Gynecology Set 1

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This set of Gynecology Multiple Choice Questions & Answers (MCQs) focuses on Gynecology Set 1

Q1 | Women with postmenopausal bleeding need endometrial sampling if endometrial on US is thicker than
  • 1mm
  • 2mm
  • 5mm
  • 8mm
  • 10mm
Answer: 5mm
Q2 | Which of the following change in puberty is influenced by the estrogen:
  • Growth of the acinar buds of the breast
  • Epiphyseal fusion
  • Proliferatve phase
  • All of the above
  • None of the above
Answer: All of the above
Q3 | not exclusevely in the stomach121. Pelvic ultrasound is helpful in the diagnosis of:
  • Endometrial carcinoma
  • Asherman’s syndrome
  • Ascites
  • Ovulation detection
  • Endometriosis
Answer: Ovulation detection
Q4 | Glycogen is seen in the lumina of endometrial glands :
  • During the luteal phase
  • During pregnancy only
  • During pre and post ovulatory
  • During proliferative phase only
  • At the time of ovulation only
Answer: During the luteal phase
Q5 | The Wolfian duct in the female :
  • Develops into the fallopian tube
  • Forms the ovary
  • Forms the round ligament
  • Regresses and becomes vestigial
  • None of the above
Answer: Regresses and becomes vestigial
Q6 | Large amount of alkaline phosphatase may be demonstrated in the endometrium of :
  • Decidua
  • Secretory phase
  • Proliferative phase
  • All of the above
  • None of the above
Answer: Proliferative phase
Q7 | Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:
  • Venous channels
  • Lymphatics
  • Nerve axons
  • All of the above
  • None of the above
Answer: Nerve axons
Q8 | The levator ani muscle :
  • Is a voluntary muscle
  • Is attached laterally to the ”white line of the pelvis ”
  • Is composed of pubococcygeus and iliococcygeus muscle
  • Contracts to prevent spillage of urine during strain
  • All of the above
Answer: All of the above
Q9 | The function of round ligament is :
  • Vestigial with no apparent function
  • To prevent retrodisplacement of the uterus
  • To prevent uterine prolapse
  • To provide nerve supply of the upper vagina
  • None of the above
Answer: To prevent retrodisplacement of the uterus
Q10 | The definitive epithelium of vagina is derived from :
  • Wolfian duct
  • Mullerian duct
  • Urogenital epithelium
  • Coelomic epithelium
  • none
Answer: Urogenital epithelium
Q11 | Causes of post partum amenorrhoea may be :
  • Anorexia nervosa
  • Cervical atresia
  • Chlorpromazaine therapy
  • Any of the above
  • None of the above
Answer: Any of the above
Q12 | The cyclic production of pituitary hormones is dependant upon:
  • Normal menstruation
  • An intact pituitary- portal system
  • An adult anterior pituitary gland
  • All of the above
  • None of the above
Answer: An intact pituitary- portal system
Q13 | The clots passed with menorrhagia perhaps indicate
  • No endometrial regeneration
  • No terminal arteriolar spasm
  • Large amount of bleeding
  • All of the above
  • None of the above
Answer: Large amount of bleeding
Q14 | Monilial vagintis occurs frquently during pregnancy because :
  • Glycosuria is commoner
  • The vagina contains more glycogen
  • Higher vaginal acidity suppresses other organisms
  • All of the above
  • None of the above
Answer: All of the above
Q15 | 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?
  • Dilatation & curettage.
  • Culdocentesis.
  • Observation followed by serial B-HCG determinations.
  • Diagnostic laparoscopy.
  • Laparotomy
Answer: Diagnostic laparoscopy.
Q16 | Which of the following statements is incorrect regarding levonorgestrel releasing intrauterine system:
  • There is increased incidence of menorrhagia
  • This system can be used as hormone replacement therapy
  • This method is useful for the treatment of endometerial hyperplasia
  • Irregular uterine bleeding can be problem initially
  • none
Answer: There is increased incidence of menorrhagia
Q17 | Myxoma peritonei may occur as a consequence of rupture of which ovarian cyst ?
  • Dermoid
  • Struma ovarii
  • Serous cystadenoma
  • Mucinous cystadenoma
  • Cystadenofibroma
Answer: Mucinous cystadenoma
Q18 | Lutein and theca lutein cysts may be associated with all the following except :
  • Mole
  • Chorionepithelioma
  • Stein-leventhal syndrome(PCO)
  • Pregnancy
  • Abortion
Answer: Stein-leventhal syndrome(PCO)
Q19 | The site of primary infection in patients with pelvic tuberculosis is usually
  • Tubal
  • Uterine
  • Cervical
  • Ovarian
  • Lungs
Answer: Lungs
Q20 | The preferred treatment of ruptured tubo-ovarian abscess is :
  • Cul-de-sac drainage
  • Removal of uterus , tubes and involved ovary
  • Removal of uterus , tubes and ovaries
  • Removal of ruptured tube and ovary
  • Removal of adenexae and drainage
Answer: Removal of uterus , tubes and ovaries
Q21 | The cysts of Stein -Leventhal ovary or PCOD are of which kind?
  • Lutein
  • Germinal inclusion
  • Follicular
  • Theca lutein
  • Endometrial
Answer: Follicular
Q22 | Clinical findings of PCOD include all except :
  • Obesity
  • Olgomenorrhoea
  • Infertility
  • Tall stature
  • none
Answer: Tall stature
Q23 | Pyogenic infections of genital tract usually spread via :
  • Mucous membrane
  • Veins
  • Lymphatics
  • Fistulous tracts
  • B+C
Answer: B+C
Q24 | Presence of pyometra in a post menopausal females strongly suggests:
  • Diabetes mellitus
  • Degenerating myoma
  • Senile endometritis
  • Malignancy
  • Sexual promiscuity
Answer: Malignancy
Q25 | The most common symptom associated with adenomyosis is :
  • Infertility
  • Menorrhagia
  • Haematometra
  • Dyspareunia
  • Metrorrhagia
Answer: Menorrhagia
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