McqMate
| 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 v*gina |
| E. | None of the above |
| Answer» B. To prevent retrodisplacement of the uterus | |
| 10. |
The definitive epithelium of v*gina 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 v*gina 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 | |
| 26. |
Adenomyosis is often associated with all of the following except : |
| A. | Endometrial hyperplasia |
| B. | Myoma |
| C. | Endometriosis |
| D. | Mymetrial hypertrophy |
| E. | Subinvolution of uterus |
| Answer» E. Subinvolution of uterus | |
| 27. |
Medadteam.org More than you dream 125. A 63 old lady presents with abdominal mass & weight loss , was diagnosed as having an ovarian tumor , the most common ovarian tumour in this woman would be...: |
| A. | epithelial tumour |
| B. | germ cell tumour |
| C. | stromal tumour |
| D. | sex cord tumour |
| E. | trophoblastic tumour |
| Answer» A. epithelial tumour | |
| 28. |
There is a 5% incidence of primary extrauterine malignancy associated with endometrial cancer, the most frequent site for such is : |
| A. | Stomach |
| B. | lung |
| C. | Breast |
| D. | Bone |
| E. | Spleen |
| Answer» C. Breast | |
| 29. |
The cause of virilizing adrenal hyperplasia is : |
| A. | Defect in cortisol synthesis |
| B. | defect in ACTH synthesis |
| C. | Defect in testosterone synthesis |
| D. | All of the above |
| E. | None of the above |
| Answer» A. Defect in cortisol synthesis | |
| 30. |
Anterior pituitary function may be blocked by: |
| A. | Blood levels of steroids |
| B. | Emotional factors |
| C. | Sensory stimuli |
| D. | All of the above |
| E. | None of the above |
| Answer» D. All of the above | |
| 31. |
Subnuclear vaculoes in the endometrial mucosa are evidence of activity of: |
| A. | Cholesterol |
| B. | Progesterone |
| C. | Pregnendiol |
| D. | Androstenendione |
| E. | Oestrogen |
| Answer» B. Progesterone | |
| 32. |
Common ovulation induced drugs are |
| A. | Clomiphene citrate |
| B. | Tamoxifen or the newer letrozole |
| C. | Gonadotrophins |
| D. | GnRh analogue down regulation protocols |
| E. | All of the above |
| Answer» E. All of the above | |
| 33. |
The commonest cause of death in cancer cervix is : |
| A. | Infection |
| B. | Uraemia |
| C. | Haemorrhage |
| D. | Cachexia |
| E. | Distant metastasis |
| Answer» B. Uraemia | |
| 34. |
Failure to find sperm in postcoital examination may be due to : |
| A. | Excessive oestrogen effect on cervical mucous |
| B. | Excessive vaginal lactic acid |
| C. | Oligospermia |
| D. | All of the above |
| E. | None of the above |
| Answer» C. Oligospermia | |
| 35. |
The differential diagnosis of vaginal cysts include : |
| A. | Cystocele |
| B. | Urethral diverticulum |
| C. | Urethrocoele |
| D. | All of the above |
| E. | None of the above |
| Answer» D. All of the above | |
| 36. |
Factors in cervical cancer development EXCEPT: |
| A. | HIV infection |
| B. | Chlamydia infection |
| C. | Breast cancer |
| D. | Smoking |
| E. | Immunosuppression |
| Answer» C. Breast cancer | |
| 37. |
A synthetic progestin. What is the most likely explanation for the contraceptive action of this drug? |
| A. | Replacement of the LH surge by an FSH surge. |
| B. | Abolition of the LH surge |
| C. | Enhanced positive feedback of the hypothalamic-pituitary-gonadal axis. |
| D. | Increased conversion of testosterone to estradiol. |
| E. | Inadequate decidualization of the uterus. |
| Answer» E. Inadequate decidualization of the uterus. | |
| 38. |
All of the following mechanisms might account for a reduced risk of upper genital tract infection in users of progestin releasing IUDs, except: |
| A. | Reduced retrograde menstruation |
| B. | Decreased ovulation |
| C. | Thickened cervical mucus |
| D. | Decidual changes in the endometrium |
| E. | All of the above |
| Answer» E. All of the above | |
| 39. |
Non-neoplastic ovarian cysts include all of the following except: |
| A. | follicular cyst |
| B. | theca lutein cyst |
| C. | dermoid cyst |
| D. | corpus luteum cyst |
| E. | endmetroid cyst |
| Answer» C. dermoid cyst | |
| 40. |
Which of the following ovarian tumor is most prone to undergo torsion during pregnancy? |
| A. | Serous cystadenoma |
| B. | Mucinous cystadenoma |
| C. | Dermoid cyst |
| D. | Theca lutein cyst |
| E. | none |
| Answer» C. Dermoid cyst | |
| 41. |
Magnesium sulphate toxicity include all EXCEPT: |
| A. | CNS depression |
| B. | This drug acts only on motor end plate |
| C. | Respiratory depression |
| D. | muscle relaxant |
| E. | none |
| Answer» B. This drug acts only on motor end plate | |
| 42. |
In DUB all are right except,: |
| A. | may be associated with hypothyroidism |
| B. | may be associated with post-menopausal bleeding |
| C. | may be associated with functional ovarian cysts |
| D. | may present as menorrhagia |
| E. | may be present as metropathia hemorrhagica |
| Answer» B. may be associated with post-menopausal bleeding | |
| 43. |
Metabolic causes of anovulatory DUB include all except : |
| A. | Hypothyroidism |
| B. | Halban’s syndrome |
| C. | Cushing’s syndrome |
| D. | Hyperthyroidism |
| E. | diabetes mellitus |
| Answer» B. Halban’s syndrome | |
| 44. |
The primary drainage of the lower v*gina is to : |
| A. | external iliac nodes |
| B. | Sacral nodes |
| C. | Femoral nodes |
| D. | superficial inguinal nodes |
| E. | internal iliac nodes |
| Answer» D. superficial inguinal nodes | |
| 45. |
The most common causative organism in acute bartholinitis is |
| A. | Staphylococcus |
| B. | Streptococcus |
| C. | Colon bacillus |
| D. | Gonococcus |
| E. | Trichomonas |
| Answer» D. Gonococcus | |
| 46. |
The uterine artery supplies the |
| A. | v*gina |
| B. | Lower cevix |
| C. | Ovary |
| D. | All of the above |
| E. | None of the above |
| Answer» D. All of the above | |
| 47. |
Common accompaniments salpingitis are : |
| A. | Pelvic mass |
| B. | Bleeding |
| C. | Pain |
| D. | All of the above |
| E. | None of the above |
| Answer» C. Pain | |
| 48. |
he ovary of new born may contain : |
| A. | Small folicular cysts |
| B. | Corpora lutea |
| C. | Lutenized grnulosa cells |
| D. | All of the above |
| E. | None of the above |
| Answer» E. None of the above | |
| 49. |
Cervical amputation : |
| A. | Is followed frequently by abortion |
| B. | Is associated with high incidence of post operative sterility |
| C. | Is not frequently followed by cervical dystocia in patients who become pregnant |
| D. | All of the above |
| E. | None of the above |
| Answer» D. All of the above | |
| 50. |
The effect of ovarian steroid on anterior pituitary is |
| A. | Direct stimulation |
| B. | Direct inhibition |
| C. | Mediated via hypothalamus |
| D. | Unknown |
| E. | Direct stimulation and inhibition |
| Answer» C. Mediated via hypothalamus | |
| 51. |
What are the signs of ovulation on Ultrasonography : |
| A. | Irregular follicle wall |
| B. | Collapse of follicle |
| C. | Fluid in cul de sac |
| D. | All of the above |
| E. | None of the above |
| Answer» D. All of the above | |
| 52. |
The uterus is held in anteflexed position by : |
| A. | The ventral pull of round ligament |
| B. | The dorsal pull of uterosacral ligaments |
| C. | Its weight |
| D. | All of the above |
| E. | None of the above |
| Answer» D. All of the above | |
| 53. |
The most common symptom of adenomyosis is : |
| A. | Dysmenorrhoea |
| B. | Menorrhagia |
| C. | Pain |
| D. | Fever |
| E. | None of the above |
| Answer» B. Menorrhagia | |
| 54. |
The commonest cause of stress incontinence is |
| A. | Constipation |
| B. | Raised intra abdominal pressure |
| C. | Congenital weakness of sphincter |
| D. | Childbirth trauma |
| E. | Estrogen deficiency |
| Answer» D. Childbirth trauma | |
| 55. |
Perforation of the uterus while doing endometrial biopsy in non pregnant uterus, needs |
| A. | Laparoscopy |
| B. | Observation |
| C. | Immediate laparotomy |
| D. | Hysterectomy |
| E. | none |
| Answer» A. Laparoscopy | |
| 56. |
Least common type of uterine anomaly in patients with recurrent pregnancy loss : |
| A. | Unicornuate |
| B. | Arcuate |
| C. | Septate |
| D. | Bicornuate |
| E. | Didelphys |
| Answer» A. Unicornuate | |
| 57. |
Diagnosis of stress incontinence coded by which of the following before taking the patient for surgery |
| A. | History |
| B. | Subjective demonstration of stress incontinence |
| C. | Objective demonstration of stress incontinence |
| D. | Urodynamic studies |
| E. | none |
| Answer» D. Urodynamic studies | |
| 58. |
The following are the factors associated with CIN EXCEPT |
| A. | Onset of coitus at early stage |
| B. | Multiple sexual partners |
| C. | Lower socioeconomic status |
| D. | Nulliparity |
| E. | H/o veneral disease |
| Answer» D. Nulliparity | |
| 59. |
Best treatment for severe stress incontinence without prolapse is |
| A. | Pelvic floor exercise |
| B. | Kelly's repair |
| C. | Burch colposuspension |
| D. | MMK operation |
| E. | Urethral collagen implant |
| Answer» B. Kelly's repair | |
| 60. |
Bartholin’s gland duct opens in..... |
| A. | Upper third of labia majora |
| B. | Middle third of labia majora |
| C. | Upper third of labia minora |
| D. | Middle third of labia minora |
| E. | none |
| Answer» D. Middle third of labia minora | |
| 61. |
A 19-year-old female comes to the physician because of left lower quadrant pain for 2 months. She states that she first noticed the pain 2 months ago but now it seems to be growing worse. She has had no changes in bowel or bladder function. She has no fevers or chills and no nausea, vomiting, or diarrhea. The pain is intermittent and sometimes feels like a dull pressure. Pelvic examination is significant for a left adnexal mass that is mildly tender. Urine hCG is negative. Pelvic ultrasound shows a 6 cm complex left adnexal mass with features consistent with a benign cystic teratoma (dermoid). Which of the following is the most appropriate next step in management? |
| A. | Repeat pelvic examination in 1 year |
| B. | Repeat pelvic ultrasound in 6 weeks |
| C. | Prescribe the oral contraceptive pill |
| D. | Perform hysteroscopy |
| E. | perform laparotomy |
| Answer» E. perform laparotomy | |
| 62. |
A 54-year-old woman comes to the physician for an annual examination. She has no complaints. For the past year, she has been taking tamoxifen for the prevention of breast cancer. She was started on this drug after her physician determined her to be at high risk on the basis of her strong family history, nulliparity, and early age at menarche. She takes no other medications. Examination is within normal limits. Which of the following is this patient most likely to develop while taking tamoxifen? |
| A. | Breast cancer |
| B. | Elevated LDL cholesterol |
| C. | Endometrial changes |
| D. | Myocardial infarction |
| E. | Osteoporosis |
| Answer» C. Endometrial changes | |
| 63. |
A 62-year-old woman comes to the physician because of bleeding from the v*gina. She states that her last menstrual period came 11 years ago and that she has had no bleeding since that time. She has hypertension and type 2 diabetes mellitus. Examination shows a mildly obese woman in no apparent distress. Pelvic examination is unremarkable. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. Which of the following is the most appropriate next step in management? |
| A. | Chemotherapy |
| B. | Cone biopsy |
| C. | Dilation and curettage |
| D. | Hysteroscopy |
| E. | Hysterectomy |
| Answer» E. Hysterectomy | |
| 64. |
Ovarian precursors of oestradiol include : |
| A. | Oestrone |
| B. | Androstenedione |
| C. | Testosterone |
| D. | All of the above |
| E. | None of the above |
| Answer» D. All of the above | |
| 65. |
Female patient with endometrial hyperplasia could be all of these except: |
| A. | thecoma |
| B. | fibroma |
| C. | Brenner tumor |
| D. | follicular cyst |
| E. | none |
| Answer» B. fibroma | |
| 66. |
Endometroid cyst, on examination: |
| A. | adenexal tenderness |
| B. | cyst felt in thin people |
| C. | cyst fixed and tender |
| D. | all of the above . |
| E. | none |
| Answer» D. all of the above . | |
| 67. |
Considering epithelial neoplasm of the ovaries all true except : |
| A. | the commonest |
| B. | mucinous cystadenoma lined by tubal epithelium |
| C. | Brenner tumor lined by urinary tract epithelium |
| D. | embryologically arise from wolffian epithelium . |
| E. | none |
| Answer» B. mucinous cystadenoma lined by tubal epithelium | |
| 68. |
The Commonest ovarian neoplasm complicated with torsion during pregnancy: |
| A. | fibroma |
| B. | teratoma |
| C. | simple serous cyst |
| D. | thecoma . |
| E. | none |
| Answer» B. teratoma | |
| 69. |
Female patient with acute abdomen , CBC normal , B-HCG negative , No vaginal bleeding , Mostly is : |
| A. | hemorrhagic teratoma |
| B. | disturbed ectopic pregnancy |
| C. | appendicitis |
| D. | peritonitis . |
| E. | none |
| Answer» A. hemorrhagic teratoma | |
| 70. |
Considering mucinous cystadenoma : |
| A. | the commonest neoplasm |
| B. | usually bilateral |
| C. | sometimes fill the entire abdominal cavity |
| D. | lined by tubal epithelium . |
| E. | none |
| Answer» C. sometimes fill the entire abdominal cavity | |
| 71. |
Considering Brenner tumor all true except : |
| A. | potential malignant is common |
| B. | histologically has epithelial nests and coffe bean nuclei |
| C. | vaginal bleeding reported with it |
| D. | usually in childbearing women |
| E. | none |
| Answer» D. usually in childbearing women | |
| 72. |
Considering Meig's syndrome it is associated with : |
| A. | ovarian fibroma |
| B. | left side pleural effusion |
| C. | ascitis |
| D. | a&b |
| E. | a&c |
| Answer» E. a&c | |
| 73. |
Considering malignant ovarian neoplasm histologically may be all except : |
| A. | epithelial tumors |
| B. | germ cells tumor |
| C. | cystic and solid tumors |
| D. | sex cord tumors . |
| E. | none |
| Answer» C. cystic and solid tumors | |
| 74. |
For endometrial cyst all true except : |
| A. | choclate cyst on TVS |
| B. | laparoscope is indicated |
| C. | C125 is a specific test |
| D. | associated with dysmenoorrhoea . |
| E. | none |
| Answer» C. C125 is a specific test | |
| 75. |
Female patient with history of induction of ovulation present with tender lower abdominal pain and discomfort , TVS show cyst , Next step is : |
| A. | assurance sending home |
| B. | hold ovarian stimulatin drug |
| C. | laparotomy |
| D. | non of the above . |
| E. | none |
| Answer» B. hold ovarian stimulatin drug | |
| 76. |
Considering endometroid cyst : |
| A. | not uncommon |
| B. | due to menstrual reaction |
| C. | torsion is common |
| D. | a&b . |
| E. | all the above |
| Answer» D. a&b . | |
| 77. |
Considering endometrial cyst ttt all true except : |
| A. | GNRH is of benefit |
| B. | laparosope idicated in small cyst |
| C. | laparotomy is preferred |
| D. | recurrence is not common |
| E. | none |
| Answer» D. recurrence is not common | |
| 78. |
Considering the follicular cyst it is rarely associated with : |
| A. | endometrial hyperplasia |
| B. | acute abdomen |
| C. | polycystic ovary |
| D. | On PV in obese patient it may rupture . |
| E. | none |
| Answer» B. acute abdomen | |
| 79. |
Female patient with history of endometriosis , menstrual disorders complaining from pain on right iliac fossa , on examination there was tenderness on right iliac fossa with no rebound pain no rigidity , on CBC it was normal , most likely : |
| A. | peritonitis |
| B. | appendicitis |
| C. | follicular cyst |
| D. | non of the above |
| E. | none |
| Answer» C. follicular cyst | |
| 80. |
Considering a case of follicular cyst it need all of following except : |
| A. | assurance follow up |
| B. | OCP |
| C. | usually surgical removal |
| D. | repeated US |
| E. | none |
| Answer» C. usually surgical removal | |
| 81. |
Considering the follicular cyst all of following is true except : |
| A. | associated with metropathia hemorrhagica |
| B. | OCP indicated in ttt |
| C. | the second common functional cyst |
| D. | TAS is the gold standard diagnostic method |
| E. | none |
| Answer» C. the second common functional cyst | |
| 82. |
Considering the endometroid cyst : |
| A. | associated with dysmenorrhoea |
| B. | associated with pelvic pain |
| C. | associatd with pelvic endometriosis |
| D. | All of the above |
| E. | none |
| Answer» D. All of the above | |
| 83. |
Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be : |
| A. | follicular cyst |
| B. | theca lutein cyst |
| C. | corpus luteum cyst |
| D. | none of the above . |
| E. | all |
| Answer» B. theca lutein cyst | |
| 84. |
A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is: |
| A. | Vaginal hysterectomy |
| B. | Radical hysterectomy/Radiotherapy |
| C. | Cold-knife conization of the cervix |
| D. | Loop excision of the cervical tranformation zone |
| E. | none |
| Answer» C. Cold-knife conization of the cervix | |
| 85. |
The following about human papilloma virus (HPV) infection are correct EXCEPT: |
| A. | It is the most common viral STDs. |
| B. | It may lead CIN and cervical cancer. |
| C. | It is due to RNA virus. |
| D. | Infection may be warty or flat condyloma. |
| E. | Infection is usually associated with others STDs. |
| Answer» C. It is due to RNA virus. | |
| 86. |
The lymphatic drainage of the cervix is to the following lymph nodes EXCEPT: |
| A. | The femoral lymph nodes. |
| B. | The internal iliac lymph nodes. |
| C. | The para-cervical lymph nodes. |
| D. | The pre-sacral lymh nodes. |
| E. | The Obturator lymph nodes |
| Answer» A. The femoral lymph nodes. | |
| 87. |
The commonest secondary change in uterine fibroids is: |
| A. | Fatty degeneration |
| B. | Myxomatous degeneration. |
| C. | Hyaline degeneration |
| D. | Cystic degeneration |
| E. | Calcification |
| Answer» C. Hyaline degeneration | |
| 88. |
The following is correct about the ovarian ligaments: |
| A. | Contain ureters. |
| B. | Contain ovarian arteries. |
| C. | Are attached laterally to pelvic wall. |
| D. | Lie anterior to the broad ligament. |
| E. | Are homologous to part of the gubernaculums testis in the male |
| Answer» B. Contain ovarian arteries. | |
| 89. |
The severity of CIN is graded |
| A. | 1-3 |
| B. | 1a-4a |
| C. | I-III+ I-IV |
| D. | A-C |
| E. | none |
| Answer» A. 1-3 | |
| 90. |
Cervical polyps |
| A. | causes spontaneous abortion |
| B. | are cause of antepartum hge |
| C. | cause watery vaginal discharge |
| D. | are covered by squamous epithelium |
| E. | cause intermenstrual bleeding |
| Answer» E. cause intermenstrual bleeding | |
| 91. |
Involves pelvic LN clearance, hysterectomy, removal of the parametrium and the upper third of the v*gina. |
| A. | Wartman’s hysterectomy |
| B. | Wertheim’s hysterectomy |
| C. | Wertheims Trachelectomy |
| D. | Radical trachelectomy |
| E. | Trachelems hysterectomy |
| Answer» B. Wertheim’s hysterectomy | |
| 92. |
5 year survival for someone with stage 3-4 cervical carcinoma |
| A. | 10-30%!!! |
| B. | 80-95% |
| C. | 2-10% |
| D. | 65-80% |
| E. | 45-60% |
| Answer» A. 10-30%!!! | |
| 93. |
Cervical carcinoma spread and staging: Microinvasion of the basement membrane, <7mm across, with no lymph/vascular space invasion |
| A. | Stage 1b |
| B. | Stage 3 |
| C. | Stage 4 |
| D. | Stage 1a |
| E. | Stage 2a |
| Answer» D. Stage 1a | |
| 94. |
Acetic acid turns a portion of the cervix _____ in a patient with a CIN |
| A. | Green |
| B. | Blue |
| C. | Brown |
| D. | Orange |
| E. | White |
| Answer» E. White | |
| 95. |
Typical cells are found only in the lower third of the epithelium |
| A. | CIN III |
| B. | CIN I |
| C. | CIN V |
| D. | CIN IV |
| E. | CIN II |
| Answer» E. CIN II | |
| 96. |
A 42-year-old G4P4 has had postcoital bleeding for the past four months. She has not had a Pap test since the delivery of her last child 7 years ago. Speculum examination shows a vaginal discharge and a 1 cm exophytic lesion of the posterior cervical lip. The most appropriate next step is: |
| A. | Perform a Pap smear |
| B. | Perform a cold-knife conization |
| C. | Give the patient a course of intravaginal Metronidazole gel followed by reexamination in 6 weeks |
| D. | Perform a punch biopsy of the lesion |
| E. | none |
| Answer» D. Perform a punch biopsy of the lesion | |
| 97. |
The area where cervical carcinoma usually originates |
| A. | Neoplastic zone |
| B. | Metaplastic field |
| C. | Retrograde area |
| D. | Transformation zone |
| E. | Transition field |
| Answer» D. Transformation zone | |
| 98. |
Cervical carcinoma is most common between the ages of |
| A. | 45-55 |
| B. | 16-18 |
| C. | 18-22 |
| D. | 35-45 |
| E. | 25-35 |
| Answer» A. 45-55 | |
| 99. |
Cervical carcinoma characteristically spreads in the |
| A. | Tissue |
| B. | Lymph |
| C. | Bone |
| D. | Blood |
| E. | Mucus |
| Answer» B. Lymph | |
| 100. |
Which of the following is thought to be protective against CIN? |
| A. | HIV |
| B. | Oral contraceptive usage |
| C. | Long term sexual abstinence |
| D. | Smoking |
| E. | Long term steroid use |
| Answer» C. Long term sexual abstinence | |
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