Escolar Documentos
Profissional Documentos
Cultura Documentos
1.Vulva.
***) All of the following structures are included in the term vulva, except:
A. Clitoris
B. Urethral orifice
C. Labia minora
D. Nabothian cysts
E. Bartholins glands
Answer: D* Nabothian cysts
***) The nerve supply to the vulva is derived from all of the following nerves,
except:
A. The pudendal nerve
B. The ileo-inguinal nerve
C. The genito-femoral nerve
D. The posterior cutaneous nerve to the thigh
E. The inferior hemorrhoidal nerve
Answer: E* The inferior hemorrhoidal nerve
2.Vagina.
***) All of the following are true about vagina, except:
A. The pH is 4
B. It contains no glands
C. Whitish non-offensive discharge is normal finding
D. Doderlein's bacilli is abnormal finding
E. Posterior wall is longer than anterior wall
Answer: D* Doderlein's bacilli is abnormal finding
***) The normal vagina in the reproductive age is characterized by all of the
following, except:
A. Contains Doderleins bacilli
B. Lined by stratified squamous epithelium
C. Has a pH of 4.5
D. The epithelium contains secretory cells
E. Is divided by the cervix into four fornices
Answer: D* The epithelium contains secretory cells
***) The lining epithelium of the vagina is:
A. Stratified squamous epithelium
B.
C.
D.
E.
3.Uterus.
***) The uterine artery is a branch of one of the following:
A. External iliac artery
B. Internal iliac artery
C. Common iliac artery
D. Middle sacral artery
E. Obturator artery
Answer: B* Internal iliac artery
***) The best support to the uterus is by:
A. The broad ligaments
B. Infundibulopelvic ligaments
C. Round ligament
D. Utero-ovarian ligament
E. Cardinal ligament
Answer: E* Cardinal ligament
***) The round ligament of the uterus terminates in one of the following:
A. Symphysis pubis
B. Iliac crest
C. Upper portion of labium majus
D. Upper portion of labium minus
E. Upper portion of inguinal canal
Answer: C* Upper portion of labium majus
***) Regarding lower uterine segment, all the following are true except:
A. It represents isthmus in non pregnant uterus
B. It lies between the anatomical and histological internal os
C. It is a passive segment compared to the upper segment which is active
D. In obstructed labor it can form Bandl's ring
E. It is the least site of rupture in obstructed labor with no previous CS scar
Answer: E* It is the least site of uterus in obstructed labor with no previous
CS scar
4.Ovaries.
***) The left ovarian vein empties in one of the following:
A. Vena cava inferior
B. Left common iliac vein
C. Left internal iliac vein
D. Left renal vein
E. Left external iliac vein
Answer: D* Left renal vein
***) The most inner part of a mature Graafian follicle is:
A. Theca interna
B. Theca externa
C. Granular cell layer
D. Zona pellucida
E. Ovarian stroma
Answer: D* Zona pellucida
***) Maximal number of germ cells in the ovary occurs at:
A. 20-22 weeks of intrauterine life
B. 30 weeks of intrauterine life
C. Birth
D. Menarche
E. Age of 25 years
Answer: A*20-22 weeks of intrauterine life
***) Ovarian failure causes atrophic changes in all of the following, except:
A. Uterus
B. Vagina
C. Urethra
D. Bone
E. Rectum
Answer: C* Urethra
Menstruation GY03-GY06.
1.Menstrual Cycle.
***) Regarding menstrual cycle, all the following are true except:
A. Increasing levels of FSH from anterior pituitary gland
B. FSH release is influenced by gonadotropin releasing hormone from
hypothalamus
C. FSH promotes follicular development in the ovary
D. Ovulation occurs 14 days from 1st day of the cycle
E. The endometrium undergoes proliferation during 1st half of the cycle
Answer: B* FSH release is influenced by GnRH from hypothalamus
***) In a normal menstrual cycle of 35 days duration, ovulation occurs:
A. Two weeks before menstrual flow
B. Mid cycle
C. Time of maximum progesterone production
D. Two weeks after the onset of the menstrual flow
E. Time of maximum prolactin production
Answer: A* Two weeks before menstrual flow
***) Severe hyperstimulation syndrome associated with gonadotropin
therapy may be manifested clinically by the following, except:
A. Abdominal pain
B. Ascites
C. Follicular cysts
D. Hypovolemic shock
E. Thrombo-embolic episodes
Answer: A* Abdominal pain
***) Physiologic processes that are estrogen dependent in women include all
the following except:
A. Menses
B. Vaginal cornification
C. Hirsutism
D. Appearance of axillary hair
E. Production of cervical mucus
Answer: C* Hirsutism
2.Laparoscopy.
***) Laparoscopy is a useful investigation to diagnose one of the following
conditions:
A. Adenomyosis
B. Congenital uterine abnormalities
C. Premature ovarian failure
D. Endometriosis
E. Vaginal atresia
Answer: D* Endometriosis
3.Hysteroscopy.
***) The following are contraindications for Hysterosalpingography, except:
A. Uterine bleeding
B. Active pelvic infection
C. Suspected pregnancy
D. Bicornuate uterus
E. Active cervicitis
Answer: D* Bicornuate uterus
B.
C.
D.
E.
3.Dysmenorrhea.
***) Regarding dysmenorrhea all of the following are true, except:
A. It is a painful menstruation
B. The spasmodic type is the primary
C. The congestive type is the secondary
D. Membranous dysmenorrhea is most uncommon
E. D&C is the treatment of choice
Answer: E* D&C is the treatment of choice
***) All of the following are true about spasmodic dysmenorrhea (primary),
except:
A. The pain occurs with the onset of menstruation
B.
C.
D.
E.
4.Postmenopausal bleeding.
***) Regarding post menopausal bleeding, all the following are true except:
A. May be caused by estrogen therapy
B. Can only occur six months after the cessation of menses
C. May occur due to atrophic vaginitis
D. Dilatation and curettage are mandatory
E. Rarely is due to malignant changes in the endometrium
Answer: E* Rarely is due to malignant changes in the endometrium
***) All of the following may cause postmenopausal bleeding, except:
A. Estrogen therapy
B. Atrophic changes of the vagina
C. Testosterone therapy
D. Cervical malignancy
E. Endometrial malignancy
Answer: C* Testosterone therapy
***) The following are causes of post menopausal bleeding, except:
A. May be caused by estrogen therapy
B. Atrophic vaginitis
C. Endometrial malignancy
D. Cervical carcinoma
E. May be caused by non hormone-producing ovarian tumors
Answer: E* May be caused by non hormone-producing ovarian tumors
Endometriosis GY16-GY17.
1.Endometriosis.
***) Regarding endometriosis all of the following are true, except:
A. The endometrium is found in situation other than the uterine cavity
B. It may be found in myometrium
C. The principle feature is menorrhagia
D. It may cause infertility
E. The treatment of choice in young age is hysterectomy
Answer: E* The treatment of choice in young age is hysterectomy
***) Concerning endometriosis, all the following are true except:
A. Causes deep dyspareunia
B. Is often asymptomatic
C. Is frequently pre-malignant
D. Often present as secondary dysmenorrhea
Adenomyosis GY17-GY17.
1.Adenomyosis.
***) In adenomyosis the endometrial glands are localized at:
A. Pelvic cavity
B. Ovaries
C. Fallopian tubes
D. Bowels
E. Uterine muscle
Answer: E* Uterine muscle
***) All of the following complications are associated with intramural fibroid,
except:
A. Excessive uterine bleeding
B. Red degeneration during pregnancy
C. Fatty degeneration
D. Hyaline degeneration
E. Sarcomatous changes in 20% of cases
Answer: E* Sarcomatous changes in 20% of cases
***) The following changes may occur in a fibroid, except:
A. Cystic changes
B. Sarcomatous changes
C. Calcified called "womb stone"
D. Acute fatty degeneration
E. Hyaline degeneration
Answer: D* Acute fatty degeneration
***) The commonest type of bleeding encountered with uterine leiomyoma
(fibroids) is:
A. Post coital bleeding
B. Menorrhagia
C. Metrorrhagia
D. Postmenopausal bleeding
E. Intra-abdominal bleeding
Answer: B* Menorrhagia
***) Uterine fibroid may be associated with all of the following, except:
A. Amenorrhea
B. Menorrhagia
C. Frequency of micturition
D. Infertility
E. Abdominal enlargement
Answer: A* Amenorrhea
***) In a 42 years old female who has menorrhagia due to a uterine fibroid,
the best treatment is:
A. Radiotherapy
B. Myomectomy
C. Total abdominal hysterectomy
D. Hormonal therapy
E. Repeated D&C operations
Answer: B* Myomectomy
***) The most common pelvic mass in postmenopausal women is:
A. Follicular cyst
B. Corpus luteum cyst
C. Germ cell tumor
D. Leiomyoma
E. Endometrioma
Answer: D* Leiomyoma
***) The most common uterine neoplasm is:
A. Sarcoma
B. Adenocarcinoma
C. Choriocarcinoma
D. Adenomyosis
E. Leiomyoma
Answer: E* Leiomyoma
Contraception GY19-GY22.
1.Contraception.
***) The ideal method of contraception for a cardiac patient with mitral valve
disease who desires no more children is by:
A. Birth control pills
B. IUCD (Intra Uterine Contraceptive Device)
C. Laparoscopic tubal ligation
D. Immediate post partum tubal ligation
E. Tubal ligation 40 days after delivery by laparotomy
Answer: E* Tubal ligation 40 days after delivery by laparotomy
2.Hormonal Methods.
***) The most effective contraceptive known is:
A. Diaphragm
B. Condom (Sheath)
C. Synthetic progestin
D. Combined contraceptive pills (estrogen + progesterone)
E. Intrauterine device
Answer: D* Combined contraceptive pills (estrogen + progesterone)
***) About combined oral contraceptive pills one is true:
A.
B.
C.
D.
E.
***) All of the following are side effects of oral contraceptives, except:
A. Weight gain
B. Hypertension
C. Deep vein thrombosis
D. Strike
E. Hypoglycemia
Answer: E* Hypoglycemia
***) The effectiveness of oral contraceptives is reduced following interaction
with the following drugs, except:
A. Ampicillin
B. Phenobarbitone
C. Phenytoin
D. Thyroxine
E. Carbamazepine
Answer: D* Thyroxine
***) Regarding oral contraceptive pills, one is true:
A. Inhibit release of gonadotropic hormones
B. May lead lo thinning of cervical mucus
C. Lead to reduced platelet aggregation
D. Lead lo increased antithrombin III
E. Increase fallopian tube smooth muscle activity
Answer: A* Inhibit release of gonadotropic hormones
***) The use of combined oral contraceptive pills may increase the risk of one
of the following conditions:
A. Fibrocystic breast disease
B. Hepatic adenoma
C. Salpingitis
D. Ovarian cancer
E. Endometrial cancer
Answer: B* Hepatic adenoma
***) The most common side effect of low-dose oral contraceptive pills is:
A. Breakthrough bleeding
B. Dysmenorrhea
C. Nausea
D. Hypertension
E. Breast pain
3.Intrauterine Device.
***) Concerning Intrauterine Contraceptive Device IUCD, choose the correct
answer:
A. Failure rate 2-3 % women every year
B. Increases the incidence of cervical erosion
C. Increases the incidence of Candida infection
D. Contraindicated in patients with cervical polyp
E. Cryocautery to the cervix can be done while IUCD is in situ
Answer: A* Failure rate 2-3 % women every year
***) Intrauterine contraceptive devices (inert type) prevent pregnancy by all
of the possible mechanisms, except:
A. Increase the motility of fallopian tubes
B. Increase the contractility of the uterus
C. Causing aseptic inflammatory reaction in the endometrium
D. Increasing the potential space of uterine cavity
E. Increasing the hostility of the cervical mucus to the spermatozoid
Answer: A* Increase the motility of fallopian tubes
***) One of the following is an absolute contraindication to Intrauterine
Contraceptive Device IUCD:
A. Uterine fibroids
B. Bicornuate uterus
C. Grand multi-parous woman
D. Previous caesarian section
E. Lactation
Answer: B* Bicornuate uterus
***) Contraindications of IUCD are the following, except:
A. Pregnancy
B. Pelvic infection
C. Multigravida
D. Dysfunctional uterine bleeding
E. Patient with heart disease
Answer: C* Multigravida
***) Intrauterine contraceptive device may be associated with following
complications, except:
A. Pelvic infection
B.
C.
D.
E.
Uterine perforation
Ectopic pregnancy
Cervical erosion
Menorrhagia
Infertility GY22-GY24.
1.Female Factors.
***) A 27 years old woman has tried unsuccessfully for 5 months to become
pregnant, The recommended investigation in this case would be:
A. Hormonal assay
B. Hysterosalpingogram (HSG)
C. Endometrial biopsy
D. Laparoscopy
E. None of the above
Answer: E* None of the above
***) All the following are complications of ovulatory inducers, except:
A. Multiple pregnancy
B. Ectopic pregnancy
C. Hypotension
D. Ascites
E. Hypoproteinemia
Answer: E* Hypoproteinemia
***) What percentage of couples in the reproductive age is unable to
conceive after one year of coitus without contraception:
A. 1-2%
B. 15%
C. 30%
D. 50%
E. 75%
Answer: B* 15%
***) All of the following are possible indications of ovulation, except:
A. Increased plasma levels of progesterone in the second half of the cycle
B. Increased basal temperature in the second half of the cycle
C. Follicular stimulating hormone surge at the mid cycle
D. Change in the cervical mucus
E. Mid cycle abdominal pain
Answer: C* Follicular stimulating hormone surge at the mid cycle
***) Ovulation can be diagnosed by the following, except:
A. Measuring day 14 serum progesterone
B. Observing a rise in basal body temperature in the second half of the
menstrual cycle
C. Study of cervical mucus
D. Endometrial biopsy
E. Day 20 serum prolactin
Answer: E* Day 20 serum prolactin
???) Ovulation can be diagnosed by all the following except one:
Measuring day 14 serum progesterone
Observing a rise in basal body temperature in the second half of the
menstrual cycle
Study of the cervical mucus
Endometrial histology
Mittle schmerz (midcyclic pain)
Answer: 1* Measuring day 14 serum progesterone
***) Tests to detect ovulation include all of the following, except:
A. Basal body temperature
B. Endometrial biopsy
C. Estrogen level
D. Progesterone level
E. Vaginal wall cytology
Answer: C* Estrogen level
***) Induction of ovulation may be achieved by giving:
A. Clomiphene citrate
B. Cyproterone acetate
C. Letrozole
D. FSH and LH
E. Tamoxifen
Answer: A* Clomiphene citrate
***) Clomiphene citrate is contraindicated in one of the following:
A. Endometrial hyperplasia
B. Post pill amenorrhea
C. Polycystic ovary (Stein-Leventhal syndrome)
D. Ovarian tumors
E. Infrequent ovulation
Answer: D* Ovarian tumors
2.Male Factors.
***) Normal semen should have the following characteristics, except:
A. Volume 2.5-5 cc
B. Liquefaction in 30 minutes
C. Motility 60-70% after 3 hours
D. After 6 hours only 30% remain motile
E. Sperm count the average normal specimen is 10-20 million per 1 cc
Answer: E* Sperm count the average normal specimen is 10-20 million per 1
cc
***) All of the following may cause azoospermia, except:
A. Blockage of the ducts
B. Klinefelter syndrome
C. Orchitis due to mumps
D. Varicoceles
E. Surgical trauma to the spermatic artery
Answer: D* Varicoceles
***) Male sterilization (vasectomy) causes:
A. Azoospermia
B. Loss of libido
C. A decrease in the volume of the ejaculate
D. Impotence
E. Infection
Answer: A* Azoospermia
***) All of the following are causes of abnormal spermatogenesis except:
A. Cryptorchidism
B. Genetic abnormality
C. Varicoceles
D. Cold environment
E. Drugs
Answer: D* Cold environment
***) All the following environmental factors might adversely affect
spermatogenesis except:
A. Prolonged sitting
B. Febrile illness
C. Hot bath
D. Swimming
E. Frequent saunas
Answer: D* Swimming
D. Gonorrhea
E. Syphilis
Answer: B* Candidiasis (moniliasis)
D. Candida albicans
E. Gram negative streptococci
Answer: D* Candida albicans
***) All of the following conditions may be confused with acute salpingitis,
except:
A. Acute appendicitis
B. Tubal pregnancy
C. Acute pyelonephritis
D. Bartholin's abscess
E. Ruptured ovarian cyst
Answer: D* Bartholin's abscess
***) Management of septic pelvic thrombophlebitis usually will include:
A. Bed rest and analgesics alone
B. Antibiotics alone
C. Antibiotics and heparinization
D. Heparinization alone
E. Immediate vena cava ligation
Answer: C* Antibiotics and heparinization
***) Pelvic fallopian tube adhesions causing infertility may be due to all of the
following, except:
A. Appendicitis
B. A post abortion infection
C. A post puerperal sepsis
D. Adenomyosis
E. Pelvic endometriosis
Answer: D* Adenomyosis
***) Symptoms of PID include all of the following except:
A. Abdominal pain
B. Dyspareunia
C. Amenorrhea
D. Abnormal vaginal discharge
E. Fever and chills
Answer: C* Amenorrhea
***) PID differential diagnosis includes all of the following except:
A. Ectopic pregnancy
B. Endometriosis
C. Spontaneous abortion
D. Intrauterine pregnancy
E. Diverticulitis
Answer: D* Intrauterine pregnancy
***) About tuberculosis of the genital tract, all the following are true except:
A. Most commonly affects the fallopian tubes
B. It is transmitted by hematogenous spread
C. Causes infertility
D. Causes amenorrhea
E. Predisposes to endometrial carcinoma
Answer: E* Predisposes to endometrial carcinoma
Menopause GY33-GY35.
1.Menopause.
***) Concerning menopause the following are correct, except:
A. Serum androstenedione levels increase
B. The quantity of estrogens present increase by obesity
C. Therapy is rarely needed for more than 4 months
D. Combined estrogen and progesterone therapy is best
E. Withdrawal bleeding following combined therapy is not an indication for
curettage
Answer: C* Therapy is rarely needed for more than 4 months
***) During menopause one of the following is true:
A. Serum FSH only is elevated
B. Serum LH only is elevated
C. Both FSH and LH are elevated
D. Serum FSH is low
E. Serum FSH and LH are low
Answer: C* Both FSH and LH are elevated
***) All of the following may occur in menopausal women, except:
A. The breast tend to decrease in size
B. The uterus atrophies
C. The endometrium hyper-atrophies
D. The vaginal mucosa becomes thin
E. The pH of the vagina rises
Answer: C* The endometrium hyper-atrophies
***) All of the following symptoms are true for menopause, except:
A. Irritability
B. Headache
C. Vasomotor instability
D. Backache
E. Ovulation
Answer: E* Ovulation
***) Regarding the climacteric, all the following are true except:
A. Headache
B. Palpitation
C. Hot flushes
D. Low FSH
E. Sweating
Answer: D* Low FSH
***) Menopause is associated with all of the following, except:
A. Hot flushes
B. Insomnia
C. Decreased incidence of myocardial infarction
D. Osteoporosis
E. Loss of libido
Answer: C* Decreased incidence of myocardial infarction
Urogynecology GY35-GY37.
1.Pelvic Prolapse.
***) Symptoms of uterine prolapse are the following, except:
A. Retention of urine
B. Backache
C. Vaginal discharge
D. Vaginal bleeding
E. Heaviness in the vagina
Answer: A* Retention of urine
2.Urinary Incontinence.
***) Concerning stress urine incontinence the following are correct, except:
A. Can be caused by rectocele
B. Is more common in multi parous
2.Ovaries.
***) One of the following ovarian tumors is more likely to cause hirsutism:
A. Theca lutein cyst
B. Androblastoma
C. Krukenberg tumor
D. Serous cystadenoma
E. Follicular cyst
Answer: B* Androblastoma
***) One of the following ovarian tumors is malignant:
A. Follicular cyst
B. Luteal cyst
C. Dysgerminoma
D. Chocolate cyst
E. Dermoid cyst
Answer: C* Dysgerminoma
***) Concerning dermoid cysts the following are correct, except:
A. Are germ cell tumors
B. Are bilateral in 10% of cases
C. Are the commonest cysts defected during pregnancy
D. Are malignant in less than 5% of cases
E. Are frequently XY (karyotype)
Answer: E* Are frequently XY (karyotype)
***) Concerning malignant ovarian tumors, all the following are true except:
A. Are often bilateral
B. Often present as an asymptomatic mass
C. More common post menopause
D. Have a good prognosis after treatment
E. Are mostly hormone secreting
Answer: E* Are mostly hormone secreting
***) The most frequent diagnosed type of ovarian cancer is:
A. Epithelial
B. Germ cell
C. Specialized stromal cell
D. Non-specialized stromal cell
E. Metastatic disease to the ovary
Answer: A* Epithelial
***) The first line of treatment for ovarian cancer is:
A. Radiotherapy
B. Surgery
C. Chemotherapy
D. Radiotherapy and chemotherapy
E. Observation
Answer: B* Surgery
***) The primary lesion of Krukenberg ovarian tumor is commonly in:
A. Large bowels
B. Brain
C. Stomach
D. Bone
E. Liver
Answer: C* Stomach
***) A 65 years old woman was found to have ovarian cyst 6x6 cm, the
proper treatment is:
A. Observation
B. Laparoscopy
C. Laparotomy and cystectomy
D. Hysterectomy
E. Treatment no need
Answer: C* Laparotomy and cystectomy
***) Childhood neoplastic ovarian masses most commonly from:
A. Gonadal epithelium
B. Gonadal stromal
C. Germ cells
D. Sex cord
E. Metastatic disease
Answer: C* Germ cells
***) The most common complication of large cystic teratoma during the first
trimester is:
A. Torsion
B. Rupture
C. Intracystic hemorrhage
D. Solid degeneration
E. Luteinization
Answer: A* Torsion
***) A medium-size ovarian cyst may be subjected to the following except:
A. Torsion
B. Necrosis
C. Infection
D. Rupture
E. Malignant changes if she gets pregnant
Answer: E* Malignant changes if she gets pregnant
???) The commonest malignant tumors of the ovary are:
Germ cell tumors
Epithelial tumors
Metastases from other tumors
Stomal tumors
Knikenburg tumors
Answer: B* Epithelial tumors
???) Most common neoplastic ovarian masses in postmenopausal women
originate from:
Ovarian epithelium
Ovarian stroma
Ovarian germ cells
Ovarian sex cord
Metastatic disease
Answer: 1* Ovarian epithelium
???) Benign cystic teratoma (dermoid cyst) is characterized by one of the
following:
It occurs bilaterally in 50% of cases
It is formed of squamous epithelium only
It is formed of squamous epithelium and sebaceous glands only
It is formed of all three germ cell layers
The commonest ovarian tumor associated with pregnancy
Answer: 1* It occurs bilaterally in 50% of cases
3.Cervix.
***) Regarding carcinoma of the cervix, all the following are true except:
A. Cervical smear is a screening method
B. In the early stages of the disease there are no symptoms
C. Cervical cancer spreads only by direct spread
D. Post coital bleeding can be first sign
E. Adenocarcinoma of the cervix account for 5% of cases
Answer: C* Cervical cancer spreads only by direct spread
***) The lining of cervical erosion is:
A.
B.
C.
D.
E.
Squamous epithelium
Squamous epithelium with keratin
Columnar epithelium
Transitional epithelium
Cervical stroma
4.Vulva.
***) The etiologic agent for vulvar cancer is:
A. Squamous cell hyperplasia
B. Atrophic dystrophy
C. Chronic granulomatous disease
D. Chronic irradiation
E. Unknown
Answer: E* Unknown
***) The most common symptom of vulvar cancer in elderly woman is:
A. Abnormal bleeding
B. Foul smell
C. Pruritus
D. Vulvar atrophy
E. Painful intercourse
Answer: C* Pruritus
***) A blue swelling on the vulva is most likely due to:
A. Melanoma
B. Varicosity
C. Endometriosis
D. Lipoma
E. Hemangioma
Answer: B* Varicosity
5.Vagina.
***) The most common histopathological finding in primary carcinoma of the
vagina is:
A. Clear cell carcinoma
B. Melanoma
C. Squamous cell carcinoma
D. Sarcoma
E. Choriocarcinoma
Answer: C* Squamous cell carcinoma