Quiz: formatives 2024

1. * 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) .Clomiphene citrate D d) .HMG followed by HCG

2. A 44-year old woman who has 15 year old son presents with the complaint of amenorrhea for7 months. She expresses the desire to .3 (* get pregnant again. After exclusion of pregnancy, which of the following is next indicated

A A. progesterone assay B B. D & C C C. Ultrasound D D. D.FSH assay

3. Abnormal uterine bleeding .4

A a) Meno-metrorrhagia is heavy irregular uterine bleeding B b) Metrorrhagia is cyclic bleeding C c) Polymenorrhea is equal to “Heavy menstrual bleeding D d) Cusco’s speculum examination is contraindicated in women with menorrhagia

4. Abnormal uterine bleeding .5

A a) Adenomyosis usually present as pain and bleeding B b) Endometrial hyperplasia is usually asymptomatic C c) Non-steroidal anti-inflammatory drugs may cause abnormal uterine bleeding D d) Bleeding cannot be due to blood disease

5. Frothy grayish yellow vaginal discharge is characteristic of .6

A A. Genital tuberculosis B B. Candidiasis C C. Bacterial vaginosis D D. Trichomonas vaginalis infection

6. Regarding primary ovarian failure .7

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

7. Spasmodic (primary) dysmenorrohea could respond to .8

A A. Progestin only Contraceptive pills B B. Antihistaminics C C. Antibiotics D D. Non-steroidal anti-inflammatory drugs

8. Gonadotrophic hormones are expected to be low in .9

A A. Menopause B B. Turner syndrome C C. Sheehan syndrome D D. Asherman syndrome

9. Puberty .10

A a) Thelarche means development of pubic and axillary hair B b) Growth spurt is the third event in pubertal development C c) Puberty spans a period of 2-4 years D d) Precocious puberty maybe caused by GnRH analogue therapy

10. The ovarian cycle .11

A a) The duration of the luteal phase is fixed and the follicular phase is variable B b) The ovulation is associated with decrease of the cervical mucus secretion C c) The FSH is the main hormone responsible for the maintenance of the corpus luteum D d) The endometrium shedding during menstruation involves the basal layer

11.Primary amenorrhea .12

A a) Premature ovarian failure is a cause for primary amenorrhea B b) Women with androgen insensitivity syndrome usually have normal uterus C c) Turner’s syndrome usually has 45X0/46/XX karyotype D d) Turner’s syndrome usually has absent vagina

12. Primary amenorrhea .13

A a) Mullarian agenesis is associated with abnormal karyotyping B b) Androgen insensitivity syndrome usually have high Testosterone 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

13.Physiology of menstruation .14

A a) Estrogen results in decrease mitosis of endometrial cells B b) Progesterone results in increase mitosis of endometrial cells C c) Basal endometrium is not responsive to hormonal changes D d) Prolactin increase pulse and amplitude of GnRH secretion

14. Physiology of menstruation .15

A a) Dopamine is the stimulating neuroptide for prolactin B b) Corpus luteum secretes more estrogen than progesterone C c) Androgens are converted into estrogen by aromatase enzyme D d) GnRH is an glycoprotein hormone

15.The minimum required normal forms in sperm morphology according to WHO2010 .16

A a) 4% B b)70% C c)96% D d)10%

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

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

17.Fibroid

A A. Common age incidence is before age of 20 years B B. Cervical fibroid may result in renal failure C C. Red degeneration usually occur in postmenopausal women D D. Adenomyosis cannot simulate fibroid in the clinical features

18. Endometrial sampling .4

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

19. Ovarian cyst .5

A A. Simple cyst maybe multilocular B B. Corpus luteum cyst may undergo rupure and internal haemorrhage C C. Follicular cyst usually require laparoscopic treatment D D. Dermoid cyst is a simple cyst

20. Abdominal hysterectomy .6

A A. It is only curative treatment for adenomyosis B B. Bladder injury is not a possible complication C C. Subtotal abdominal hysterectomy is sufficient if there is endometrial carcinoma D D. It is not essential in ovarian cancer

21. :Cystorectocele with second degree uterine descent during reproductive period is treated by .7

A A. Classical repair B B. Fothergill operation C C. Vaginal hysterectomy D D. Abdominal hysterectomy

22. Which of the following is predisposing to cancer cervix .8

A A. hyperestrogenism B B. Human papilloma virus C C. Birth trauma D D. Uterine prolapse

23.Risk of pregnancy with COCs is greatest when .9

A 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

24. 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

25.Polycystic ovary Syndrome (PCOS) .

A a) It is commonly associated with underweight B b) May cause abnormal uterine bleeding C c) Insulin sensitizers as Metformin are curative D d) Total testosterone level is typically normal

26. Endometrial carcinoma .

A a) Spread to the cervix is not important in staging B b) Usually presents in a late stage C c) Diagnosis is based upon MRI (Magnetic Resonance Imaging) D d) Usually treated by surgery with postoperative radiotherapy

26. Endometrial carcinoma .

A a) Spread to the cervix is not important in staging B b) Usually presents in a late stage C c) Diagnosis is based upon MRI (Magnetic Resonance Imaging) D d) Usually treated by surgery with postoperative radiotherapy

27.Genital prolapse .

A A. Pessary is used for surgically unfit patients B B. Cystocele means prolapse of the posterior vaginal wall C C. Uterine sound is usually used to determine uterine position D D. Fothergill's operation is the treatment for post-hysterectomy vault prolapse

28. Genital prolapse .

A A. Stress incontinence may be revealed after surgical management of genital prolapse B B. .Vault prolapsemay occur following hysteroscopic myomectomy C C. Age is not a risk factor for prolapse D D. Cervical elongation is usually detected by ultrasound assessment

29. A common complication of myomectomy .

A A. Variable degree of pelvic adhesions B B. Endometriosis C C. Spread of the liomyoma D D. Prolapse

30. Genital tract infection

A a) Bacterial vaginosis cause offensive vaginal discharge B b) Bacterial vaginosis cause intense itching C ) Bacterial vaginosis is usually managed by antibiotics according to culture and sensistivity D d) Trichomonas vaginalis typically affects unmarried women

Menopause) * نقطة 1)31.

A a) Hot flushes is major health problem in menopause B b) The incidence Ischemic heart disease decrease markedly after menopause C c) Menopause predisposes to osteoporosis D d) Estrogen replacement therapy decrease the risk of endometrial & breast cancer

32.Infertility

A a) ovulation monitoring is usually done by follow up FSH/LH levels B b) Clomiphene citrate intake usually cause increase of output of endogenous gonadotrophins C c) Exogenous gonadotrophins are usually the first line of treatment in ovulation induction drugs D d) Hypothyroidism never cause infertility infemales

33. Cancer Cervix .19

A a) Herpes simplex type II is the main causative agent B b) Combined oral Contraceptives have protective effect C c) Extension to body is stage II D d) Management is either by Surgery or Radiotherapy

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