McqMate
These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Uncategorized topics , Biology .
| 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 | |
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