Gynecology solved MCQs

1 of 8

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

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

3. Pelvic ultrasound is helpful in the diagnosis of:

a. Endometrial carcinoma

B. Asherman’s syndrome

c. Ascites

d. Ovulation detection

e. Endometriosis

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

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

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

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

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

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

10. The definitive epithelium of vagina is derived from :

a. Wolfian duct

B. Mullerian duct

c. Urogenital epithelium

d. Coelomic epithelium

e. none

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

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

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

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

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

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

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

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

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

a. Tubal

B. Uterine

c. Cervical

d. Ovarian

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

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

22. Clinical findings of PCOD include all except :

a. Obesity

B. Olgomenorrhoea

c. Infertility

d. Tall stature

e. none

23. Pyogenic infections of genital tract usually spread via :

a. Mucous membrane

B. Veins

c. Lymphatics

d. Fistulous tracts

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

25. The most common symptom associated with adenomyosis is :

a. Infertility

B. Menorrhagia

c. Haematometra

d. Dyspareunia

e. Metrorrhagia

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