1. Women with postmenopausal bleeding need endometrial sampling if endometrial on US is thicker than
Correct : C. 5mm
2. Which of the following change in puberty is influenced by the estrogen:
Correct : D. All of the above
3. Pelvic ultrasound is helpful in the diagnosis of:
Correct : D. Ovulation detection
4. Glycogen is seen in the lumina of endometrial glands :
Correct : A. During the luteal phase
5. The Wolfian duct in the female :
Correct : D. Regresses and becomes vestigial
6. Large amount of alkaline phosphatase may be demonstrated in the endometrium of :
Correct : C. Proliferative phase
7. Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:
Correct : C. Nerve axons
8. The levator ani muscle :
Correct : E. All of the above
9. The function of round ligament is :
Correct : B. To prevent retrodisplacement of the uterus
10. The definitive epithelium of v*gina is derived from :
Correct : C. Urogenital epithelium
11. Causes of post partum amenorrhoea may be :
Correct : D. Any of the above
12. The cyclic production of pituitary hormones is dependant upon:
Correct : B. An intact pituitary- portal system
13. The clots passed with menorrhagia perhaps indicate
Correct : C. Large amount of bleeding
14. Monilial vagintis occurs frquently during pregnancy because :
Correct : D. All of the above
15. Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is scanty with no discernible tissue in the cervical os. There are no palpable adnexal masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a gestational sac. Which of the following should be recommended?
Correct : D. Diagnostic laparoscopy.
16. Which of the following statements is incorrect regarding levonorgestrel releasing intrauterine system:
Correct : A. There is increased incidence of menorrhagia
17. Myxoma peritonei may occur as a consequence of rupture of which ovarian cyst ?
Correct : D. Mucinous cystadenoma
18. Lutein and theca lutein cysts may be associated with all the following except :
Correct : C. Stein-leventhal syndrome(PCO)
19. The site of primary infection in patients with pelvic tuberculosis is usually
Correct : E. Lungs
20. The preferred treatment of ruptured tubo-ovarian abscess is :
Correct : C. Removal of uterus , tubes and ovaries
21. The cysts of Stein -Leventhal ovary or PCOD are of which kind?
Correct : C. Follicular
22. Clinical findings of PCOD include all except :
Correct : D. Tall stature
23. Pyogenic infections of genital tract usually spread via :
Correct : E. B+C
24. Presence of pyometra in a post menopausal females strongly suggests:
Correct : D. Malignancy
25. The most common symptom associated with adenomyosis is :
Correct : B. Menorrhagia
26. Adenomyosis is often associated with all of the following except :
Correct : E. Subinvolution of uterus
27. Medadteam.org More than you dream
125. A 63 old lady presents with abdominal mass & weight loss , was diagnosed as having an ovarian tumor , the most common ovarian tumour in this woman would be...:
Correct : A. epithelial tumour
28. There is a 5% incidence of primary extrauterine malignancy associated with endometrial cancer, the most frequent site for such is :
Correct : C. Breast
29. The cause of virilizing adrenal hyperplasia is :
Correct : A. Defect in cortisol synthesis
30. Anterior pituitary function may be blocked by:
Correct : D. All of the above
31. Subnuclear vaculoes in the endometrial mucosa are evidence of activity of:
Correct : B. Progesterone
32. Common ovulation induced drugs are
Correct : E. All of the above
33. The commonest cause of death in cancer cervix is :
Correct : B. Uraemia
34. Failure to find sperm in postcoital examination may be due to :
Correct : C. Oligospermia
35. The differential diagnosis of vaginal cysts include :
Correct : D. All of the above
36. Factors in cervical cancer development EXCEPT:
Correct : C. Breast cancer
37. A synthetic progestin. What is the most likely explanation for the contraceptive action of this drug?
Correct : E. Inadequate decidualization of the uterus.
38. All of the following mechanisms might account for a reduced risk of upper genital
tract infection in users of progestin releasing IUDs, except:
Correct : E. All of the above
39. Non-neoplastic ovarian cysts include all of the following except:
Correct : C. dermoid cyst
40. Which of the following ovarian tumor is most prone to undergo torsion during
pregnancy?
Correct : C. Dermoid cyst
41. Magnesium sulphate toxicity include all EXCEPT:
Correct : B. This drug acts only on motor end plate
42. In DUB all are right except,:
Correct : B. may be associated with post-menopausal bleeding
43. Metabolic causes of anovulatory DUB include all except :
Correct : B. Halban’s syndrome
44. The primary drainage of the lower v*gina is to :
Correct : D. superficial inguinal nodes
45. The most common causative organism in acute bartholinitis is
Correct : D. Gonococcus
46. The uterine artery supplies the
Correct : D. All of the above
47. Common accompaniments salpingitis are :
Correct : C. Pain
48. he ovary of new born may contain :
Correct : E. None of the above
49. Cervical amputation :
Correct : D. All of the above
50. The effect of ovarian steroid on anterior pituitary is
Correct : C. Mediated via hypothalamus
51. What are the signs of ovulation on Ultrasonography :
Correct : D. All of the above
52. The uterus is held in anteflexed position by :
Correct : D. All of the above
53. The most common symptom of adenomyosis is :
Correct : B. Menorrhagia
54. The commonest cause of stress incontinence is
Correct : D. Childbirth trauma
55. Perforation of the uterus while doing endometrial biopsy in non pregnant uterus, needs
Correct : A. Laparoscopy
56. Least common type of uterine anomaly in patients with recurrent pregnancy loss :
Correct : A. Unicornuate
57. Diagnosis of stress incontinence coded by which of the following before taking the patient for surgery
Correct : D. Urodynamic studies
58. The following are the factors associated with CIN EXCEPT
Correct : D. Nulliparity
59. Best treatment for severe stress incontinence without prolapse is
Correct : B. Kelly's repair
60. Bartholin’s gland duct opens in.....
Correct : D. Middle third of labia minora
61. A 19-year-old female comes to the physician because of left lower quadrant pain for 2 months. She states that she first noticed the pain 2 months ago but now it seems to be growing worse. She has had no changes in bowel or bladder function. She has no fevers or chills and no nausea, vomiting, or diarrhea. The pain is intermittent and sometimes feels like a dull pressure. Pelvic examination is significant for a left adnexal mass that is mildly tender. Urine hCG is negative. Pelvic ultrasound shows a 6 cm complex left adnexal mass with features consistent with a benign cystic teratoma (dermoid). Which of the following is the most appropriate next step in management?
Correct : E. perform laparotomy
62. A 54-year-old woman comes to the physician for an annual examination. She has no complaints. For the past year, she has been taking tamoxifen for the prevention of breast cancer. She was started on this drug after her physician determined her to be at high risk on the basis of her strong family history, nulliparity, and early age at menarche. She takes no other medications. Examination is within normal limits. Which of the following is this patient most likely to develop while taking tamoxifen?
Correct : C. Endometrial changes
63. A 62-year-old woman comes to the physician because of bleeding from the v*gina. She states that her last menstrual period came 11 years ago and that she has had no bleeding since that time. She has hypertension and type 2 diabetes mellitus. Examination shows a mildly obese woman in no apparent distress. Pelvic examination is unremarkable. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. Which of the following is the most appropriate next step in management?
Correct : E. Hysterectomy
64. Ovarian precursors of oestradiol include :
Correct : D. All of the above
65. Female patient with endometrial hyperplasia could be all of these except:
Correct : B. fibroma
66. Endometroid cyst, on examination:
Correct : D. all of the above .
67. Considering epithelial neoplasm of the ovaries all true except :
Correct : B. mucinous cystadenoma lined by tubal epithelium
68. The Commonest ovarian neoplasm complicated with torsion during pregnancy:
Correct : B. teratoma
69. Female patient with acute abdomen , CBC normal , B-HCG negative , No vaginal bleeding , Mostly is :
Correct : A. hemorrhagic teratoma
70. Considering mucinous cystadenoma :
Correct : C. sometimes fill the entire abdominal cavity
71. Considering Brenner tumor all true except :
Correct : D. usually in childbearing women
72. Considering Meig's syndrome it is associated with :
Correct : E. a&c
73. Considering malignant ovarian neoplasm histologically may be all except :
Correct : C. cystic and solid tumors
74. For endometrial cyst all true except :
Correct : C. C125 is a specific test
75. Female patient with history of induction of ovulation present with tender lower
abdominal pain and discomfort , TVS show cyst , Next step is :
Correct : B. hold ovarian stimulatin drug
76. Considering endometroid cyst :
Correct : D. a&b .
77. Considering endometrial cyst ttt all true except :
Correct : D. recurrence is not common
78. Considering the follicular cyst it is rarely associated with :
Correct : B. acute abdomen
79. Female patient with history of endometriosis , menstrual disorders complaining from pain on right iliac fossa , on examination there was tenderness on right iliac fossa with no rebound pain no rigidity , on CBC it was normal , most likely :
Correct : C. follicular cyst
80. Considering a case of follicular cyst it need all of following except :
Correct : C. usually surgical removal
81. Considering the follicular cyst all of following is true except :
Correct : C. the second common functional cyst
82. Considering the endometroid cyst :
Correct : D. All of the above
83. Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be :
Correct : B. theca lutein cyst
84. A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:
Correct : C. Cold-knife conization of the cervix
85. The following about human papilloma virus (HPV) infection are correct EXCEPT:
Correct : C. It is due to RNA virus.
86. The lymphatic drainage of the cervix is to the following lymph nodes EXCEPT:
Correct : A. The femoral lymph nodes.
87. The commonest secondary change in uterine fibroids is:
Correct : C. Hyaline degeneration
88. The following is correct about the ovarian ligaments:
Correct : B. Contain ovarian arteries.
89. The severity of CIN is graded
Correct : A. 1-3
90. Cervical polyps
Correct : E. cause intermenstrual bleeding
91. Involves pelvic LN clearance, hysterectomy, removal of the parametrium and the
upper third of the v*gina.
Correct : B. Wertheim’s hysterectomy
92. 5 year survival for someone with stage 3-4 cervical carcinoma
Correct : A. 10-30%!!!
93. Cervical carcinoma spread and staging: Microinvasion of the basement membrane, <7mm across, with no lymph/vascular space invasion
Correct : D. Stage 1a
94. Acetic acid turns a portion of the cervix _____ in a patient with a CIN
Correct : E. White
95. Typical cells are found only in the lower third of the epithelium
Correct : E. CIN II
96. A 42-year-old G4P4 has had postcoital bleeding for the past four months. She has not had a Pap test since the delivery of her last child 7 years ago. Speculum examination shows a vaginal discharge and a 1 cm exophytic lesion of the posterior cervical lip. The most appropriate next step is:
Correct : D. Perform a punch biopsy of the lesion
97. The area where cervical carcinoma usually originates
Correct : D. Transformation zone
98. Cervical carcinoma is most common between the ages of
Correct : A. 45-55
99. Cervical carcinoma characteristically spreads in the
Correct : B. Lymph
100. Which of the following is thought to be protective against CIN?