You are a medical education expert. Your task is to generate 200 high-quality MCQs (100 Obstetrics + 100 Gynaecology) in USMLE/UWorld/UHS (University of Health Sciences, Lahore) style, based on the Ten Teachers textbook (Obstetrics by Ten Teachers & Gynaecology by Ten Teachers). Then compile them into a professionally formatted PDF. ## STYLE REQUIREMENTS - Clinical vignette-based (patient scenario first, then question) - Each question has 5 options (A-E) with ONE best answer - Question types: Next best step in management, Investigation of choice, Most likely diagnosis, Drug of choice, Complication, Mechanism, Contraindication - Add 1-2 plausible distractors that catch common mistakes - Each question followed by Answer + Detailed Explanation (3-6 lines) referencing the concept from Ten Teachers - Difficulty: Mix of easy, medium, hard (like UHS/USMLE Step 2 CK level) ## TOPICS TO COVER ### OBSTETRICS (100 MCQs) - cover ALL these topics: 1. Antenatal care & physiology of pregnancy (5 MCQs) 2. Hyperemesis gravidarum (3 MCQs) 3. Hypertensive disorders - Pre-eclampsia, Eclampsia, HELLP (8 MCQs) 4. Gestational diabetes mellitus (5 MCQs) 5. Antepartum hemorrhage - Placenta previa, Abruption (8 MCQs) 6. Normal labor & delivery (5 MCQs) 7. Abnormal labor - dystocia, obstructed labor (5 MCQs) 8. Operative delivery - forceps, vacuum, C-section (5 MCQs) 9. Postpartum hemorrhage (6 MCQs) 10. Puerperal sepsis & infections (4 MCQs) 11. Ectopic pregnancy (6 MCQs) 12. Miscarriage & recurrent pregnancy loss (5 MCQs) 13. Molar pregnancy / GTD (5 MCQs) 14. Preterm labor & PPROM (5 MCQs) 15. Fetal growth restriction & liquor abnormalities (5 MCQs) 16. Multiple pregnancy (4 MCQs) 17. Rhesus incompatibility (4 MCQs) 18. Thromboembolism in pregnancy (3 MCQs) 19. Cardiac disease in pregnancy (3 MCQs) 20. Infections in pregnancy (TORCH, GBS, etc.) (5 MCQs) 21. Placenta & membranes anatomy/pathology (2 MCQs) 22. Shoulder dystocia (2 MCQs) 23. Cord prolapse (2 MCQs) 24. Breech presentation (2 MCQs) 25. Postdates pregnancy (2 MCQs) ### GYNAECOLOGY (100 MCQs) - cover ALL these topics: 1. Menstrual cycle physiology (4 MCQs) 2. Amenorrhoea - primary & secondary (6 MCQs) 3. Polycystic ovarian syndrome (6 MCQs) 4. Dysmenorrhoea & endometriosis (6 MCQs) 5. Uterine fibroids (leiomyoma) (6 MCQs) 6. Abnormal uterine bleeding (5 MCQs) 7. Prolapse & urinary incontinence (6 MCQs) 8. Cervical cancer & cervical pathology (7 MCQs) 9. Endometrial cancer (5 MCQs) 10. Ovarian cancer & ovarian cysts (8 MCQs) 11. Vulval conditions & vulval cancer (4 MCQs) 12. STIs & pelvic inflammatory disease (6 MCQs) 13. Infertility - male & female (6 MCQs) 14. Contraception (7 MCQs) 15. Menopause & HRT (5 MCQs) 16. Ectopic pregnancy (already in obs, do 2 more unique gynae angle ones) 17. Vaginal discharge & infections (4 MCQs) 18. Endometrial hyperplasia (3 MCQs) 19. Turner syndrome & other genetic conditions (2 MCQs) 20. Gestational trophoblastic disease (gynae management) (3 MCQs) 21. Hirsutism & androgen disorders (2 MCQs) 22. Asherman syndrome & uterine anomalies (2 MCQs) 23. Colposcopy & LLETZ (1 MCQ) 24. Hysteroscopy & laparoscopy indications (2 MCQs) ## FORMAT FOR EACH MCQ: ``` Q[number]. [Clinical vignette - 3-5 lines scenario] A. [Option] B. [Option] C. [Option] D. [Option] E. [Option] Answer: [Letter]. [Option text] Explanation: [3-6 lines of detailed explanation covering the key concept, why correct answer is right, why common distractors are wrong, referencing Ten Teachers principles] --- ``` ## EXAMPLE MCQ (to match this style): ``` Q1. A 28-year-old primigravida at 38 weeks gestation presents with severe headache, visual disturbances, and epigastric pain. BP is 168/112 mmHg. Urine dipstick shows 3+ proteinuria. She is afebrile. Labs show platelets 88,000/µL, ALT 210 U/L, AST 195 U/L. What is the most appropriate next step in management? A. IV labetalol and continue pregnancy until 40 weeks B. Oral nifedipine and discharge home with BP monitoring C. IV magnesium sulfate, antihypertensives, and deliver immediately D. Corticosteroids for fetal lung maturity and deliver at 34 weeks E. Urgent MRI brain to rule out intracranial pathology Answer: C. IV magnesium sulfate, antihypertensives, and deliver immediately Explanation: This patient has HELLP syndrome (thrombocytopenia, elevated liver enzymes) superimposed on severe pre-eclampsia. HELLP at ≥34 weeks is an absolute indication for delivery regardless of gestation. IV MgSO4 prevents eclamptic seizures (loading dose 4g, maintenance 1-2g/hr). Antihypertensives (IV labetalol or hydralazine) control BP to prevent stroke. Option A is wrong - severe features mandate delivery. Option D applies to preterm HELLP (< 34 weeks). Option E delays definitive treatment and is not first-line. --- ``` ## TASK: 1. Generate all 200 MCQs following the above format strictly 2. Save as a Python script at /home/daytona/workspace/gynobs_mcqs/generate_pdf.py that uses reportlab to create a professional PDF 3. Execute the script to generate the PDF at /home/daytona/workspace/gynobs_mcqs/Gynae_Obs_200_MCQs_TenTeachers.pdf 4. Return the final PDF path ## PDF FORMATTING REQUIREMENTS: - Title page: "200 MCQs - Obstetrics & Gynaecology" subtitle "Based on Ten Teachers | USMLE / UWorld / UHS Style" date July 2026 - Two sections clearly labeled: SECTION A - OBSTETRICS (Q1-Q100) and SECTION B - GYNAECOLOGY (Q101-Q200) - Professional layout: question in bold, options in normal text, Answer in green bold, Explanation in grey box - Page numbers - Use reportlab library (pre-installed) - A4 page size - Readable fonts, proper margins Make sure ALL 200 questions are fully written out in the Python script as string data before generating the PDF. Do not use placeholder text. Write out each MCQ completely. This is the most important requirement.

mkdir -p /home/daytona/workspace/gynobs_mcqs && echo "Directory created"

mkdir -p /home/daytona/workspace/gynobs_mcqs && echo "dir ready"

mkdir -p /home/daytona/workspace/gynobs_mcqs && echo "ready"