EBCOG Part-1 General Gynaecology- Day 3(E.M.Q)

A. Bariatric Surgery
B. Anti obesity drugs
C. Weight reduction
D. Fetal growth restriction
E. Instrumental delivery
F. Placenta previa
G. Pre eclampsia
H. Twin Pregnancy
I. Cataract
J. Cervical cancer
K. Dyslipidemia
L. Menorrhagia
M. Thromboembolism
N. Serum testosterone
O. 17-hydroxyprogesterone
P. Free androgen index
Q. Ovarian Cancer
R. Endometrial Cancer
S.Breast Cancer

1.A 22 yr old woman presents in infertility clinic with primary infertility and irregular menses once in 3 months . Her BMI is 38 kg/m2 . On investigations she has been diagnosed as a case of PCOS . What will be your next most appropriate advise ?

2.She wants to know about the complications with her condition. What complication is associated with PCOS ?

3.She comes after 6 months with amenorrhea 4 months . You check her pregnancy test which is positive . What is the risk associated with pregnancy and PCOS ?

4.A 22 years old women presents in gynaecology clinic with complaints of change in voice , gain in weight , increased growth of facial hairs . What test will you order to differentiate between PCOS and late onset CAH ?

5.A 35 years old women with BMI 33 is a known case of PCOS .She has significant risk for developing which cancer ?

A Bladder diary (frequency and volume chart)
B Bladder scan after micturition
C Catheterize and measure volume
D Cytology of urine
E Cystoscopy
F Estimation of residual volume
G. First morning void
H Food, diary and symptom association
I Urine for acid-fast bacilli
J Urine for cytology and then cystoscopy
K Urine for microscopy, culture and sensitivity
L Urine for Ureaplasma and Chlamydia
M Urodynamics


Instructions: For each of the patients described below, select from the above option list the single investigation that will be recommended to help in establishing a diagnosis. Each option may be selected once, more than once or not at all.

6. A 50-year-old woman has been seen in the clinic with a complaint of frequency, painful micturition and nocturia. She also mentions that she has occasional urge incontinence.Following examination, you suspect that she may have BPS. A urinalysis is performed and is negative.

7. The patient who came to the clinic with urinary symptoms and lower abdominal pain of 10 months duration associated with dyspareunia has been diagnosed with bladder pain syndrome (BPS). There is a suspicion that she may be emptying her bladder incompletely.

7. A 65-year-old woman presents with characteristic features of bladder pain syndrome. A urinalysis shows red cells +++ and leucocytes ++. A urine culture is negative for infections, but microscopic haematuria persisted on follow-up.

8.A 33-year-old woman is seen with painful bladder and increased frequency of micturition for the past 12 months. A diagnosis of bladder pain syndrome is made and a urinalysis performed. The result is negative.There is uncertainty about the functional bladder capacity.