Question 1

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

Accepted Answer

Endometrial sampling is recommended if the endometrial thickness is greater than 4-5mm in postmenopausal women with bleeding, as this may indicate a higher risk of endometrial pathology.

Question 2

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

Accepted Answer

All of the choices listed are influenced by estrogen during puberty. Estrogen plays a crucial role in the development of secondary sexual characteristics, including the growth of the acinar buds of the breast, contributes to the closure of growth plates in bones (epiphyseal fusion), and regulates the menstrual cycle, including the proliferative phase of the endometrium.

Question 3

Pelvic ultrasound is helpful in the diagnosis of:

Accepted Answer

D

Question 4

Glycogen is seen in the lumina of endometrial glands :

Accepted Answer

Glycogen is seen in the lumina of endometrial glands during the luteal phase of the menstrual cycle, which follows ovulation and is characterized by the presence of the corpus luteum that secretes progesterone, preparing the endometrium for potential pregnancy.

Question 5

The Wolfian duct in the female :

Accepted Answer

The Wolfian duct, also known as the mesonephric duct, regresses and becomes vestigial in females, as it primarily develops into male reproductive structures in males.

Question 6

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

Accepted Answer

The answer of Large amount of alkaline phosphatase may be...

Question 7

Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:

Accepted Answer

Oxytocin and vasopressin are synthesized in the hypothalamus and then transported down the axons of hypothalamic neurons to be stored and released from the neurohypophysis (posterior pituitary gland).

Question 8

The levator ani muscle :

Accepted Answer

The levator ani muscle is a voluntary muscle, attached laterally to the tendinous arch of the obturator fascia (often referred to as the "white line"), and is composed of the pubococcygeus and iliococcygeus muscles. It plays a crucial role in maintaining continence by contracting to prevent the spillage of urine during activities that increase intra-abdominal pressure, such as coughing or lifting heavy objects.

Question 9

The function of round ligament is :

Accepted Answer

The round ligament of the uterus helps in maintaining the anteverted position of the uterus by preventing its retrodisplacement.

Question 10

The definitive epithelium of vagina is derived from :

Accepted Answer

The definitive epithelium of the vagina is derived from the urogenital sinus, which is lined by urogenital epithelium.

Question 11

Causes of post partum amenorrhoea may be :

Accepted Answer

Postpartum amenorrhea can be caused by a variety of factors, including anorexia nervosa, which can disrupt the normal hormonal balance necessary for menstruation; cervical atresia, which can physically block the passage of menstrual blood; and chlorpromazine therapy, which can affect the pituitary gland and subsequently alter menstrual cycles. Therefore, any of the mentioned conditions can potentially lead to postpartum amenorrhea.

Question 12

The cyclic production of pituitary hormones is dependant upon:

Accepted Answer

The cyclic production of pituitary hormones is dependent on an intact pituitary-portal system, which is crucial for the transport of releasing and inhibiting hormones from the hypothalamus to the anterior pituitary gland.

Question 13

The clots passed with menorrhagia perhaps indicate

Accepted Answer

The answer of The clots passed with menorrhagia perhaps indicate
...

Question 14

Monilial vagintis occurs frquently during pregnancy because :

Accepted Answer

Monilial vaginitis, caused by Candida species, is more common during pregnancy due to several physiological changes. Glycosuria is more common, providing a favorable environment for yeast growth. The vagina contains more glycogen during pregnancy, which is converted to glucose, further supporting yeast growth. Additionally, higher vaginal acidity, while generally protective against bacterial infections, does not effectively suppress Candida species and may even promote their growth by suppressing competing bacteria. Thus, all the mentioned factors contribute to the increased frequency of monilial vaginitis during pregnancy.

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?

Accepted Answer

The answer of Physical exam reveals the uterus to be...

Question 16

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

Accepted Answer

Levonorgestrel-releasing intrauterine systems actually decrease the incidence of menorrhagia. They are used to reduce heavy menstrual bleeding, among other applications.

Question 17

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

Accepted Answer

Myxoma peritonei is a rare condition that can occur when a mucinous cystadenoma of the ovary ruptures, leading to the dissemination of mucin-producing tumor cells throughout the peritoneal cavity.

Question 18

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

Accepted Answer

Lutein and theca lutein cysts are typically associated with high levels of hCG, which can occur in conditions like molar pregnancy (mole), choriocarcinoma (chorionepithelioma), normal pregnancy, and sometimes abortion. Stein-Leventhal syndrome, also known as polycystic ovary syndrome (PCOS), is not typically associated with these cysts.

Question 19

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

Accepted Answer

Pelvic tuberculosis is usually secondary to a primary infection in the lungs, which is the most common initial site of tuberculosis infection.

Question 20

The preferred treatment of ruptured tubo-ovarian abscess is :

Accepted Answer

The answer of The preferred treatment of ruptured tubo-ovarian abscess...

Quiz 1: Womens Health and Reproductive System: Part A