| 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» C. 5mm | |
| 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» D. All of the above | |
| 3. |
Pelvic ultrasound is helpful in the diagnosis of: |
| A. | Endometrial carcinoma |
| B. | Asherman’s syndrome |
| C. | Ascites |
| D. | Ovulation detection |
| E. | Endometriosis |
| Answer» D. Ovulation detection | |
| 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 |
| Answer» A. During the luteal phase | |
| 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 |
| Answer» D. Regresses and becomes vestigial | |
| 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 |
| Answer» C. Proliferative phase | |
| 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 |
| Answer» C. Nerve axons | |
| 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 |
| Answer» E. All of the above | |
| 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 |
| Answer» B. To prevent retrodisplacement of the uterus | |
| 10. |
The definitive epithelium of vagina is derived from : |
| A. | Wolfian duct |
| B. | Mullerian duct |
| C. | Urogenital epithelium |
| D. | Coelomic epithelium |
| E. | none |
| Answer» C. Urogenital epithelium | |
| 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 |
| Answer» D. Any of the above | |
| 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 |
| Answer» B. An intact pituitary- portal system | |
| 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 |
| Answer» C. Large amount of bleeding | |
| 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 |
| Answer» D. All of the above | |
| 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 |
| Answer» D. Diagnostic laparoscopy. | |
| 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 |
| Answer» A. There is increased incidence of menorrhagia | |
| 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 |
| Answer» D. Mucinous cystadenoma | |
| 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 |
| Answer» C. Stein-leventhal syndrome(PCO) | |
| 19. |
The site of primary infection in patients with pelvic tuberculosis is usually |
| A. | Tubal |
| B. | Uterine |
| C. | Cervical |
| D. | Ovarian |
| E. | Lungs |
| Answer» E. Lungs | |
| 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 |
| Answer» C. Removal of uterus , tubes and ovaries | |
| 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 |
| Answer» C. Follicular | |
| 22. |
Clinical findings of PCOD include all except : |
| A. | Obesity |
| B. | Olgomenorrhoea |
| C. | Infertility |
| D. | Tall stature |
| E. | none |
| Answer» D. Tall stature | |
| 23. |
Pyogenic infections of genital tract usually spread via : |
| A. | Mucous membrane |
| B. | Veins |
| C. | Lymphatics |
| D. | Fistulous tracts |
| E. | B+C |
| Answer» E. B+C | |
| 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 |
| Answer» D. Malignancy | |
| 25. |
The most common symptom associated with adenomyosis is : |
| A. | Infertility |
| B. | Menorrhagia |
| C. | Haematometra |
| D. | Dyspareunia |
| E. | Metrorrhagia |
| Answer» B. Menorrhagia | |
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