Mount Kenya University · Medical School
Paper details
- Unit: MBOG 4212, Reproductive Health (Gynaecology 1)
- Sitting: 13 December 2019, Trimester 1 (September to December), Year 4 Gynaecology CAT
- Time allowed: 1 hour 20 minutes
- Sections: Section A, 4 short answer questions. Section B, MCQs at 1 mark each (12 on the pages supplied).
- Answers: written by OmpathStudy for revision. They are not the official MKU marking scheme.
- Topics tested: congenital anomalies, abnormal menstruation, puberty, uterine fibroids, sexually transmitted infections, ovarian cysts, contraception, anatomy.
Section A: Short answer questions
Question 1
(a) What is a congenital anomaly? (3 marks)
(b) What is a teratogen? (2 marks)
(c) List broad causes of congenital anomalies (3 marks)
(d) Prevention strategies (4 marks)
Question 2
(a) What is abnormal menstruation? (2 marks)
(b) Two examples, explained (4 marks)
Question 3
(a) Define puberty (3 marks)
(b) Define precocious puberty (3 marks)
(c) Changes of the uterus after puberty (4 marks)
Question 4
(a) Define leiomyoma (2 marks)
(b) Four risk factors (2 marks)
(c) Medical treatment options (6 marks)
Section B: Multiple choice questions
1. While treating an 18-year-old's gonorrhoea, treatment must also be given for:
- A. Bacterial vaginosis
- B. Chlamydia
- C. Herpes
- D. Syphilis
2. Which will not present with acute pelvic pain?
- A. Candida albicans infection
- B. Tubo-ovarian abscess
- C. Mittelschmerz
- D. Septic abortion
3. Which is unlikely to be a feature of a malignant lesion on ultrasound?
- A. Unilateral cyst
- B. Positive colour Doppler
- C. Heterogeneous structure
- D. Ascites
4. Which statement is false?
- A. Tanner stage 2 defines the breast bud in females
- B. Tanner stage 3 marks the development of the areolar mound
- C. The prepubertal ovarian volume is under 0.9 cm³
- D. Pubarche occurs before peak growth velocity
5. During the menstrual cycle, which is true?
- A. The proliferative phase is relatively constant
- B. Ovulation coincides with menstruation
- C. Anovulatory cycles are characteristically painless
- D. Menstrual blood loss is usually 150 ml
6. A woman has milky white discharge with a fishy odour and no itching. Most likely diagnosis:
- A. Bacterial vaginosis
- B. Candida albicans
- C. Trichomonas
- D. Malignancy
7. A 28-year-old has amenorrhoea after treatment for an incomplete miscarriage. Most likely diagnosis:
- A. Post-abortion endometritis
- B. Pelvic inflammatory disease
- C. Asherman syndrome
- D. Kallmann syndrome
8. The main cause of abnormal uterine bleeding in a 13-year-old girl:
- A. Trauma
- B. Ectopic pregnancy
- C. Anovulation
- D. Polycystic ovarian disease
9. Which is used as emergency contraception?
- A. Low-dose combined contraceptive
- B. Levonorgestrel
- C. Ergometrine
- D. Depo-Provera
10. Can be used to treat leiomyoma in a woman desiring fertility EXCEPT:
- A. Myomectomy
- B. Uterine artery embolisation
- C. Tranexamic acid
- D. Magnetic resonance-guided focused ultrasound
11. External components of the female genital tract include all EXCEPT:
- A. Vagina
- B. Pudendal cleft
- C. Labia minora
- D. Bartholin glands
12. Which is not a segment of the fallopian tube?
- A. Infundibulum
- B. Isthmus
- C. Vestibule
- D. Ampulla