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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