Gynaecology MCQs

Obstetrics & Gynaecology · 6 free questions with answers & explanations.

1. A 45-year-old woman presents with a 12-month history of menorrhagia and a 14-week-sized uterus. Examination reveals multiple irregular uterine masses. Transvaginal ultrasound confirms multiple intramural and subserosal fibroids, the largest measuring 6 cm. She also reports significant urinary frequency. Which fibroid location is MOST responsible for the urinary symptoms?
2. A 38-year-old woman presents with progressive, cyclic dysmenorrhoea, deep dyspareunia, and dyschezia over 3 years. Pelvic examination reveals a fixed, retroverted uterus with nodularity of the uterosacral ligaments. The CA-125 level is mildly elevated at 68 U/mL. The GOLD STANDARD for definitive diagnosis is:
3. A 16-year-old girl presents with primary amenorrhoea. She has normal secondary sexual characteristics (Tanner stage IV breast development and pubic hair) but has no uterus on ultrasound. Karyotype is 46,XX. The MOST likely diagnosis is:
4. A 22-year-old woman presents with oligomenorrhoea, acne, hirsutism, and difficulty conceiving for 18 months. BMI is 29 kg/m². Pelvic ultrasound shows bilaterally enlarged ovaries with 14 follicles per ovary (each 2–9 mm) arranged peripherally. Serum testosterone is mildly elevated and LH:FSH ratio is 2.5:1. According to the Rotterdam criteria, how many of the following three features are required to diagnose PCOS?
5. A 52-year-old postmenopausal woman presents with a 3-month history of vaginal bleeding. Transvaginal ultrasound shows an endometrial thickness of 14 mm. The MOST appropriate next step in management is:
6. A 35-year-old woman presents with a 4-month history of constant pelvic pain, dyspareunia, and a mucopurulent vaginal discharge. Pelvic examination reveals cervical motion tenderness and bilateral adnexal tenderness. Temperature is 38.4°C. The MOST common causative organisms of pelvic inflammatory disease (PID) in sexually active women are: