A) Papillary serous cystadenoma (B)Pseudomucinous cystadenoma (C)Solid teratoma (D)Brenner's tumor.
  3. Commonest ovarian tumor arising from germ cells is (A) Dysgerminoma (B)Choriocarcinoma (C)Dermoid cyst (D)Brenner tumor.
  4. Which of the following is an estrogen secreting tumor of ovary (A) Theca cell tumor (B)Brenner's tumor (C)Arrhenoblastoma (D)Solid teratoma.
  5. Secondary amenorrhea is defined as the absence off menses for (A) 3 months or longer (B)6 months or longer (C)12 months or longer (D)18 months or longer.
  6. Commonest urinary fistula seen following Wertheim's hysterectomy is (A) Vesicovaginal (B)Urreterovaginal (C) Urethrovaginal (D) Vesicocervical.
  7. Degenerative change in fibromyoma of uterus seen usually at menopause is (A) Hyaline degeneration (B)Red degeneration (C)Cystic degeneration (D)Fatty degeneration.
  8. Principal androgens involved in women with hyperandrogenism are all except (A) Testosterone (B)Androstenedione (C)Dehydroepiandrosterone (D)Etiocholanolone.
  9. All are estrogen dependent except (A) Uterine fibroid (B)Endometriosis (C)Endometrial carcinoma (D)Carcinoma of cervix.
  10. The initial treatment in 27 years patient with progressive dysmenorrhea is (A) Narcotic analgesics (B)Combined oral pills (C)Hysterectomy (D)Dilatation of cervix.
  11. Scar endometriosis is seen following all except (A) Lower segment caesarian section (B) Hysterectomy in mid-trimester pregnancy (C) Abdominal hysterectomy (D) Myomectomy.
  12. Most important structure on which urinary continence depends is (A) Lissosphincter (B)Pubocervical fascia (C)Pubococcygeus muscle (D)Smooth muscle of urehra.
  13. All are features of 'missed abortion' except (A) Negative pregnancy test (B)History of repeated vaginal bleeding (C)Size of uterus corresponding to period of amenorrhea (D)Regression of signs of pregnancy.
  14. The following drugs are useful for induction of ovulation except (A) Clomiphene citrate (B)Gonadotrophins (C)Bromocriptine (D)Danazol.
  15. The following cells are predominantly seen in a vaginal smear from a post mentopausal female (A) Superficial (B)Parabasal (C) Navicular (D)Intermediate.
  16. Which of the following statement about genital prolapse is not true (A) In rectocele or cystocele, there may not be uterine descent (B) In second degree uterine prolapse, the cervix appears at vaginal orifice (C)Usually results from damage to supporting structures during child birth (D)Urge incontinence with frequency of micturition is present.
  17. Weinberg's sign, is a radiologic finding in (A)Endometriosis (B)Dermoid cyst (C) Abdominal pregnancy (D)Krukenberg's tumor.
  18. Which of the following statement about vagina is not true (A) Lined by stratified squamous epithelium (B)Posterior fornix is deeeper than the anterior (C)It has mucous glands, which secrete watery fluid (D) It is supported laterally by cardinal ligaments.
  19. Fetal cardiac activity can be detected by ultrasonic scanning at (A) 4 weeks (B)8 weeks (C)12 weeks (D)16 weeks.
  20. Epithelium lining the vagina is (A) Stratofoed cp;I,mar (B) Stratified squamous (C)Transitional (D)Columnar.
  21. Pseudomyxoma peritonei is associated with all (A) Pseudomucinous cystadenoma (B)Carcinoma of colon (C)Mucocele of appendix (D)Carcinoma of gall bladder.
  22. Drug of choice in vaginitis due to 'Gardnerella vaginalis' is (A) Miconazole (B)Penicillin (C)Metronidazole (D)Amphotericin.
  23. Treatment of choice for choriocarcinoma of uter us is (A)Subtotal hysterectomy (B)Wertheim's hysterectomy (C)Radiotherapy (D)Chemotherapy.
  24. A post menopausal women complains of itching and irritation in genital area with vaginal discharge. Vaginal examination shows no lesion, but the vaginal mucosa is thinned out and vaginal canal is narrowed. The best treatment is (A) Local application of oestrogen cream (B)Oral oestrogen tablets (C)Oestrogen pessaries (D)Minipill.
  25. 'Coffee bean' cells are seen in (A) Brenner tumor (B) Dysgerminoma (C) Theca cell tumor (D)Fibroma.
  26. Best proof of ovulation is by (A) Basal body temperature (B)Study of cervical mucus (C)Vaginal cytology (D)Endometrial biopsy.
  27. Which of the following statement is true about endometrial carcinoma (A) Usually squamous cell carcinoma (B)Can be excluded if cervical smear is normal (C)More common in diabetic & obese patients (D) More common in post menopausal women receiving cyclical oestrogen and progesterone hormone replacement therapy.
  28. Treatment of choice in 45 year old female with large mucinous cystadnoma of ovary is (A)Unilateral oophorectomy (B)Unilateral oophortomy (C)Bilateral salpingo-oophorectomy & abdominal hysterectomy (D) None of the above.
  29. Most common chromosomal composition in cases of hydatidiform mole is (A) 46XX (B)46XY (C) 45XO (D)47XXY
  30. Average blood loss resulting from menstruation is (A)10-20ml (B)20-40 ml (C) 40-80 ml (D)80-100 ml.
  31. False positive VDRL test is seen in (A)Disseminated tuberculosis (B)Leprosy (C)Sarcoidosis (D)Rubella
  32. Commonest complication of pregnancy after treatment for genital tuberculosis is (A) Abortion (B) Malpresentation (C)Ectopic pregnancy (D)Still birth.
  33. Withdrawal bleeding due to progesterone admininstration means (A) Intact endometrium (B)No ovarian failure (C)Estrogen present in sufficient quantity (D) All of the above.
  34. Which of the following is not characteristic of endometriosis (A)Sterility (B)Dyspareunia (C)Progressive dysmenorrhea (D)Nodular thickening of uterosacral ligament.
  35. Which of the following is pathognomic of 'abdominal pregnancy' (A) Eccentric position of fetus (B)Absent outline of uterine wall (C)Fetal parts are easily palapble (D)Fetal parts appear lateral to lumber spine on a lateral x-ray.
  36. Commonest presenting symptom in patients with ectopic pregnancy is (A) Abdominal pain (B)Amenorrhea (C) Vaginal bleeding (D)Passage of decidual tissue.
  37. All are causes of vaginal discharge in young girls except (A) Mycoplasma (B)N.gonorrheae (C)Candida (D)E. vermicularis.
  38. Commonest vulval carcinoma is (A) Squamous cell (B)Epidermoid (C)Adenocarcinoma (D)Melonoma.
  39. Advantages of suction evacuation over conventional D & C is (A) Less risk of uterine perforation (B)Less time required (C)Performed under local anaesthesia (D) All of the above.
  40. The lymphatic drainage of the vulva is to the (A)Inguinal lymph nodes (B)Preaortic lymph node (C) External iliac lymphnode (D) Para-aortic lymph node.
  41. Most common cause of prolapse uterus is (A) Chronic cough (B)Frequent pregnancies (C)Lax perineum due to injury to perineal body (D)Forceps delivery & breech extraction.
  42. The mucosa of the vagina is (a) Stratified squamous nonkeratinized (b) Stratified columnar (c) Pseudostratified noncilated (d) Transitional (e) None of the above
  43. The most important factor in the diagnosis of puerperal infection is the existence of (a) Temperature elevation (b) Foul-smelling lochia (c) abdominal pain (d) Leukocytosis (e) Uterine relaxation
  44. In a primigravida of 36 weeks gestation an unengaged vertex calls for (a) Immediate cesarian section (b) Caesarian section at 38 weeks (c) Immediate pelvimetry studies (d) Careful-reevaluation for cephalopelvic disproportion
  45. The greatest majority of all presentation are (a) Face (b) Vertex (c) Breech (d) Shoulder (e) Brow
  46. The recommended daily intake of protein in pregnancy is (a) 50gm (b) 65gm (c) 85 gm (d) 100 gm (e) 125
  47. Blood loss in the third stage of labor does NOT exceed (a) 100 ml (b) 300 ml (c) 500 ml (d) 700 ml (e) 1 litre
  48. Pre-eclampsia becomes eclampsia with the onset of (a) Sudden rise in blood pressure (b) Retinal haemorrhages (c) Elevated B.U.N. (d) Convulsions (e) Proteinuria
  49. The great majority of spontaneous abortions occur during the (a) First month (b) Second and third months (c) Fourth & fifth months (d) Sixth and seventh months (e) Eighth month
  50. The most frequent site of ecotopic gestation is (a) Tube (b) Cornu (c) Ovary (d) Omentum (e) Cervix
  51. All of the following are benign solid ovarian tumours EXCEPT (a) Fibroma (b) Cystadenoma (c) Hemangioma (d) Adenomyoma
  52. The most frequent complication of neoplastic cysts is (a) Rupture (b) Torsion of the pedicle (c) Suppuration (d) Malignant changes (e) None of the above
  53. The most frequent of all ovarian tumours is the (a) Cystadenoma (b) Dermoid (c) Brenner tumour (d) Fibroma (e) Arrhenoblastoma
  54. The primary site of pelvic tuberculosis in women is (a) Cervix (b) Tubes (c) Uterus (d) Ovary (e) Peritoneum
  55. Pain on intercourse is known as (a) Dysmenorrhea (b) Dyspareunia (c) Tenesmus (d) Vaginismus (e) Dysoemia
  56. The commonest dogenerative change in a myoma of the uterus is (a) Red degeneration (b) Fatty degeneration (c) Cystic degeneration (d) Hyaline degeneration
  57. Fibroids are derived from what type of tissue (a) lastic (b) Fibrous (c) Muscle (d) Cartilage (e) Ground substance
  58. In the majority of cases the first symptom of cervical cancer is (a) Dysuria (b) Leukorrhea (c) Vaginal bleeding (d) Pelvic pain (e) Rectal discomfort
  59. All of the following are systemic disorders which produce pruritis of the vulva EXCEPT (a) Diabetes (b) Jaundice (c) Leukaemia (d) Kraurosis (e) Drug allergy
  60. Gonorrheal salpingitis in the acute stage is characterized by all of the following EXCEPT (a) Pain (b) Abnormal uterine bleeding (c) Fever (d) Leukocytosis (e) Nausea and vomiting
  61. Nebothian follicles are occasionally seen in (a) Mucosa of cervical canal (b) Mucosa of vaginal portion of cervix (c) Ducts of Skene (d) Vaginal mucosa (e) Endometrium

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