1
GYNECOLOGY MCQS TEST SPECIFIC TO REAL EXAM
VERSION SAT @ 2025-26
1. Lady with infertility with bilateral tubal block at cornua. Best method of
management is :
a. Laparoscopy & Hysteroscopy
b. Hydrotubation
c. IVF
d. Tuboplasty
Answer : A; Laparoscopy is done for proper assessment & to exclude active infection or TB.
2. Women with postmenopausal bleeding need endometrial sampling if endometrial on
US is thicker than
a. 1mm
b. 2mm
c. 5mm
d. 8mm
e. 10mm
Answer : C ; endometrial thickness in menopause > 5 mm is suspicious for hyperplasia
3. Which of the following change in puberty is influenced by the estrogen:
a. Growth of the acinar buds of the breast
b. Epiphyseal fusion
c. Proliferatve phase
d. All of the above
e. None of the above
Answer : D : Estrogen is critical for epiphyseal fusion in both young men and women .
Proliferative phase also continues under the effect of ovarian estrogen produced by the
maturating follicles till ovulation occurs . Estrogen also can affects both ductal and
glandular “ acinar “ system of breast .
4. Sub urethral diverticula may occur as a sequelae to infection of:
a. Bartholin’s gland
b. Skene’s gland
c. Clitoral gland
d. Vulvovaginal gland
Answer : B ; Periurethral glands (Skene's glands) are tubuloalveolar structures along the
dorsolateral aspect that drain into the distal two thirds of the urethra. Repeated infection
and obstruction of these glands lead to formation of suburethral cysts or abscesses that
can rupture into the urethral lumen.
1 Medadteam.org More than you dream
,2
5. Glycogen is seen in the lumina of endometrial glands :
a. During the luteal phase
b. During pregnancy only
c. During pre and post ovulatory
d. During proliferative phase only
e. At the time of ovulation only
Answer : A ; During the follicular, or proliferative phase, endometrial glands are elongated
with narrow lumens and their epithelial cells contain some glycogen. Glycogen, however, is
not secreted during the follicular phase.
At the beginning of the luteal phase, progesterone induces the endometrial glands to
secrete glycogen, mucus, and other substances.
6. The Wolfian duct in the female :
a. Develops into the fallopian tube
b. Forms the ovary
c. Forms the round ligament
d. Regresses and becomes vestigial
e. None of the above
Answer : D ; due to the absence of testosterone in females , the Wollfian duct will regress
and is represented in the female adult by the Gartner`s duct
7. Large amount of alkaline phosphatase may be demonstrated in the endometrium of :
a. Decidua
b. Secretory phase
c. Proliferative phase
d. All of the above
e. None of the above
Answer: C : Alkaline phosphatase activity is markedly stimulated by estrogen which is
responsible for the proliferative phase.
8. Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis
through:
a. Venous channels
b. Lymphatics
c. Nerve axons
d. All of the above
e. None of the above
Answer : C
2 Medadteam.org More than you dream
,3
9. The levator ani muscle :
a. Is a voluntary muscle
b. Is attached laterally to the ”white line of the pelvis ”
c. Is composed of pubococcygeus and iliococcygeus muscle
d. Contracts to prevent spillage of urine during strain
e. All of the above
Answer : E
10. The function of round ligament is :
a. Vestigial with no apparent function
b. To prevent retrodisplacement of the uterus
c. To prevent uterine prolapse
d. To provide nerve supply of the upper vagina
e. None of the above
Answer : B ; The function of the round ligament is the maintenance of the anteversion of
the uterus during pregnancy.
11. The definitive epithelium of vagina is derived from :
a. Wolfian duct
b. Mullerian duct
c. Urogenital epithelium
d. Coelomic epithelium
Answer : C
12. Causes of post partum amenorrhoea may be :
a. Anorexia nervosa
b. Cervical atresia
c. Chlorpromazaine therapy
d. Any of the above
e. None of the above
Answer : D : Chlorpromazine has antidopaminergic effect >> hyperprolactinemea >>
anovulation >> ammenorrhea
N.B. Cervical atresia is an extremely rare condition in which the cervical canal is missing at
birth.
13. The cyclic production of pituitary hormones is dependant upon:
a. Normal menstruation
b. An intact pituitary- portal system
c. An adult anterior pituitary gland
d. All of the above
e. None of the above
3 Medadteam.org More than you dream
, 4
Answer: B
14. The clots passed with menorrhagia perhaps indicate
a. No endometrial regeneration
b. No terminal arteriolar spasm
c. Large amount of bleeding
d. All of the above
e. None of the above
Answer : C
15. Monilial vagintis occurs frquently during pregnancy because :
a. Glycosuria is commoner
b. The vagina contains more glycogen
c. Higher vaginal acidity suppresses other organisms
d. All of the above
e. None of the above
Answer : D : Candida flourishes in acidic media as during pregnancy and long term use of
OCPs due to increased glycogen content of vaginal epithelium , allowing for more production
of lactic acid by lactobacilli
16. Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is
scanty with no discernible tissue in the cervical os. There are no palpable adnexal
masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a
gestational sac. Which of the following should be recommended?
a. Dilatation & curettage.
b. Culdocentesis.
c. Observation followed by serial B-HCG determinations.
d. Diagnostic laparoscopy.
e. Laparotomy
Answer : D
17. Which of the following statements is incorrect regarding levonorgestrel releasing
intrauterine 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
Answer : A : Levonorgestrel is a progestin , Named levonorgestrel because it is the
levorotatory form of norgestrel. It can be used as hormone replacement therapy and for
treatment of endometerial hyperplasia as it induces endometrial atrophic changes , so it's
less likely to cause menorrhagia.
4 Medadteam.org More than you dream
GYNECOLOGY MCQS TEST SPECIFIC TO REAL EXAM
VERSION SAT @ 2025-26
1. Lady with infertility with bilateral tubal block at cornua. Best method of
management is :
a. Laparoscopy & Hysteroscopy
b. Hydrotubation
c. IVF
d. Tuboplasty
Answer : A; Laparoscopy is done for proper assessment & to exclude active infection or TB.
2. Women with postmenopausal bleeding need endometrial sampling if endometrial on
US is thicker than
a. 1mm
b. 2mm
c. 5mm
d. 8mm
e. 10mm
Answer : C ; endometrial thickness in menopause > 5 mm is suspicious for hyperplasia
3. Which of the following change in puberty is influenced by the estrogen:
a. Growth of the acinar buds of the breast
b. Epiphyseal fusion
c. Proliferatve phase
d. All of the above
e. None of the above
Answer : D : Estrogen is critical for epiphyseal fusion in both young men and women .
Proliferative phase also continues under the effect of ovarian estrogen produced by the
maturating follicles till ovulation occurs . Estrogen also can affects both ductal and
glandular “ acinar “ system of breast .
4. Sub urethral diverticula may occur as a sequelae to infection of:
a. Bartholin’s gland
b. Skene’s gland
c. Clitoral gland
d. Vulvovaginal gland
Answer : B ; Periurethral glands (Skene's glands) are tubuloalveolar structures along the
dorsolateral aspect that drain into the distal two thirds of the urethra. Repeated infection
and obstruction of these glands lead to formation of suburethral cysts or abscesses that
can rupture into the urethral lumen.
1 Medadteam.org More than you dream
,2
5. Glycogen is seen in the lumina of endometrial glands :
a. During the luteal phase
b. During pregnancy only
c. During pre and post ovulatory
d. During proliferative phase only
e. At the time of ovulation only
Answer : A ; During the follicular, or proliferative phase, endometrial glands are elongated
with narrow lumens and their epithelial cells contain some glycogen. Glycogen, however, is
not secreted during the follicular phase.
At the beginning of the luteal phase, progesterone induces the endometrial glands to
secrete glycogen, mucus, and other substances.
6. The Wolfian duct in the female :
a. Develops into the fallopian tube
b. Forms the ovary
c. Forms the round ligament
d. Regresses and becomes vestigial
e. None of the above
Answer : D ; due to the absence of testosterone in females , the Wollfian duct will regress
and is represented in the female adult by the Gartner`s duct
7. Large amount of alkaline phosphatase may be demonstrated in the endometrium of :
a. Decidua
b. Secretory phase
c. Proliferative phase
d. All of the above
e. None of the above
Answer: C : Alkaline phosphatase activity is markedly stimulated by estrogen which is
responsible for the proliferative phase.
8. Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis
through:
a. Venous channels
b. Lymphatics
c. Nerve axons
d. All of the above
e. None of the above
Answer : C
2 Medadteam.org More than you dream
,3
9. The levator ani muscle :
a. Is a voluntary muscle
b. Is attached laterally to the ”white line of the pelvis ”
c. Is composed of pubococcygeus and iliococcygeus muscle
d. Contracts to prevent spillage of urine during strain
e. All of the above
Answer : E
10. The function of round ligament is :
a. Vestigial with no apparent function
b. To prevent retrodisplacement of the uterus
c. To prevent uterine prolapse
d. To provide nerve supply of the upper vagina
e. None of the above
Answer : B ; The function of the round ligament is the maintenance of the anteversion of
the uterus during pregnancy.
11. The definitive epithelium of vagina is derived from :
a. Wolfian duct
b. Mullerian duct
c. Urogenital epithelium
d. Coelomic epithelium
Answer : C
12. Causes of post partum amenorrhoea may be :
a. Anorexia nervosa
b. Cervical atresia
c. Chlorpromazaine therapy
d. Any of the above
e. None of the above
Answer : D : Chlorpromazine has antidopaminergic effect >> hyperprolactinemea >>
anovulation >> ammenorrhea
N.B. Cervical atresia is an extremely rare condition in which the cervical canal is missing at
birth.
13. The cyclic production of pituitary hormones is dependant upon:
a. Normal menstruation
b. An intact pituitary- portal system
c. An adult anterior pituitary gland
d. All of the above
e. None of the above
3 Medadteam.org More than you dream
, 4
Answer: B
14. The clots passed with menorrhagia perhaps indicate
a. No endometrial regeneration
b. No terminal arteriolar spasm
c. Large amount of bleeding
d. All of the above
e. None of the above
Answer : C
15. Monilial vagintis occurs frquently during pregnancy because :
a. Glycosuria is commoner
b. The vagina contains more glycogen
c. Higher vaginal acidity suppresses other organisms
d. All of the above
e. None of the above
Answer : D : Candida flourishes in acidic media as during pregnancy and long term use of
OCPs due to increased glycogen content of vaginal epithelium , allowing for more production
of lactic acid by lactobacilli
16. Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is
scanty with no discernible tissue in the cervical os. There are no palpable adnexal
masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a
gestational sac. Which of the following should be recommended?
a. Dilatation & curettage.
b. Culdocentesis.
c. Observation followed by serial B-HCG determinations.
d. Diagnostic laparoscopy.
e. Laparotomy
Answer : D
17. Which of the following statements is incorrect regarding levonorgestrel releasing
intrauterine 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
Answer : A : Levonorgestrel is a progestin , Named levonorgestrel because it is the
levorotatory form of norgestrel. It can be used as hormone replacement therapy and for
treatment of endometerial hyperplasia as it induces endometrial atrophic changes , so it's
less likely to cause menorrhagia.
4 Medadteam.org More than you dream
