Gynecological diagnosis and operative surgery

1. Vaginal swear in old lady shows:

a. Atrophic cells on smear
b. Basal and parabasal cells
c. Superficial cells
d. Few intermediate cells seen
2. The maturation index on vaginal cytology is a diagnostic method for
evaluating the:
a. Adequacy of cytotoxic drug therapy
b. Gender of an anatomically abdominal child
c. Malignant change at squamocolumnar junction of cervix
d. Endocrine status of cervix
3. Vaginal cytology for hormonal change is best taken from:
a. Posterior wall
b. Anterior wall
c. Lateral wall
d. Any wall
4. Cornification index or eosinophilic index indicates:
a. Progesterone effect
b. Estrogenic effect
c. Effect of LH
d. All of the above
5. Hysteroscopy means visualization of:
a. Genital tract
b. Fallopian tube
c. Uterine cavity
d. Cervix
e. Abdominal cavity
6. For hysteroscopy, following are/is used:
a. Distilled water
b. Air
c. Glycine
d. CO2
7. Hysteroscopy can diagnose all, except:
a. Ashermans syndrome
b. Septate uterus
c. Adenomyosis
d. TB endometritis
8. Hysteroscopy is used in all, except:
a. Uterine synechiae
b. Abnormal vaginal bleeding
c. Infertility
d. Recurrent still birth and abortions
9. Ashermans syndrome can be diagnosed by all except:
a. Hysterosalpingography
b. Saline sonography
c. Endometrial culture
d. Hysteroscopy
10.Best gas used for creating pneumoperitonium at laparoscopy is:
a. N2
b. O2
c. CO2
d. N2O
11.Laparoscopy is best avoided in patients with:
a. Hypertension

b. Diabetes
c. Obesity
d. COPD
12.Laparoscopy is contraindicated in:
a. Ectopic pregnancy
b. PID
c. Endometriosis
d. 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 swear
b. Excision biopsy
c. Hysteroscopy
d. Colposcopy
14.Occurrence of ovulation is indicated by:
a. LH
b. FSH
c. Estradiol
d. Progesterone
e. Cortisol
15.Time of ovulation is detected by:
a. Urine LH
b. Urine FSH
c. Urine HCG
d. Serum estradiol
e. BBT
16.Which of the following methods for assessment pf female infertility during a
menstrual cycle can best predict timing of ovulation:
a. BBT
b. Fern Test
c. Spin barkeit phenomenon
d. Hormonal study
17.Best indicator of ovarian reserve is:
a. FSH
b. Estradiol
c. LH
d. FSH/LH ratio
18.Goniometer is used for :
a. Amount o vaginal secretions
b. To measure width of genital hiatus
c. Gonococcal colony count
d. Urethrovesical angle
19.Feature of post ovulatory endometrium on ultrasound is:
a. Single hyperechoic thin lin
b. Three line sign
c. Prominent halo
d. Prominent posterior enhancement
20.Luteal phase defect is best diagnosed by:
a. Serum progesterone levels
b. Endometrial biopsy
c. Basal body temperature
d. Ultrasonography
21.Chassaimoir surgery is done in case of :
a. Uterine inversion
b. VVF repair
c. Ureterovesical fistula repair

d. Retroverted uterus
22.All of the following are advantages of vaginal hysterectomy over abdominal
hysterectomy except :
a. Better tolerated by elderly and obese patients
b. Lesser risk of post operative thrombo embolism
c. Other visceral structures can be easily visualized
d. Corrects prolapse of other organs
23.Maximum chances of uretric injury are with:
a. TAH
b. Wertheims hysterectomy
c. Anterior colporrhaphy
d. Vaginal hysterectomy
24.Transcervical endometrial resection is used in :
a. Endometriosis
b. DUB
c. Carcinoma endometrium
d. Submucous fibroid
25.Cryosurgery is effective in all except :
a. Chronic cervicitis
b. Squamous intraepithelial lesion
c. Condyloma accuminata
d. Cases with severe dysplasia or CIS lesion
26.Regarding outpacient hysteroscopy all are correct except :
a. Abnormal uterine bleeding is an indication
b. Normal saline as distension medium can be used
c. It is less accurate than saline infusion sonography
d. 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 surgery
c. Ureter should not be dissected off the peritoneum for a long distance
d. Bladder should be pushed downwards ant outwards while the clamps
are placed near the angles of vagina
28.Indications of rectal examination in gynecology are all except :
a. In cases with mullerian agenesis
b. In virgin females
c. To differentiate rectocele from enterocele
d. For staging of ovarian malignancy
29.The advantages of cryosurgery over electrocauterization are all except :
a. Less discomfort to the patient
b. Postoperative bleeding is much less
c. Postoperative vaginal discharge is also much less
d. Cervical stenosis is extremely rare
30.Position of the patient should be as described except:
a. Diagnostic laparoscopy- Tredelenburg with about 30 grade tilt
b. Colposcopy lithotomy
c. Transvaginal sonography in gynecology- lithotomy with full bladder
d. Hysteroscopy- lithotomy
31.Absolute indications of laparoscopy are :
a. Diaphragmatic hernia
b. Generalized peritonitis
c. Patient on anticoagulant therapy
d. Previous incomplete laparoscopy
32.As regard the use of laser in gynecology, all are correct except :
a. Management of CIN, VIN, VAIN

b. Laser laparoscopy for ectopic pregnancy

c. Lase hysteroscopy for presacral neurectomy
d. It acts by tissue cutting, vapourisation or coagulation