A routine emergency room procedure to rule out the possible cause of the collapse

of the patient in QUESTION 10 above is:

A) Culdocentesis.
B) Endometrial biopsy.
C) Laproscopy.
D) Ultrasounds scan.
ANSWER: A
A woman 32 year old, gravida 1 para 0 and 8 weeks amenorrhoic was rushed to the
gynaecology OPD following a collapse. Her blood pressure was little raised (90/60),
pulse rate 120 beats per min. She had for the past few days experienced the passage
of small amounts of altered blood per vaginum. The woman complains of felling weak
and dizzy. the fetal anatomy could easily be felt and the lie was transverse. Her
cervix was seen cervix is displaced on speculum examination. The condition is
likely to be:
A) Condition with an unknown cause.
B) An abdominal pregnancy.
C) Severe febrile malariA.
D) Ruptured ectopic gestation.
ANSWER: B
A woman 32 year old, gravida 1 para o 8 weeks amenorrhoic was rushed to the
gynaecology OPD following a collapse.Her blood pressure was 80/50 mm/Hg, pulse rate
160 beats per min which was very rapid and thready. She had for the past few days
experienced the passage of small amounts of altered blood per vaginum. The woman is
likely to have collapsed following a:
A) Condition with an unknown cause.
B) Fall she sustained due a slippery floor.
C) Severe febrile malariA.
D) Ruptured ectopic gestation.
ANSWER: D
All the under-listed except one have anterior wall defect. Select the odd one.
A) Urethrocele.
B) Cystocele.
C) Cysto urethrocele.
D) Rectocele.
ANSWER: D
Amina is a 24 year old who went through a surgical operation for the removal of a
uterine fibroid about a year ago. She reported to Dr Akwasi with a uterine prolape.
Amina’s condition may be the result of:
A) Poor vault support during the operation
B) Her failure to apply a hot sitz baths post operatively
C) All of the above
D) None of the above
ANSWER: A
Both the male and female condoms provide dual protection; it prevents unintended
pregnancy and sexually transmitted diseases
A) Untrue
B) Accepted
C) True
D) Unaccepted
ANSWER: C
Cervical cancer has been reported to be one of the causes of mortality in women in
GhanA. The common site for development of the disease is : for the detection of
cervical Intraepithelial Neoplasm.
A) Neck of the cervix
B) Isthmus and Os
C) Transformational zone
D) None of the above .
ANSWER: C
Cervical Intraepithelial Neoplasm (CIN) is also referred to as:
A) Cervical dystocia
B) Cervical erosion
C) Cervical dysplasia
D) Cervical polyp
ANSWER: C
CIN caused by:
A) Disruption of the metaplasis which leads to disordered squamous epithelium
B) Disorganisation of the columna cells of the cervix and upper vaginal wall
C) Reduction in cell production in the cervical epithelium
D) None of the above
ANSWER: A
Comfort, a 12 year old adolescent went through first stage of labour for over 24
hours with a Traditional Birth Attendant (TBA). This situation is likely to result
in various forms of trauma that include:
A) Faecal incontinence.
B) Genital fistulae.
C) Lower pelvic pain.
D) Oligomenorrhoea
ANSWER: B
Endocrine disease among women usually manifests with following EXCEPT:
A) Hirsutism
B) Gross weight loss
C) Obesity
D) Galactorrhoea
ANSWER: B
Ewura Afua is a 22 years old young smart pregnant woman. Her weight remained stable
at 60 kg until at 30 weeks gestation when she suddenly gained 10 kg over her
previous weight. Your suspicion is that Ewura Afua is beginning to develop:
A) An improved nutritional status
B) Occult oedema
C) Restful sleep
D) Systemic adjustment
ANSWER: B
Fancie could not report to class on Monday morning because she had suffered a very
severe lower abdominal pain; she was found to have been in her monthly period. The
term for the painful condition is:
A) Dysplasia
B) Metrorrhagia
C) Dysmenorrhoea
D) Menorrhagia
ANSWER: C
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: B
Fusena, a 12 year old who was delivered by the community’s Traditional Birth
Attendant 3 months ago has been observed to constantly get her cloths wet with
urine. Fusena according to the gynaecologist might have developed a:
A) Urine Incontinence
B) Vesico-vaginal fistua
C) Recto-vaginal fistula
D) All of the above
ANSWER: B
Implantation sites can be anywhere in the abdomen but can include the following
EXCEPT:
A) The peritoneum outside of the uterus
B) The rectouterine pouch (Culdesac of Douglas)
C) The omentum, bowel and its mesentery
D) The uterus and ovary
ANSWER: D
In a first degree uterine prolapsed:
A) The portion of descent is within the vagina
B) The portion of descent is in the introitus
C) The portion of descent outside the introitus
D) All of the above
ANSWER: A
In counseling for Family Planning, the following are not considered counseling
techniques EXCEPT:
A) Giving advice on a specific course
B) Facilitating counselee decision making
C) Providing Guidance
D) Health Education
ANSWER: B
In order to rule out the category of fistula that comfort in question FIVE (5)
above has, the investigations conducted would include:
A) Intravenous pylography and urine for routine examination.
B) Urinary diary and intravenous urography.
C) General physical examination and urinary diary.
D) Visualize the urine flow rate and keep records.
ANSWER: A
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
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
Infertility among men is common among those with the following EXCEPT:
A) Kartagener’s syndrome and Varicocele
B) Orchitis and radial exposure
C) 20 million / ml or more
D) Infrequent sexual intercourse
ANSWER: C
Intra Cyto Plasmic Injection (ICSI) is indicated in situations of:
A) Sperm parameter of less than 2 million motile sperm
B) Couple who opt for it
C) Couple who do not have any problems
D) Younger couple
ANSWER: A
Irregular menstrual bleeding could be the result of:
A) Polycystic ovarian cyst.
B) Pain.
C) UTI.
D) Cervical lesion.
ANSWER: A
Irregular menstrual bleeding could be the result of:
A) Polycystic ovarian cyst.
B) Pain.
C) UTI.
D) Cervical lesion.
ANSWER: A
Maame Adwoa complained that she seem not experience the symptom of 8 weeks old for
the past 2 weeks; she is however passing per vaginum altered blood that looks
rather darkish. She has no abdominal pain and cervix is also closed: the possible
problem is:
A) Threatened miscarriage.
B) Missed miscarriage.
C) Blighted miscarriage.
D) Complete miscarriage.
ANSWER: A
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
Madam Owusuaa’s pregnancy is 23 weeks geastation. Her husband hit her against the
wall during quarrel. She developed a severe abdominal pain with a feeling of
abdominal fullness a day after. There was no bleeding per vaginum. The initial
symptoms were followed by severe signs of shock. Madam Owusuaa’s condition could be
the result of a:
A) Couvelaire uterus
B) Retained placenta
C) Intra peritoneal bleeding
D) Placental praevia
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 Eating disorder.
B) A medical or surgical condition.
C) Excessive exercise.
D) All of the above
ANSWER: D
Most spontaneous miscarriages in early pregnancy may be the result of immune system
disorders such as:
A) Autosomal trisomies.
B) ThrombophiliA.
C) Turner’s syndrome.
D) Virilism.
ANSWER: A
Oligomenorrhoea could be the result of:
A) Excessive weight loss and Eating disorder
B) A medical and surgical condition
C) All of the above
D) None of the above
ANSWER: A
On examining Fancie it was detected that she had a Pelvic Inflammatory
Disease.Fancie therefore had a:
A) Primary amenorrhoea
B) Primary metrorrhagia
C) Secondary menorrhagia
D) Secondary Dysmenorrhoea
ANSWER: D
Paa Kow was informed by the health personnel that he 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
Paa Kow who reported the problem is referred as:
A) The index case
B) The first patient
C) The contact
D) The referred case
ANSWER: A
Paa Kow’s girlfriend is therefore:
A) The contact
B) Index case
C) The first patient
D) The referred case
ANSWER: A
Papa Ampadukan’s wife has reported to him that she is experiencing a painful lump
on her left side of her abdominal cavity. She seem to have missed her menstrual
period for 8 weeks. The possible problem with Papa Apadukan’s wife is likely to be:
A) Amenorrhoea
B) Ectopic pregnancy
C) Ovarian cyst
D) Endometriosis
ANSWER: B
Presence of molimina shows with:
A) Breast tenderness, bloating and irritability
B) Dysmenorrhoea, nausea and vomiting
C) Amenorrhoea, oligomenorrhoea and pain
D) Obesity, restlessness and fatigue
ANSWER: A
Protracted vomiting that is associated with ketonuria and dehydration is referred
as:
A) Severe vomiting
B) Hyperemesis gravidarium
C) Hyperemesis
D) Nausea gravidarium
ANSWER: B
The adult uterus weighs
A) 100 gm
B) 85 gm
C) 70 gm
D) 75 gm
ANSWER: C
The corpus luteum produces oestrogen and progesterone in the:
A) Luteal phase
B) Secretory phase
C) Ovulatory phase
D) Menstrual phase
ANSWER: A
The female condom: is made of a strong, thin transparent soft plastiC.
A) It is wholly true
B) It is partially true
C) It is not true at all
D) It is totally false
ANSWER: A
The maximum external dimension of the uterus is:
A) 5 cm long
B) 6 cm long
C) 7.5 cm long
D) 8 cm long
ANSWER: C
The ovarian cycle constitute the:
A) The changes that results in the preparation and eventual release of the ooxyte
B) The 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: A
The pudendum is the:
A) Vulva
B) Cervix
C) Clitoris
D) Vestibule
ANSWER: A
The strucure that usually ensures that the pelvic structures are held in place is
the:
A) Epithelial tissue peritonium
B) Connective tissue levator ani
C) Epithelial tissue endometrium
D) Squamous epithelial tissue
ANSWER: B
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
The wife of a newly married couple has reported to her husband that she is
experiencing a painful lump on the left side of the abdomen and her shoulders. Her
menstrual flow during the past 3 days has been rather scanty. The lady is likely to
have:
A) AmenorrhoeA.
B) Ectopic pregnancy.
C) Ovarian cyst.
D) Endometriosis
ANSWER: B
Upon further investigation by ultra sound scan on Maame Adwoa it was realized that
she had an embryonic sac which did not contain any embryo. Select from the
following alternatives the most correct diagnosis.
A) Threatened miscarriage.
B) Missed miscarriage.
C) Blighted miscarriage.
D) Complete miscarriage
ANSWER: B
Your 21 year old client has reported amenorrhoea for close to 3 months which is
negative to pregnancy test. She has abnormal height for age and minimal web neck
and has not shown any sign of secondary sexual development. She is likely to have:
A) Anovulation.
B) Gonadal dysgenesis.
C) Premature ovarian failure.
D) Pre-menstrual syndrome.
ANSWER: B