A young 22 yo PG at 8 weeks ot gestation presented in labor room with
per vaginal bleeding for
2 hours with passage of mild clots. On ultrasound there are retained
products of conception with
gestational sac. O/E os is open with P/V bleeding. you diagnose her as case of
A. Complete miscarriage
B. Incomplete miscarriage
C. Missed miscarriage
D. Inevitable miscarriage
E. Threatened miscarriage
Key:B
: PG at 8 weeks gestation presented with mild lower abdominal pain. O/E abdomen is soft non
tender and BP=120/70, pulse:80, Temp: 98. On USG 8 weeks intrauterine pregnancy with 4.5cm
adenaxal cyst.
What will be your next step in management?
A. Re assurance
B. Conservative
C. Rescan after 1 month
D. Doppler USG for cyst
E. CA 125
Key: C
:Gold standard for diagnosis of Endometriosis is
A. TVS
B. TAS
C. MRI
D. Laparoscopy
E. CT scan
Key: D
:31 years old P2«o previous NVD presented in OPD. C/O vulval mass. O/E 4x4cm mass at Labia
Majora very tender.
How will you manage this patient?
A. IND
, B. lv antibiotics
C. Analgesia
D. Marsupialization
E. Conservative
Key: D
:23 vears old Female Pi \House Officer presented in OPD for contraception. Last child born 1
year back. She has irregular cycle her medical History is unremarkable.
What option is best for her?
A OCPs
B. Barrier method
C. LNG-IUs
D. CU/IUCD
E. Implant
Key: A
:31 years old F underwent surgical management of Ectopic pregnancy of she is RH negative and
husband is RH+Ve what dose of immunoglobin you should be given to her.
A. 300 IU
B. 1500 IU
C 600 IU
D. 250 IU
E. 350 1U
Key: D
49 years old Female P6 presented in Gynae OPD came with C/O Heavy menstrual bleeding for
1 year, cycle was irregular and prolonged 15/28 days with passage of clots, Hx of dysmenorrha.
On examination, abdomen soft non tender, PV uterus bulky clear Fxs. P/S no polyp no growth.
How will you confirm your diagnosis.
A: Pelvic USG
B. CT scan
C. CBC
D. MRI
E. X-ray pelvis
Key. D
per vaginal bleeding for
2 hours with passage of mild clots. On ultrasound there are retained
products of conception with
gestational sac. O/E os is open with P/V bleeding. you diagnose her as case of
A. Complete miscarriage
B. Incomplete miscarriage
C. Missed miscarriage
D. Inevitable miscarriage
E. Threatened miscarriage
Key:B
: PG at 8 weeks gestation presented with mild lower abdominal pain. O/E abdomen is soft non
tender and BP=120/70, pulse:80, Temp: 98. On USG 8 weeks intrauterine pregnancy with 4.5cm
adenaxal cyst.
What will be your next step in management?
A. Re assurance
B. Conservative
C. Rescan after 1 month
D. Doppler USG for cyst
E. CA 125
Key: C
:Gold standard for diagnosis of Endometriosis is
A. TVS
B. TAS
C. MRI
D. Laparoscopy
E. CT scan
Key: D
:31 years old P2«o previous NVD presented in OPD. C/O vulval mass. O/E 4x4cm mass at Labia
Majora very tender.
How will you manage this patient?
A. IND
, B. lv antibiotics
C. Analgesia
D. Marsupialization
E. Conservative
Key: D
:23 vears old Female Pi \House Officer presented in OPD for contraception. Last child born 1
year back. She has irregular cycle her medical History is unremarkable.
What option is best for her?
A OCPs
B. Barrier method
C. LNG-IUs
D. CU/IUCD
E. Implant
Key: A
:31 years old F underwent surgical management of Ectopic pregnancy of she is RH negative and
husband is RH+Ve what dose of immunoglobin you should be given to her.
A. 300 IU
B. 1500 IU
C 600 IU
D. 250 IU
E. 350 1U
Key: D
49 years old Female P6 presented in Gynae OPD came with C/O Heavy menstrual bleeding for
1 year, cycle was irregular and prolonged 15/28 days with passage of clots, Hx of dysmenorrha.
On examination, abdomen soft non tender, PV uterus bulky clear Fxs. P/S no polyp no growth.
How will you confirm your diagnosis.
A: Pelvic USG
B. CT scan
C. CBC
D. MRI
E. X-ray pelvis
Key. D
