Gynecology Exam Questions
And Correct Answers
(Verified Answers) Plus
Rationales 2025/2026 Q&A
1. Most common cause of abnormal uterine bleeding in women of
reproductive age is:
A) Endometrial cancer
B) Fibroids
C) Hormonal dysfunction
D) Adenomyosis
Hormonal imbalances are the leading cause of abnormal uterine
bleeding in reproductive-aged women, often due to anovulatory
cycles.
2. First-line imaging for evaluation of ovarian cysts is:
A) CT scan
B) Transvaginal ultrasound
C) MRI
D) Hysterosalpingography
Transvaginal ultrasound is non-invasive, sensitive, and the preferred
initial test for ovarian pathology.
3. A 25-year-old woman presents with primary amenorrhea and
short stature. Karyotype shows 45,X. The diagnosis is:
,A) Androgen insensitivity syndrome
B) Turner syndrome
C) Turner syndrome
D) Klinefelter syndrome
Turner syndrome is characterized by 45,X karyotype, short stature,
primary amenorrhea, and gonadal dysgenesis.
4. Most common site of endometriosis is:
A) Ovaries
B) Uterosacral ligaments
C) Rectovaginal septum
D) Ovaries
Ovaries are the most frequent location for endometrial implants,
often leading to endometriomas (“chocolate cysts”).
5. First-line therapy for symptomatic fibroids in a premenopausal
woman who desires fertility:
A) Hysterectomy
B) Myomectomy
C) Uterine artery embolization
D) GnRH agonist alone
Myomectomy preserves the uterus and is the preferred approach for
women desiring future pregnancy.
6. The most common cause of postmenopausal bleeding is:
A) Endometrial cancer
B) Atrophic endometrium
, C) Hyperplasia
D) Atrophic endometrium
Vaginal and endometrial atrophy are the most common causes of
bleeding after menopause.
7. A 30-year-old woman presents with sudden severe pelvic pain
and dizziness. Ultrasound shows an adnexal mass with free fluid.
The most likely diagnosis is:
A) Ectopic pregnancy
B) Ovarian torsion
C) Ruptured ovarian cyst
D) Appendicitis
Ruptured ovarian cyst can cause acute hemoperitoneum; ultrasound
showing free fluid and cyst is suggestive.
8. Best test for diagnosing polycystic ovary syndrome (PCOS) is:
A) MRI pelvis
B) Clinical criteria (Rotterdam)
C) Laparoscopy
D) Hysterosalpingography
PCOS is primarily diagnosed based on clinical and biochemical
criteria, including oligomenorrhea, hyperandrogenism, and polycystic
ovaries on ultrasound.
9. Recommended cervical cancer screening for women aged 21–29:
A) Pap smear every 5 years
B) HPV testing alone
And Correct Answers
(Verified Answers) Plus
Rationales 2025/2026 Q&A
1. Most common cause of abnormal uterine bleeding in women of
reproductive age is:
A) Endometrial cancer
B) Fibroids
C) Hormonal dysfunction
D) Adenomyosis
Hormonal imbalances are the leading cause of abnormal uterine
bleeding in reproductive-aged women, often due to anovulatory
cycles.
2. First-line imaging for evaluation of ovarian cysts is:
A) CT scan
B) Transvaginal ultrasound
C) MRI
D) Hysterosalpingography
Transvaginal ultrasound is non-invasive, sensitive, and the preferred
initial test for ovarian pathology.
3. A 25-year-old woman presents with primary amenorrhea and
short stature. Karyotype shows 45,X. The diagnosis is:
,A) Androgen insensitivity syndrome
B) Turner syndrome
C) Turner syndrome
D) Klinefelter syndrome
Turner syndrome is characterized by 45,X karyotype, short stature,
primary amenorrhea, and gonadal dysgenesis.
4. Most common site of endometriosis is:
A) Ovaries
B) Uterosacral ligaments
C) Rectovaginal septum
D) Ovaries
Ovaries are the most frequent location for endometrial implants,
often leading to endometriomas (“chocolate cysts”).
5. First-line therapy for symptomatic fibroids in a premenopausal
woman who desires fertility:
A) Hysterectomy
B) Myomectomy
C) Uterine artery embolization
D) GnRH agonist alone
Myomectomy preserves the uterus and is the preferred approach for
women desiring future pregnancy.
6. The most common cause of postmenopausal bleeding is:
A) Endometrial cancer
B) Atrophic endometrium
, C) Hyperplasia
D) Atrophic endometrium
Vaginal and endometrial atrophy are the most common causes of
bleeding after menopause.
7. A 30-year-old woman presents with sudden severe pelvic pain
and dizziness. Ultrasound shows an adnexal mass with free fluid.
The most likely diagnosis is:
A) Ectopic pregnancy
B) Ovarian torsion
C) Ruptured ovarian cyst
D) Appendicitis
Ruptured ovarian cyst can cause acute hemoperitoneum; ultrasound
showing free fluid and cyst is suggestive.
8. Best test for diagnosing polycystic ovary syndrome (PCOS) is:
A) MRI pelvis
B) Clinical criteria (Rotterdam)
C) Laparoscopy
D) Hysterosalpingography
PCOS is primarily diagnosed based on clinical and biochemical
criteria, including oligomenorrhea, hyperandrogenism, and polycystic
ovaries on ultrasound.
9. Recommended cervical cancer screening for women aged 21–29:
A) Pap smear every 5 years
B) HPV testing alone
