AMC MCQ Obstetrics and Gynaecology 3

Question 1

A 45-year-old reports heavy menstrual bleeding with a bulky, irregular uterus on examination. What is the most likely diagnosis?

Accepted Answer

Uterine fibroids

Answer

A bulky, irregularly enlarged uterus with menorrhagia is most consistent with uterine fibroids.

Question 2

A 24-year-old with 6 weeks amenorrhoea presents with left iliac fossa pain and a positive pregnancy test, but no intrauterine sac on transvaginal ultrasound. What must be excluded?

Accepted Answer

Ectopic pregnancy

Answer

A positive test with an empty uterus and adnexal pain mandates exclusion of ectopic pregnancy.

Question 3

Which organism is the most common cause of pelvic inflammatory disease in young sexually active women?

Accepted Answer

Chlamydia trachomatis

Answer

Chlamydia trachomatis is the leading cause of PID, often asymptomatic until complications arise.

Question 4

A postmenopausal woman presents with vaginal bleeding. What is the most important investigation?

Accepted Answer

Transvaginal ultrasound and endometrial sampling

Answer

Postmenopausal bleeding requires endometrial assessment to exclude endometrial carcinoma.

Question 5

What is the first-line investigation for suspected polycystic ovary syndrome alongside clinical features?

Accepted Answer

Pelvic ultrasound and hormonal profile

Answer

PCOS diagnosis uses the Rotterdam criteria, supported by pelvic ultrasound and hormonal testing.

AMC MCQ Practice Test

AMC MCQ Practice Test

AMC MCQ Obstetrics and Gynaecology 3