Gynecology Set 4

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This set of Gynecology Multiple Choice Questions & Answers (MCQs) focuses on Gynecology Set 4

Q1 | Considering endometroid cyst :
  • not uncommon
  • due to menstrual reaction
  • torsion is common
  • a&b .
  • all the above
Answer: a&b .
Q2 | Considering endometrial cyst ttt all true except :
  • GNRH is of benefit
  • laparosope idicated in small cyst
  • laparotomy is preferred
  • recurrence is not common
  • none
Answer: recurrence is not common
Q3 | Considering the follicular cyst it is rarely associated with :
  • endometrial hyperplasia
  • acute abdomen
  • polycystic ovary
  • On PV in obese patient it may rupture .
  • none
Answer: acute abdomen
Q4 | Female patient with history of endometriosis , menstrual disorders complaining from pain on right iliac fossa , on examination there was tenderness on right iliac fossa with no rebound pain no rigidity , on CBC it was normal , most likely :
  • peritonitis
  • appendicitis
  • follicular cyst
  • non of the above
  • none
Answer: follicular cyst
Q5 | Considering a case of follicular cyst it need all of following except :
  • assurance follow up
  • OCP
  • usually surgical removal
  • repeated US
  • none
Answer: usually surgical removal
Q6 | Considering the follicular cyst all of following is true except :
  • associated with metropathia hemorrhagica
  • OCP indicated in ttt
  • the second common functional cyst
  • TAS is the gold standard diagnostic method
  • none
Answer: the second common functional cyst
Q7 | Considering the endometroid cyst :
  • associated with dysmenorrhoea
  • associated with pelvic pain
  • associatd with pelvic endometriosis
  • All of the above
  • none
Answer: All of the above
Q8 | Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be :
  • follicular cyst
  • theca lutein cyst
  • corpus luteum cyst
  • none of the above .
  • all
Answer: theca lutein cyst
Q9 | A 29-year-old G4P4 is found to have an abnormal smear signed out as atypical glandular cells, favouring neoplasia. She undergoes a colposcopy with cervical biopsies. One of the ectocervical biopsies demonstrated adenocarcinima in the situ. The most appropriate next step is:
  • Vaginal hysterectomy
  • Radical hysterectomy/Radiotherapy
  • Cold-knife conization of the cervix
  • Loop excision of the cervical tranformation zone
  • none
Answer: Cold-knife conization of the cervix
Q10 | The following about human papilloma virus (HPV) infection are correct EXCEPT:
  • It is the most common viral STDs.
  • It may lead CIN and cervical cancer.
  • It is due to RNA virus.
  • Infection may be warty or flat condyloma.
  • Infection is usually associated with others STDs.
Answer: It is due to RNA virus.
Q11 | The lymphatic drainage of the cervix is to the following lymph nodes EXCEPT:
  • The femoral lymph nodes.
  • The internal iliac lymph nodes.
  • The para-cervical lymph nodes.
  • The pre-sacral lymh nodes.
  • The Obturator lymph nodes
Answer: The femoral lymph nodes.
Q12 | The commonest secondary change in uterine fibroids is:
  • Fatty degeneration
  • Myxomatous degeneration.
  • Hyaline degeneration
  • Cystic degeneration
  • Calcification
Answer: Hyaline degeneration
Q13 | The following is correct about the ovarian ligaments:
  • Contain ureters.
  • Contain ovarian arteries.
  • Are attached laterally to pelvic wall.
  • Lie anterior to the broad ligament.
  • Are homologous to part of the gubernaculums testis in the male
Answer: Contain ovarian arteries.
Q14 | The severity of CIN is graded
  • 1-3
  • 1a-4a
  • I-III+ I-IV
  • A-C
  • none
Answer: 1-3
Q15 | Cervical polyps
  • causes spontaneous abortion
  • are cause of antepartum hge
  • cause watery vaginal discharge
  • are covered by squamous epithelium
  • cause intermenstrual bleeding
Answer: cause intermenstrual bleeding
Q16 | Involves pelvic LN clearance, hysterectomy, removal of the parametrium and theupper third of the vagina.
  • Wartman’s hysterectomy
  • Wertheim’s hysterectomy
  • Wertheims Trachelectomy
  • Radical trachelectomy
  • Trachelems hysterectomy
Answer: Wertheim’s hysterectomy
Q17 | 5 year survival for someone with stage 3-4 cervical carcinoma
  • 10-30%!!!
  • 80-95%
  • 2-10%
  • 65-80%
  • 45-60%
Answer: 10-30%!!!
Q18 | Cervical carcinoma spread and staging: Microinvasion of the basement membrane, <7mm across, with no lymph/vascular space invasion
  • Stage 1b
  • Stage 3
  • Stage 4
  • Stage 1a
  • Stage 2a
Answer: Stage 1a
Q19 | Acetic acid turns a portion of the cervix _____ in a patient with a CIN
  • Green
  • Blue
  • Brown
  • Orange
  • White
Answer: White
Q20 | Typical cells are found only in the lower third of the epithelium
  • CIN III
  • CIN I
  • CIN V
  • CIN IV
  • CIN II
Answer: CIN II
Q21 | A 42-year-old G4P4 has had postcoital bleeding for the past four months. She has not had a Pap test since the delivery of her last child 7 years ago. Speculum examination shows a vaginal discharge and a 1 cm exophytic lesion of the posterior cervical lip. The most appropriate next step is:
  • Perform a Pap smear
  • Perform a cold-knife conization
  • Give the patient a course of intravaginal Metronidazole gel followed by reexamination in 6 weeks
  • Perform a punch biopsy of the lesion
  • none
Answer: Perform a punch biopsy of the lesion
Q22 | The area where cervical carcinoma usually originates
  • Neoplastic zone
  • Metaplastic field
  • Retrograde area
  • Transformation zone
  • Transition field
Answer: Transformation zone
Q23 | Cervical carcinoma is most common between the ages of
  • 45-55
  • 16-18
  • 18-22
  • 35-45
  • 25-35
Answer: 45-55
Q24 | Cervical carcinoma characteristically spreads in the
  • Tissue
  • Lymph
  • Bone
  • Blood
  • Mucus
Answer: Lymph
Q25 | Which of the following is thought to be protective against CIN?
  • HIV
  • Oral contraceptive usage
  • Long term sexual abstinence
  • Smoking
  • Long term steroid use
Answer: Long term sexual abstinence
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