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Gynaecological disorders and family welfare

15 Kerala PSC Staff Nurse Gr II practice questions on Gynaecological disorders and family welfare, part of Midwifery and Gynaecological Nursing. The first 15 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

  1. Question 1 · Easy

    Clue cells on a wet mount of vaginal discharge indicate:

    1. ACandidiasis
    2. BTrichomoniasis
    3. CAtrophic (senile) vaginitis
    4. DBacterial vaginosis
    Show answer

    Answer: D · Bacterial vaginosis

    Clue cells are vaginal epithelial cells covered with adherent coccobacilli such as Gardnerella, giving a stippled border. With a thin grey discharge, pH over 4.5 and a fishy odour on adding KOH (whiff test), they fulfil Amsel's criteria for bacterial vaginosis. Metronidazole is the treatment.

    • A: Candidiasis shows budding yeast and pseudohyphae.
    • B: Trichomoniasis shows motile flagellated trophozoites.
    • C: Atrophic vaginitis shows thin epithelium and parabasal cells.

  2. Question 2 · Hard

    An unmarried 16-year-old at 9 weeks of pregnancy asks for termination. Under the MTP Act, whose consent is required?

    1. AHer guardian's written consent
    2. BAn order from a magistrate
    3. CHer own consent alone
    4. DThe man responsible for it
    Show answer

    Answer: A · Her guardian's written consent

    Under the MTP Act, a woman aged 18 or more and of sound mind consents for herself, and no one else's consent is needed. For a minor under 18, or a mentally ill woman, the written consent of the guardian is required. Her identity is kept confidential, and a pregnancy in a minor must also be reported under the POCSO Act.

    • B: No court or magistrate order is required for a guardian-consented MTP.
    • C: A minor's own consent is not enough under the Act.
    • D: The partner's consent has no legal place under the MTP Act.

  3. Question 3 · Easy

    Chhaya (ormeloxifene 30 mg), the non-hormonal weekly pill, is taken in the first 3 months:

    1. AOnce a month
    2. BOnce a day
    3. CTwice a week
    4. DOnce a week
    Show answer

    Answer: C · Twice a week

    Ormeloxifene is a selective oestrogen receptor modulator, a non-steroidal pill. It is taken twice a week for the first 3 months, then once a week, as long as contraception is wanted. Delayed periods are its main side effect, and it has no hormonal side effects such as nausea or weight gain.

    • A: No oral contraceptive in the programme is taken monthly.
    • B: Daily dosing applies to combined and progestogen-only pills.
    • D: Once a week is the dose after the first 3 months.

  4. Question 4 · Hard

    A mother 6 weeks after delivery is exclusively breastfeeding and asks for contraception. Which method should she avoid at this stage?

    1. ACombined oral pill (Mala-N)
    2. BProgestogen-only pill (minipill)
    3. CCondoms
    4. DCopper T 380A
    Show answer

    Answer: A · Combined oral pill (Mala-N)

    Oestrogen in combined pills reduces milk volume, so they are avoided in breastfeeding women until 6 months after delivery. A copper IUCD can be inserted from 6 weeks (or within 48 hours of birth), and the progestogen-only pill and condoms do not affect lactation. The nurse also explains the limits of the lactational amenorrhoea method.

    • B: The progestogen-only pill is a preferred choice in lactation.
    • C: Condoms are safe and have no effect on breastfeeding.
    • D: Copper T does not affect milk and is suitable from 6 weeks.

  5. Question 5 · Medium

    A husband's semen analysis shows 6 million sperm/mL (WHO lower limit 16 million/mL) with normal motility and form. This is:

    1. AAsthenozoospermia
    2. BOligozoospermia
    3. CTeratozoospermia
    4. DAzoospermia
    Show answer

    Answer: B · Oligozoospermia

    A sperm concentration below the WHO lower reference limit, with sperm still present, is oligozoospermia. Azoospermia means no sperm at all, asthenozoospermia means poor motility and teratozoospermia means abnormal forms. The test is repeated after 2-7 days of abstinence before conclusions are drawn.

    • A: Asthenozoospermia refers to low motility, which is normal here.
    • C: Teratozoospermia refers to abnormal morphology, normal here.
    • D: Azoospermia means no sperm in the ejaculate.

  6. Question 6 · Hard

    A woman has a frothy greenish-yellow foul discharge and a strawberry cervix. Metronidazole 2 g single dose is prescribed. Which advice is most important?

    1. ARestrict fluids during the treatment
    2. BStop the drug once the itching settles
    3. CDouche daily with an antiseptic solution
    4. DHer husband needs treatment; avoid alcohol

    Answer and explanation in LearnFree account

  7. Question 7 · Medium

    The most common symptom of a symptomatic uterine fibroid is:

    1. AHeavy menstrual bleeding
    2. BIntermenstrual spotting
    3. CBleeding after the menopause
    4. DSevere vomiting

    Answer and explanation in LearnFree account

  8. Question 8 · Medium

    In an infertility work-up, a sustained rise in basal body temperature in the second half of the cycle shows that:

    1. AThe endometrium is thin
    2. BOvulation has occurred
    3. CThe tubes are patent
    4. DThe semen is normal

    Answer and explanation in LearnFree account

  9. Question 9 · Easy

    Absence of menstruation for 6 months in a woman who previously menstruated is called:

    1. ACryptomenorrhoea
    2. BPrimary amenorrhoea
    3. COligomenorrhoea
    4. DSecondary amenorrhoea

    Answer and explanation in LearnFree account

  10. Question 10 · Medium

    Primary dysmenorrhoea is mainly caused by excess uterine production of:

    1. AProlactin
    2. BProstaglandin F2 alpha
    3. COestrogen
    4. DOxytocin

    Answer and explanation in LearnFree account

  11. Question 11 · Easy

    A thick, curdy white vaginal discharge with intense vulval itching suggests:

    1. ATrichomoniasis
    2. BGonorrhoea
    3. CVulvovaginal candidiasis
    4. DBacterial vaginosis

    Answer and explanation in LearnFree account

  13. Question 13 · Medium

    An ovarian tumour with ascites and right-sided hydrothorax that clear after removal of the tumour (Meigs syndrome) is usually a:

    1. ASerous cystadenocarcinoma
    2. BKrukenberg tumour
    3. CFibroma
    4. DDermoid cyst

    Answer and explanation in LearnFree account

  15. Question 15 · Medium

    Kegel exercises advised for mild uterine prolapse mainly strengthen the:

    1. ARectus abdominis
    2. BGluteus maximus
    3. CDetrusor muscle
    4. DPubococcygeus muscle

    Answer and explanation in LearnFree account

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