Gynaecology & Obstetrics Question Bank

Read the Gynaecology & Obstetrics Question Bank sample questions

1. 1.What is the risk of GDM on her life later:

   • A.DM type 1
   • B.DM type 2 (Correct Answer)Correct
   • C.Impaired fasting glucose
   • D.Impaired fasting glucose

   Why: Women with a history of gestational diabetes mellitus (GDM) have a markedly increased lifetime risk of developing type 2 diabetes, reflecting underlying insulin resistance and beta-cell dysfunction unmasked by pregnancy. Type 1 DM is autoimmune and not a sequel of GDM. Lifelong screening for type 2 DM is therefore recommended.

2. 2.Salpingitis and PID on penicillin but not improve, what is the most likely

   • A.Chlamydia
   • B.Neisseria gonorrheaCorrect
   • C.Syphilis
   • D.HSV

   Why: PID/salpingitis failing to improve on penicillin suggests an organism not covered by penicillin. Neisseria gonorrhoeae has become widely penicillin-resistant (penicillinase-producing strains), so persistence despite penicillin points to gonorrhea. Current treatment uses ceftriaxone (plus doxycycline for likely co-infecting chlamydia).

3. 3.Most of the causes of infection

   • A.Anemia which is most probably the cause during pregnancy
   • B.Retained placentaCorrect
   • C.Hemorrhage during pregnancy
   • D.Endometriosis

   Why: Among the listed options, retained placenta is the leading source of puerperal infection because retained products provide a nidus for ascending bacterial growth and endometritis. Prompt evacuation and antibiotics are required. [REVIEW: corrupted source - vague stem]

4. 4.Infants of mothers with gestational diabetes are at increased risk of becoming:

   • A.Obese adults
   • B.Type II diType II diabeticsabetics
   • C.NeitherCorrect
   • D.Both

   Why: Infants of mothers with gestational diabetes carry an increased long-term risk of BOTH adult obesity AND type 2 diabetes, reflecting fetal programming from intrauterine hyperglycemia. [REVIEW: keyed answer may be incorrect - garbled option b ('Type II diabetics') plus option a (obese adults) means the correct answer should be 'Both' (option d), not 'Neither' (option c)]

5. 5.Action of OCP :

   • A.inhibition of estrogen then ovulation
   • B.inhibition of prolactin then ovulation
   • C.inhibition of mid cycle gonadotropin then ovulation (Correct Answer)Correct
   • D.inhibition of estrogen then ovulation

   Why: Combined oral contraceptive pills act mainly by suppressing the mid-cycle LH (gonadotropin) surge, thereby preventing ovulation; they also thicken cervical mucus and thin the endometrium. They do not work by inhibiting estrogen or prolactin.

6. 6.pregnant has glucosuria also by GTT confirmed that she has gestational diabetes what u should do

   • A.repeat GTT
   • B.Take a1c hemoglobinCorrect
   • C.take fasting blood glucose
   • D.do insulin tolerance test

   Why: Once the GTT confirms gestational diabetes, glucosuria is already explained and the GTT is diagnostic. Obtaining HbA1c helps assess prior glycemic control and screen for possible pre-existing (overt) diabetes, guiding management. [REVIEW: keyed answer questionable - after confirmed GDM the priority is to start glycemic management/monitoring rather than further testing]

7. 7.Lady with 2 day hx of fever, lower abd and suprapubic tenderness , vaginal discharge & tenderness Dx:

   • A.acute salpingitisCorrect
   • B.chronic salpingitis
   • C.acute appendicitis
   • D.acute appendicitis

   Why: Acute lower abdominal/suprapubic tenderness with fever, vaginal discharge and cervical/adnexal tenderness over 2 days is the classic picture of acute salpingitis (a component of PID). Chronic salpingitis lacks acute fever; appendicitis localizes to the right iliac fossa without vaginal discharge.

8. 8.If diabetic mother blood sugar is always high despite of insulin, neonate complication will mostly be:

   • A.Maternal hyperglycemia
   • B.Maternal hypoglycemia
   • C.Neonatal hypoglycemiaCorrect
   • D.Neonatal hyperglycemia

   Why: Persistent maternal hyperglycemia drives fetal hyperinsulinemia; after delivery the abrupt withdrawal of maternal glucose leaves high fetal insulin, causing neonatal hypoglycemia. This is the most common neonatal complication and requires close glucose monitoring.

9. 9.A female patient presented with oligomenorrhea, she had 3 periods in the last year . She also had acne & hirsutism. Her body weight was 60 kg. PV examination was normal . The diagnosis is:

   • A.Polycystic ovary diseaseCorrect
   • B.Hyperprolactinemia
   • C.Adrenal tumor
   • D.Hypothyroidism

   Why: Oligomenorrhea, acne and hirsutism with otherwise normal pelvic exam in a young woman is the classic presentation of polycystic ovary syndrome (PCOS), driven by hyperandrogenism and anovulation. Hyperprolactinemia and hypothyroidism cause menstrual changes without prominent hyperandrogenic signs.

10. 10.Female young with few tear vesicles on rose red base and painful on valve :

    • A.Chancroid
    • B.Syphilis
    • C.HSVCorrect
    • D.Chancroid

    Why: Multiple painful, tender vesicles on an erythematous ('rose-red') base on the vulva are characteristic of genital herpes simplex virus (HSV). Syphilitic chancre and chancroid present as ulcers (painless and painful respectively), not grouped vesicles.