Question 1

Serum prolactin levels are highest in which of the following conditions:

Accepted Answer

Prolactin levels are highest during parturition (childbirth) as it plays a crucial role in lactation and preparing the body for breastfeeding.

Question 2

Main uterine support is:

Accepted Answer

The transverse cervical ligaments, also known as the cardinal ligaments, provide the main support to the uterus by anchoring it to the pelvic wall.

Question 3

The most likely cause of abnormal uterine bleeding in 13 years old girl is:

Accepted Answer

Anovulation is the most likely cause of abnormal uterine bleeding in a 13-year-old girl due to the immaturity of the hypothalamic-pituitary-ovarian axis, leading to irregular ovulation and bleeding patterns.

Question 4

Which of the following pubertal event would occur even in the absence of ovarian estrogen production:

Accepted Answer

Pubarche, the appearance of pubic and axillary hair, can occur without ovarian estrogen production because it is primarily induced by adrenal androgens.

Question 5

58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be:

Accepted Answer

D & C (dilatation & Curettage) is the most essential investigation for postmenopausal bleeding as it allows for direct examination of the uterine cavity and endometrial sampling, which is crucial for diagnosing the cause of the bleeding.

Question 6

The most common symptom of endometrial hyperplasia is:

Accepted Answer

The most common symptom of endometrial hyperplasia is abnormal vaginal bleeding, especially bleeding between periods or heavy menstrual bleeding.

Question 7

56 years old woman has come to you with the complaints of hot flushes irritability, joint pains with lack of sleep. Most appropriate treatment would be:

Accepted Answer

Combined estrogen and progesterone therapy is often used to treat menopausal symptoms such as hot flushes, irritability, joint pains, and sleep disturbances in women who have not had a hysterectomy. This therapy can help alleviate these symptoms by replacing the hormones that are at lower levels during menopause.

Question 8

Which of the following is used as an emergency contraceptive:

Accepted Answer

Levonorgestrel is a hormone used in emergency contraceptive pills to prevent pregnancy after unprotected sex or contraceptive failure.

Quiz 8: Gynecology and Obstetrics: Part B