1
GYNECOLOGY NA ACTUAL EXAM TEST WITH
CORRECT ANSWERS [2025/26 LATEST VERSION]
1. A 48-year-old woman presents with intermenstrual bleeding for two months and episodes
of bleeding occurring any time in the cycle. There is no associated pain.
Differential diagnosis for intermenstrual bleeding does not include:
a. endocervical polyp
b. cervical malignancy
c. endometrial polyp
d. ovarian teratoma
e. atrophic
vaginitis. Answer:
d
3. All of the following are effects of premature menopause, apart from:
a. decreased cardiovascular risk
b. infertility
c. osteoporosis
d. vasomotor symptoms
e. vaginal
dryness.
Answer: a
4. A 32-year-old woman presents to the gynaecology clinic with infrequent periods. A hormone
profi le is done and all of the following are consistent with polycystic ovarian syndrome, apart
from:
a. increased androgen levels
b. normal FSH
c. normal oestradiol
d. decreased LH
e. low progesterone
,2
levels. Answer: d
5. A 28-year-old woman attends the colposcopy clinic after an abnormal smear test. The
smear is reported as severe dyskaryosis and she has an intrauterine contraceptive device
in situ. All of the following statements are likely to be true, apart from:
a. the cervix is macroscopically normal
,3
b. acetic acid is applied and an irregular white area is apparent to the left of the cervical os
c. Lugol’s iodine is applied and the same area stains dark brown while the rest of the cervix
stains pale
d. a biopsy is taken
e. the IUCD can stay, as it will not aggravate the cervical
abnormality. Answer: c
6. A 24-year-old woman presents with the absence of periods for nine months. She started her
periods at the age of 13 years and had a regular 28-day cycle until 18 months ago. The
periods then became
irregular, occurring every two to three months until they stopped completely. The following are
all included in the differential diagnosis of secondary amenorrhoea, apart from:
a. excessive exercise
b. hyperprolactinaemia
c. hyperthyroidism
d. premature ovarian failure
e. signifi cant weight
loss Answer: c
7. The following statements regarding adenomyosis are true, apart from one.
a. It tends to occur in women over 35 years.
b. Risk factors include increased parity, termination and quick labours.
c. The condition commonly occurs in association with endometriosis.
d. With each period, bleeding occurs from the endometrial tissue into the smooth muscle.
e. The diagnosis can be made by ultrasound or magnetic resonance
imaging scan. Answer: b
8. A 20-year-old woman is referred with a problem of post-coital bleeding. Over the past two
months it has occurred on six occasions and there has been a small amount of bright red
blood noticed after
intercourse. There is no associated pain. The following investigations should initially be
performed, apart from:
a. cervical smear
, 4
b. endocervical swab for chlamydia
c. colposcopy
GYNECOLOGY NA ACTUAL EXAM TEST WITH
CORRECT ANSWERS [2025/26 LATEST VERSION]
1. A 48-year-old woman presents with intermenstrual bleeding for two months and episodes
of bleeding occurring any time in the cycle. There is no associated pain.
Differential diagnosis for intermenstrual bleeding does not include:
a. endocervical polyp
b. cervical malignancy
c. endometrial polyp
d. ovarian teratoma
e. atrophic
vaginitis. Answer:
d
3. All of the following are effects of premature menopause, apart from:
a. decreased cardiovascular risk
b. infertility
c. osteoporosis
d. vasomotor symptoms
e. vaginal
dryness.
Answer: a
4. A 32-year-old woman presents to the gynaecology clinic with infrequent periods. A hormone
profi le is done and all of the following are consistent with polycystic ovarian syndrome, apart
from:
a. increased androgen levels
b. normal FSH
c. normal oestradiol
d. decreased LH
e. low progesterone
,2
levels. Answer: d
5. A 28-year-old woman attends the colposcopy clinic after an abnormal smear test. The
smear is reported as severe dyskaryosis and she has an intrauterine contraceptive device
in situ. All of the following statements are likely to be true, apart from:
a. the cervix is macroscopically normal
,3
b. acetic acid is applied and an irregular white area is apparent to the left of the cervical os
c. Lugol’s iodine is applied and the same area stains dark brown while the rest of the cervix
stains pale
d. a biopsy is taken
e. the IUCD can stay, as it will not aggravate the cervical
abnormality. Answer: c
6. A 24-year-old woman presents with the absence of periods for nine months. She started her
periods at the age of 13 years and had a regular 28-day cycle until 18 months ago. The
periods then became
irregular, occurring every two to three months until they stopped completely. The following are
all included in the differential diagnosis of secondary amenorrhoea, apart from:
a. excessive exercise
b. hyperprolactinaemia
c. hyperthyroidism
d. premature ovarian failure
e. signifi cant weight
loss Answer: c
7. The following statements regarding adenomyosis are true, apart from one.
a. It tends to occur in women over 35 years.
b. Risk factors include increased parity, termination and quick labours.
c. The condition commonly occurs in association with endometriosis.
d. With each period, bleeding occurs from the endometrial tissue into the smooth muscle.
e. The diagnosis can be made by ultrasound or magnetic resonance
imaging scan. Answer: b
8. A 20-year-old woman is referred with a problem of post-coital bleeding. Over the past two
months it has occurred on six occasions and there has been a small amount of bright red
blood noticed after
intercourse. There is no associated pain. The following investigations should initially be
performed, apart from:
a. cervical smear
, 4
b. endocervical swab for chlamydia
c. colposcopy
