Gynaecology Questions

2020-2007

CHANDRA RAYIDI
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SECTION 1 : ANATOMY , PHYSIOLOGY & DEVELOPMENT OF

FEMALE REPRODUCTIVE ORGANS

➢ Anatomy of Female Genital Tract

➢ Normal Histology of Ovary & Endometrium
➢ Physiology of Ovulation & Menstruation
➢ Development of Female Reproductive Organs & Related
Disorders
➢ Puberty , Adolescence & Related Gynaecological
Problems
➢ Menopause & Related Problems
➢ Breast & Gynaecologist
➢ Sexual Development & Disorders of Sexual Development

10 Marks

1.Define Menstruation . Explain physiology of menstruation with respect to

Ovarian , Endometrial & Endocrine cycle (Jan 20)
2+8=10

4 Marks

1.Perineal Body & its clinical importance (July 19)

2.Graafian Follicle (Jan 19)
3.Classification of Uterine Anomalies (Jan 19)
4.Normal Menstrual Cycle (July 18)
5.Screening & Staging of Ca Breast (Jan 18)
6.Androgen Insensitivity Syndrome (Jan 18)
7.Precocious Puberty (July 17)
8.Hirsutism – Causes & management (Jan 17)
9.Anatomy of Pelvic Floor (Jan 15)
10.True Hermaphroditism (Aug 14)
11.Pap Smear (Aug 12)
12.Hematocolpos (Aug 12)
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13.Bartholin Cyst (Feb 12)

14.Turner’s Syndrome (Aug 11)
15.Klinefelter’s Syndrome (Feb 11)
16.Turner’s Syndrome (Aug 10)
17.Adrenogenital Syndrome (Sept 09)
18.Klinefelter’s Syndrome (Sept 09)
19.Hematocolpos (May 07)

2 Marks

1.Pap Smear (July 19)

2.Bartholin’s Abscess (Jan 19)
3.Causes of Post-Menopausal Bleeding (July 18)
4.Mention 2 indications & 2 contraindications of Hormone Replacement
Therapy (Jan 18)
5.Course of Ureter in pelvis (July 16)
6.Mention common causes of Post-Menopausal Bleeding (Jan 16)
7.Causes of Post-Menopausal Bleeding (Jan 15)
8.Menopausal Symptoms (Aug 14)
9.Mature Graafian Follicle (Aug 12)
10.Pelvic Diaphragm (Aug 12)
11.Wolffian duct (Feb 11)
12.Luteal Phase defect (Aug 10)
13.Uterine didelphys (Aug 10)
14.Perineal Body (Oct 07)
15.Development of Uterus & Bicornuate Uterus (May 07)
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SECTION 2 : DISORDERS OF MENSTRUATION

➢ Common Disorders of Menstruation

➢ Abnormal Uterine Bleeding (AUB)
➢ Primary & Secondary Amenorrhoea
➢ Fibroid Uterus
➢ Endometriosis & Adenomyosis
➢ Hormonal Therapy in Gynaecology

10 Marks

1.Enumerate the causes for Abnormal Uterine Bleeding in 40 years old para 2
living 2 patient . How will you investigate & counsel the patient ? (July 19)
3+3+4=10

2.Define Endometriosis . Discuss the clinical features & management of

Endometriosis (July 18)
3+3+4=10

3.Define Dysmenorrhoea . Explain in detail the causes , clinical features &

management of Primary Dysmenorrhoea (Jan 18)
1+4+2+3=10

4.Define Menorrhagia . What are the causes ? Management of Menorrhagia in

30 year old woman with 2 children (July 16)
2+2+6=10

5.What are the signs & symptoms of Endometriosis ? Write the diagnosis &
medical management of Endometriosis (Jan 15)
3+2+5=10

6.What are the symptoms & signs of Fibroid Uterus ? What are the
complications of Fibroid Uterus ? Write the management of Fibroid Uterus in a
multiparous woman (Aug 14)
3+3+4=10
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7.Define Menorrhagia . Discuss differential diagnosis . How will you manage a

woman of 35 years old with Dysfunctional Uterine Bleeding (Feb 13)
1+4+5=10

8.What is Abnormal Uterine Bleeding ? Enumerate its causes . Discuss the

management of Dysfunctional Uterine Bleeding in various age groups (Feb 10)
2+2+6=10

9.What is Menorrhagia ? Mention the causes of Menorrhagia . How will you

manage Puberty Menorrhagia (March 09)
2+4+4=10

4 Marks

1.Complications of Fibroid Uterus (July 18)

2.Adenomyosis – Definition , causes , investigations & treatment (Jan 18)
3.Primary Amenorrhoea – Causes & investigations (July 17)
4.Metropathia hemorrhagica (July 17)
5.Treatment of Endometriosis (Jan 17)
6.Complications of Fibroid Uterus (Jan 16)
7.Pre Menstrual Syndrome (PMS) (Jan 16)
8.Medical management of Endometriosis (Aug 15)
9.Causes of Abnormal Uterine Bleeding (Aug 15)
10.Definition & causes of Menorrhagia (Jan 15)
11.Puberty Menorrhagia (Aug 14)
12.Pathology & clinical features of Endometriosis (Jan 14)
13.Adenomyosis (Aug 13)
14.Metropathia hemorrhagica (Aug 13)
15.Etiology of Primary Amenorrhoea (Feb 12)
16.Definition & causes of Menorrhagia (Aug 11)
17.Adenomyosis (Aug 11)
18.Medical treatment of Menorrhagia (Feb 11)
19.Complications of Fibroid Uterus (Aug 10)
20.Cryptomenorrhoea (March 09)
21.Secondary Amenorrhoea (Sept 08)
22.Uses of Progesterone in gynaecology (March 08)
23.Menorrhagia (March 08)
24.Bromocryptine (Oct 07)
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2 Marks

1.Write 4 uses of Progesterone in gynaecological diseases (Jan 20)

2.Causes of Menorrhagia in Fibroid Uterus (Jan 20)
3.Types of Dysmenorrhoea (July 19)
4.Uses of Progesterone in gynaecology (July 18)
5.Complications of Myomectomy (July 17)
6.Secondary Dysmenorrhoea (July 17)
7.Principles of Myomectomy (Jan 17)
8.Hypomenorrhoea (July 16)
9.Primary Dysmenorrhoea (Jan 16)
10.Uses of Progesterone in gynaecology (Jan 16)
11.Red Degeneration of Fibroid Uterus (Jan 15)
12.Causes of Spasmodic Dysmenorrhoea (Jan 15)
13.Causes of Congestive Dysmenorrhoea (Jan 14)
14.Mention 4 causes of Secondary Amenorrhoea (Jan 14)
15.Complications of Myomectomy (Feb 13)
16.Definition & causes of Menorrhagia (Aug 12)
17.Treatment & classification of Dysfunctional Uterine Bleeding (Feb 12)
18.Treatment of Adenomyosis (Feb 12)
19.Spasmodic Dysmenorrhoea (Aug 10)
20.Cryptomenorrhoea (Feb 10)
21.Dysmenorrhoea & its causes (Sept 09)
22.Management of Severe Pelvic Endometriosis (Sept 09)
23.Bromocryptine (March 09)
24.Dysmenorrhoea (March 08)
25.Cryptomenorrhoea (March 08)
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SECTION 3 : COMMON CONDITIONS IN GYNAECOLOGY

➢ Infertility – Male & Female

➢ Ectopic Gestation
➢ Acute & Chronic Pelvic Pain
➢ Temporary & Permanent Methods of Contraception
➢ Medical Termination of Pregnancy

10 Marks

1.What are the causes of Male Infertility ? Write the normal values of Seminal
Analysis . How will you treat Oligospermia ? (Aug 13)
3+2+5=10

2.Define Primary Infertility . Mention the cause of Female Infertility . How do

you manage a case of Anovulatory Infertility in a woman aged 30 years ?
(Aug 12)
2+2+6=10

4 Marks

1.Causes for Female Infertility (Jan 20)

2.Mechanism of action & side effects of Combined Oral Contraceptive Pills
(July 19)
3.Semen Analysis (July 19)
4.Hormone producing Intrauterine Devices (Jan 19)
5.Emergency Contraception (July 17)
6.Emergency Contraception (Jan 17)
7.Methods of 2nd Trimester MTP (Jan 17)
8.Tests for Ovulation (July 16)
9.Progesterone Only Pill (July 16)
10.Methods of Contraception (Jan 16)
11.Benefits of Oral Contraceptives (Aug 15)
12.Emergency Contraception (Jan 15)
 7

13.Mention indications for Female Sterilization . Add a note on Mini-Lap

Tubectomy (Aug 14)
14.Non-Contraceptive benefits of Oral Contraceptives (Jan 14)
15.Tests for Ovulation (Jan 14)
16.Laparoscopic Sterilization (Aug 13)
17.Tubal Patency Tests (Feb 13)
18.Laparoscopic Sterilization (Feb 13)
19.Injectable Contraceptives (Aug 12)
20.Mechanism of action of IUCD (Feb 12)
21.Semen Analysis (Feb 12)
22.Semen Analysis (Feb 11)
23.Vasectomy (Feb 11)
24.2nd Trimester Termination of Pregnancy (Sept 09)
25.Interval Sterilization (March 09)
26.IUCD (Sept 08)
27.Medical method of Abortions (Sept 08)
28.Methods of MTP in 2nd Trimester (March 08)
29.Mini-Lap Tubectomy (Oct 07)
30.Copper-T 200 (Oct 07)
31.Chromopertubation (May 07)
32.Prostaglandins (May 07)

2 Marks

1.Modified Pomeroy’s technique of Tubectomy (Jan 20)

2.Tubal Patency Tests (Jan 19)
3.Methods of 2nd Trimester MTP (Jan 19)
4.Contraindications for insertions of IUCDs (Jan 18)
5.Non-Contraceptive benefits of Oral Contraceptives (Jan 18)
6.Indications for MTP (July 17)
7.Intra Uterine Insemination (Jan 17)
8.Methotrexate (July 16)
9.Ovulation Induction (Aug 15)
10.Complications of IUCD (Aug 15)
11.Indications for MTP (Jan 15)
12.Contraindications for Oral Contraceptive Pills (Jan 15)
13.Seminal Fluid Analysis (Aug 14)
14.Methotrexate (Aug 14)
 8

15.Mention the advantages of Mini Pill (Jan 14)

16.Pre requisites of Post Coital Test (Aug 13)
17.Mechanism of action of Combined Oral Contraceptive Pills (Feb 13)
18.Indications for usage of Methotrexate (Feb 13)
19.Failure of Female Sterilization (Feb 12)
20.Pelvic hematocoele (Aug 11)
21.Triphasic Pills (Aug 11)
22.Ovarian causes of Infertility (Aug 10)
23.Non Hormonal Contraceptives (Feb 10)
24.2nd Generation IUCD (Feb 10)
25.Enumerate various methods of Tubal Sterilization (Feb 10)
26.Injectable Hormonal Contraceptives (Sept 09)
27.Infertility in Fibroid Uterus (Sept 09)
28.Menstrual Regulation (March 09)
29.Post Coital Contraception (March 09)
30.Oral Contraceptive Pills (Sept 08)
31.Semen Analysis (Sept 08)
32.Condom (Oct 07)
33.Methotrexate (Oct 07)
34.Combined Oral Pills (May 07)
 9

SECTION 4 : BENIGN CONDITIONS IN GYNAECOLOGY

➢ Genital Prolapse
➢ Displacements of the Uterus
➢ Diseases of Broad Ligament , Fallopian Tubes &
Parametrium
➢ Benign Diseases of the Ovary
➢ Benign Diseases of the Vulva
➢ Benign Diseases of the Vagina

10 Marks

1.Describe the anatomy of Pelvic Floor . Enumerate the causes & management
of Uterine Prolapse in a woman aged 45 years para 6 living 6 (Jan 19)
3+3+4=10

2.What are the etiological factors for Prolapse of Uterus ? How do you manage
a case of 3rd degree Uterine Descent with Cystocoele , Rectocoele , Enterocoele
in a woman aged 45 years ? (July 17)
4+6=10

3.What is Prolapse Uterus ? Discuss the symptomatology of Prolapse Uterus .

Management of a Prolapse Uterus in a multiparous lady (Jan 16)
3+3+4=10

4. What are the etiological factors for Prolapse of Uterus ? How do you manage
a case of 3rd degree Uterine Descent with Cystocoele , Rectocoele , Enterocoele
in a woman aged 45 years ? (Aug 11)
4+6=10

5.A 50 year old woman presents with a mass per vagina (Oct 07)
a. What is the differential diagnosis ?
b. Etiology of Genital Prolapse
c. Principles of WARD-MAYO’s operation
2+3+5=10
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4 Marks

1.Supports of the Uterus (July 18)

2.Leucorrhoea (July 18)
3.Prurutis Vulvae – Etiology , investigations & treatment (Jan 18)
4.Chocolate Cyst (July 16)
5.PCOS (Polycystic Ovarian Syndrome) (July 16)
6.Torsion of Ovarian Cyst (Jan 15)
7.Bacterial Vaginosis (Aug 14)
8.Etiology & investigations of Pruritis Vulvae (Jan 14)
9.Bacterial Vaginosis (Feb 13)
10.Non Surgical management of Genital Prolapse (Feb 13)
11.Chocolate Cyst (Feb 10)
12.Fothergill’s repair operation (Feb 10)
13.Vulval Dystrophies (Feb 10)
14.Nulliparous Prolapse (March 09)
15.Chocolate Cyst of the Ovary (March 08)

2 Marks

1.Classification of Genital Prolapse (Jan 20)

2.Functional Ovarian Cyst (Jan 20)
3.Pruritis Vulvae (July 19)
4.Common Vaginal infections (July 18)
5.Bacterial Vaginosis (July 17)
6.Complications of Ovarian Cyst (Jan 17)
7.Common Vaginal infections (Jan 16)
8.Chocolate Cyst (Aug 14)
9.Clue Cells (Aug 11)
10.Decubitus Ulcer (Feb 11)
11.PCOD (Polycystic Ovarian Disease) (March 09)
12.Treatment of 3rd Degree Uterovaginal Prolapse in a 35 year old female
(Sept 08)
13.Chocolate Cyst (May 07)
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SECTION 5 : INFECTIONS IN GYNAECOLOGY

➢ Pelvic Inflammatory Disease

➢ Tuberculosis of the Female Genital Tract
➢ Sexually Transmitted Diseases Including HIV Infection

10 Marks

1.What is etiopathology of Acute Pelvic Inflammatory Disease ? Write the

diagnosis & management of Acute Pelvic Inflammatory Disease (Aug 15)
3+3+4=10

2.Define PID . Mention the organisms causing PID . How will you manage a case
of Acute PID in a 25 year old woman ? (Feb 11)
10

3.What are the causes of Leucorrhoea ? Describe the clinical features ,

diagnosis & management of Trichomonal Vaginitis (March 08)
10

4 Marks

1.Causes for Pelvic Inflammatory Disease & treatment (Jan 20)

2.Asherman’s Syndrome (July 18)
3.Clinical features of Acute Pelvic Inflammatory Disease (Jan 18)
4.Vaginal Trichomoniasis (Jan 15)
5.Hydrosalpinx (Aug 12)
6.Trichomonal Vaginitis (Aug 12)
7.Pelvic Inflammatory Disease (Feb 12)
8.Monilial Vaginitis (Feb 11)
9.Rectovaginal Fistula (Sept 09)
10.Trichomonial Vaginitis (Sept 08)
11.Monilial Vaginitis (Oct 07)
 12

2 Marks

1.Asherman Syndrome (Jan 19)

2.Syndromic management of Reproductive Tract Infection (July 18)
3.Clinical features of Acute PID (July 17)
4.Candidal Vaginitis (Jan 17)
5.Syndromic management of STIs (July 16)
6.Asherman Syndrome (Aug 15)
7.Treatment of Monilial Vaginitis (Feb 12)
8.Differences between Trichomonal & Monilial Vaginitis (Aug 10)
9.Acute PID (Sept 08)
10.Clinical features of PID (May 07)
11.Trichomonal Vaginitis (May 07)
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SECTION 6 : URINARY & INTESTINAL TRACT IN

GYNAECOLOGY

➢ Diseases of Urinary Tract

➢ Urinary Fistula & Stress Urinary Incontinence
➢ Injuries of the Genital Tract & Intestinal Tract

4 Marks

1.Define Incontinence . What are the types of Incontinence ? (Jan 20)

2.Define Genuine Stress Incontinence (GSI) . Discuss its diagnosis (Jan 16)
3.Etiopathogenesis & clinical features of Genuine Stress Incontinence (GSI)
(Jan 14)
4.Etiology of VVF (Aug 11)
5.Types & causes of Genitourinary Fistula (Aug 10)
6.Urinary Incontinence (Feb 10)
7.VVF (Vesicovaginal Fistula) (May 07)

2 Marks

1.Causes of Vesicovaginal Fistula (Jan 18)

2.Causes of VVF (July 16)
3.Post Operative Care after repair of Complete Perineal Tear (Jan 14)
4.Causes of Vesicovaginal Fistula (Aug 13)
5.Causes of Complete Perineal Tear (Aug 13)
6.Clinical diagnosis of Stress Incontinence (Feb 13)
7.Rectovaginal Fistula (March 08)
 14

SECTION 7 : GYNAECOLOGICAL MALIGNANCIES

➢ Preinvasive & Invasive Carcinoma of Cervix

➢ Cancer of the Body of the uterus
➢ Pathology of Ovarian Tumours & Benign Ovarian
Tumours
➢ Ovarian Malignancies
➢ Vulval & Vaginal Cancer
➢ Gestational Trophoblastic Diseases
➢ Radiation Therapy , Chemotherapy & Palliative Care for
Gynaecological Cancers

10 Marks

1.Enumerate the causes of Post-Menopausal bleeding . How will you

investigate a case of Post-Menopausal bleeding ? Outline treatment of
Ca Cervix IIIA (Jan 17)
3+3+4=10

2.What are the causes of Post-Menopausal Bleeding ? How will you investigate
such a case ? What is the treatment of Stage IB Ca Cervix (Jan 14)
3+3+4=10

3.Discuss clinical features , diagnosis & management of Ca Cervix Stage I

(Feb 12)
3+3+4=10

4.What are the signs & symptoms of Ca Cervix ? How do you stage Ca Cervix ?
What are the principles of management ? (Aug 10)
3+2+5=10

5.Classify Ovarian Tumours . What are the clinical features ? How do you
manage a case of Malignant Epithelial Ovarian Tumour (Sept 09)
3+3+4=10
 15

6.Discuss clinical features , diagnosis & management of Ca Cervix Stage I

(Sept 08)
3+3+4=10

7.A 55 year old woman presents with Post-Menopausal Bleeding (May 07)
a. What are the causes ?
b. How do you do the screening of Ca Cervix ?
c. How will you treat Endometrial Cancer ?
3+3+4=10

4 Marks

1.Cervical Intraepithelial Neoplasia (Jan 20)

2.FIGO Staging of Endometrial Carcinoma (July 19)
3.Methods for Cervical Cancer Screening (Jan 19)
4.FIGO Staging of Ca Cervix (July 17)
5.Management of CIN III (July 16)
6.Screening for Cervical malignancy (Aug 15)
7.Screening methods for Ca Cervix (Aug 13)
8.Krukenberg Tumour (Aug 13)
9.Functional Ovarian Tumours (Aug 10)
10.Prevention of Cervical Cancer Mortality (Feb 10)
11.Functional Ovarian Tumours (Sept 09)
12.Pseudomyxoma of the Peritoneum (March 09)
13.Dermoid Cyst (Sept 08)
14.Krukenberg’s Tumour (Oct 07)
15.Dermoid Cyst (May 07)

2 Marks

1.Complications of Radiotherapy (Jan 19)

2.Transformation Zone of Cervix (July 18)
3.Transformation Zone of Cervix (Jan 17)
4.Gynaecological Tumour Markers (Jan 16)
5.Gross & microscopic appearance of Dermoid Cyst (Aug 13)
6.Etiology of Epithelial Ovarian Cancer (Feb 13)
7.Tumour Markers in Ovarian Cancers (Feb 12)
8.Clinical features of Ca Cervix (Aug 11)
 16

9.Mention the complications of Ovarian Tumours (Aug 11)

10.Dermoid Cyst (Feb 11)
11.Staging of Ca Cervix (Feb 10)
12.Differentiating features of Benign & Malignant Ovarian Tumour (Sept 09)
13.Staging of Ca Cervix (March 08)
 17

SECTION 8 : IMAGING MODALITIES , ENDOSCOPIC

PROCEDURES & MAJOR & MINOR OPERATIONS IN
GYNAECOLOGY

➢ Imaging Modalities in Gynaecology

➢ Endoscopy in Gynaecology
➢ Major & Minor Operations in Gynaecology
➢ Obesity & its Significance in Gynaecology
➢ Instruments Used in Gynaecology

4 Marks

1.Indications & complications of Vaginal Hysterectomy (July 19)

2.Indications for Diagnostic Laparoscopy (Jan 19)
3.Indications of Laparoscopy in gynaecology (Jan 17)
4.Minimally Invasive Surgery in gynaecology (Jan 16)
5.Conization (Feb 13)
6.Colposcopy (Aug 11)
7.Dilatation & Curettage (March 08)

2 Marks

1.Complications of Vaginal Hysterectomy (Aug 15)

2.Hysterosalpingogram (Aug 14)
3.Mention 4 complications of Abdominal Hysterectomy (Jan 14)
4.Complications of Hysteroscopy (Aug 13)
5.Indications for Abdominal Hysterectomy (Aug 12)
6.Fractional Curettage (Aug 12)
7.Complications of Hysterosalpingogram (HSG) (Feb 11)
8.Indications for Hysteroscopy (Feb 11)
9.TVS (Transvaginal Sonography) (March 09)
10.Fractional Curettage (Sept 08)
11.Cervical Biopsy (March 08)
12.Hysteroscopy (Oct 07)
 18

MISCELLANEOUS QUESTIONS

4 Marks

1.Imperforate Hymen (Aug 15)

2.Cervical Erosion & its treatment (Aug 10)
3.Demography (March 09)

2 Marks

1.Meig’s Syndrome (July 19)

2.Assymptomatic Bacteriuria (Jan 18)
3.Three Swab Test (Aug 15)
4.Erosion of Cervix (Oct 07)