Quiz: End module

Uterine sound may show uterine length of 12 cm in the following condition

A a)-Chronic inversion B b)-Uterine prolapse C c)-Ovarian tumour D d)-Atrophic endometritis

Postmenopausal bleeding

A a) Endometrial biopsy is indicated for all women who have postmenopausal bleeding B b) Spotting in the post-menopausal women is not enough to diagnose the case as C c) Asymptomatic menopausal women are usually offered routine yearly screening by transvaginal ultrasound D d) Endometrial biopsy is ideally taken under hysteroscopic guide

The following is not essential for diagnosis of Polycystic ovarian syndrome (PCOS)

A a. Obesity B b. Hyperandrogenism C c. Oligo-ovulation D d. Increased ovarian volume

The typical presentation of submucous fibroid is

A a. Asymptomatic B b. Chronic pelvic pain C C. Metrorrhagia D d.Urinary frequency

The most common complication of cervical fibroid is

A a) Uterine inversion B b) Hydronephrosis C C. Malignancy D d) Heart failure

A common cause of huge pelvi-abdominal mass is

A a) Cervical fibroid B b) Mucinous ovarian tumour C c. Diffuse adenomyosis D D. Pyometra

The following is essential before myomectomy in all cases

A a) Consent for hysterectomy B b) Gonadotrophin releasing hormone (GnRH analogue) C C. Preoperative blood transfusion D d.Dilitation and curettage

Hormonal contraception Is contraindicated in

A a) Current breast feeding B b) History of breast cancer C C. History of recurrent tonsillitis D D. Superficial varicose veins

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

the minimum required normal sperm concentration according to WHO 2010

A a) 15 million/ml B b) 20 million/ml C C. 32 million/ml D D. 40 million/ml

The most commonly used method to detect ovulation is

A a) Ferning test B b) Premenstrual endometrial biopsy C C. Ultrasound D D. laparoscopy

A 20-year old patient presents with primary amenorrhea. She has normal breast development with normal axillary and pubic hair growth. Diagnostic possibilities include

A a) Triple x syndrome B b) turner syndrome C C.Mullerian duct agenesis D D.Klienfilter syndrome

The most common cause of physiological primary amenorrhea is

A a) Lactation B B.menopause C C. pregnancy D D. none of the above

Female genital prolapse

A a) Cystocele is herniation of the bladder through the vaginal wall B b) Enterocele is a prolapse of the posterior vaginal wall along with the rectum C C. "Virginal prolapse menopause occurs usually after D D. Uterine prolapse has four degrees

The strongest ligamentary support of the genital tract is

A a) The broad ligament B B) The pubocervical ligament C C. The cardinal ligament (Mackenrodt's ligament) D D. The round ligament

Theca cell tumour of the ovary secrets

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

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

A a. PCO B b. Clomiphene therapy C C. Estrogen and progesterone D D. combined oral contraceptive pills (COC)

The following is proper management for female genital prolapse

A a) Local estradiol for trophic ulcer B b) Fothergill's operation for vault prolapse C C. Classical repair for uterine prolapse D D. Leforte operation for woman with stress incontinence

In woman with ovarian cancer, past history of the following malignancy is relevant

A a) Vulval B B. Cervical C C. Bone D d. Breast

Stage I b cervical carcinoma could be treated by one of the following modalities EXCEPT

A A.Surgery B b.Surgery & radiation C C. Radiation D d.Chemotherapy

Theca cell tumor of ovary secretes

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

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

Asherman syndrome presents with

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

Clomiphene citrate is an effective treatment in

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

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.

Cystorectocele with 1st degree uterine descent during reproductive period is treated by

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

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.

Endometriosis can cause

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

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

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

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.

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.

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.

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.

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.

The most accurate method for anatomical evaluation of endometrial cavity

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

The most common ovarian cancer is

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

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

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.

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.

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 o 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.

Embryologically the uterus developed from

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

Treatments of menorrhagia include all of the following except

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

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

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

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

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

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 conditions except

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

Sign in required