Deck 3: Womens Health and Reproductive System: Part C

Question 1

Hilus or Leydig cell tumour may be associated with :

A)Reinke crystals
B)Oestrogen effect on endometrium
C)Clinical virilism
D)All of the above
E)None of the above

Answer 1

All of the above

Question 2

A multiparous woman aged 40 years, presents with menorahagia and progressively increasing dysmenorrhoea. Most probable diagnosis is:

A)Ca Cervix
B)Ca Endometrium
C)Adenomyosis
D)DUB
E)none

Answer 2

Adenomyosis

Question 3

Female with history of frequent micturition may be :

A)prolapse
B)incarcerated fibroma
C)pregnancy
D)a&c
E)all above .

Answer 3

all above .

Question 4

Considering dysgerminoma all true except :

A)the commonest germ cell tumor
B)usually in young females
C)lymphatic spread is so late
D)elevate lactic dehydrogenase level .
E)none

Question 5

Ordering accord to the commonest cancers in female genital tract the right is :

A)cervical , endometrial ,ovarian
B)ovarian , cervical , endometrial
C)endometrial , cervical , ovarian
D)endometrial , ovarian , cervical .
E)none

Question 6

Female came to the ER with Bp 80/60 and pulse 125 with history of acute abdomen , next step is

A)laparotomy
B)iv fluids
C)CBC
D)PV examination
E)none

Question 7

Considering ovarian cancer :

A)surgery is preferred to be last line
B)early discovered with good prognosis
C)chemotherapy is good in most tumors
D)germ cell tumors show good response to chemotherapy
E)none

Question 8

A 48-year-old woman has noted a small amount of irregular vaginal bleeding for the past 2 months. She has a pelvic examination that reveals no cervical lesions, and a Pap smear that shows no abnormal cells. Next, an endometrial biopsy is performed, and there is microscopic evidence for endometrial hyperplasia. An abdominal ultrasound reveals a solid right ovarian mass. Which of the following neoplasms is this woman is most likely to have?

A)Mature cystic teratoma
B)Choriocarcinoma
C)Sertoli-Leydig cell tumor
D)Fibrothecoma
E)Krukenberg tumor

Question 9

Vaginal adenocarcinomas in children is caused by

A)Virus
B)Administration of DES to pregnant mothers
C)Hormonal changes
D)All of the above
E)none

Question 10

Carcinoma cervix with involvement of upper 2/3 of vagina is stage

A)II
B)II B
C)III A
D)III B
E)none

Question 11

A 47-year-old woman has noted a pressure sensation, but no pain, in her pelvic region for the past 5 months. On physical examination there is a right adnexal mass. An ultrasound scan shows a 10 cm fluid-filled cystic mass in the right ovary. A fine needle aspirate of the mass is performed and cytologic examination of clear fluid aspirated from the mass reveals clusters of malignant epithelial cells surrounding psammoma bodies. Which of the following neoplasms is she most likely to have?

A)Endometrial adenocarcinoma
B)Ovarian serous cystadenocarcinoma
C)Mesothelioma
D)Ovarian mature cystic teratoma
E)Adenocarcinoma of fallopian tube

Question 12

Ovarian masses:

A)Are malignant in presence of ascites
B)Include benign teratomas
C)Of germ cell origin may secrete hormones
D)May be confused with develpomental abnormalities of renal tract
E)If malignant can be reliably staged pre-operatively

Question 13

A 4-year-old girl is noted to have breast enlargement and vaginal bleeding. On physical examination, she is noted to have a 9-cm pelvic mass. Which of the following is the most likely etiology?

A)Cystic teratoma
B)Dysgerminoma
C)Endodermal sinus tumor
D)Granulosa cell tumor
E)Mucinous tumor

Question 14

Current modes of investigation for infertility to check functioning of tubes are all of the following execpt:

A)Air insufflation
B)Sonosalpingography
C)Hysterrosalpingography
D)Laparoscopic chromotubation
E)all of the above

Question 15

Before puberty, what is the ratio between the cervical length and uterine body ?

A)1 : 2
B)2 : 1
C)1 : 3
D)1 : 4
E)none

Question 16

As regard mastalgia:

A)in cyclic mastalgia pain is usaully max. postmenestrual
B)is treaeted surgically
C)bromocriptine may be used
D)gammaleinoliec acid is contraindicated
E)none

Question 17

Pap smear

A)the next step in dysplastic smear is colposcopy
B)is simple but inaccurate
C)should be carried out every 5 years
D)has no role in screening of assymptomatic women
E)all of the above

Question 18

A 40-years-old female with history of fibroid on investigation showed CIN-2 changes. Treatment of choice in this case is :

A)Hysterectomy
B)Conization
C)Cryotherapy
D)Laser ablation
E)none

Question 19

Dysfunctional Uterine Bleeding (DUB) is defined as abnormal uterine bleeding ?

A)Secondary to hormonal dysfunction
B)Caused by cancer
C)In a patient with von Willebrand's disease
D)With no organic cause
E)Caused by an endometrial polyp

Question 20

Abnormal Uterine bleeding (AUB) is defined by all of the following except ?

A)Excessive Blood loss (>80 ml) during menses
B)Menstrual length less than 7 days
C)An interval of less than 21 days between the starts of successive menses
D)Irregular bleeding episodes between menses
E)Extended (>35 days) intervals between menses

Question 21

Dysfunctional uterine bleeding is said to present when there is bleeding due to :

A)Fibroid
B)Endometriosis
C)Irregular ripening and irregular shedding
D)Chronic endometritis
E)none

Question 22

Post menopausal bleeding does not occur in....

A)Use of combined OCP's
B)Atrophic vaginitis
C)Endometrial hyperplasia
D)CA-Endometrium
E)none

Question 23

Bicornute uterus may predispose to all the following except:

A)recurrent PTL
B)primary amenorrhea
C)retention of placenta after delivery
D)menorrhagia
E)none

Question 24

A couple presented in OPD with H/0 infertility since last 2 years. Husbands semen analysis was advised. What is WHO criterion - for minimum sperm count in normal semen?

A)10 million.
B)20 million.
C)30 million.
D)40 million.
E)70 million.

Question 25

A 23 years old primigravida presents with abdominal pain, syncope and vaginal spotting. Assessment reveals that she has an ectopic pregnancy. The most common site of pregnancy is:

A)Ampulla.
B)Isthmus.
C)Fimbrial end.
D)Abdomin.
E)Cervix.