1. For the following scenario select the most likely diagnosis from the list:

A 35-year-old pregnant woman attends the antenatal clinic for booking at 11 weeks gestation. Her past medical history is unremarkable. A random blood sample taken by her doctor 2 days ago shows glucose level of 11.2 mmol/l (201.6 mg/dl).

 
 
 
 
 
 
 
 
 
 

2. For the following scenario, select the most likely diagnosis from the list:

A 32-year-old woman presents at the emergency Department complaining of sharp pain in the left lower abdomen after intercourse. She also has nausea and vaginal spotting. Her last menstrual period was 6 weeks ago. Clinical examination shows tenderness in lower abdomen. Her blood pressure is 80/50 mm Hg and the pulse rate 120 bpm. A urinary pregnancy test is positive.

 
 
 
 
 
 
 
 
 
 

3. The following conditions are contraindications against the use of intrauterine contraceptive devices.

 
 
 
 
 

4. Regarding anatomy in the context of laparoscopy:

 
 
 
 
 

5. A 32-year-old schoolteacher in her first pregnancy presents at six weeks for her first antenatal visit. It is the start of the academic year and thus she is particularly worried about the potential foetal risks of childhood infections or administered childhood vaccinations which she may be exposed to during her pregnancy.

Which one of the following infections is definitely associated with foetal risks?

 
 
 
 
 

6. For the following scenario select the most appropriate treatment from the list:

A 36-year-old nulliparous woman with known PCOS and a BMI of 36 kg/m2 had an endometrial polyp removed 10 days ago. The histology revealed a grade 1 endometrioid cancer not invading the myometrium on MRI. She wants to preserve her fertility.

 
 
 
 
 
 
 
 
 
 

7. For the following scenario select the most appropriate treatment from the list:

A 28-year-old, para 2, woman with normal menstrual cycles attends the gynaecological outpatient clinic, because of vaginal bleeding 15 days after her last menstrual period. Her past medical history is unremarkable. Clinical examination shows no abnormality, although a transvaginal ultrasound scan shows a left-sided ovarian cyst of 7 cm in diameter with characteristics typical of a dermoid.

 
 
 
 
 
 
 
 
 
 

8. The following are possible causes of primary amenorrhea in a 19 years old female with developed secondary sexual characteristics.

 
 
 
 
 

9. A couple in their late 20s present to the infertility clinic with a two-year history of primary infertility. The woman, aged 25 years with a BMI of 23 kg/m2, is found to have normal genitalia with regular ovulatory cycles. The partner, aged 28 years with a BMI of 36 kg/m 2 , is noted to have gynecomastia and small testis. A semen analysis confirms azoospermia. Hormone investigations showed a low testosterone level, high sex hormone binding globulin (SHBG) and raised gonadotrophins.

Which one of the following diagnostic options represents the most likely cause for the male infertility?

 
 
 
 
 

10. A 30-year-old sexually active woman presents for a routine cervical smear test. She has no complaints. Her previous smear was performed four years previously and had been reported as normal with marked inflammatory changes. The present smear test result is reported as showing moderate dyskaryosis.

Which one of the following management options is the most appropriate at this stage?

 
 
 
 
 

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