Deck 15: The Female Reproductive System

Question 1

All of the following are used in the treatment of cervical intraepithelial neoplasia except:

A) Conization of the cervix with a scalpel
B) Laser ablation
C) Cryotherapy
D) Electrocautery
E) Dilation and curettage (D&C)

Answer 1

Dilation and curettage (D&C)

Question 2

Inflammation of the fallopian tubes is called:

A) Cervicitis
B) Endometritis
C) Salpingitis
D) Oophoritis
E) Vulvovaginitis

Answer 2

Salpingitis

Question 3

A cystic ovarian lesion filled with clear,straw-colored fluid,showing multiple peritoneal metastases,is most likely a:

A) Mucinous cystadenoma
B) Mucinous cystadenocarcinoma
C) Serous cystadenoma
D) Serous cystadenocarcinoma
E) Sertoli-Leydig cell tumor

Answer 3

Serous cystadenocarcinoma

Question 4

Endometrial hyperplasia is typically a result of prolonged exposure to:

A) Vitamin A
B) Vitamin D
C) Thyroid hormones
D) Estrogen
E) Progesterone

Question 5

More than 50% of all cases of cervical intraepithelial neoplasia (CIN)contain intranuclear inclusions of:

A) Gardnerella vaginalis
B) Herpes simplex virus type 1
C) Herpes simplex virus type 2
D) Human papillomavirus
E) Treponema pallidum

Question 6

All of the following infections of the female genital system are acquired via an ascending route except:

A) Gonorrhea
B) Syphilis
C) Tuberculosis
D) Chlamydial salpingitis
E) Human papillomavirus infection

Question 7

All of the following tumors are squamous cell carcinomas except:

A) Carcinoma of the vulva
B) Carcinoma of the vagina
C) Carcinoma of the cervix
D) Carcinoma of the endometrium
E) Carcinoma of the labia majora

Question 8

Which of the following is part of the external female genitalia?

A) Vagina
B) Vulva
C) Cervix
D) Endometrium
E) Fallopian tube

Question 9

Abnormality of the placenta characterized by deep penetration of the placental villi into the wall of the uterus is called:

A) Multiple placentae
B) Placenta previa
C) Placenta accreta
D) Dichorionic diamniotic placenta
E) Monozygotic pregnancy

Question 10

Which endocrine disorder is a recognized risk factor for endometrial carcinoma?

A) Hyperthyroidism
B) Hypothyroidism
C) Hyperestrinism
D) Hypoparathyroidism
E) Hyperinsulinism

Question 11

Most tumors of the endometrium are:

A) Benign
B) Premalignant
C) Composed of striated muscle cells
D) Found in postmenopausal women
E) Found in prepubertal girls

Question 12

Vaginal "spotting" (mild bleeding)after intercourse is most often seen in women who have:

A) Carcinoma of the vulva
B) Carcinoma of the cervix
C) Carcinoma of the ovary
D) Uterine leiomyoma
E) Carcinoma of the fallopian tube

Question 13

Most spontaneous abortions are consequences of:

A) Developmental anomalies of the fetus and/or placenta
B) Internal infections
C) Autoimmune disorders
D) Lack of estrogen in the maternal organism
E) Excess of progesterone during early pregnancy

Question 14

Women with carcinoma of the endometrium are at an increased risk of developing carcinoma of the:

A) Ovary
B) Vulva
C) Adrenals
D) Liver
E) Lung

Question 15

Condyloma acuminatum is caused by:

A) Herpes simplex virus type 1
B) Herpes simplex virus type 2
C) Human papillomavirus
D) Chlamydia trachomatis
E) Treponema pallidum

Question 16

A cystic tumor that is lined from inside by skin and contains teeth in its wall is best classified as a:

A) Granulosa cell tumor
B) Thecoma
C) Sertoli-Leydig cell tumor
D) Teratoma
E) Pseudomyxoma peritonei

Question 17

The most important complication of endometriosis is:

A) Vaginal bleeding
B) Infertility
C) Pelvic inflammatory disease
D) Polycystic ovary syndrome (POS)
E) Malignant transformation

Question 18

The most common malignant neoplasm of the female genital organs among U.S.women is carcinoma of the:

A) Ovaries
B) Fallopian tubes
C) Endometrium
D) Cervix
E) Vagina

Question 19

Which of the following is a protozoal cause of vaginitis?

A) Gardnerella vaginalis
B) Neisseria gonorrhoeae
C) Treponema pallidum
D) Trichomonas vaginalis
E) Candida albicans

Question 20

In addition to the stage of the tumor,the most important prognostic factor for women with endometrial carcinoma is:

A) Age
B) Presence of endocrine risk factors
C) Obesity
D) Hypertension
E) History of irregular menstrual periods

Question 21

Eclampsia is characterized by all of the following except:

A) Hypertension
B) Cerebral seizures
C) Edema
D) Proteinuria
E) Hematuria

Question 22

Choriocarcinoma of pregnancy originates from the:

A) Ovaries
B) Fallopian tubes
C) Endometrium
D) Placental trophoblastic cells
E) Fetal cells in the placenta

Question 23

The most important chromosomal anomaly associated with abnormal genital development is:

A) Female pseudohermaphroditism
B) Male pseudohermaphroditism
C) True hermaphroditism
D) Fragile X syndrome
E) Turner's syndrome

Question 24

Swelling and cystic transformation of the placental villi resembling a bunch of grapes are typical of:

A) Choriocarcinoma
B) Hydatidiform mole
C) Placenta accreta
D) Placenta previa
E) Endometriosis

Question 25

A Pap smear is most appropriate for early detection of:

A) Choriocarcinoma
B) Carcinoma of the ovary
C) Endometrial carcinoma
D) Carcinoma of the cervix
E) Leiomyoma