Test Bank for Gynaecology by Ten Teachers, 21st Edition| All 1-17 Chapters Covered
With Questions And Verified Solutions With Detailed Rationales And Case Studies.
, TABLE OF CONTENT
Chapter 1 Development and anatomy of the female sexual organs and
pelvis
Chapter 2 Gynaecological history, examination and investigations
Chapter 3 Hormonal control of the menstrual cycle and hormonal
disorders
Chapter 4 Disorders of menstrual bleeding
Chapter 5 Implantation and early pregnancy
Chapter 6 Contraception and abortion
Chapter 7 Subfertility
Chapter 8 Menopause and post-reproductive health
Chapter 9 Sexually transmitted infections and related conditions
Chapter 10 Urogynaecology and pelvic floor problems
Chapter 11 Benign conditions of the ovary and pelvis
Chapter 12 Benign conditions of the uterus, cervix and endometrium
Chapter 13 Benign conditions of the vulva and vagina, psychosexual
disorders and female genital mutilation
Chapter 14 Malignant disease of the ovary
Chapter 15 Malignant disease of the uterus
Chapter 16 Premalignant and malignant disease of the lower genital
tract
Chapter 17 Gynaecological surgery and therapeutics
,How to Use This Test Bank
• Each chapter contains at least 21 single-best-answer questions written at medical-student level,
followed by a clinical case study with structured answers.
• Attempt each question before reading the answer. Cover the answer block with a sheet of
paper or fold the page.
• Every question provides the correct answer, a detailed rationale, and a specific explanation of
why each remaining option is incorrect. Learning the distractor explanations is often more
valuable than learning the answer itself.
• The case study at the end of each chapter integrates the chapter content into a realistic clinical
encounter of the type used in OSCE and viva assessment.
• Guideline-dependent thresholds (for example endometrial thickness cut-offs, WHO semen
reference values and UKMEC categories) reflect current UK practice and should be checked
against local protocols.
, Chapter 1 Development and Anatomy of the Female
Sexual Organs and Pelvis
21 single-best-answer questions and one integrated case study
Q1.1 The uterus, fallopian tubes and upper vagina develop from which embryological structure?
A. Mesonephric (Wolffian) ducts
B. Paramesonephric (Müllerian) ducts
C. Urogenital sinus
D. Genital ridge
Answer: B
Rationale. The paired paramesonephric (Müllerian) ducts fuse caudally to form the uterus, cervix and
upper vagina, while their unfused cranial portions become the fallopian tubes. In the absence of anti-
Müllerian hormone (AMH), these ducts persist and differentiate along the female line.
Why the other options are incorrect
A. The mesonephric (Wolffian) ducts form male internal genitalia and regress in females, leaving
only vestigial remnants such as Gartner's duct cysts.
C. The urogenital sinus contributes to the lower vagina and vestibule, not the uterus or tubes.
D. The genital ridge gives rise to the gonad (ovary), not the ductal system.
Q1.2 Failure of fusion of the caudal parts of the Müllerian ducts most typically results in:
A. Unicornuate uterus
B. Bicornuate uterus
C. Uterine agenesis
D. Transverse vaginal septum
Answer: B
Rationale. Fusion failure of the caudal (lower) segments produces two horns with a single or double
cervix — a bicornuate (or septate/didelphys spectrum) uterus depending on the degree of failure and
septal resorption.
Why the other options are incorrect
A. A unicornuate uterus results from failure of development of one entire duct, not failure of fusion.
C. Uterine agenesis (as in Mayer-Rokitansky-Küster-Hauser syndrome) results from failure of duct
development altogether.
D. A transverse vaginal septum results from failed canalisation at the junction of Müllerian ducts and
urogenital sinus.
Q1.3 The principal blood supply to the ovary is the:
A. Uterine artery
B. Ovarian artery arising from the abdominal aorta
C. Internal iliac artery
D. Inferior mesenteric artery
Answer: B
With Questions And Verified Solutions With Detailed Rationales And Case Studies.
, TABLE OF CONTENT
Chapter 1 Development and anatomy of the female sexual organs and
pelvis
Chapter 2 Gynaecological history, examination and investigations
Chapter 3 Hormonal control of the menstrual cycle and hormonal
disorders
Chapter 4 Disorders of menstrual bleeding
Chapter 5 Implantation and early pregnancy
Chapter 6 Contraception and abortion
Chapter 7 Subfertility
Chapter 8 Menopause and post-reproductive health
Chapter 9 Sexually transmitted infections and related conditions
Chapter 10 Urogynaecology and pelvic floor problems
Chapter 11 Benign conditions of the ovary and pelvis
Chapter 12 Benign conditions of the uterus, cervix and endometrium
Chapter 13 Benign conditions of the vulva and vagina, psychosexual
disorders and female genital mutilation
Chapter 14 Malignant disease of the ovary
Chapter 15 Malignant disease of the uterus
Chapter 16 Premalignant and malignant disease of the lower genital
tract
Chapter 17 Gynaecological surgery and therapeutics
,How to Use This Test Bank
• Each chapter contains at least 21 single-best-answer questions written at medical-student level,
followed by a clinical case study with structured answers.
• Attempt each question before reading the answer. Cover the answer block with a sheet of
paper or fold the page.
• Every question provides the correct answer, a detailed rationale, and a specific explanation of
why each remaining option is incorrect. Learning the distractor explanations is often more
valuable than learning the answer itself.
• The case study at the end of each chapter integrates the chapter content into a realistic clinical
encounter of the type used in OSCE and viva assessment.
• Guideline-dependent thresholds (for example endometrial thickness cut-offs, WHO semen
reference values and UKMEC categories) reflect current UK practice and should be checked
against local protocols.
, Chapter 1 Development and Anatomy of the Female
Sexual Organs and Pelvis
21 single-best-answer questions and one integrated case study
Q1.1 The uterus, fallopian tubes and upper vagina develop from which embryological structure?
A. Mesonephric (Wolffian) ducts
B. Paramesonephric (Müllerian) ducts
C. Urogenital sinus
D. Genital ridge
Answer: B
Rationale. The paired paramesonephric (Müllerian) ducts fuse caudally to form the uterus, cervix and
upper vagina, while their unfused cranial portions become the fallopian tubes. In the absence of anti-
Müllerian hormone (AMH), these ducts persist and differentiate along the female line.
Why the other options are incorrect
A. The mesonephric (Wolffian) ducts form male internal genitalia and regress in females, leaving
only vestigial remnants such as Gartner's duct cysts.
C. The urogenital sinus contributes to the lower vagina and vestibule, not the uterus or tubes.
D. The genital ridge gives rise to the gonad (ovary), not the ductal system.
Q1.2 Failure of fusion of the caudal parts of the Müllerian ducts most typically results in:
A. Unicornuate uterus
B. Bicornuate uterus
C. Uterine agenesis
D. Transverse vaginal septum
Answer: B
Rationale. Fusion failure of the caudal (lower) segments produces two horns with a single or double
cervix — a bicornuate (or septate/didelphys spectrum) uterus depending on the degree of failure and
septal resorption.
Why the other options are incorrect
A. A unicornuate uterus results from failure of development of one entire duct, not failure of fusion.
C. Uterine agenesis (as in Mayer-Rokitansky-Küster-Hauser syndrome) results from failure of duct
development altogether.
D. A transverse vaginal septum results from failed canalisation at the junction of Müllerian ducts and
urogenital sinus.
Q1.3 The principal blood supply to the ovary is the:
A. Uterine artery
B. Ovarian artery arising from the abdominal aorta
C. Internal iliac artery
D. Inferior mesenteric artery
Answer: B
