Quiz: MCQ Collection

the strongest ligamentary support of the genital tract is ?

A a) The broad ligament. B b) The cardinal ligament (Mackenrodt ligament). C c) Pubocervical ligament. D d) The round ligament.

endometriosis can cause ?

A a) Amenorrhea B b) Dyspareunia. C c) Fixed anteverted uterus. D d) Acute retention of urine.

theca cell tumor of the ovary secrets

A a) Estrogen. B b) Androgen C c) Progesterone. D d) alpha-feto protein.

patient with fibroid can have the following presentations except ?

A a) Acute abdomen B b) Menorrhagia. C c) no symptoms. D d) Amenorrhea.

regarding primary ovarian failure ?

A a) FSH is low. B b) Estrogen is low. C c) Can be treated with gonadotrophins. D d) Is due to bacterial infection of the ovary.

hyperprolactinemia basically treated by?

A a) Clomiphene citrate. B b) Danazol. C c) Bromocriptine. D d) Surgery

retention of urine in gynecology practice could be due to one of the following except ?

A a) Cervical fibroid. B b) corporeal fibroid. C c) imperforate hymen. D d) postoperative pain.

an apparently normal female presents with primary amenorrhea and delayed breast development. Which of the following could be a possible Cause ?

A a) Cryptomenorrhea. B b) turner syndrome. C c) Mullerian duct agenesis. D d) cervical dysgenesis.

A 44 -year old woman who has 15 year old son presents with secondary amenorrhea for 7 months. She expresses the desire to get pregnant again. of pregnancy which of the following is next indicated ?

A a) Progesterone assay. B b) D&C. C c) U/S. D d) FSH assay.

which of the following is predisposing to cancer cervix ?

A a) Hyperestrogenism. B b) HPV. C c) birth trauma D d) uterine prolapsed.

Asharman syndrome presents with

A a) Dysmenorrhea. B b) Oligomenorrhea. C c) Hypomenorrhea D d) Metrorrhagia.

Regarding vaginal septum the following are true except

A a) It could be associated with difficult labor. B b) It could present with dyspareunia C c) The low level septum is more difficult to treat than the high level. D d) It could be diagnosed for the first time during labour.

Endometriosis can cause

A a. Dysmenorrhea. B b. Dyspareunia. C c. fixed extroverted uterus. D d. all of the above.

Cystocele with second degree uterine descend during reproductive period is treated by

A a. Classical repair B b. modified fothergel operation. C c. vaginal hysterectomy D d. abdominal hysterectomy.

Dysgerminoma of the ovary

A a. Is an epithelial tumour. B b. Sometimes secretes HCG. C c. Is highly sensitive to radiation. D d. Is common in post menopause.

Regarding infertility which of the following statement is true

A a. Its failure to achieve pregnancy after one year of regular marital life. B b. 30% of married couples have an infertility problem. C c. It could be preventable in many cases D d. Wife should be investigated first.

Gonadotrophic hormones are expected to be low in

A a. Menopause. B b. turner syndrome. C c. Sheehan syndrome. D d. Asharman syndrome.

Clomiphene citrate is an effective treatment in

A a. Sheehan syndrome B b. turner syndrome. C c. Asharman syndrome. D d. none of the above.

Stage 1b cervical carcinoma could be treated by any of the following modalities except

A a. Surgery. B b. Radiation. C c. Surgery and radiation. D d. Chemotherapy.

Endometrial hyperplasia could be associated with

A a) Progesterone excess. B b) Estrogen lack. C c) Granulosa cell tumour of the ovary. D d) Androgen excess.

The most accurate method for anatomical evaluation of endometrial cavity

A a) Hysteroscopy. B b) dilatation and endometrial curettage. C c) Ultrasonography. D d) Laparoscopy.

ovarian cysts can undergo following changes

A a) Rapture. B b) Infection. C c) Torsion. D d) all of the above

Embryologically the uterus developed from

A a) Mullerian duct B b) mesonephric duct C c) genital tubercle D d) garteners duct

Treatment of menorrhagia include all of the following except

A a) Progestins only B b) COCs C c) induction of ovulation D d) methotrexate

causes of primary amenorrhea include all the following except ?

A a) imperforate hymen B b) Mullerian duct agenesis C c) turner syndrome D d) lactation

the most common cause of secondary amenorrhea is ?

A a) post pill amenorrhea B b) pregnancy C c) menopause D d) none of the above

PCO syndrome is ch.ch by except ?

A a) Chronic anovulation B b) Hyper-androgenism C c) multiple small ovarian follicles D d) small ovarian volume

medical induction of ovulation for PCOS include all of the following except ?

A a) tamoxifen B b) clomiphene citrate C c) laparoscopic ovarian drilling D d) gonadotropins

clinical findings of imperforate hymen include all of the following except ?

A a) primary amenorrhea B b) retention of urine C c) oligomenorrhea D d) pelvi-abdominal swelling

hyperprolactinemia is present in the following condition except ?

A a) prolactinoma B b) lactation C c) pregnancy D d) Sheehan syndrome

The most common cause of genital prolapse is ?

A a) Obstetric trauma B b) congenital weak ligaments C c) traction on the uterus by fibroid D d) menopausal atrophy

treatment of third degree uterine prolapse in post-menopausal women is by ?

A a) vaginal hysterectomy B b) classical repair C c) abdominal hysterectomy D d) fothergill operation

vaginitis with curdy white non offensive discharge and itching is caused by ?

A a) monilial vaginitis B b) trichomonas vaginitis C c) bacterial vaginosis D d) nonspecific vaginitis

they are the contraindications of COC pills except ?

A a) thrombo-embolic diseases B b) endometrial carcinoma C c) varicose veins D d) history of ectopic pregnancy

IUCD is contraindicated in the following except ?

A a) Incompetent cervix B b) genital tract infection C c) uterine anomalies D d) multigravida

all of the following are hormonal contraceptive except ?

A a) mirina IUCD B b) COCs C c) minipills D d) spermicidal

the most common cause of primary infertility is

A a) tubal factor B b) ovarian factor C c) uterine factor D d) vaginal factor

the most difficult diagnosis of genital tract malignancy is ?

A a) ovarian B b) endometrial carcinoma C c) cervical D d) vaginal

functional ovarian cysts include ?

A a) follicular B b) chocolate C c) dermoid D d) hydatid

uncomplicated fibroid during pregnancy is best treated by ?

A a) myomectomy during pregnancy B b) myomectomy during CS C c) conservative treatment D d) laparoscopic removal

the commonest presentation in ovarian neoplasm is ?

A a) AUB B b) pelvi abdominal swelling C c) GIT symptoms(dyspepsia) D d) distant metastasis all staff member wish you go die

the following viruses are sexual transmitted except ?

A a) HIV B b) HBV C c) HPV D d) HAV

the following viruses are sexual transmitted except ?

A a) HIV B b) HBV C c) HPV D d) HAV

Retention of urine in gynecology practice could be due to one of the following except ?

A a) Cervical fibroid B b) uterine body fibroid C c) imperforate hymen D d) postoperative pain

Retention of urine in gynecology practice could be due to one of the following except ?

A a) Cervical fibroid B b) uterine body fibroid C c) imperforate hymen D d) postoperative pain

Endometriosis can cause ?

A a) Dysmenorrhea B b) dyspareunia C c) fixed retroverted uterus D d) all of the above

clomiphene citrate is an effective treatment in ?

A a) Sheehan syndrome B b) turner syndrome C c) Asharman syndrome D d) PCO

Frothy grayish yellow vaginal discharge is characteristic of ?

A a) Genital TB B b) candidiasis C c) bacterial vaginosis D d) trichomonas vaginalis infection

the endometrial cavity can be assessed by using ?

A a) CA 125 B b) biopsy C c) US D d) laparoscopy

In an amenorrheic patient who had hypogonadotrophic amenorrhea which of the following is most likely to result in ovulatory cycle ?

A a) HMG B b) HCG C c) HMG followed by HCG D d) clomiphene citrate

the following is a risk factor for development of endometrial hyperplasia and Carcinoma?

A a) PCOs B b) Clomiphene citrate C c) COCs D d) Danazol ttt

DD of adnexal mass include all the following except ?

A a) Ovarian tumor B b) Tubo-ovarian abscess C c) pedunculated subserous fibroid D d) uterine polyp

which (one) of the following is a neoplastic cyst of the ovary ?

A a) follicular cyst B b) endometriotic cyst C c) endometroid cyst D d) theca lutein cyst

fitz-houg-curtls syndrome is described in ?

A a) chlamydia infection B b) monilial vaginitis C c) genital TB D d) herpes genitals

which of the following is a sure detector of ovulation?

A a) ultrasonographic ovulation monitoring B b) detection of secretory endometrium in premenstrual endometrial biopsy C c) biphasic temperature chart D d) occurrence of pregnancy

the most common cause of physiological primary amenorrhea is ?

A a) Lactation B b) Pregnancy C c) Menopause D d) None of the above

clinical finding of low transverse vaginal septum include all the following except ?

A a) Primary amenorrhea B b) retention of urine C c) oligo hypomenorrhea D d) pelvi abdominal swelling

treatment of 2nd degree uterine prolapse without elongation of cervix in young women is by ?

A a) vaginal hysterectomy B b) classical repair C c) abdominal hysterectomy D d) modified fothergill operation

the most common causes(in order ) of abnormal vaginal discharge in adult women are ?

A a) moniliasis, bacterial vaginosis, trichomoniasis. B b) bacterial vaginosis, moniliasis, trichomoniasis. C c) trichomoniasis, bacterial vaginosis, candidiasis. D d) trichomoniasis, candidiasis, bacterial vaginosis.

All of the following are related to Amsel criteria except ?

A a) Vaginal PH<4.5 B b) Greyish white vaginal discharge C c) Positive whiff test D d) The presence of clue cells

The following are causes of true pathological amenorrhea except ?

A a) Thyroid diseases B b) turner’s syndrome C c) Asharman syndrome D d) transverse vaginal septum

the most common cause of genital prolapse is ?

A a) traction on the uterus by large cervical fibroid B b) congenital weakness of the supporting ligaments C c) obstetric trauma D d) all of the above

the following are true about uterine fibroids ?

A a) once diagnosed surgery is indicated B b) red degeneration is more common in post menopause C c) hyaline degeneration is a possible complication D d) cannot be treated by endoscopic surgery

complete procidentia in postmenopausal women is treated by ?

A a) Abdominal sling operation B b) Vaginal hysterectomy C c) Sacrospinous fixation D d) Abdominal hysterectomy

Depo Provera (DMPA)?

A a) Contains both progesterone and estrogen B b) Is effective for 10-12 weeks C c) Contains only estrogen D d) Return to fertility immediately after ……….its …..

The following are true regarding oral contraceptive pills?

A a) They decrease the risk of ovarian cancer B b) They are contraindicated in parous women with endometriosis C c) They are absolutely contraindicated in young nulliparous girls needs short period of contraception D d) They decrease the risk of thrombosis

Adenomyosis is located in the following site?

A a) The pouch of Douglas B b) The ovary C c) The broad ligament D d) The myometrium

66- A 23 year old women with confirmed PID presents right upper quadrant pain. What is the most likely diagnosis?

A a) Cholecystitis B b) Nephrolithiasis C c) Asharman syndrome D d) Fitz-Hugh-Curtis syndrome

Which of the following non-malignant adnexal masses can give rise to Meigs syndrome?

A a) Ovarian fibroma B b) Para tubal cyst C c) Hydrosalpinx D d) Endometrioma

Urinary retention in a female can be due to the following except?

A a) Retroverted gravid uterus B b) Haematocolpos C c) Cervical fibroid D d) Funds small subserous fibroid

Lactational amenorrhea method of contraception?

A a) Is an effective method of all circumstances B b) Can be practice when baby is less than 6 months C c) Is 100% effective D d) Is most affecting when mother is menstruating

The following are lesions of the vulva caused by sexually transmitted infectious agent?

A a) Condylomata acuminata B b) Sebaceous cyst C c) Bartholin cyst D d) Lichen sclerosis

The following is not a landmark in the pelvic inlet?

A a) Sacral promontory B b) Sciatic notch C c) The ala of the sacrum D d) The pubic crest

A 5 years old girl have breast enlargement, vaginal bleeding, and ovarian mass. The most likely etiology is?

A a) Benign cystic teratoma B b) Endometrial sinus tumor C c) Choriocarcinoma D d) Granulosa theca cell tumor

The following are causes of secondary amenorrhea except?

A a) Lactation B b) Pregnancy C c) PCOs D d) Mullerian duct agenesis

the last step in fothergill operation is

A a) shortening of cardinal ligaments. B b) posterior colpo-perineorrhaphy. C c) dilatation and curettage D d) anterior colporrhaphy

In ovulation cycles with luteal phase defect the basal body temp. chart is

A a) mono-phasic B b) step ladder C c) bi phasic D d) none of the above.

Investigations for detection of ovulation include the following except

A a) mid luteal serum estrogen B b) mid luteal serum progesterone C c) ultrasound D d) laparoscopy

The most common presentation in ovarian neoplasm is

A a) GIT symptoms B b) pelvi abdominal swelling C c) abnormal uterine bleeding D d) none of the above

Causes of soft fibroid include the following except

A a) red degeneration B b) inflammatory changes C c) malignant transformation D d) calcareous degeneration

The type of uterine fibroid which is presented mainly by pressure symptoms is

A a) submucous fibroid B b) subserous fibroid C c) cervical fibroid D d) interstitial fibroid

All genital tract carcinomas prefer lymphatic spread more than blood spread except

A a) choriocarcinoma B b) endometrial carcinoma C c) cervical carcinoma D d) none of the above

The most common cause of 2ry infertility is

A a) ovarian factor B b) tubal factor C c) uterine factor D d) all of the above

The most common cause of 1ry infertility is

A a) ovarian factor B b) tubal factor C c) uterine factor D d) none of the above

All of the following are non-hormonal contraceptives except

A A) male condom B B) cervical cap C C) vaginal diaphragm D D) Mirina IUCD

IUCD is contraindicated in the following except

A a) Incompetent cervix B b) genital tract infection C c) History of previous ectopic pregnancy D d) ovarian cyst

The following are contraindications of C.O.C pills except

A a) thrombo-embolic diseases B b) malignant hypertension C c) varicose veins D d) lactation after the 6th months

The characteristic non offensive vaginal discharge which is curdy white anddiagnosed by the presence of spores in vaginal smear is present in

A a) trichomonas vaginitis B b) bacterial vaginitis C c) monilial vaginitis D d) all of the above

Vaginitis which is associated with a non curdy yellow or gray offensive discharge is

A a) trichomonas vaginitis B b) bacterial vaginitis C c) a&b D d) none of the above

TTT of complete procidentia in postmenopausal women is by

A a) abdominal hysterectomy B b) classical repair C c) all of the above D d) none of the above

TTT of complete procidentia in postmenopausal women is by

A a) abdominal hysterectomy B b) classical repair C c) all of the above D d) none of the above

The most common cause of genital prolapsed in nullipara is

A a) congenital weakness of the supporting ligament B b) traction on uterus by large cervical fibroid C c) obstetric trauma D d) all of the above

The following may cause hyperprolactinemia except

A a) local breast scar B b) pregnancy C c) metoclopramide D d) bromocriptine

The following are causes of Sheehan $ except

A a) severe A.P.Hge B b) severe P.P.Hge C c) intrauterine infection D d) pituitary tumors destroying ant. Lobe of pituitary gland

Medical TTT of P.C.O.S include all of the following except

A a) Metformin B b) anti-estrogen C c) gonadotrophins D d) laparoscopic ovarian drilling

the narrowest part of fallopian tube is

A a) the ampulla. B b) the isthmus. C c) the infundibulum. D d) the interstitial portion.

the earliest clinical manifestation of Sheehan syndrome is

A a) failure to resume normal menstrual cycle. B b) early mammary involution and failure to lactate. C c) adrenal insufficiency. D d) loss of libido.

the comment cause of uterine prolapse is

A a) congenital weakness of cervical ligament B b) increased intra-abdominal pressure. C c) fibromyomas. D d) obstetric trauma.

the main cause of recurrent prolapsed after surgical correction in

A a) congenital weakness of the supports B b) the presence of infections. C c) poor surgical technique. D d) missing a hernia of Douglas pouch.

the most common cause of death in cancer cervix is

A a) haemorrhage. B b) infection. C c) cachexia. D d) uraemia.

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