Gyn Exam

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KMTC/QP-07/TIS

KENYA MEDICAL TRAINING COLLEGE – NYAMIRA


END OF YEAR ONE SEMESTER TWO EXAMINATION
SEPTEMBER 2014 KRCHN CLASS (PRE-SERVICE)
GYNAECOLOGY EXAMINATION

DATE: 10 Nov 2015 TIME:…………………..

INSTRUCTIONS

1. Read the questions carefully and answer only what is asked.

2. Enter your examination number and question number on each


page used.

3. ALL questions are compulsory.

4. For part 1 (MCQs), write the answer in the spaces provided on


the answer booklet and each MCQ is one (1) mark.

5. For Part 2 (SHORT ANSWER QUESTIONS), answer the questions


following each other.

6. For Part 3 (LONG ANSWER QUESTIONS), answer to each


question MUST start on a separate page.

7. Omission of and or wrong numbering of a question or part of


the question will result in 10% deduction of the marks scored
from the relevant part.

8. Do NOT use a pencil.

9. Mobile phones are NOT allowed in the examination hall.

For Examiner:

MCQS SAQS LAQS LAQS 2 TOTAL


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KMTC/QP-07/TIS

PART ONE: MCQS (MULTIPLE CHOICE QUESTIONS) GYNAECOLOGY–


10 MARKS

Q.1. Which of the following are not causes of amenorrhoea:


(a) Atomical disorders, ovarian disorders.
(b) Pituitary disorders, hypothalamic disorders.
(c) Ovarian disorders and pituitary disorders.
(d) Primary disorders and secondary disorders.

Q.2. Endometriosis is defined as:


(a) Endometrial tissue lying outside the endometrial cavity.
(b) Endometrial tissue responding to cyclical hormonal changes.
(c) It is a condition that is oestrogen dependent and resolves after menopause.
(d) Unknown condition with so many theories.

Q.3. Which is the commonest complications in obstetric /traumatic fistula:


(a) Infection.
(b) Nausea.
(c) Headache.
(d) Stress incontinence.

Q.4. Which of the following forms the external female genitalia:


(a) Mons-veneris, fallopian tunes.
(b) Vagina, labia minora/matura, mons pupis.
(c) Uterus, cervix, ovaries.
(d) Mons pubis, fourchette, clitoris, labia manora/minora.

Q.5. The following are risk factors for endometrial cancer:


(a) Obesity.
(b) Diabetes.
(c) Tamoxifen therapy and nulliparous.
(d) Both A, B and C.

Q.6. The following are considered when taking menstrual history in gynaecology except:

(a) Cycle length.


(b) Duration of flow.
(c) Date of menarche.
(d) Vasomotor symptoms.
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KMTC/QP-07/TIS

Q.7. The components of health of health assessment history especially related to gynaecology
includes:

(a) Menstrual, sexual fertility and contraception history.


(b) Family, social, pas medical and past surgical history.
(c) Family, occupational, medication and allergies history.
(d) Sexual, obstetric, family, social history.

PART ONE: MCQS (MULTIPLE CHOICE QUESTIONS) GYNAECOLOGY–


10 MARKS

Q.8. Which of the following is not a cause of vulvitis?

(a) Scented /coloured tissue papers.


(b) Infections.
(c) Injuries.
(d) Wearing cotton panties.

Q.9. Which statement about vaginal discharge in vaginitis is true:

(a) Bacterial vaginosis has a mucopurulent greenish discharge.


(b) trichomoshlasis infection has a greyish white discharge.
(c) Yeast infection has white thick discharge.
(d) Non infection vaginitis has a mucopurulent discharge.

Q.10. Which of the following are not risk factors to vaginitis?

(a) Hormonal changes.


(b) Sexually transmitted infections.
(c) Wearing dump and tight panties.
(d) Family history.

PART TWO: SHORT ANSWER QUESTIONS – GYNAECOLOGY –


32 MARKS

Q.1. State the four (4) causes of fistula. 5 marks

Q.2. Describe the clinical staging of carcinoma of the uterus. 6 marks

Q.3. Describe the management of menorrhagia. 5 marks

Q.4. Explain three (3) types of breast cancer spread. 6 marks

Q.5. State four (4) types of investigations carried out to diagnose gynaecological
conditions and their possible indications. 4 marks

Q.6. Describe the pathophysiology of pelvic inflammatory disease. 6 marks


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KMTC/QP-07/TIS

PART THREE: LONG ANSWER QUESTIONS – GYNAECOLOGY – 20


MARKS

Q.1. Mrs X was admitted to gynaecological ward with history of amenorrhoea for 3/12 and she is
currently using intrauterine device as a family planning method on physical examination
diagnosis of ruptured ectopic pregnancy was reached.

(a) List four (4) possible sites for ectopic pregnancy. 2 marks
(b) State four (4) risk factors of ectopic pregnancy. 4 marks
(c) State five (5) signs and symptoms of ruptured ectopic. 5 marks
(d) Describe the management of Mrs X from admission till discharge. 9 marks

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