Last Resort Revision plan

Gynecology
Prassan Vij
Which of the following semen parameters the
most important ?

a. Motility
b. Morphology
c. Vitality
d. Concentration
Ans: Morphology
BTW… what causes Liquefaction ?
Time taken to reach the Tube from the Posterior Vaginal
Fornix ?
Q. What is the cause of absence of fructose in seminal
fluid?

a. Congenital absence of seminal vesicle

b. Ejaculatory duct obstruction
c. Vas Deferens obstruction
Q. What is the location of SRY gene?

a. Short arm of Y chromosome

b. Long arm of Y chromosome
c. Short arm of X chromosome
d. Long arm of X chromosome
Name these cells seen in the Microscopy of a
woman with creamy vaginal discharge.
Name these Cells…
According to FIGO classification, which type of fibroid is
depicted here ?
Q. A 30-year-old pregnant lady with a fibroid in the uterus
presented with fever, mild leukocytosis and pain abdomen at 24
weeks. What is the likely cause?

a. Red degeneration of fibroid

b. Fibroid torsion
c. Infected Fibroid
d. Malignant degeneration of fibroid
Delivery after Myomectomy … Normal or Caesarean ?

• Chance of Rupture…

• Multilayered closing during Myomectomy ?

,
Q. A 24-year-old girl diagnosed with PCOS has excessive facial hair,
infertility and BMI 40. What is the next step of management?

a. Weight reduction + Clomiphene + Metformin

b. Weight reduction + Metformin
c. Weight reduction + Ovulation induction
d. Metformin + Clomiphene
Novaks…16th edition
Cut Section of a Uterus in path lab
shows What disease?
Associated with:
• Multiparity
• Early menarche
• Shorter Menstrual cycles
What are the Features of this
syndrome?
Turners45 X (45XO) karyotype
• Mosaic karyotypes
• 45,X/46,XX
• 45,X/46,XY

Syndrome :
• Short
• Slow growing
• Sexually infantile girl
• 1 in 2,500 newborn phenotypic females
• 45,X karyotype is the single most frequent chromosomal disorder in humans
Treatment:
• Short Stature: GH as early as 4 years
• And,maybe, Androgens

• Gonadal Steroids at 12-14 years for Feminity

Presence of Y chromosome material … in Turners,
Associated with an increased risk of a Gonadoblastoma

• A Gonadoblastoma is benign
• But can later cause a Germ cell tumour i.e. Dysgerminoma

• Mosaic Forms of Turners

• Develop normally
• Estrogens and progesterones are based on FSH levels
Q. Which of the following is the wrong match?

a. Uterine Prolapse 1. Hysterectomy

b. Vault prolapse 2. Sacrospinous fixation
c. Rectocele 3. Posterior
colpoperineorrhaphy
d. Cystocele 4. Colposuspension

a. a-1
b. b-2
c. c-3
d. d-4
Q. All of the following can be given in endometriosis except ?

a. Cabergoline
b. Leuprolide
c. MPA
d. Estrogen Valerate
• treatment with cabergoline suppresses cell proliferation and vascular-
endothelial-growth-factor-mediated angiogenesis, thereby promoting
regression of endometriotic lesions.
Q. What is the incorrect statement?

a. Zygote is Bipotential at 8 weeks

b. DHT necessary for development for external genitals
c. MIS inhibit formation of mullerian duct
d. Wolfian Duct forms male internal genitalia
 Describe the Type of Hymen in this picture.

A B C d E
Method of paps
Importance of LBC
SAGE Guidelines

• Remember, even After Vax…

Thank You !