Quiz: 6th Questions

1. Stage I b cervical carcinoma could be treated by one of the following except

A a) Surgery B b) Radiation C c) Surgery & radiation D d) Chemotherapy

2. Regarding the blood supply of the pelvis:

A a) Anterior division of internal iliac artery gives rise to visceral branches B b) Uterine artery normally cross below ureter lateral to cervix C c) Fallopian tube receives blood supply from ovarian artery only D d) Ovarian artery arises from internal iliac artery

3. The Uterine Cervix:

A a) The normal ectocervix is covered by columnar epithelium B b) Normally is firm inconsistency C c) Normally is difficult to reach in PV examination D d) Normally bleed on touch

3. The Uterine Cervix:

A a) The normal ectocervix is covered by columnar epithelium B b) Normally is firm inconsistency C c) Normally is difficult to reach in PV examination D d) Normally bleed on touch

4. Hirsutism:

A a) It is defined as excessive villous hair in midline areas B b) Combined oral contraceptives (coes) should not be used for treatment C e) Polycystic ovarian syndrome is a common cause D d) Pregnancy is usually contraindicated

5. Fibroid

A a) Common age incidence is before age of 20 years B b) Adenomyosis cannot simulate fibroid in the clinical features C c) Cervical fibroid may result in renal failure D d) Red degeneration usually occurs in postmenopausal women

6. Endometrial sampling

A a) Perforation of the uterus is not a possible complication of D&C B b) It can be done using hysteroscopy C c) It is essential if acute pelvic inflammatory disease is suspected D d) It is indicated if bleeding occurs while using IUD

6. Endometrial sampling

A a) Perforation of the uterus is not a possible complication of D&C B b) It can be done using hysteroscopy C c) It is essential if acute pelvic inflammatory disease is suspected D d) It is indicated if bleeding occurs while using IUD

7. Ovarian cyst

A a) Corpus luteum cyst may undergo rupure and internal haemorrhage B b) Simple cyst maybe multilocular C c) Follicular cyst usually requires laparoscopic treatment D d) Dermoid cyst is a simple cyst

8. Abdominal hysterectomy

A a) It is the only curative treatment for Adenomyosis B b) Bladder injury is not a possible complication C d) It is not essential in ovarian cancer D c) Subtotal abdominal hysterectomy is sufficient if there is endometrial carcinoma

9. A 32 years old unmarried woman complaining of abdominal swelling. She has regular cycle. On examination she has plelvi-abdominal mass about 36 61 | P a g e weeks. Her laboratory investigation revealed Hb 8.5 g/dl. Platelet 330. What is most likely diagnosis

A a. Multiple uterine fibroid B b. Single cervical fibroid C c. Granulosa cell tumour of the ovary D d. Tubo-ovarian mass

10. Complications of post partum haemorrhage include the following except

A a) Hypovolemic shock B b) Renal failure C c) Sheehan syndrome D Asherman syndrome

11. Oligohydramnios is related to which of the following conditions:

A a) Renal agenesis B b) Esophageal atresia C c) Anencephaly D d) Down syndrome

12. Patients with the following condition present by primary amenorrhea

A a) lactation B Imperforate hymen C c) postmenopause D d) Polycystic ovary

13. The commonest cause of abdominal mass in cases of imperforate hymen is

A a) Hematometra B b) Hematosalpinx C Hematocolpos D d) Ovarian cyst

14. Which of these symptoms are not seen in females with hyperprolactinemia

A a) Infertility B b) Galactorrhoea C c) Menstrual irregularities D Hirsuitism

15. A 5-years old girl is noted to have breast enlargement, vaginal bleeding, and an 8-cm pelvic mass. Which of the following is the most likely etiology?

A a) Benign cystic teratoma (dermoid) B b) Brenner tumor C c) Uterine liomyma D Granulosa-theca cell tumor

16. Regarding Teratoma all of the following are true except:

A a) Including mature & immature teratoma & specialized types. B b) Immature teratoma occur only in old age. C c) Mature teratoma is the most common ovarian tumor of young women. D d) Is the commonest ovarian tumor during pregnancy

17. True ligaments of the uterus include the following except:

A a) The cardinal ligament B Broad ligament C c) Utero sacral ligament D d) Pubocervical ligament

18. Treatment of submucous fibroid includes any of the following except

A a) Gonadotophin releasing. Hormone analogue B b Laproscopy. C c) Hysteroscopy. D d) Hysterectomy.

19. The least predictive feature of malignancy in a uterine mass is

A a) pain. B b) Postmenopausal bleeding C c) Passage of necrotic tissues. D d) Rapid increase in size.

20. Cystorectocele with 2ND degree uterine descent during in old age is treated by

A a) Fothergill operation B b) Vaginal hysterectomy C c) Classical repair D d) Abdominal hysterectomy

21. Clications of ovulation induction drugs

A a Ovarian hyperstimulation syndrome (OHSS). B b) Congenital anomalies. C c) Early menopause. D d) Hyperprolactinemia

22. The single best investigation for abnormal uterine bleeding in a 25 years old woman is

A a) Therapeutic hormonal test. B b) Serum Prolactin. C c) Pregnancy test. D d) Serum Progesterone.

23. Which of the following is a risk factor for cancer cervix?

A a) hyperestrogenism B Human papilloma virus C c) Birth trauma D d) Uterine prolapsed

24. Which of the following is NOT a risk factor for PID?

A Use of a barrier method for contraception B b) Vaginal douching C c) Multiple partners ✓ D d) Sounding of the uterus

25. Contraindications of Hormone replacement therapy in menopause are the following excep

A a) Existing breast cancer B b) Existing endometrial cancer C c) Venous thrombo-embolism D d) Postmenopaues with osteoporosis

26. Causes of genital prolapse include the following except:

A a) Obstetric trauma B b) Congenital weakness of the supporting ligaments C c) Traction on the uterus by large cervical fibroid D d) Repeated cesarean sections

27. Investigations for detection of ovulation include the following except:

A a) Hystrosalpingogram (HSG) B b) Ultrasound C C) Day 22 serum progesterone D d) Laparoscopy

28. Risk of pregnancy with COCs is greatest when:

A Woman misses 3 or more pills B b) At any time missed one pill C (c) The women are lactating D d) The pill is not taken at the same hour every day

1. Theca cell tumor of ovary secretes:

A a) Androgen B b) Progesterone C c) Estrogen D d) AFP.

2. Which of the following is a predisposing factor for cancer cervix…?

A a) Hyperestrogenism B b) Low parity C c) HPV D d) Uterine prolapsed

2. Which of the following is a predisposing factor for cancer cervix…?

A a) Hyperestrogenism B b) Low parity C c) HPV D d) Uterine prolapsed

2. Asherman syndrome presents with:

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

3. Clomiphene citrate is an effective treatment in:

A a) Sheehan syndrome B b) Turner syndrome C c) Asherman syndrome D d) Polycystic ovarian syndrome.

4. Combined oral contraceptive pills:

A a) Is safe for use in patient with history of gall bladder disease B b) Pills contains 3rd generation progestogens are more effective than those containing 2nd generation progestogens C c) Have failure rate comparable to condoms D d) Is associated with a reduction in the risk of both cervical and ovarian cancer.

6. Differential diagnosis of abnormal uterine bleeding with symmetrically enlarged uterus include the following except:

A a) Metropathia hemorrhagica B b) Complication of pregnancy as abortion or ectopic pregnancy C c) Submucous uterine fibroid D d) Multiple uterine fibroid.

6. Differential diagnosis of abnormal uterine bleeding with symmetrically enlarged uterus include the following except:

A a) Metropathia hemorrhagica B b) Complication of pregnancy as abortion or ectopic pregnancy C c) Submucous uterine fibroid D d) Multiple uterine fibroid.

7. Endometriosis can cause:

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

8. Gonadotrophin (FSH & LH) are expected to be very low in:

A a) Menopause B b) Turner syndrome. C c) Sheehan syndrome D d) Asherman syndrome

9. In obstructive azoospermia:

A a) FSH IS HIGH, testosterone is low. B b) FSH is low, testosterone is low C c) FSH IS normal, testosterone is low. D d) FSH IS normal, testosterone is normal

10.Regarding infertility, which of the following statement is true:

A a) It is 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.

11.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.

12.The following is a risk factor for development of endometrial hyperplasia and carcinoma:

A a) PCOS B b) Progestogen therapy C c) Estrogen and progesterone combined oral contraceptive pills. D d) Danazol treatment.

13.The following is not involved in adams chriteria for diagnosis of PCOS:

A a) Obesity B b) Hyperandrogenism C c) Oligo-ovulation D d) Polycystic appearance of the ovary by US.

14.The following is proper management of female genital prolapse:

A a) Fothergill’s operation for vault prolapse. B b) Local estrogen for trophic ulcers C c) Classical repair for uterine prolapse. D d) Leforte operation for woman with stress incontinence.

15.The most accurate method for anatomical evaluation of endometrial cavity:

A a) Hystroscope B b) Dilatation and curettage C c) US D d) LAPAROSCOPY.

16.The most common ovarian cancer is:

A a) Epithelial B b) Sex-cord stromal C c) Extra-ovarian D d) Germ-cell tumor.

17.The most commonly used method to detect ovulation is:

A a) Ferning test B b) Premenstrual endometrial biopsy C c) US folliculometry D d) Laparoscopy

18.A 30 years old diabetic woman complaining of scanty crudy white non offensive vaginal discharge and pruritus out of offensive vaginal discharge and pruritus out of proportion to the amount of discharge mostly due to;

A a) Bacterial vaginosis B b) Vulvo-vaginal moniliasis C c) Trichomonas vaginalis D d) Nonspecific vaginitis.

19.A 45years old woman complains of menorrhagia for 1 year fails to respond to medical treatment. D & C biopsy reveals no malignancy. The most appropriate next step is?

A a) Blood transfusion and iron therapy. B b) Hysterectomy. C c) Radiological treatment. D d) GnRH analogue.

20.A-46-years-old woman P1+0, has a 15 years old son, presented with 2ry amenorrhea for 7 months. She desires to get pregnant. After exclusion of pregnancy by -ve pregnancy test, the following is the next step:

A a) Progesterone assay. B b) D & C C c) FSH assay D d) Ultrasonograpy.

1. Embryologically the uterus developed from:

A a) Mullerian duct B b) Mesonephric duct C c) Genital tubercle D d) Garteners duct

2. Treatments of menorrhagia include all of the following except:

A progestins only B b. combined oral contraceptives C c. induction of ovulation D d. methotrexate

3. Causes of 1ry amenorrhea include all of the following except:

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

4. 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

5. Polycystic ovary syndrome is characterized by except:

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

6. Medical induction of ovulation for PCOS include all of the following except

A a) Tamoxifen B b) Clomiphen citrate C c) Laparoscopic ovarian drilling D d) Gonadotropins

7. 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

8. Hyperprolactinemia is present in the following conditions except:

A a) prolactinoma B b) Lactation C c) Pregnancy D d) Sheehan's syndrome

9. 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

10. Treatment of 3 degree uterine prolapse in postmenopausal women is by:

A a) Vaginal hysterectomy B Classical repair C c) Abdominal hysterectomy D d) Fothergill operation

11. Vaginities 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) Non specific vaginities

12. The followings are causes of secondary amenorrhea except:

A a) Pregnancy B b) lactation C c) PCOS D d) Mullerian duct agenesis

13. The followings are contraindications of COC pills except:

A a) Thrombo-embolic diseases B b) Endometrial carcinoma C c) Varicose veins D d) History of ectopic pregnancy

14. IUCD is contraindicated in the following except:

A a) Incompetent cervix B b) Genital tract infection C c) Uterine anomalies D d) multigravida

15. All of the following are hormonal contraceptives except:

A a) MIRINA IUCD B b) Combined oral contraceptives C c) Minipills D d) spermicidal

18. Functional ovarian cysts include:

A a) Follicular cysts B b) chocolate cyst C Dermoid cyst D d) Hydatid cyst.

19. Uncomplicated fibroid during pregnancy is best treated by:

A a) Myomectomy during pregnancy B b) Myomectomy during CS c C c) Conservative treatment D d) laparoscopic removal

20. The commonest presentation in ovarian neoplasm is:

A a) Abnormal uterine bleeding B b) Pelvi abdominal swelling. C c) GIT symptoms (dyspepsia) D d) distant metastasis

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