Quiz: Final GYNE 6th

1- Clinical sign suggesting malignancy in a pelvi-abdominal mass

A a) Mobile. B a) Heterogenous consistency. C b) Hard nodule in Pouch of Douglas.. D c) Size larger than 12 weeks.

2- Asherman syndrome presents with

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

3- As regard ovulation

A a) Timing is fixed in cycle day 14 even if the cycle is irregular. B b) Timing is after onset of LH surge by 24-36 hours C c) Non-steroidal Anti-inflammatory drugs (NSAIDs) may trigger ovulation D d) Ovulation of more than one follicle is the usual.

3- As regard ovulation

A a) Timing is fixed in cycle day 14 even if the cycle is irregular. B b) Timing is after onset of LH surge by 24-36 hours C c) Non-steroidal Anti-inflammatory drugs (NSAIDs) may trigger ovulation D d) Ovulation of more than one follicle is the usual.

4- Gonadotrophic hormones are expected to be low in

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

5- 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.

6- Dysgerminoma of the ovary

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

7- Differential diagnosis of adnexal mass include all the following except:

A a) Ovarian tumour. B b) Tubo-ovarian abscess. C c) Pedunculated subserous fibroid. D d) Uterine polyp..

8- Clomiphene citrate is an effective treatment in:

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

9- Hyperprolactinemia is basically treated by

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

10- 22. One of the following is a neoplastic cyst of the ovary

A a) Follicular cyst B b) Endometriotic cyst C c) Endometrioid cyst D d) Theca-lutein cys

11- 23. Ovarian cyst can undergo the following changes EXCEPT

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

12- 24. Patients with fibroids can have the following presentations EXCЕРТ

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

13- Positive progesterone challenge test means

A a) The patient is ovulating B b) Estrogen level is abnormally high C c) Patient is not pregnant D d) Outflow obstruction

14- 28. Spasmodic (primary) dysmenorrohea could respond to

A a) Progestin only Contraceptive pills B b) Antihistaminics C c) Antibiotics D d) Non-steroidal anti-inflammatory drugs

15- 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.

16- Regarding infertility; which of the following statements 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 e) It could be preventable in many cases D d) Wife should be investigated first

17- 33. Primary amenorrhea

A a) Mullarian agenesis is associated with abnormal karyotyping. B b) Androgen insensitivity syndrome usually have high Testosteront level in the male range C c) Cryptomenorrhea is almost always due to imperforate hymen. D d) Short stature is commonly found in cases with constitutional delay.

18- The following is a risk factor for development of endometrial hyperplasia and carcinom

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

19- 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

20- 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

21- 45. 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

22- Theca cell tumour of the ovary secrets

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

23- The risk of endometrial cancer is highest in

A a) Swiss-cheese (cystic hyperplasia) B b) Adenomatous hyperplasia C c) Chronic endometritis D d) Atrophic endometrium

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