Gynecological diagnosis and operative surgery

1. Vaginal swear in old lady shows:a. Atrophic cells on smearb. Basal and parabasal cellsc. Superficial cellsd. Few intermediate cells seen

2. The maturation index on vaginal cytology is a diagnostic method for evaluating the:a. Adequacy of cytotoxic drug therapyb. Gender of an anatomically abdominal childc. Malignant change at squamocolumnar junction of cervixd. Endocrine status of cervix

3. Vaginal cytology for hormonal change is best taken from:a. Posterior wallb. Anterior wallc. Lateral walld. Any wall

4. Cornification index or eosinophilic index indicates:a. Progesterone effectb. Estrogenic effectc. Effect of LHd. All of the above

5. Hysteroscopy means visualization of:a. Genital tractb. Fallopian tubec. Uterine cavityd. Cervixe. Abdominal cavity

6. For hysteroscopy, following are/is used:a. Distilled waterb. Airc. Glycined. CO2

7. Hysteroscopy can diagnose all, except:a. Asherman’s syndromeb. Septate uterusc. Adenomyosisd. TB endometritis

8. Hysteroscopy is used in all, except:a. Uterine synechiaeb. Abnormal vaginal bleedingc. Infertilityd. Recurrent still birth and abortions

9. Asherman’s syndrome can be diagnosed by all except:a. Hysterosalpingographyb. Saline sonographyc. Endometrial culture

d. Hysteroscopy10. Best gas used for creating pneumoperitonium at laparoscopy is:

a. N2b. O2c. CO2d. N2O

11. Laparoscopy is best avoided in patients with:a. Hypertensionb. Diabetesc. Obesityd. COPD

12. Laparoscopy is contraindicated in:a. Ectopic pregnancyb. PIDc. Endometriosisd. Peritonitis

13. A 26 year old female with 3 living issues having cervical erosion which bleeds to touch, diagnosis can be done by:

a. Pap swearb. Excision biopsyc. Hysteroscopyd. Colposcopy

14. Occurrence of ovulation is indicated by:a. LHb. FSHc. Estradiold. Progesteronee. Cortisol

15. Time of ovulation is detected by:a. Urine LHb. Urine FSHc. Urine HCGd. Serum estradiole. BBT

16. Which of the following methods for assessment pf female infertility during a menstrual cycle can best predict timing of ovulation:

a. BBTb. Fern Testc. Spin barkeit phenomenond. Hormonal study

17. Best indicator of ovarian reserve is:a. FSHb. Estradiolc. LHd. FSH/LH ratio

18. Goniometer is used for :a. Amount o vaginal secretions

b. To measure width of genital hiatusc. Gonococcal colony countd. Urethrovesical angle

19. Feature of post ovulatory endometrium on ultrasound is:a. Single hyperechoic thin linb. Three line signc. Prominent halod. Prominent posterior enhancement

20. Luteal phase defect is best diagnosed by:a. Serum progesterone levelsb. Endometrial biopsyc. Basal body temperatured. Ultrasonography

21. Chassaimoir surgery is done in case of :a. Uterine inversionb. VVF repairc. Ureterovesical fistula repaird. Retroverted uterus

22. All of the following are advantages of vaginal hysterectomy over abdominal hysterectomy except :

a. Better tolerated by elderly and obese patientsb. Lesser risk of post operative thrombo embolismc. Other visceral structures can be easily visualizedd. Corrects prolapse of other organs

23. Maximum chances of uretric injury are with:a. TAHb. Wertheims hysterectomyc. Anterior colporrhaphyd. Vaginal hysterectomy

24. Transcervical endometrial resection is used in :a. Endometriosisb. DUBc. Carcinoma endometriumd. Submucous fibroid

25. Cryosurgery is effective in all except :a. Chronic cervicitisb. Squamous intraepithelial lesionc. Condyloma accuminatad. Cases with severe dysplasia or CIS lesion

26. Regarding outpacient hysteroscopy all are correct except :a. Abnormal uterine bleeding is an indicationb. Normal saline as distension medium can be usedc. It is less accurate than saline infusion sonographyd. It is not reliable to exclude endometrial carcinoma

27. To minimize ureteric damage, the following preoperative and operative precautions my be taken except :

a. Cystoscopy

b. Direct visualization during surgeryc. Ureter should not be dissected off the peritoneum for a long distanced. Bladder should be pushed downwards ant outwards while the clamps are placed near

the angles of vagina28. Indications of rectal examination in gynecology are all except :

a. In cases with mullerian agenesisb. In virgin femalesc. To differentiate rectocele from enteroceled. For staging of ovarian malignancy

29. The advantages of cryosurgery over electrocauterization are all except :a. Less discomfort to the patientb. Postoperative bleeding is much lessc. Postoperative vaginal discharge is also much lessd. Cervical stenosis is extremely rare

30. Position of the patient should be as described except:a. Diagnostic laparoscopy- Tredelenburg with about 30 grade tiltb. Colposcopy – lithotomyc. Transvaginal sonography in gynecology- lithotomy with full bladderd. Hysteroscopy- lithotomy

31. Absolute indications of laparoscopy are :a. Diaphragmatic herniab. Generalized peritonitisc. Patient on anticoagulant therapyd. Previous incomplete laparoscopy

32. As regard the use of laser in gynecology, all are correct except :a. Management of CIN, VIN, VAINb. Laser laparoscopy for ectopic pregnancyc. Lase hysteroscopy for presacral neurectomyd. It acts by tissue cutting, vapourisation or coagulation