EBCOG Part-1 General Gynaecology- Day 1(E.M.Q)

A. Ovarian hyperthecosis
B. Polycystic ovary syndrome
C. Premature ovarian failure
D. Turner's syndrome
E. Androgen insensitivity syndrome
F. Prolactin secreting adenoma
G. Drug-induced hyperprolactinaemia
H. Post-pill amenorrhoea
I. Depo-medroxyprogesterone acetate induced amenorrhoea
J. Unexplained infertility
K. Late onset congenital adrenal hyperplasia
L. Rokitansky syndrome
M . Androgen secreting tumour
N. Cushing's syndrome
O. Asherman's syndrome
P. Sheehan's syndrome

1) A healthy 34 yr old with 2 yr h/o primary infertility. She was on COCP for 10 yrs until 2 yrs ago. She has regular 28 day cycle, her BMI is 23 kg/m2. Investigations: Normal pelvic ultrasound & semen analysis, D21 progesterone = 20ng/ml, prolactin = 10ng/ml. Tubal patency test is normal.

2) A healthy 24 yr old with 2 yr h/o primary infertility. She has regular 28 day cycle, BMI is 20 kg/m2. Pelvic ultrasound identifies polycystic ovaries. Day 21 progesterone = 25ng/ml, prolactin = 10ng/ml, follicular phase FSH = 2.5 IU/L, total testosterone = 0.5 nmol/L. Tubal patency test, her partner’s semen analysis and all other investigations are normal.

3) A healthy 35 yr old with rapidly progressive hirsutism & male pattern baldness. She has period every 22-65 days, her BMI is 34 kg/m2. Pelvic ultrasound: bilateral complex ovarian cysts of 5.6cm and 6.4cm. Follicular phase FSH = 5.5 IU/L, total serum testosterone = 6.5 nmol/L, prolactin = 15ng/ml.

A. Ovarian hyperthecosis
B. Polycystic ovary syndrome
C. Premature ovarian failure
D. Turner's syndrome
E. Androgen insensitivity syndrome
F. Prolactin secreting adenoma
G. Drug-induced hyperprolactinaemia
H. Post-pill amenorrhoea
I. Depo-medroxyprogesterone acetate induced amenorrhoea
J. Unexplained infertility
K. Late onset congenital adrenal hyperplasia
L. Rokitansky syndrome
M . Androgen secreting tumour
N. Cushing's syndrome
O. Asherman's syndrome
P. Sheehan's syndrome

4) A healthy 35 yr old with secondary infertility. Her only child was delivered by CS for placenta previa 3 years ago. She has period every 32– 50 days & has not used contraception for 3 yrs. Pelvic ultrasound and her partner’s semen analysis are normal. Follicular phase FSH = 25 IU/L, LH = 18 IU/L, day 21 progesterone = 3 ng/ml, prolactin = 15 ng/ml.

5) A healthy 32 yr old with secondary amenorrhoea. She had been using depo-injection for contraception, last injection was 2 yrs ago. Her BMI is 24 kg/m2. Pelvic ultrasound shows increased ovarian volume. Serum prolactin = 50 ng/ml, testosterone = 3.6 nmol/L, FSH = 2.2 IU/L, LH = 2.0 IU/L, TSH = 1.5 mIU/L, SHBG = 12 nmol/L. All other investigations normal

6) A 17 yr old with primary amenorrhoea. She is sexually active & normal breast, axillary, pubic hair development. Her height is 1.65m and BMI is 19 kg/m2. Pelvic ultrasound scan shows that the uterus is absent. Serum testosterone = 16 nmol/L.

A. TSH
B. Prolactin levels
C. Pregnancy test
D. FSH
E. Ultrasound
F. Karyotyping
G. MRI
H. CT scan
I. Serum DHEA -S levels
J. Testosterone


7. Ms. Anne 15 year old, has presented with primary amenorrhoea, on examination, her BMI was 29 and was found to have absent secondary sexual characteristics. The investigation of choice is

8. Ms. Mary, 15 year old, has presented with failure of onset of puberty with a height of about 130and is weighing 54kgs. She was examined and found to have Tanners stage 1 breast development with widely spaced nipples. She also has cubitus valgus

9. Ms. Mary 15 year old, has presented with primary amenorrhoea. she gives a history of weight gain, lethargy and tiredness. She has nausea and vomiting .There No history of cyclical abdominal pain, visual disturbances. The appropriate investigation is