Pelvic examination of a patient with post-menopausal bleeding shows a growth in the vagina. A biopsy reveals that the growth is endometrial  adenocarcinoma. Surgery is performed.  Distant metastases are absent. What is the stage of her cancer?    

A young woman with a previous history of dilatation and curettage for elective abortion presents with  hypomenorrhea. Hysterosalpingography shows irregular, angulated filling defects.  Which of the following investigations is used for the definitive diagnosis of this condition? 

A 26-year-old pregnant woman in her  30th week of gestation was found to have an amniotic fluid index (AFI) of 4 cm.  Which among the following options could be a cause of this presentation? 

A 29-year-old G2P1 comes to the physician at 36 weeks of gestation. At 28 weeks, she was diagnosed with gestational diabetes. She was unable to maintain her blood sugar levels with a diabetic diet and was planned to start on insulin. Which of the following is not true regarding the management of this patient? 

A 45-year-old woman comes for a regular gynecological check-up. Pap smear testing showed HSIL. Therefore, biopsy was done, which showed dysplastic changes in 2/3rd of the epithelial thickness. What is the diagnosis? HSIL - High-grade squamous intraepithelial lesion 

female patient with 5 weeks of amenorrhea, comes with complaints of profuse vaginal bleeding and lower abdominal pain. She is hypotensive. Abdominal ultrasound reveals an empty gestational sac. Her urine pregnancy test was found to be positive. What would be the absolute contraindication for medical management? 

A concerned woman on post-natal day 2 presented with complaints of reddish vaginal discharge. Her vitals were stable and there were no associated signs of sepsis. What is this known as? A) Postpartum hemorrhage B) Lochia serosa C) Lochia alba D) Lochia rubra

A 16-year-old girl with primary amenorrhea is found to have a blind-ended vagina. USG reveals that the uterus is absent. Breast development is adequate and stature is normal while pubic and axillary hairs are sparse. Sex chromatin was negative. What is your diagnosis? 

A middle-aged female patient with an abdominal mass was diagnosed with gestational trophoblastic neoplasia. On further evaluation, it is found that neoplasia has metastasized to the liver and lungs. What would be the clinical staging according to FIGO classification?

A 40-year-old lady comes with complaints of abdominal cramping and breast pain that is cyclical and occurs once a month. It is associated with headaches and difficulty concentrating at work. She notices that the pain begins a week before menstruation and resolves after menses. What is the likely diagnosis?

A primigravid woman at 34 weeks of gestation was taken for emergency cesarean section after presenting with premature rupture of membranes and severe abdominal pain. Laparotomy revealed patches of dark port wine color over the uterus. In which of the following conditions can this complication be expected?

24-year-old female patient came with complaints of oligomenorrhoea, weight gain, and acne. USG shows multiple cysts in the ovary. Which of the following is not included in Rotterdam criteria?

Primigravida diagnosed with preeclampsia presents with a BP of 168/110 mmHg. Drug X is administered to her, following which loss of knee jerk is noticed. Which of the following is used to treat this condition? 

A 26-year-old pregnant woman has the following flow pattern of umbilical arteries on a doppler. What does this pattern indicate?

A 30-year-old woman comes for evaluation of recurrent pregnancy losses. She has had 4 spontaneous abortions, all of them at <10 weeks of gestational age, and has a history of deep vein thrombosis. The presence of which of the following antibodies is not included in the laboratory criteria for antiphospholipid antibody syndrome?

A nulliparous female with a history of infertility presents with 6 weeks of amenorrhea and sudden onset of acute abdominal pain. Her serum hCG is 2500 IU. A diagnosis of ruptured ectopic pregnancy is made. What is the appropriate management? 

A 45-year-old woman presented with a lower abdominal mass and lower abdominal discomfort. On examination, the uterus appears uniformly enlarged and adnexa is free. MRI shows the presence of a myometrial cyst. What is the most probable diagnosis? 

A 17-year-old female patient presented with primary amenorrhea. On examination, she is found to have normally developed breasts and swelling in the right inguinal region and female-type external genitalia. Ultrasound of the abdomen and pelvis did not reveal the uterus or cervix. The karyotype is XY. What is the diagnosis?

A young man came for an infertility workup. Semen analysis was done and the report was normal. Which of the following findings can be expected in his semen sample? A) B) 2% normal sperm morphology C) 10% progressive sperm motility D) Volume of 1 mL

22-year-old primigravida at 36 weeks gestation comes to the ER with nausea, vomiting, and abdominal pain. Nausea and vomiting began one day back and now the patient is unable to tolerate fluids. She complains of pain in the right upper quadrant which started a few hours back. On examination, her temperature is 100.2 F, the pulse is 118 bpm and her BP is 110/70 mm of Hg. She has swelling of her lower limbs up to the ankles bilaterally. Abdominal examination shows a gravid uterus corresponding to 36 weeks of gestation and tenderness in the right upper quadrant, with mild guarding. She was treated for asymptomatic bacteriuria in the first trimester. Laboratory results are given below. What is the most likely diagnosis? Complete blood count

• Hemoglobin: 11g/dL

• Leukocytes: 13,000 cells/pL

• Platelets: 150,000 cells/uL Liver function tests

• Aspartate transaminase (AST): 40U/L

• Alanine transaminase (ALT): 48U/L Urinalysis

• Protein: negative •

Pus cells: 1-2/HPF •

Bacteria: none

USG Abdomen: Reveals a 7mm diameter, aperistaltic, non-compressible, dilated, blind-ending structure arising from the base of the caecum 

34-year-old woman, G2P1L1 comes for her first ANC visit at 10 weeks gestation. Her previous pregnancy was uneventful with a normal vaginal delivery six years ago. The patient is a known hypertensive for 3 years but is non-compliant with her medications and has not had regular follow up. She occasionally smokes but does not consume alcohol or recreational drugs. On examination, her pulse rate is 80 bpm and BP is 150/90 mm of Hg. You prescribe multivitamins and advise her regarding the need for blood pressure control. This patient is at an increased risk of developing

A 36-year old woman P1L1, comes to the gynecologist for contraceptive advice. She mentions multiple times that her work is highly stressful with no clear timings, that it includes long hours of standing, and that she smokes heavily. She informs that she wishes to conceive in the future and emphasizes that this is important to her. She has regular cycles but complains of heavy menstrual bleeding with dysmenorrhea lasting for 5-6 days every cycle. Which of the following contraceptive methods is the best suited for this patient?

26-year-old woman comes for a follow-up, 1 week after her first child was born. Her husband reports that his wife appears uninterested in taking care of the baby, has sudden crying outbursts and seems sad for no reason for the last 2 days. Her sleep is disturbed and she feels fatigued. She is able to carry out the daily chores and enjoys watching television like before. The most likely diagnosis is?

neonate was born at 42 weeks of gestation by spontaneous vaginal delivery, following signs of severe fetal distress. Greenish amniotic fluid was noted during delivery. Immediately following delivery, the baby was shifted to the NICU and had to be intubated. Her chest x-ray is shown below. What is the most probable diagnosis?

28-year-old pregnant woman complains of progressive hearing loss, which aggravated during pregnancy. Pure tone audiometry reveals a Carhart's notch and she is diagnosed with otosclerosis. Identify the procedure done for this patient's condition.