Quiz: formatives

the most effective defense mechanism of female genital tract against infection is

A a) vaginal lining is columnar epithelium B b) vaginal medium is acidic PH 3.5-4.5 C c) the movements of uterine & tubal cilia towards peritoneum D d) frequent vaginal douching

one of the following considered sexually transmitted disease and called ping bong infection

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

the organism that represents about 90% of bacterial vaginosis causes is

A a) candida non albicans B b) gonococci C c) gardenerella vaginalis D d) streptococci

Pruritus vulvae is the most annoying symptom of

A a) bacterial vaginosis B b) candida vaginitis C c) trichomonas vaginitis D d) chronic cervivitis

nabothian follicles are formed as a sign of

A a) vulvitis B b) vaginitis C c) salpingitis D d) chronic cervicitis

Corpus luteum is the source of secretion of

A a) LH B b) Estradiol. C c) Estrogen D d) Progesterone

If after ovulation, pregnancy does not take place, then the corpus luteum

A a) produces lot of relaxin and oxytocin B b) degenerates in a short time C c) is maintained in the presence of progesterone D d) becomes active and secretes a lot of LH and FSH

After ovulation, the Graafian follicle becomes an endocrine organ

A a) fibrin B b) ovarian tube C c) globulin D d) corpus luteum

Which of the following structures help in collection of ovum after ovulation

A a) Internal os B b) Fimbria C c) Ampulla D d) Isthmus

In a typical menstrual cycle of 28 days, what is the most likely fertile period?

A a) Days 11 to 14 B b) Days 10 and 17 C c) Days 5 to 10 D d) Days 1 to 5

True ligaments of the uterus include the following except

A A. the cardinal ligament B B. broad ligament C C. utero sacral ligament D D. pubocervical ligament

The lower uterine segment characterized by the following except

A A. well devolped decidua B B. loose peritoneium C C. lossly adherent amniotic membrane D D. stretch and dilate during labour

Anteversion of the uterus means

A A. the whole uterus inclined forward on vaginal axis by 90 C B B. the body is bent forward on cervix by 160:170 C C C. the body is bent forward on cervix by 90 C D D. none of the above

Differential Diagnosis Of Heavy Vaginal Bleeding After A Short Period Of Amenorrhea

A a) Metropathia hemorrhagica B b) Abortion C c) Ectopic pregnancy D d) All of the above

The most common cause of AUB in adolescents is

A a) Endometrial carcinoma B b) Complication of pregnancy C c) DUB D d) Uterine fibroid

Severe painless vaginal bleeding after a short period of amenorrhea may be caused by the following

A a) Abortion B b) Ectopic pregnancy C c) Metropathia hemorrhagica D d) All of the above

HSG can give information about

A a) Tubal patency B b) Uterine cavity C c) Pco D d) A &b

Acute PID may be caused by

A a) Bacteroides fragilis B b) E.coli C c) Pepto streptococcus D d) All of the above

The gold standard to confirm the diagnosis of PID is

A a) Leucocytosis B b) Elevated ESR C c) Laparoscopy D d) Ultrasonography

As regard treatment of Tubo-Ovarian Abscess, triple therapy include

A a) Ampicillin +Tetracycline + Vancomycin B b) Metronidazole + Azithromycin + Ciprofloxacin. C c) Clindamycin + Metronidazole + Doxycycline D d) Cefotaxime + Ampicillin + Doxycycline

Female genital prolapses

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" occurs usually after menopause D d) Uterine prolapse has four degrees

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

The most effective treatment in trophic ulcer in prolapse is

A a. Antibiotics B b. Vaginal douches C c. Vaginal pack D d. Local estrogen

Hyperprolactinemia is basically treated by

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

Stress incontinence

A A. Is more common in multiparus B B. Means passing urine frequently C C. Can be treated by antibiotic D D. Almost always is associated with utero-vaginal prolapse

Endometriosis can cause

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

Ovarian cyst can undergo the following changes EXCEPT

A a. Rupture B b. Infection C c. Torsion D d. Calcification

30 years nulliparous woman with menorrhagia not responding to medical treatment and have 4 cm submucous fibroid is best treated by

A A. Hysteroscopic resection of the myoma B B. Hysterectomy C C. Laparoscopic myomectomy D D. Uterine artery embolization

The following isn't true about prolactin hormone

A a. It is polypeptide B b. It is produced by posterior pituitary C c. Its normal value is around 27 ng/dl D d. Hyperprolactinemia is associated with suppression of ovarian function

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.

Ring pessary

A a) It is ideal for young women who want to return fertility B b) At each time, insertion and removal is done by the doctor C c) It is removed for cleaning every 3-6 months D d) It is suitable for old frail women with multiple co-morbidities

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