Question 1

56 years old woman has come to you with the complaints of hot flushes irritability, joint pains with lack of sleep. Most appropriate treatment would be:

Accepted Answer

A)  Hysterectomy.
B)  Vitamins.
C)  Combined oestrogen, progesterone preparations.
D)  Phytooestrogens.
E)  Selective estrogen receptor modulators (SERMS) . C

Question 2

Which of the following pubertal event would occur even in the absence of ovarian estrogen production:

Accepted Answer

A)  Thelarche.
B)  Menarche.
C)  Pubarche.
D)  Skeletal growth.
E)  Vaginal cornification. C

Question 3

58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be:

Accepted Answer

A)  Colposcopy.
B)  Pap smear.
C)  Cone biopsy.
D)  D & C (dilatation & Curettage) .
E)  Hysteroscopy. D

Question 4

Main uterine support is:

Accepted Answer

A)  Uterosacral ligaments.
B)  Round ligaments.
C)  Transverse cervical ligaments.
D)  Ovarian ligaments.
E)  Broad ligaments.

Question 5

The most common symptom of endometrial hyperplasia is:

Accepted Answer

A)  Vaginal discharge.
B)  Vaginal bleeding.
C)  Amenorrhea.
D)  Pelvic pain.
E)  Abdominal distention.

Question 6

Serum prolactin levels are highest in which of the following conditions:

Accepted Answer

A)  Menopause.
B)  Ovulation.
C)  Parturition.
D)  Sleep.
E)  Running.

Question 7

The most likely cause of abnormal uterine bleeding in 13 years old girl is:

Accepted Answer

A)  Uterine cancer.
B)  Ectopic pregnancy.
C)  Anovulation.
D)  Systemic bleeding diatheses.
E)  Trauma.

Question 8

Which of the following is used as an emergency contraceptive:

Accepted Answer

A)  Combined oral contraceptive pills.
B)  Progesterone only.
C)  Depoprovera.
D)  Levonorgestril (EM-Kit) .
E)  Ergometrine.

Exam 8: Gynecology and Obstetrics: Part B