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31. This theory helps explain rare and remote sites of endometriosis
such as spinal column and nose:
a) Metaplasia 39. Which of the following provides the best diagnostic tool for
b) Lymphatic and vascular metastasis endometriosis
c) Retrograde menstruation a) Ultrasound
d) Immunologic changes b) MRI
c) CT Scan
32. The 3 cardinal histologic features of endometriosis are d) X-ray
a) estrogenic endometrial glands, ectopic endometrial stroma
b) ectopic endometrial glands, ectopic endometrial stroma, 40. The average age of menopause among Filipina women is
presence if clue cells a) 51 years
c) endometrial growth, endometrial stroma, hemorrhage b) 43 years
within the endometrium c) 49.5 years
d) ectopic endometrial glands, hemorrhage into adjacent d) 47 and 48 years
tissue, hemorrhage within the endometrium.
41. The primary determinants of age of menopause?
33. The primary long term goal in management of endometrium is a) Body mass index
a) Relief of pain b) Age of menarche
b) Promotion of fertility c) Genetic
c) attempt to prevent progression and recurrence of disease d) Parity
process
d) achieve menstrual suppression 42. Premature ovarian failure or premature ovarian insufficiency is
hypergonadotropic ovarian failure occurring prior to age?
34. Medical therapy for endometriosis initiates the following, except a) 40
a) Danazol b) 45
b) Estradiol?? c) 30
c) GnRH agonists d) 35
d) GnRH antagonist
43. Circulation levels of these hormones decreases in
35. Which of the following is the most active phase of endometriosis postmenopausal women except
a) Red, blood filled lesions a) FSH
b) Clear vesicles b) DHEA
c) Black lesions c) Androstenedione
d) White lesions d) Testosterone
36. Which of the following in the most common site of endometrial 44. Levels of these hormones and gonadal proteins increases in
implant? postmenopausal women except
a) Peritoneum over the uterus a) Activing A
b) Round ligaments b) Luteinizing Hormone
c) Cervix c) FSH
d) Ovaries d) Estradiol
37. Which of the following are the classic sign of endometriosis? 45. The hallmark feature of declining estrogen status in the brain is
a) Cyclic pelvic pain and infertility a) Vasomotor episode
b) Abnormal bleeding and menorrhagia b) Cognitive decline
c) Intermittent constipation and diarrhea c) Memory loss
d) Dysuria and hematuria d) Depressed mood
38.Which of the following is a classic pelvic finding of endometriosis? 46. Which of the following is true of estrogen?
a) Anteverted uterus with narrowing of posterior vaginal fornix. a) It has a negative effect on collagen
b) Anteverted uterus with scarring and tenderness posterior to b) It has been shown to reduce recurrent urinary tract
the uterus. infections
c) It has no proven effect in wound healing