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Thursday 25 June 2015

GYNECOLOGY - AIPGMEE 2006 QUESTIONS AND ANSWERS



Q202.A 15 year old female presents with primary amenorrhoea. Her breasts are Tanner 4 but she has no axillary or pubic hair.  The most likely diagnosis is:

A.     Turner’s syndrome

B.     Mullerian agenesis

C.     Testicular feminization syndrome

D.     Premature ovarian failure

Ans: C.   Testicular feminization syndrome

Q203.A 40 years old women presented to the gynecologist with complaints of profuse vaginal discharge.  There was no discharge from the cervical os on the speculum examination.  The diagnosis of bacterial vaginosis was made based upon all of the following findings on microscopy except:

A.     Abundance of gram variable coccobacilli.

B.     Absence of Lactobacilli.

C.     Abundance of polymorphs.

D.     Presence of clue cells.

Ans: C.   Abundance of polymorphs.



Q204.which surgical procedure has the highest incidence of ureteric injury?

A.     Vaginal hysterectomy

B.     Abdomainal hysterectomy.

C.     Wertheim’s hysterectomy

D.     Anterior colporraphy.

Ans: C.   Wertheim’s hysterectomy

Q205.The following hormone is raised in polycystic ovarian syndrome:

A.     17-OH Progesterone

B.     Follicular stimulating hormone

C.     Lutenising hormone

D.     Thyroid stimulating hormone

Ans: C.   Lutenising hormone

Q206.which of the following statements is incorrect regarding polycystic ovarian disease?

A.     Elevated LH hormone

B.     Can cause infertility

C.     May be associated with abnormal glucose tolerance test.

D.     Results in postdated pregnancy.

Ans: D.  Results in postdated pregnancy.

Q207.Which of the following statements is incorrect regarding levonorgestral releasing intra-uterine system?

A.     There is increased incidence of menorrhagia.

B.     This system can be used as hormone replacement therapy.

C.     This method is useful for the treatment of Endometerial hyperplasia

D.     Irregular uterine bleeding can be problem initially.

Ans: A.   There is increased incidence of menorrhagia.

Q208. All of the following mechanisms might account for a reduced risk of upper genital tract infection in users of progestin releasing IUDs, except:

A.     Reduced retrograde menstruation

B.     Decreased ovulation

C.     Thickened cervical mucus

D.     Decidual changes in the endometrium.
Ans: B.   Decreased ovulation

Q209.Emergency contraception prevents pregnancy by all of the following mechanisms, except.

A.     Delaying / inhibiting ovulation

B.     Inhibiting fertilization

C.     Preventing implantation of the fertilized egg.

D.     Interrupting an early pregnancy.

Ans: D.  Interrupting an early pregnancy.

Q210.Misoprostol is a:

A.     Prostaglandin E1 analogue

B.     Prostaglandin E2 analogue

C.     Prostaglandin antagonist

D.     Antiprogestin.

Ans: A.   Prostaglandin E1 analogue

Q211.Lymphatic drainage of the cervix occurs by all of the following lymph nodes, except:

A.     Parameterial lymph nodes.

B.     Deep inguinal lymph nodes.

C.     Obtruator lymph nodes

D.     Ext. iliac lymph nodes.

Ans: B.   Deep inguinal lymph nodes.

Q212.The treatment for a case of virilising adrenal hyperplasia is:

A.     Estrogens

B.     Antiandrogens

C.     ACTH.

D.     Cortisone.

Ans: D.  Cortisone.

Q213.The investigation of choice in a 55 year old postmenopausal woman who has presented with postmenopausal bleeding is:

 
A.     Pap smear

B.     Fractional curettage

C.     Transvaginal ultrasound

D.     CA-125 estimation

Ans: B.   Fractional curettage

Q214. In which of the following genital tract malignancy, the risk of metastasis to ovary is the least?

A.     Carcinoma cervix

B.     Carcinoma endometrium

C.     Carcinoma fallopian tube

D.     Uterine sarcoma

Ans: A.   Carcinoma cervix