Deck 2: Womens Health and Reproductive System: Part B

Question 1

Adenomyosis is often associated with all of the following except :

A)Endometrial hyperplasia
B)Myoma
C)Endometriosis
D)Mymetrial hypertrophy
E)Subinvolution of uterus

Answer 1

Subinvolution of uterus

Question 2

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...:

A)epithelial tumour
B)germ cell tumour
C)stromal tumour
D)sex cord tumour
E)trophoblastic tumour

Answer 2

epithelial tumour

Question 3

There is a 5% incidence of primary extrauterine malignancy associated with endometrial cancer, the most frequent site for such is :

A)Stomach
B)lung
C)Breast
D)Bone
E)Spleen

Answer 3

Breast

Question 4

The cause of virilizing adrenal hyperplasia is :

A)Defect in cortisol synthesis
B)defect in ACTH synthesis
C)Defect in testosterone synthesis
D)All of the above
E)None of the above

Question 5

Anterior pituitary function may be blocked by:

A)Blood levels of steroids
B)Emotional factors
C)Sensory stimuli
D)All of the above
E)None of the above

Question 6

Subnuclear vaculoes in the endometrial mucosa are evidence of activity of:

A)Cholesterol
B)Progesterone
C)Pregnendiol
D)Androstenendione
E)Oestrogen

Question 7

Common ovulation induced drugs are

A)Clomiphene citrate
B)Tamoxifen or the newer letrozole
C)Gonadotrophins
D)GnRh analogue down regulation protocols
E)All of the above

Question 8

The commonest cause of death in cancer cervix is :

A)Infection
B)Uraemia
C)Haemorrhage
D)Cachexia
E)Distant metastasis

Question 9

Failure to find sperm in postcoital examination may be due to :

A)Excessive oestrogen effect on cervical mucous
B)Excessive vaginal lactic acid
C)Oligospermia
D)All of the above
E)None of the above

Question 10

The differential diagnosis of vaginal cysts include :

A)Cystocele
B)Urethral diverticulum
C)Urethrocoele
D)All of the above
E)None of the above

Question 11

Factors in cervical cancer development EXCEPT:

A)HIV infection
B)Chlamydia infection
C)Breast cancer
D)Smoking
E)Immunosuppression

Question 12

A synthetic progestin. What is the most likely explanation for the contraceptive action of this drug?

A)Replacement of the LH surge by an FSH surge.
B)Abolition of the LH surge
C)Enhanced positive feedback of the hypothalamic-pituitary-gonadal axis.
D)Increased conversion of testosterone to estradiol.
E)Inadequate decidualization of the uterus.

Question 13

All of the following mechanisms might account for a reduced risk of upper genital tract infection in users of progestin releasing IUDs, except:

A)Reduced retrograde menstruation
B)Decreased ovulation
C)Thickened cervical mucus
D)Decidual changes in the endometrium
E)All of the above

Question 14

Non-neoplastic ovarian cysts include all of the following except:

A)follicular cyst
B)theca lutein cyst
C)dermoid cyst
D)corpus luteum cyst
E)endmetroid cyst

Question 15

Which of the following ovarian tumor is most prone to undergo torsion during pregnancy?

A)Serous cystadenoma
B)Mucinous cystadenoma
C)Dermoid cyst
D)Theca lutein cyst
E)none

Question 16

Magnesium sulphate toxicity include all EXCEPT:

A)CNS depression
B)This drug acts only on motor end plate
C)Respiratory depression
D)muscle relaxant
E)none

Question 17

In DUB all are right except,:

A)may be associated with hypothyroidism
B)may be associated with post-menopausal bleeding
C)may be associated with functional ovarian cysts
D)may present as menorrhagia
E)may be present as metropathia hemorrhagica

Question 18

Metabolic causes of anovulatory DUB include all except :

A)Hypothyroidism
B)Halban's syndrome
C)Cushing's syndrome
D)Hyperthyroidism
E)diabetes mellitus

Question 19

The primary drainage of the lower vagina is to :

A)external iliac nodes
B)Sacral nodes
C)Femoral nodes
D)superficial inguinal nodes
E)internal iliac nodes

Question 20

The most common causative organism in acute bartholinitis is

A)Staphylococcus
B)Streptococcus
C)Colon bacillus
D)Gonococcus
E)Trichomonas

Question 21

The uterine artery supplies the

A)Vagina
B)Lower cevix
C)Ovary
D)All of the above
E)None of the above

Question 22

Common accompaniments salpingitis are :

A)Pelvic mass
B)Bleeding
C)Pain
D)All of the above
E)None of the above

Question 23

he ovary of new born may contain :

A)Small folicular cysts
B)Corpora lutea
C)Lutenized grnulosa cells
D)All of the above
E)None of the above

Question 24

Cervical amputation :

A)Is followed frequently by abortion
B)Is associated with high incidence of post operative sterility
C)Is not frequently followed by cervical dystocia in patients who become pregnant
D)All of the above
E)None of the above

Question 25

The effect of ovarian steroid on anterior pituitary is

A)Direct stimulation
B)Direct inhibition
C)Mediated via hypothalamus
D)Unknown
E)Direct stimulation and inhibition