Mount Kenya University · Medical School
Paper details
- Unit: MBOG 4212, Reproductive Health (Gynaecology 1)
- Sitting: 30 November 2018, Trimester 1 (September to December), Year 4 Gynaecology CAT
- Sections: Section A, 4 short answer questions. Section B, MCQs at 1 mark each. The photocopy is faded, so MCQs 1, 2 and 5 to 10 are checked against the matching questions in the December 2019 paper.
- Answers: written by OmpathStudy for revision. They are not the official MKU marking scheme.
- Topics tested: ovarian cysts, abnormal menstruation, congenital anomalies and Klinefelter syndrome, pelvic inflammatory disease, ovarian torsion.
Section A: Short answer questions
Question 1. Ovarian cysts
(a) What are ovarian cysts? (2 marks)
(b) The 3 main broad classifications (3 marks)
(c) One type of each (3 marks)
(d) Ultrasound: 2 benign and 3 malignant features (5 marks)
Question 2. Abnormal menstruation
Question 3. Congenital abnormality
(a) Define a congenital abnormality (2 marks)
(b) What is a teratogen? (2 marks)
(c) What is a mutagen? (2 marks)
(d) Describe Klinefelter syndrome (3 marks)
Question 4. Pelvic inflammatory disease
(a) What is PID? (2 marks)
(b) Known causes (4 marks)
(c) Treatment options for a pelvic abscess (6 marks)
Section B: Multiple choice questions
1. While treating 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 ovarian torsion?
- A. Presents usually after sustained immobility
- B. Usually ipsilateral
- C. Can be reduced by oral contraceptives
- D. Can be caused by previous abdominal surgery
4. You will suspect pelvic inflammatory disease in all EXCEPT:
- A. Early menarche
- B. Previous abortion
- C. Previous contraceptive use
- D. Previous ectopic pregnancy
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. Milky white discharge with a fishy odour and no itching:
- A. Bacterial vaginosis
- B. Candida albicans
- C. Trichomonas
- D. Malignancy
7. Amenorrhoea after treatment for incomplete miscarriage:
- 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:
- A. Trauma
- B. Ectopic pregnancy
- C. Anovulation
- D. Polycystic ovarian disease
9. Emergency contraceptive:
- A. Low-dose combined contraceptive
- B. Levonorgestrel
- C. Ergometrine
- D. Depo-Provera
10. The following apply to a pelvic abscess EXCEPT:
- A. Can be caused by Neisseria gonorrhoeae
- B. Can cause multiple organ failure
- C. Can cause chronic pelvic pain
- D. Can cause amenorrhoea