Page 1 of 36
GYNECOLOGY - WHNP BOARD EXAM
2025|REAL 400 QUESTIONS AND
ANSWERS|GRADED A+|100% VERIFIED
1. The ligament that provides primary support to the uterus
and contains the uterine arteries is the:
A) Round ligament
B) Broad ligament
C) Cardinal (Mackenrodt) ligament
D) Uterosacral ligament
Correct Answer: C) Cardinal ligament
Rationale: The cardinal ligaments (transverse cervical ligaments)
extend from the cervix and upper vagina to the pelvic sidewalls,
providing major support and housing the uterine arteries. Broad
ligament is a peritoneal fold.
,Page 2 of 36
2. Scenario: A patient presents with pelvic pain and
tenderness at the ischial spine. Which nerve is being
compressed?
A) Obturator nerve
B) Pudendal nerve (Alcock’s canal)
C) Sciatic nerve
D) Femoral nerve
Correct Answer: B) Pudendal nerve
Rationale: The pudendal nerve passes through Alcock’s canal
near the ischial spine. Compression causes perineal pain,
numbness, or incontinence (pudendal neuralgia).
3. The menstrual phase of the endometrial cycle corresponds
to which ovarian phase?
A) Follicular phase
B) Ovulation
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C) Luteal phase
D) Early follicular (days 1–5)
Correct Answer: D) Early follicular phase (low estrogen,
progesterone withdrawal)
Rationale: Menstruation occurs with the fall in progesterone and
estrogen at the end of the luteal phase. Ovarian follicles begin
developing in the early follicular phase.
4. Which structure develops from the Müllerian
(paramesonephric) ducts?
A) Ovary
B) Fallopian tubes, uterus, cervix, upper vagina
C) Lower vagina (sinovaginal bulbs)
D) Labia majora
Correct Answer: B) Fallopian tubes, uterus, cervix, upper
vagina (Müllerian ducts)
Rationale: Wolffian ducts form male reproductive structures.
, Page 4 of 36
Ovaries develop from genital ridges. Lower vagina derives from
urogenital sinus.
5. The normal pH of the adult vagina is:
A) 4.5–5.0 (acidic)
B) 7.0–7.5 (neutral)
C) 6.5–7.0
D) 3.0–3.5
Correct Answer: A) 4.5–5.0 (typically 3.8–4.5)
Rationale: Lactobacilli produce lactic acid, maintaining acidic pH
that inhibits pathogens. Elevated pH (>4.5) is seen in bacterial
vaginosis, trichomoniasis, or after menopause.
6-25: (Additional anatomy: clitoral innervation (dorsal nerve of
clitoris, branch of pudendal), pelvic floor muscles (levator ani:
pubococcygeus, puborectalis, iliococcygeus), ovarian blood supply
(ovarian arteries from aorta; uterine arteries from internal iliac),
lymph drainage of breast (axillary, internal mammary), Skene’s
GYNECOLOGY - WHNP BOARD EXAM
2025|REAL 400 QUESTIONS AND
ANSWERS|GRADED A+|100% VERIFIED
1. The ligament that provides primary support to the uterus
and contains the uterine arteries is the:
A) Round ligament
B) Broad ligament
C) Cardinal (Mackenrodt) ligament
D) Uterosacral ligament
Correct Answer: C) Cardinal ligament
Rationale: The cardinal ligaments (transverse cervical ligaments)
extend from the cervix and upper vagina to the pelvic sidewalls,
providing major support and housing the uterine arteries. Broad
ligament is a peritoneal fold.
,Page 2 of 36
2. Scenario: A patient presents with pelvic pain and
tenderness at the ischial spine. Which nerve is being
compressed?
A) Obturator nerve
B) Pudendal nerve (Alcock’s canal)
C) Sciatic nerve
D) Femoral nerve
Correct Answer: B) Pudendal nerve
Rationale: The pudendal nerve passes through Alcock’s canal
near the ischial spine. Compression causes perineal pain,
numbness, or incontinence (pudendal neuralgia).
3. The menstrual phase of the endometrial cycle corresponds
to which ovarian phase?
A) Follicular phase
B) Ovulation
,Page 3 of 36
C) Luteal phase
D) Early follicular (days 1–5)
Correct Answer: D) Early follicular phase (low estrogen,
progesterone withdrawal)
Rationale: Menstruation occurs with the fall in progesterone and
estrogen at the end of the luteal phase. Ovarian follicles begin
developing in the early follicular phase.
4. Which structure develops from the Müllerian
(paramesonephric) ducts?
A) Ovary
B) Fallopian tubes, uterus, cervix, upper vagina
C) Lower vagina (sinovaginal bulbs)
D) Labia majora
Correct Answer: B) Fallopian tubes, uterus, cervix, upper
vagina (Müllerian ducts)
Rationale: Wolffian ducts form male reproductive structures.
, Page 4 of 36
Ovaries develop from genital ridges. Lower vagina derives from
urogenital sinus.
5. The normal pH of the adult vagina is:
A) 4.5–5.0 (acidic)
B) 7.0–7.5 (neutral)
C) 6.5–7.0
D) 3.0–3.5
Correct Answer: A) 4.5–5.0 (typically 3.8–4.5)
Rationale: Lactobacilli produce lactic acid, maintaining acidic pH
that inhibits pathogens. Elevated pH (>4.5) is seen in bacterial
vaginosis, trichomoniasis, or after menopause.
6-25: (Additional anatomy: clitoral innervation (dorsal nerve of
clitoris, branch of pudendal), pelvic floor muscles (levator ani:
pubococcygeus, puborectalis, iliococcygeus), ovarian blood supply
(ovarian arteries from aorta; uterine arteries from internal iliac),
lymph drainage of breast (axillary, internal mammary), Skene’s
