OBGYN Menstrual Disorders Exam 2026 | Questions
& Verified Answers | Comprehensive Obstetrics &
Gynecology Review
1. The pneumonic PALM COEIN is used to identify the pathophysiology of
what?
Adenomyosis
Abnormal Uterine Bleeding
Ovarian Torsion
Endometriosis
2. Which of the following is/are true regarding uterine fibroid treatment
options?
Most fibroids are not treated
Embolization
Fibroids is the most common indication for hysterectomies
All of the above
3. Which of the following is a risk factor for developing vaginal
candidiasis?
Antibiotic use
Regular exercise
High fiber diet
Low body mass index
4. A 25-year-old female presents with sudden onset of unilateral
abdominal pain and nausea. After diagnosis of ovarian torsion, what
would be the most appropriate immediate intervention?
,Administration of analgesics only
, Open abdominal surgery
Intravenous fluid resuscitation
Laparoscopic uncoiling
5. If a patient has a history of pelvic inflammatory disease and presents
with abdominal pain, what condition should be considered as a
potential diagnosis?
Ovarian cyst
Endometriosis
Ectopic pregnancy
Uterine fibroids
6. A patient diagnosed with endometrial cancer presents with symptoms
indicating possible lymphatic spread. What would be the most
appropriate next step in management?
Refer the patient for psychological counseling before any
treatment.
Immediately schedule a hysterectomy without further
assessment.
Start chemotherapy without staging the cancer.
Perform imaging studies to assess lymph node involvement.
7. What type of tumors are uterine fibroids classified as?
Malignant tumors
Benign smooth muscle tumors
Cystic tumors
Fibrous connective tissue tumors
, 8. What are the two main findings that can be visualized during a
sonohysterogram?
1. Intra-cavitary masses (e.g., polyps, fibroids), 2. Patency of the
fallopian tubes.
1. Ovarian cysts, 2. Uterine size.
1. Endometrial thickness, 2. Ovarian volume.
1. Uterine fibroids, 2. Cervical length.
9. Describe the significance of identifying differential diagnoses in cases of
vulvar itching.
It helps in determining the exact cause of itching without
considering other conditions.
Differential diagnoses are not important in vulvar itching cases.
It is only necessary for cases that do not respond to initial
treatment.
Identifying differential diagnoses is crucial to ensure
appropriate treatment and to rule out serious conditions such
as neoplasia.
10. What is the definition of chronic anovulation?
A condition where the ovaries release multiple eggs at once.
A condition where the ovaries do not release eggs regularly.
A condition characterized by excessive menstrual bleeding.
A condition that leads to early menopause.
11. Describe how anovulatory cycles in PCOS can lead to endometrial
hyperplasia.
Anovulatory cycles do not affect the endometrium.
& Verified Answers | Comprehensive Obstetrics &
Gynecology Review
1. The pneumonic PALM COEIN is used to identify the pathophysiology of
what?
Adenomyosis
Abnormal Uterine Bleeding
Ovarian Torsion
Endometriosis
2. Which of the following is/are true regarding uterine fibroid treatment
options?
Most fibroids are not treated
Embolization
Fibroids is the most common indication for hysterectomies
All of the above
3. Which of the following is a risk factor for developing vaginal
candidiasis?
Antibiotic use
Regular exercise
High fiber diet
Low body mass index
4. A 25-year-old female presents with sudden onset of unilateral
abdominal pain and nausea. After diagnosis of ovarian torsion, what
would be the most appropriate immediate intervention?
,Administration of analgesics only
, Open abdominal surgery
Intravenous fluid resuscitation
Laparoscopic uncoiling
5. If a patient has a history of pelvic inflammatory disease and presents
with abdominal pain, what condition should be considered as a
potential diagnosis?
Ovarian cyst
Endometriosis
Ectopic pregnancy
Uterine fibroids
6. A patient diagnosed with endometrial cancer presents with symptoms
indicating possible lymphatic spread. What would be the most
appropriate next step in management?
Refer the patient for psychological counseling before any
treatment.
Immediately schedule a hysterectomy without further
assessment.
Start chemotherapy without staging the cancer.
Perform imaging studies to assess lymph node involvement.
7. What type of tumors are uterine fibroids classified as?
Malignant tumors
Benign smooth muscle tumors
Cystic tumors
Fibrous connective tissue tumors
, 8. What are the two main findings that can be visualized during a
sonohysterogram?
1. Intra-cavitary masses (e.g., polyps, fibroids), 2. Patency of the
fallopian tubes.
1. Ovarian cysts, 2. Uterine size.
1. Endometrial thickness, 2. Ovarian volume.
1. Uterine fibroids, 2. Cervical length.
9. Describe the significance of identifying differential diagnoses in cases of
vulvar itching.
It helps in determining the exact cause of itching without
considering other conditions.
Differential diagnoses are not important in vulvar itching cases.
It is only necessary for cases that do not respond to initial
treatment.
Identifying differential diagnoses is crucial to ensure
appropriate treatment and to rule out serious conditions such
as neoplasia.
10. What is the definition of chronic anovulation?
A condition where the ovaries release multiple eggs at once.
A condition where the ovaries do not release eggs regularly.
A condition characterized by excessive menstrual bleeding.
A condition that leads to early menopause.
11. Describe how anovulatory cycles in PCOS can lead to endometrial
hyperplasia.
Anovulatory cycles do not affect the endometrium.
