A 3rd degree descent of the uterus lies

A) Inside the introitus

B) Inside the vagina

C) Outside the introitus

D) At the vault

ANSWER: C

A cystic tumours commonly arise from the:

A) Lymphatic gland

B) Cystic gland

C) Bartholin’s gland

D) Bulbal gland

ANSWER: C

A foetus whose mother has tertiary syphilis is likely to develop:

A) Serious neurological and musculoskeletal problem

B) Blind ness and Bald patches on head

C) All of the above

D) None of the above

ANSWER: C

A genital fistula resulting from an obstructed labour compression of the bladder

between the presenting part and the bony wall of the pelvis is said to have
resulted from:
A) A medical cause
B) A surgical cause
C) A gynaecological cause
D) An obstetric cause
ANSWER: D
A Procidentia is a uterine prolapse that lies:
A) Within the vagina
B) At the vaginal orifice
C) Completely outside the introitus
D) All of the above
ANSWER: C
A stage II vulval neoplasm is likely to be:
A) Intra epithelial neoplasm
B) Invasive carcinoma confined
C) Sub-vaginal infiltration; not extended to pelvic wall
D) Extends to pelvic wall
ANSWER: B
A vulval neoplasm may arise from a transitional carcinoma of the bladder, kidney,
ovarian, endometrial, vaginal and urethral carcinoma
A) NOT TRUE
B) NOT CERTAIN
C) VERY TRUE
D) RARELY TRUE
ANSWER: C
A young man who reported to your facility must be treated for STI and must come
along with his girlfriend. The approach being adopted by the health personnel is
referred to as:
A) Routine treatment
B) Syndromic treatment

C) The modern approach

D) Contact tracing

ANSWER: B

Anterior vaginal wall prolapsed include:

A) Cervix and uterus

B) Bladder and urethra

C) Rectum and bowel

D) Vaginal vault and bladder

ANSWER: B

Benign diseases of the body of the uterus and cervix are very common and these
include the following EXCEPT:

A) Cervical ectropion and Nabothian follicle

B) Endometrial polyp and Asherman’s syndrome

C) Adenmyosis and Endometriosis

D) Uterine fibroid and Clamydia Trachomatis

ANSWER: D

Cervical causes of infertility resulting from congenital malformations may be due

to:

A) DES exposure and Mullerian duct abnormality

B) Surgical treatment and Infection

C) Medical malformations and chronic diseases

D) Exposure to chemical and some minerals

ANSWER: A

Cervical ectropion is wrongly referred to as:

A) Cervical erosion

B) Nabothian Follicle
C) Cervical Hyperplasia

D) All of the above

ANSWER: A

Cervical Ectropion usually affects the:

A) Squamous epithelium of the ectocervix

B) Columnar epithelium on the ectocervix

C) Transformational zone

D) All of the above

ANSWER: B

Cervical intra epithelial neoplasm occurs as result of:

A) Hyperplasia of the columnar epithelium

B) Disordered squamous epithelium

C) Normal growth of the epithelial tissue

D) Shedding off of the epithelial tissue

ANSWER: B

Cervical Intraepithelial Neoplasm (CIN) is caused by:

A) Disruption of the metaplasis which leads to disordered squamous epithelium

B) Disorganisation of the column cells of the cervix and upper vaginal wall

C) Reduction in cell production in the cervical epithelium

D) None of the above

ANSWER: A

Common bladder control problems the arise in pelvic orders may not include:

A) Stress incontinence

B) Liquified incontinence

C) Urge or urgency incontinence

D) Overflow incontinence
ANSWER: B
Common causes of raise intra-abdominal pressure may arise because of chronic cough
or constipation.
A) TRUE
B) NOT CERTAIN
C) FALSE
D) NONE OF THE ABOVE
ANSWER: A
Complications of genital fistulae are the following EXCEPT:
A) Urinary tract infection
B) Wound infection
C) Pelvic inflammatory disease
D) Respiratory infection
ANSWER: D
Cryotherapy is use of cold temperature for the:
A) Destruction of surface layer of cervical tissue in cervical intra epithelial
neoplasm
B) Proliferation of surface layer of cervical tissue in cervical intra epithelial
neoplasm
C) Maintenance of intact tissues in all cervical lesions
D) Restoration of the cell growth in the squamo-columnar junction
ANSWER: A
Electro cautery or burning is done to remove the genital warts
A) TRUE
B) FALSE
C) NONE
D) ALL
ANSWER: A
Endometriosis can cause Hematuria
A) TRUE
B) FALSE
C) NONE OF THE ABOVE
D) ALL OF THE ABOVE
ANSWER: A
FIGO currently uses a staging system that is based on the following EXCEPT:
A) Combining the use of anatomic and non-anatomic factors.
B) The anatomic location of disease
C) A risk factor score based on WHO diagnostic scoring system
D) None of the above
ANSWER: D
Fofo is experiencing a copious amount of a clear non-purulent vaginal discharge
currently. It does not itch and is not offensive. The most likely diagnosis is:
A) Cervical etropion
B) Nabothian follicle
C) Cervical polyp
D) Candidiasis
ANSWER: A
Genital fistula may result from an Obstetric trauma such as 4th degree lacerations
and break down of episiotomy repair
A) UNTRUE
B) FALSE
C) TRUE
D) CERTAIN
ANSWER: C
Gynaecological cause of genital fistula include:
A) Medical disease
B) Surgery
C) Pelvic malignancy
D) All of the above
ANSWER: C
If fertilization does not take place:
A) The cells of the ovary and the uterine lining are removed
B) The inner lining of the uterus or endometrium and egg are shed and bleeding
occurs per vagina
C) All of the above
D) None of the above
ANSWER: B
In carcinoma of cervix in early pregnancy the following are done EXCEPT:
A) Performing a caesarean section
B) External irradiation is given
C) Abortion of a dead foetus follows
D) A local irradiation is with caesium can then be given
ANSWER: A
In cervical ectropion there is excessive mucus secretion is usually associated with
non-purulent vaginal discharge. This is the result of:
A) Increase in the mucus secreting glands
B) Reproductive tract infections
C) Malignancy of the cervix
D) None of the above
ANSWER: A
In females, genital warts may appear on the following locations EXCEPT:
A) Inside of the vagina or anus
B) None of the above
C) Outside of the vagina or anus
D) On the cervix
ANSWER: B
In the ovarian cycle, low levels of Follicle Stimulating Hormone (FSH) results in:
A) Atresia of the pre-modial follicles except the dominant follicle.
B) Physiological processes that enable the woman to have a baby
C) Eventual release of the menstrual bleeding
D) Stage at which the ovum is prevented from maturation
ANSWER: C
Indications for the use of pessary treatment is:
A) Need for coitus in puerperium
B) Resolve the problem as soon as possible
C) Awaiting involution post delivery
D) Woman wanting to get pregnant immediately
ANSWER: C
Leiomyosarcoma arises from the uterine muscle
A) FALSE
B) COULD BE
C) TRUE
D) CERTAINLY
ANSWER: C
Madam Ekua Ansah 30 years old reported to Midwife Rose Akwaaba’s clinic with a
complaint of feeling a lump in her vagina. On examination it was realized that her
uterus has prolapsed midway down her vagina. Madam Akua Ansah is a nulliparous
woman. Factors that could have precipitated the condition may be:
A) Raised intra- abdominal pressure and weakened connective tissues.
B) Age, nulliparity, decreased intra-abdominal pressure
C) Congenital relaxation of the pelvic floor.
D) Chronic constipation, cough, and raised pressure.
ANSWER: C
Mary is 19 years and weighs 30 kg. She has an eating disorder (bulimia nervosa).
She is also in the community keep fit club. Mary reported to the gynaecologist with
scanty menstruation (Oligomenorrhoea). The diagnosis made was related to:
A) Excessive weight loss and a medical condition.
B) Eating disorder and excessive exercise
C) All of the above
D) None of the above
ANSWER: B
Maternal age is a risk factor for the following EXCEPT:
A) Gestational Trophoblastic Disease
B) Reproductive Tract Infections
C) Spontaneous Miscarriage
D) Fertility disorders
ANSWER: B
Paget’s disease is considered as a:
A) Carcinoma in-situ
B) Pre-cancerous disease
C) Vulval epithelial disease
D) Hyperplasic tumour
ANSWER: B
Pelvic inflammatory disease is an infection of a woman’s reproductive organs, a
complication often caused by some STDs, like chlamydia and gonorrhea.
A) TRUE
B) FALSE
C) NOT SO
D) NONE OF THE ABOVE
ANSWER: A
Pruritus vulvae is likely to be the cause of:
A) Lichen Sclerosis or Eczema
B) Rashes or vaginal sores
C) Use perfumed soap or nylon underwear
D) All of the above
ANSWER: D
Recto-vaginal fistula occurs commonly from:
A) Obstetric trauma or vaginal surgery
B) Gynaecological disorders
C) Medical disorders
D) Surgical disorders
ANSWER: A
Retrograde ejaculation may result from blocked ducts and use of certain drugs
A) TRUE
B) FALSE
C) NONE
D) ALL
ANSWER: A
Risk factor of infertility in both men and women may include the following EXCEPT
A) Both too much and too little exercise can lead to fertility problems.
B) Sexually transmitted infections (STIs) such as Chlamydia
C) Exposure to some chemicals such as pesticides, herbicides and metals
D) Varicosities of the scrotum of the man and labia of the woman
ANSWER: D
Stage IVB of an invasive cancer shows that:
A) The lesion is in the pelvic wall
B) The lesion is in the vagina and pelvic organs
C) The lesion has spread to distant organs
D) The lesion has infiltrated the parametrium
ANSWER: C
The cardinal complaint by women with cervical ectropion is:
A) Excessive mucus non-purulent vaginal discharge
B) Excessive whitish vaginal discharge
C) Excessive vaginal discharge with itching
D) All of the above
ANSWER: A
The common causes of vulval ulcers included:
A) Aphthous ulcers, Herpes genitalis and Primary syphilis
B) Tertiary syphilis, candidaiasis and trichomoniasis
C) Tuberculosis, schistosomiasis and filariasis
D) Filariasis, chlamydia and herpes simplex virus
ANSWER: A
The corpus luteum produces oestrogen and progesterone in the :
A) Luteal Phase
B) Proliferation phase
C) Secretary phase
D) All of the above
ANSWER: A
The girlfriend of the young man is therefore:
A) The contact
B) Index case
C) The first patient
D) The referred case
ANSWER: A
The major classifications of vulval neoplasm include:
A) Severe or Ca in-situ and Non-squamous VIN
B) Squamous cell hyperplasia and Vulval intra-epithelial neoplasia
C) Vulval adeno-carcinoma and Vulval Intra-Epithelial Neoplasm
D) Non-squamous VIN and Paget’s disease
ANSWER: B
The manifestations in the secondary may disappear spontaneously and enter into a
latent phase of about ten (10) years or more; re-emergence comes with massive
destructions such as:
A) Osteomyelitis
B) Mental retardation
C) All of the above
D) None of the above
ANSWER: C
The medical management of vulval irritation may include the following EXCEPT:
A) Topical steroids such as 0.1 % deflucortolone valerate for 3 times daily
B) Topical application of 3% antihistamine applied 3 times daily
C) Topical application of 2.5 % hydrocortisone used 2 x daily
D) Topical application of 1% hydrocortisone is used for 2 or 3 times daily
ANSWER: B
The most common types of Pelvic Floor Disorders are pelvic organ prolapse, bladder
problems and bowel control problems
A) TRUE
B) FALSE
C) ALL OF THE ABOVE
D) NONE OF THE ABOVE
ANSWER: A
The ovarian cycle consists of THREE (3) phases namely the:
A) Follicular phase, Ovulation and the luteal phase
B) Menstrual phase, proliferative phase and secretory phase
C) Regenerative phase, secretary phase and the luteal phase
D) All of the above
ANSWER: A
The proliferative phase and is simultaneous with ovulation are under the influence
of:
A) Oestrogen and progesterone secreted by the corpus luteum
B) Oestrogen, oestradiol and oestrone
C) Follicle stimulating hormone and luteinizing hormone
D) All of the above
ANSWER: A
The significant manifestations of secondary syphilis include:
A) Development of shallow ulcers referred to as ‘snail-tract ulcers’ and
generalized lymph which are mobile but painless
B) Moderate to mild fever and weakness
C) Sleepiness and fatigue
D) All of the above
ANSWER: A
The stratified squamous epithelium of the vagina meets the columnar epithelium of
the cervical canal. This also known as the:
A) Anatomical site or the squamo-columnar junction
B) Squamo-cervical canal or tract
C) Vaginal epithelial cannal
D) All of the above
ANSWER: A
The WHO scoring for the diagnosis of neoplasms is based on the following EXCEPT:
A) Age
B) The type of tissue affected
C) Type of antecedent pregnancy
D) A chemotherapy pre-treatment
ANSWER: B
This young man who reported the problem is referred as:
A) The index case
B) The first patient
C) The contact
D) The referred case
ANSWER: A
Vault repair:
A) A repair using the perssaries is applied
B) A sacro colpopexy is performed
C) A sacro hysteropexy is done
D) A colporrhaphy is done
ANSWER: B
Wertheim hysterectomy involves the:
A) Uterus and the para-cervical tissues
B) Inguinal lymph nodes
C) Bladder and surrounding tissues
D) Vagina and vulva
ANSWER: A