Top 50+ Solved Obstetrics and Gynaecology (O & G) MCQ Questions Answer
Q. Which is not true with regards to placental abruption and trauma in pregnancy?
a. it is the most common cause of death if the mother survives
b. the incidence in minor trauma is up to 5% and up to 50% in major trauma
c. it can occur up to 4 hours post accident
d. CTG monitoring for a 4 hours is thought to predict nearly all pts of minor trauma who will develop placental abruption
e. It is characterized by pelvic pain uterine contractions and vaginal bleeding
Q. Which statement is incorrect with regards to dysfunctional uterine bleeding
a. it is very rare in the teenage years
b. it is usually due to anovulatory cycles
c. oestrogen is used acutely to slow bleeding by contracting the uterine arteries
d. cyclical progesterone is used if it is a chronic problem
e. in patients over 35 years endometrail biopsy should precede oetrogen administration
Q. Which three must be present to make the diagnosis of PID?
a. temp >38.3, abdo pain, vaginal discharge
b. temp > 38.3, abdominal pain, cervical excitation
c. abdo pain, adnexal tenderness, increased CRP
d. adnexal tenderness, vaginal discharge and increased CRP
e. abdominal pain, cervical excitation and adnexal tenderness
Q. Which agent is not one recommended in the 2000 antibiotic guidelines for the treatment of outpatientsexually acquired PID?
a. Metronidazole 400mg b.d orally for 14 days
b. ceftriaxone 250 mg IM stat dose
c. augmenten duo forte 875/125 b.d orally for 14 days
d. doxycycline 100mg b.d orally for 14 days
e. roxithromycin 300mg o daily for 14 days if breast feeding
Q. The risk of infertility after a single episode of PID is approximately?
a. 5%
b. 10%
c. 20%
d. 25%
e. 35%
Q. Non sexually acquired PID should be treated with doxycycline and what according to the 2000 AntibioticGuidelines?
a. metronidazole
b. ciprofloxacin
c. ceftriaxone
d. augmented duo forte
e. cephalexin
Q. Which is an incorrect statement with regards to ovarian torsion?
a. 70% of cases occur in women less than 30 years of age
b. 20% of cases in women less than 30 are associated with pregnancy
c. it has an increased incidence in women receiving ovarian stimulation treatment
d. a tender mass is felt in 10% of cases
e. when it occurs in post menopausal women, neoplasm should be excluded
Q. Which of the below is not consistent with trichamonas vaginitis?
a. flagella are seen on a wet prep
b. copious frothy grey green discharge
c. a strawberry cervix on examination
d. evidence of other sexually transmitted diseases
e. treated with doxycycline
Q. Which is not a risk factor for vaginal candidiasis?
a. prepubertal
b. diabetes
c. immunosuppression
d. pregnancy
e. hormone replacement therapy
Q. Which is not true with regard to bacterial vaginitis?
a. it is the most common cause of vulvovagintis in women of childbearing age
b. clue cells are seen
c. it can be a normal commensal
d. it is not sexually transmitted
e. treatment is with metronidazole