Deck 4: Womens Health: Ovulation Signs, Uterine Position, Adenomyosis Symptoms, Incontinence Causes

Question 1

What are the signs of ovulation on Ultrasonography :

A)Irregular follicle wall
B)Collapse of follicle
C)Fluid in cul de sac
D)All of the above
E)None of the above

Answer 1

All of the above

Question 2

The uterus is held in anteflexed position by :

A)The ventral pull of round ligament
B)The dorsal pull of uterosacral ligaments
C)Its weight
D)All of the above
E)None of the above

Answer 2

All of the above

Question 3

The most common symptom of adenomyosis is :

A)Dysmenorrhoea
B)Menorrhagia
C)Pain
D)Fever
E)None of the above

Answer 3

Menorrhagia

Question 4

The commonest cause of stress incontinence is

A)Constipation
B)Raised intra abdominal pressure
C)Congenital weakness of sphincter
D)Childbirth trauma
E)Estrogen deficiency

Question 5

Perforation of the uterus while doing endometrial biopsy in non pregnant uterus, needs

A)Laparoscopy
B)Observation
C)Immediate laparotomy
D)Hysterectomy
E)none

Question 6

Least common type of uterine anomaly in patients with recurrent pregnancy loss :

A)Unicornuate
B)Arcuate
C)Septate
D)Bicornuate
E)Didelphys

Question 7

Diagnosis of stress incontinence coded by which of the following before taking the patient for surgery

A)History
B)Subjective demonstration of stress incontinence
C)Objective demonstration of stress incontinence
D)Urodynamic studies
E)none

Question 8

The following are the factors associated with CIN EXCEPT

A)Onset of coitus at early stage
B)Multiple sexual partners
C)Lower socioeconomic status
D)Nulliparity
E)H/o veneral disease

Question 9

Best treatment for severe stress incontinence without prolapse is

A)Pelvic floor exercise
B)Kelly's repair
C)Burch colposuspension
D)MMK operation
E)Urethral collagen implant

Question 10

Bartholin's gland duct opens in.....

A)Upper third of labia majora
B)Middle third of labia majora
C)Upper third of labia minora
D)Middle third of labia minora
E)none

Question 11

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?

A)Repeat pelvic examination in 1 year
B)Repeat pelvic ultrasound in 6 weeks
C)Prescribe the oral contraceptive pill
D)Perform hysteroscopy
E)perform laparotomy

Question 12

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?

A)Breast cancer
B)Elevated LDL cholesterol
C)Endometrial changes
D)Myocardial infarction
E)Osteoporosis

Question 13

A 62-year-old woman comes to the physician because of bleeding from the vagina. 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?

A)Chemotherapy
B)Cone biopsy
C)Dilation and curettage
D)Hysteroscopy
E)Hysterectomy

Question 14

Ovarian precursors of oestradiol include :

A)Oestrone
B)Androstenedione
C)Testosterone
D)All of the above
E)None of the above

Question 15

Female patient with endometrial hyperplasia could be all of these except:

A)thecoma
B)fibroma
C)Brenner tumor
D)follicular cyst
E)none

Question 16

Endometroid cyst, on examination:

A)adenexal tenderness
B)cyst felt in thin people
C)cyst fixed and tender
D)all of the above .
E)none

Question 17

Considering epithelial neoplasm of the ovaries all true except :

A)the commonest
B)mucinous cystadenoma lined by tubal epithelium
C)Brenner tumor lined by urinary tract epithelium
D)embryologically arise from wolffian epithelium .
E)none

Question 18

The Commonest ovarian neoplasm complicated with torsion during pregnancy:

A)fibroma
B)teratoma
C)simple serous cyst
D)thecoma .
E)none

Question 19

Female patient with acute abdomen , CBC normal , B-HCG negative , No vaginal bleeding , Mostly is :

A)hemorrhagic teratoma
B)disturbed ectopic pregnancy
C)appendicitis
D)peritonitis .
E)none

Question 20

Considering mucinous cystadenoma :

A)the commonest neoplasm
B)usually bilateral
C)sometimes fill the entire abdominal cavity
D)lined by tubal epithelium .
E)none

Question 21

Considering Brenner tumor all true except :

A)potential malignant is common
B)histologically has epithelial nests and coffe bean nuclei
C)vaginal bleeding reported with it
D)usually in childbearing women
E)none

Question 22

Considering Meig's syndrome it is associated with :

A)ovarian fibroma
B)left side pleural effusion
C)ascitis
D)a&b
E)a&c

Question 23

Considering malignant ovarian neoplasm histologically may be all except :

A)epithelial tumors
B)germ cells tumor
C)cystic and solid tumors
D)sex cord tumors .
E)none

Question 24

For endometrial cyst all true except :

A)choclate cyst on TVS
B)laparoscope is indicated
C)C125 is a specific test
D)associated with dysmenoorrhoea .
E)none

Question 25

Female patient with history of induction of ovulation present with tender lower abdominal pain and discomfort , TVS show cyst , Next step is :

A)assurance sending home
B)hold ovarian stimulatin drug
C)laparotomy
D)non of the above .
E)none