Deck 1: Womens Health and Reproductive System: Part A

Question 1

Women with postmenopausal bleeding need endometrial sampling if endometrial on US is thicker than

A)1mm
B)2mm
C)5mm
D)8mm
E)10mm

Answer 1

5mm

Question 2

Which of the following change in puberty is influenced by the estrogen:

A)Growth of the acinar buds of the breast
B)Epiphyseal fusion
C)Proliferatve phase
D)All of the above
E)None of the above

Answer 2

All of the above

Question 3

Pelvic ultrasound is helpful in the diagnosis of:

A)Endometrial carcinoma
B)Asherman's syndrome
C)Ascites
D)Ovulation detection
E)Endometriosis

Answer 3

Ovulation detection

Question 4

Glycogen is seen in the lumina of endometrial glands :

A)During the luteal phase
B)During pregnancy only
C)During pre and post ovulatory
D)During proliferative phase only
E)At the time of ovulation only

Question 5

The Wolfian duct in the female :

A)Develops into the fallopian tube
B)Forms the ovary
C)Forms the round ligament
D)Regresses and becomes vestigial
E)None of the above

Question 6

Large amount of alkaline phosphatase may be demonstrated in the endometrium of :

A)Decidua
B)Secretory phase
C)Proliferative phase
D)All of the above
E)None of the above

Question 7

Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:

A)Venous channels
B)Lymphatics
C)Nerve axons
D)All of the above
E)None of the above

Question 8

The levator ani muscle :

A)Is a voluntary muscle
B)Is attached laterally to the "white line of the pelvis "
C)Is composed of pubococcygeus and iliococcygeus muscle
D)Contracts to prevent spillage of urine during strain
E)All of the above

Question 9

The function of round ligament is :

A)Vestigial with no apparent function
B)To prevent retrodisplacement of the uterus
C)To prevent uterine prolapse
D)To provide nerve supply of the upper vagina
E)None of the above

Question 10

The definitive epithelium of vagina is derived from :

A)Wolfian duct
B)Mullerian duct
C)Urogenital epithelium
D)Coelomic epithelium
E)none

Question 11

Causes of post partum amenorrhoea may be :

A)Anorexia nervosa
B)Cervical atresia
C)Chlorpromazaine therapy
D)Any of the above
E)None of the above

Question 12

The cyclic production of pituitary hormones is dependant upon:

A)Normal menstruation
B)An intact pituitary- portal system
C)An adult anterior pituitary gland
D)All of the above
E)None of the above

Question 13

The clots passed with menorrhagia perhaps indicate

A)No endometrial regeneration
B)No terminal arteriolar spasm
C)Large amount of bleeding
D)All of the above
E)None of the above

Question 14

Monilial vagintis occurs frquently during pregnancy because :

A)Glycosuria is commoner
B)The vagina contains more glycogen
C)Higher vaginal acidity suppresses other organisms
D)All of the above
E)None of the above

Question 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?

A)Dilatation & curettage.
B)Culdocentesis.
C)Observation followed by serial B-HCG determinations.
D)Diagnostic laparoscopy.
E)Laparotomy

Question 16

Which of the following statements is incorrect regarding levonorgestrel releasing intrauterine system:

A)There is increased incidence of menorrhagia
B)This system can be used as hormone replacement therapy
C)This method is useful for the treatment of endometerial hyperplasia
D)Irregular uterine bleeding can be problem initially
E)none

Question 17

Myxoma peritonei may occur as a consequence of rupture of which ovarian cyst ?

A)Dermoid
B)Struma ovarii
C)Serous cystadenoma
D)Mucinous cystadenoma
E)Cystadenofibroma

Question 18

Lutein and theca lutein cysts may be associated with all the following except :

A)Mole
B)Chorionepithelioma
C)Stein-leventhal syndrome(PCO)
D)Pregnancy
E)Abortion

Question 19

The site of primary infection in patients with pelvic tuberculosis is usually

A)Tubal
B)Uterine
C)Cervical
D)Ovarian
E)Lungs

Question 20

The preferred treatment of ruptured tubo-ovarian abscess is :

A)Cul-de-sac drainage
B)Removal of uterus , tubes and involved ovary
C)Removal of uterus , tubes and ovaries
D)Removal of ruptured tube and ovary
E)Removal of adenexae and drainage

Question 21

The cysts of Stein -Leventhal ovary or PCOD are of which kind?

A)Lutein
B)Germinal inclusion
C)Follicular
D)Theca lutein
E)Endometrial

Question 22

Clinical findings of PCOD include all except :

A)Obesity
B)Olgomenorrhoea
C)Infertility
D)Tall stature
E)none

Question 23

Pyogenic infections of genital tract usually spread via :

A)Mucous membrane
B)Veins
C)Lymphatics
D)Fistulous tracts
E)B+C

Question 24

Presence of pyometra in a post menopausal females strongly suggests:

A)Diabetes mellitus
B)Degenerating myoma
C)Senile endometritis
D)Malignancy
E)Sexual promiscuity

Question 25

The most common symptom associated with adenomyosis is :

A)Infertility
B)Menorrhagia
C)Haematometra
D)Dyspareunia
E)Metrorrhagia