1. Thegfollowinggaregtruegofgendometriosis
a) ItgcannotgoccurgingpostmenopausalgwomengasgtheirgEndometriumgisgatrophic.
b) Itgoccursgingthegreproductivegagegbecausegofgthegpresencegofggonadotrophins.
c) ItgcangcausegdeepgandgsuperficialgDyspareunia.
d) Allgthegabove.
e) Nonegofgthegabove
2. Thegmostgcommongsitegofgendometriosisgis
a) ThegpouchgofgDouglas.
b) Thegovary
c) Thegposteriorgsurfacegofgtheguterus
d) Thegbroadgligament
e) Thegpelvicgperitoneum
3. Thegmostgfrequentgsymptomgofgendometriosis
a) Infertility
b) Pain
c) Backache
d) Dyspareunia
e) Allgthegabove
4. Ag35gyeargoldgwomangpresentsgwithghistorygofgperiodsgofgamenorrheagfollowedg
bygheavygbleedinggandgdeniesgusinggdrugs.gShegwantsgtoggetgpregnant.
Thegfollowinggareglikelygcauses:
a) OvergstimulationgofgthegfolliculargsystemgofgthegovariesgbygthegHypophysis.
b) Undergproductiongofgoestrogensgandg progesterone
c) UndergproductiongofgFSHgandgLH
d) Allgthegabove
e) Nonegofgthegabove
5. Ag26gyeargoldgmarriedgwomangpresentsgwithginfertilitygandgamenorrhoea.gSheghas
gagnormalgsatisfyinggsexualglife.
Ongworkgupgshegwasgfoundgtogbegnormalg46XX,gnogoestrogengorgprogesteronegnorge
videncegofgandrogens.gSheghasgpoorlygdevelopedgbreasts.gHSGgisgnormal.
Thegfollowinggaregpossiblegcauses:
a) Testiculargfeminizationgsyndrome
b) Mulleriangdysgenesis
c) Gonadalgdysgenesis
d) BgandgCgabove
e) Allgthegabove
6. BSNgstudentsgdeliveredgmothersgandgassessedgthegbabies.gWhichgwasgagtruega
ndgcompletegassessment?
a) Pinkgbodygandglimbs,gactiveglimbgmovements,gmalegpulsegrateg105/minute,gwe
akgrespirationsgactivegsneezinggandgcoughgongsuction:gA/Sg=g9
b) Activeglimbgmovements,gpinkgbody,gpulsegrateg105/minutegbluegfingersggo
odgrespiration,gfemalegandgactivegsneezinggongsuction:gA/Sg9
c) Cryinggloudly,gmaleg,gmovingglimbsgactively,gfightsgongsuction,gpulsegra
teg129/minute,gbluegchest:gA/Sg=9
d) AgandgBgabove
e) BgandgCgabove
7. Ag30gyeargoldgmotherghadgagcaesareangsectiongforgAbruptiogplacentagatg36gweeksga
tg6gamgingthegmorning.gProfessorgPerezgfoundgherganaemicgandgthegdressinggoozing
gfreshgblood.gThegfollowinggaregtrue:
a) Hegorderedgre-openinggofgthegabdomengasgtheregwasgintra-
abdominalghaemorrhage
-1-
, b) Hegdidgangabdominalgexaminationgtogrulegagrupturedguterus
c) HegorderedgsomeginvestigationsgandgtalkedgtogthegstudentsgaboutgAPHgwhi
legwaitinggforgthegresults
d) Hegorderedgagpressuregdressinggtogbegappliedgtogthegwoundgasgthisgwasgbleedi
nggfromgthegwound
e) Nonegofgthegabove.
8. Thegfollowinggaregpoorgprognosticgfactorsgingtrophoblasticgdiseasegforgmaligna
ntgchange:
a) Diseasegfollowinggnormalgdelivery
b) Beta-hCGgmoregthang80,000gmIU/ml
c) Diseasegfollowinggangabortion
d) AgandgCgabove
e) AgandgBgabove
9. Treatmentgofgendometriosisginvolves:
a) Administrationgofggonadotrophinsgreleasingghormonegagonistsgtogcausegagpseud
o-gpregnancy
b) Administrationgofggonadotrophinsgreleasingghormonegantagonistsgtogcauseg
agpseudo-menopausegstate
c) Administrationgofglargegdosesgofgoestrogensgandgandrogensgstategtogcause
gagpseudogpregnancy
d) AgandgCgabove
e) BgandgCgabove
10. Ag56gyeargoldgladygpresentedgwithgagsmallgcervicalglesiongwhichgbledgtogtouch,gs
hegreportedgthatgsheghadgdifficultygclosingghergleftgeye.gSheghadgnauseagandglo
ssgofgappetite.gSheghadgagstaringggazegandgparesisgongthegright.gNogothergpelvic
glesionsgweregfound.
a) ThisgisgCagCervixgstagegfour
b) Thegconditiongcangbegdiagnosedgbygultrasound
c) Thegdiagnosisgcangbegsuspectedgfromgthegpreviousghistorygandgconfirmedg
bygLaboratoryginvestigations
d) SheghasgBurkitt’sglymphoma
e) Nonegofgthegabove
11. Thegfollowinggaregtruegofgoralgcontraceptivegpills
a) Theygdecreasegthegriskgofgovariangcancer
b) Theygaregcontraindicatedgingparousgwomengwithgendometriosis
c) Theygaregcontraindicatedgingyounggnulliparousggirls
d) Allgofgthegabove
e) Nonegofgthegabove
12. ThegfollowinggaregcausesgofgearlygneonatalgdeathsgingUganda
a) Hyalinegmembranegdisease
b) Foetalgasphyxia
c) Bronchopneumonia
d) Allgthegabove
e) Nonegofgthegabove
13. DrgKaposigdidgstaginggofgcarcinomagofgtheguterus.gThegfollowinggisgagcorrectgstaging:
a) Theguterusgwasgsoundedgatg15gcmgandgtheregagbleedingglesiongongthegcervi
x;gstage=g3a
b) Theguterusgwasg4cmglonggandgthegtumourgwasgwellgdifferentiated
c) Prof.gKaposiggotgsomegsuspiciousgcurettingsgfromgthegendocervix;gstage=3
d) Prof.gKaposiggotgsomegsuspiciousgcurettingsgfromgthegendocervix;gstage=2
-2-
, e) Nonegofgthegabove
14. Treatmentgofgendometrialgcancerginvolves
a) Tumourgsizegreductiongandgchemotherapy
b) Tumourgsizegreductiongandgradiotherapy
c) Hysterectomygandgradiotherapy
d) Radicalghysterectomyg(Wertheim’s)
e) Allgthegabove
15. Thegfollowinggaregtruegingthegmanagementgofgmultiplegpregnancies
a) Theygshouldgbegadmittedgatg36gweeksgtogreducegthegincidencegofgneonat
algcomplications
b) Activegmanagementgofgthirdgstagegalwaysgpreventsgpostgpartumghaemorrhage
c) Caesareangsectiongisgindicatedgifgthegsecondgtwingisgagbreech
d) AgandgCgabove
e) Nonegofgthegabove
16. Aggravidag6gParag4+1gwasgadmittedgwithgseveregpre-eclampsia,gthegfollowinggisgtrue
a) Aftergcontrolgofgthegbloodgpressuregshegshouldghavegagcaesareangsectiongasgt
hegquickestgmodegofgdelivery
b) Hergbloodgvesselsgshowgabnormalgreactiongtogvasopressingagents
c) Agbleedinggprofilegisgpartgofgthegworkgupgtogpreventgdisseminatedgintravascul
argCoagulopathy
d) AgandgCgabove
e) Nonegofgthegabove
17. Duringgantenatalgmanagement,gthegfollowinggaregtrue
a) RefocusedgANCginvolvesgreducinggthegnumbergofgvisitsgandgimprovinggthegquali
tygofgcontactgtime
b) Allgmothersgmustghavegfourgvisitsgonly
c) Allgmothersgshouldghavegagbirthgplangasgthisgimprovesgdecisiongongmaking
d) AgandgB
e) AgandgC
18. Thegperineumgisgsuppliedgbygthegfollowing
a) Pudendalgnerve
b) Inferiorghaemorrhoidgnerve
c) Ilio-inguinalgnerve
d) Genitalgfemoralgnerve
e) Allgthegabove
19. Thegfollowinggaregmesodermalgingorigin
a) Kidney,gmaleggenitalgducts,gprostate,grectum
b) Testis,guppergvagina,gureter,gseminalgvesicle
c) Ovary,gureter,glowergvagina,gprostateggland
d) Brain,goesophagus,grectum,guterinegtubes
e) Nonegofgthegabove
20. Thegfollowinggaregimportantginvestigationsgingdisseminatedgintravasculargcoagulation
a) Partialgthromboplastingtime
b) Prothrombingtime
c) Thrombingtime
d) AgandgCgabove
e) BgandgCgabove
21. Thegfollowingghavegbeengassociatedgwithgbacteriuriagingpregnancy:
a) Pre-termgbirth
-3-
, b) Lowgbirthgweight
c) Prenatalgmortality
d) Abortions
e) Diabetesgmellitus
22. Aboutgasymptomaticgbacteriuriagingpregnancy:
a) Refersgtogthegpresencegofgagpositivegurinegculturegingangasymptomaticgperson
b) Occursging2gtog7gpercentgofgpregnancies
c) Definedgasgtwogconsecutivegvoidedgurinegspecimensgwithgisolationgofgthegsa
megbacterialgstraingingquantitativegcountsgofg≥10(5)gcfu/mL
d) PresencegofgLactobacillusgorgPropionibacteriumgdoesgnotgindicategagcontaminate
dgurinegspecimen
e) Ifgleftguntreated,g50%gofgpatientsgwillgprogressgtogsymptomaticgbacteriuria
23. Thegfollowinggdrugsgcangbegusedgforgtreatmentgofgasymptomaticgbacteriuria:
a) Penicillin
b) Cephalosporin
c) Doxycycline
d) Sulphodoxine
e) Dexamethasone
24. Aboutgrenalgphysiologicalgchangesgduringgpregnancy,gthegfollowinggaregtruegexcept:
a) GlomerulargFiltrationgRategincreasesgbyg50%
b) Renalgplasmagflowgincreasesgbyg50%
c) Oestrogensgaregresponsiblegforgtheggeneralguretericgrelaxation
d) TheregisgdecreasedgpredispositiongtogUrinarygtractginfections
e) Theregisgincreasedgcreatininegclearance
25. Aboutgectopicgpregnancy:
a) TheggestationalgsacgcangbegseengatgangHCGglevelgofg1500gIU/Lgusing
gagTransabdominal gU/Sgscan
b) TheggestationalgsacgcangbegseengatgangHCGglevelgofg6500gIU/Lgusinggagtransvagi
nalgU/Sgscan
c) Agcervicalgectopicgpregnancygcangbegtreatedgusinggagconegbiopsy
d) CangbegtreatedgusinggMethotrexate
e) Cangundergogresorption
26. Indicationsgforgmedicalgtreatmentgofgectopicgpregnancygincludegthegfollowinggexcept:
a) Presencegofgcardiacgactivity
b) BetagHCGgtitresglessgthang5000mIU/ml
c) Unrupturedgectopic
d) Angectopicggreatergthang3.5gcm
e) Angectopicglessgthang3.5gcm
27. Concerninggmedicalgtreatmentgingectopicgpregnancy,gthegfollowinggstatementsgar
egfalse:
a) Methotrexategshouldgbeggivengongdaysg2,g4,g6,g8,g10.
b) Methotrexategshouldgbeggivengongdaysg1,g3,g5
c) Serumgcreatininegshouldgnotgbegdone
d) Qualitativegbeta-hCGgisgimportantgingtreatment
e) Ninetygpercentg(90%)gofgangintravenousg(IV)gdosegofgMethotrexategisgexcret
edgunchangedgwithing24ghoursgofgadministration
28. ThesegdrugsgareggivengtogbypassgthegmetabolicgblockginducedgbygMethotrexate,ga
ndgthusgrescuegnormalgcellsgfromgtoxicity:
a) Folinicgacid
b) N5-formyl-tetrahydrofolate,gcitrovorumgfactor
-4-
a) ItgcannotgoccurgingpostmenopausalgwomengasgtheirgEndometriumgisgatrophic.
b) Itgoccursgingthegreproductivegagegbecausegofgthegpresencegofggonadotrophins.
c) ItgcangcausegdeepgandgsuperficialgDyspareunia.
d) Allgthegabove.
e) Nonegofgthegabove
2. Thegmostgcommongsitegofgendometriosisgis
a) ThegpouchgofgDouglas.
b) Thegovary
c) Thegposteriorgsurfacegofgtheguterus
d) Thegbroadgligament
e) Thegpelvicgperitoneum
3. Thegmostgfrequentgsymptomgofgendometriosis
a) Infertility
b) Pain
c) Backache
d) Dyspareunia
e) Allgthegabove
4. Ag35gyeargoldgwomangpresentsgwithghistorygofgperiodsgofgamenorrheagfollowedg
bygheavygbleedinggandgdeniesgusinggdrugs.gShegwantsgtoggetgpregnant.
Thegfollowinggareglikelygcauses:
a) OvergstimulationgofgthegfolliculargsystemgofgthegovariesgbygthegHypophysis.
b) Undergproductiongofgoestrogensgandg progesterone
c) UndergproductiongofgFSHgandgLH
d) Allgthegabove
e) Nonegofgthegabove
5. Ag26gyeargoldgmarriedgwomangpresentsgwithginfertilitygandgamenorrhoea.gSheghas
gagnormalgsatisfyinggsexualglife.
Ongworkgupgshegwasgfoundgtogbegnormalg46XX,gnogoestrogengorgprogesteronegnorge
videncegofgandrogens.gSheghasgpoorlygdevelopedgbreasts.gHSGgisgnormal.
Thegfollowinggaregpossiblegcauses:
a) Testiculargfeminizationgsyndrome
b) Mulleriangdysgenesis
c) Gonadalgdysgenesis
d) BgandgCgabove
e) Allgthegabove
6. BSNgstudentsgdeliveredgmothersgandgassessedgthegbabies.gWhichgwasgagtruega
ndgcompletegassessment?
a) Pinkgbodygandglimbs,gactiveglimbgmovements,gmalegpulsegrateg105/minute,gwe
akgrespirationsgactivegsneezinggandgcoughgongsuction:gA/Sg=g9
b) Activeglimbgmovements,gpinkgbody,gpulsegrateg105/minutegbluegfingersggo
odgrespiration,gfemalegandgactivegsneezinggongsuction:gA/Sg9
c) Cryinggloudly,gmaleg,gmovingglimbsgactively,gfightsgongsuction,gpulsegra
teg129/minute,gbluegchest:gA/Sg=9
d) AgandgBgabove
e) BgandgCgabove
7. Ag30gyeargoldgmotherghadgagcaesareangsectiongforgAbruptiogplacentagatg36gweeksga
tg6gamgingthegmorning.gProfessorgPerezgfoundgherganaemicgandgthegdressinggoozing
gfreshgblood.gThegfollowinggaregtrue:
a) Hegorderedgre-openinggofgthegabdomengasgtheregwasgintra-
abdominalghaemorrhage
-1-
, b) Hegdidgangabdominalgexaminationgtogrulegagrupturedguterus
c) HegorderedgsomeginvestigationsgandgtalkedgtogthegstudentsgaboutgAPHgwhi
legwaitinggforgthegresults
d) Hegorderedgagpressuregdressinggtogbegappliedgtogthegwoundgasgthisgwasgbleedi
nggfromgthegwound
e) Nonegofgthegabove.
8. Thegfollowinggaregpoorgprognosticgfactorsgingtrophoblasticgdiseasegforgmaligna
ntgchange:
a) Diseasegfollowinggnormalgdelivery
b) Beta-hCGgmoregthang80,000gmIU/ml
c) Diseasegfollowinggangabortion
d) AgandgCgabove
e) AgandgBgabove
9. Treatmentgofgendometriosisginvolves:
a) Administrationgofggonadotrophinsgreleasingghormonegagonistsgtogcausegagpseud
o-gpregnancy
b) Administrationgofggonadotrophinsgreleasingghormonegantagonistsgtogcauseg
agpseudo-menopausegstate
c) Administrationgofglargegdosesgofgoestrogensgandgandrogensgstategtogcause
gagpseudogpregnancy
d) AgandgCgabove
e) BgandgCgabove
10. Ag56gyeargoldgladygpresentedgwithgagsmallgcervicalglesiongwhichgbledgtogtouch,gs
hegreportedgthatgsheghadgdifficultygclosingghergleftgeye.gSheghadgnauseagandglo
ssgofgappetite.gSheghadgagstaringggazegandgparesisgongthegright.gNogothergpelvic
glesionsgweregfound.
a) ThisgisgCagCervixgstagegfour
b) Thegconditiongcangbegdiagnosedgbygultrasound
c) Thegdiagnosisgcangbegsuspectedgfromgthegpreviousghistorygandgconfirmedg
bygLaboratoryginvestigations
d) SheghasgBurkitt’sglymphoma
e) Nonegofgthegabove
11. Thegfollowinggaregtruegofgoralgcontraceptivegpills
a) Theygdecreasegthegriskgofgovariangcancer
b) Theygaregcontraindicatedgingparousgwomengwithgendometriosis
c) Theygaregcontraindicatedgingyounggnulliparousggirls
d) Allgofgthegabove
e) Nonegofgthegabove
12. ThegfollowinggaregcausesgofgearlygneonatalgdeathsgingUganda
a) Hyalinegmembranegdisease
b) Foetalgasphyxia
c) Bronchopneumonia
d) Allgthegabove
e) Nonegofgthegabove
13. DrgKaposigdidgstaginggofgcarcinomagofgtheguterus.gThegfollowinggisgagcorrectgstaging:
a) Theguterusgwasgsoundedgatg15gcmgandgtheregagbleedingglesiongongthegcervi
x;gstage=g3a
b) Theguterusgwasg4cmglonggandgthegtumourgwasgwellgdifferentiated
c) Prof.gKaposiggotgsomegsuspiciousgcurettingsgfromgthegendocervix;gstage=3
d) Prof.gKaposiggotgsomegsuspiciousgcurettingsgfromgthegendocervix;gstage=2
-2-
, e) Nonegofgthegabove
14. Treatmentgofgendometrialgcancerginvolves
a) Tumourgsizegreductiongandgchemotherapy
b) Tumourgsizegreductiongandgradiotherapy
c) Hysterectomygandgradiotherapy
d) Radicalghysterectomyg(Wertheim’s)
e) Allgthegabove
15. Thegfollowinggaregtruegingthegmanagementgofgmultiplegpregnancies
a) Theygshouldgbegadmittedgatg36gweeksgtogreducegthegincidencegofgneonat
algcomplications
b) Activegmanagementgofgthirdgstagegalwaysgpreventsgpostgpartumghaemorrhage
c) Caesareangsectiongisgindicatedgifgthegsecondgtwingisgagbreech
d) AgandgCgabove
e) Nonegofgthegabove
16. Aggravidag6gParag4+1gwasgadmittedgwithgseveregpre-eclampsia,gthegfollowinggisgtrue
a) Aftergcontrolgofgthegbloodgpressuregshegshouldghavegagcaesareangsectiongasgt
hegquickestgmodegofgdelivery
b) Hergbloodgvesselsgshowgabnormalgreactiongtogvasopressingagents
c) Agbleedinggprofilegisgpartgofgthegworkgupgtogpreventgdisseminatedgintravascul
argCoagulopathy
d) AgandgCgabove
e) Nonegofgthegabove
17. Duringgantenatalgmanagement,gthegfollowinggaregtrue
a) RefocusedgANCginvolvesgreducinggthegnumbergofgvisitsgandgimprovinggthegquali
tygofgcontactgtime
b) Allgmothersgmustghavegfourgvisitsgonly
c) Allgmothersgshouldghavegagbirthgplangasgthisgimprovesgdecisiongongmaking
d) AgandgB
e) AgandgC
18. Thegperineumgisgsuppliedgbygthegfollowing
a) Pudendalgnerve
b) Inferiorghaemorrhoidgnerve
c) Ilio-inguinalgnerve
d) Genitalgfemoralgnerve
e) Allgthegabove
19. Thegfollowinggaregmesodermalgingorigin
a) Kidney,gmaleggenitalgducts,gprostate,grectum
b) Testis,guppergvagina,gureter,gseminalgvesicle
c) Ovary,gureter,glowergvagina,gprostateggland
d) Brain,goesophagus,grectum,guterinegtubes
e) Nonegofgthegabove
20. Thegfollowinggaregimportantginvestigationsgingdisseminatedgintravasculargcoagulation
a) Partialgthromboplastingtime
b) Prothrombingtime
c) Thrombingtime
d) AgandgCgabove
e) BgandgCgabove
21. Thegfollowingghavegbeengassociatedgwithgbacteriuriagingpregnancy:
a) Pre-termgbirth
-3-
, b) Lowgbirthgweight
c) Prenatalgmortality
d) Abortions
e) Diabetesgmellitus
22. Aboutgasymptomaticgbacteriuriagingpregnancy:
a) Refersgtogthegpresencegofgagpositivegurinegculturegingangasymptomaticgperson
b) Occursging2gtog7gpercentgofgpregnancies
c) Definedgasgtwogconsecutivegvoidedgurinegspecimensgwithgisolationgofgthegsa
megbacterialgstraingingquantitativegcountsgofg≥10(5)gcfu/mL
d) PresencegofgLactobacillusgorgPropionibacteriumgdoesgnotgindicategagcontaminate
dgurinegspecimen
e) Ifgleftguntreated,g50%gofgpatientsgwillgprogressgtogsymptomaticgbacteriuria
23. Thegfollowinggdrugsgcangbegusedgforgtreatmentgofgasymptomaticgbacteriuria:
a) Penicillin
b) Cephalosporin
c) Doxycycline
d) Sulphodoxine
e) Dexamethasone
24. Aboutgrenalgphysiologicalgchangesgduringgpregnancy,gthegfollowinggaregtruegexcept:
a) GlomerulargFiltrationgRategincreasesgbyg50%
b) Renalgplasmagflowgincreasesgbyg50%
c) Oestrogensgaregresponsiblegforgtheggeneralguretericgrelaxation
d) TheregisgdecreasedgpredispositiongtogUrinarygtractginfections
e) Theregisgincreasedgcreatininegclearance
25. Aboutgectopicgpregnancy:
a) TheggestationalgsacgcangbegseengatgangHCGglevelgofg1500gIU/Lgusing
gagTransabdominal gU/Sgscan
b) TheggestationalgsacgcangbegseengatgangHCGglevelgofg6500gIU/Lgusinggagtransvagi
nalgU/Sgscan
c) Agcervicalgectopicgpregnancygcangbegtreatedgusinggagconegbiopsy
d) CangbegtreatedgusinggMethotrexate
e) Cangundergogresorption
26. Indicationsgforgmedicalgtreatmentgofgectopicgpregnancygincludegthegfollowinggexcept:
a) Presencegofgcardiacgactivity
b) BetagHCGgtitresglessgthang5000mIU/ml
c) Unrupturedgectopic
d) Angectopicggreatergthang3.5gcm
e) Angectopicglessgthang3.5gcm
27. Concerninggmedicalgtreatmentgingectopicgpregnancy,gthegfollowinggstatementsgar
egfalse:
a) Methotrexategshouldgbeggivengongdaysg2,g4,g6,g8,g10.
b) Methotrexategshouldgbeggivengongdaysg1,g3,g5
c) Serumgcreatininegshouldgnotgbegdone
d) Qualitativegbeta-hCGgisgimportantgingtreatment
e) Ninetygpercentg(90%)gofgangintravenousg(IV)gdosegofgMethotrexategisgexcret
edgunchangedgwithing24ghoursgofgadministration
28. ThesegdrugsgareggivengtogbypassgthegmetabolicgblockginducedgbygMethotrexate,ga
ndgthusgrescuegnormalgcellsgfromgtoxicity:
a) Folinicgacid
b) N5-formyl-tetrahydrofolate,gcitrovorumgfactor
-4-
