Mount Kenya University · School of Medicine · Obstetrics & Gynaecology
Paper details
- Paper: Mount Kenya University Medical School, MBChB Year 4 Gynaecology CAT, MBOG 4212, 30 November 2018. Section A has four short answer questions and Section B has 10 MCQs of 1 mark each.
- Sitting: 30 November 2018, Trimester 1 (September to December).
- Topics tested: ovarian cysts and their ultrasound features, abnormal menstruation, congenital abnormality, teratogens and mutagens, Klinefelter syndrome, pelvic inflammatory disease and pelvic abscess, ovarian torsion, the menstrual cycle, vaginal discharge, Asherman syndrome, abnormal uterine bleeding in adolescence and emergency contraception.
- Note: the scan carries a student's name, number and marking. They were ignored, and the answers below are my own.
- Answers: written by OmpathStudy for revision. They are not the official MKU marking scheme.
- Questions that need care: MCQ 3 and MCQ 4 are loosely worded. The explanation says which option is best and why.
Multiple choice questions
1. An 18 year old lady complains of vaginal discharge which started 2 days ago. She also complains of dysuria. She is sexually active with one partner and uses condoms intermittently. While treating this patient's gonorrhoea infection, treatment must also be given for which of the following?
- A. Bacterial vaginosis
- B. Chlamydia
- C. Herpes
- D. Syphilis
2. Which of the following will NOT present with acute pelvic pain?
- A. Candida albicans infection
- B. Tubo-ovarian abscess
- C. Mittelschmerz
- D. Septic abortion
3. Which of the following 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 coitarche
- B. Previous abortion
- C. Previous contraceptive use
- D. Previous ectopic pregnancy
5. During the menstrual cycle:
- 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 mls
6. A woman complains of a milky whitish discharge with a fishy odour. There is no history of itching. The most likely diagnosis is:
- A. Bacterial vaginosis
- B. Candida albicans
- C. Trichomonas
- D. Malignancy
7. A 28 year old complains of amenorrhoea after being treated in hospital following an incomplete miscarriage. The most likely diagnosis is:
- A. Post-abortion endometritis
- B. Pelvic inflammatory disease
- C. Asherman's syndrome
- D. Kallmann syndrome
8. The main cause of abnormal uterine bleeding in a 13 year old girl is:
- A. Trauma
- B. Ectopic pregnancy
- C. Anovulation
- D. Polycystic ovarian disease
9. Which of the following is used as an 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
Section A: short answer questions
1. Question 1. (a) What are ovarian cysts (2 marks)? (b) What are the 3 main broad classifications (3 marks)? (c) List one type of each (3 marks). (d) On ultrasound list 2 benign and 3 malignant features (5 marks).
(a) Ovarian cysts
(b) Three broad classifications
(c) One type of each
(d) Ultrasound features
2. Question 2. (a) What is abnormal menstruation (2 marks)? (b) List and briefly explain two examples of abnormal menstruation (4 marks).
(a) Abnormal menstruation
(b) Examples
3. Question 3. (a) Define a congenital abnormality (2 marks). (b) What is a teratogen (2 marks)? (c) What is a mutagen (2 marks)? (d) Describe Klinefelter's syndrome (3 marks).
(a) Congenital abnormality
(b) Teratogen
(c) Mutagen
(d) Klinefelter syndrome
4. Question 4. (a) What is PID (2 marks)? (b) List known causes of PID (4 marks). (c) Briefly describe treatment options for a pelvic abscess (6 marks).
(a) Pelvic inflammatory disease
(b) Causes
(c) Treatment of a pelvic abscess