1. After what age does a woman fertility begin to decline?

(A) 30 (B)35
(C) 40 (D) 45

2. Which of these is a test to detect ovarian decline?

A) clomiphene citrate challenge test ( CCCT). (B) ovarian osterises omega test (OOOT)
(C)internal ovarian decline test (IODT) (D)none of these

3. What does menopause indicate?

A. eggs in the ovaries are damaged (B)eggs in the ovaries are being produced properly
C. eggs in the ovaries are finally depleted (D) ovaries are damaged

4. What is the percentage of risk of a miscarrriage in women over 41?

A. 25% (B) 50%

C. 75% (D)90%

5. Which of these is the most successful option for older women?

A. IVF (B) Egg Donors

A. ovarian stimulation (D)None of these

6. What is the most common reason for women try to conceive at an older age?

A. No time due to career (B)midlife crisis

C. financial security (D) all of these

7. The following is useful to diagnose ectopic pregnancy:

A. X- Ray
B. Laporascopy
C. Qualitative hCG
D. None

8. More than 50% of tubal pregnancies occur in

A. Ampulla
A. B.Fimbrae
B. C.Isthmus
C. Interstitial

9. The fatality rate of ectopic pregnancy is about _____times that of childbirth

A. two times
A. B.three times
B. C.four times
C. D.five times

10. Case: A patient who is gravida 8 present with missed period for 7 weeks. P.V. bleeding. cervical excitation, lower
abdominal pain, fainting 2 times yesterday. You diagnosis is:

A. Pancreatitis
B. Ectopic pregnancy
C. Abortion
A. D.Endometriosis

11.Which type of the following ectopic pregnancies would rupture earlier:

A. Isthmus
B. Interstitial
C. Ampulla
 D. Fimbria

12. Which of the following is not a sign of ruptured ectopic pregnancy:

A. Fast thready pulse

B. Heavy vaginal bleeding
C. Hypertension
D. A and B

13. The most common cause of ectopic pregnancy:

A. Congenital anomalies of the tube

B. Inflammation of the tubes
C. Uterine abnormalities
D. Using OCPs

14. The commonest surgical procedure used to treat ruptures tubal pregnancy:

A. Total hysterectomy
B. Salpingostomy
C. Salpingectomy
D. Salpingo-oophorectomy

15. .Regarding ectopic pregnancy which is true:

A. Bleeding precedes pain

B. Shoulder tip pain is an important symptom
C. The isthmus of the tube is the commonest site of implantation
D. The incidence is higher in women fitted with intrauterine device

16. Ectopic pregnancy can be reliably diagnosed by:

A. US
B. Laporascopy
C. Pregnancy test
D. HSG

17. Cause of Ectopic pregnancy

A. PID B. smoking

C. damaged follapion tubes D. All of above

18. Karyotype of partial mole

A. 46YY
B. Diploid
C. triploid
D. None

19. Beta hcG in complete mole

A. > 30000
B. >15000
C. >50000
D. upto 100000

20. A girl prsesnted with the history of 8 to weeks of amenorrhea, abdominal pain, vaginal bleeding and thyrotoxic
symptoms. Girl suspected to have

A. Hytadiform mole B.Endometrioses

C. Abortion D.None