On This Page
This set of Gynecology Multiple Choice Questions & Answers (MCQs) focuses on Gynecology Set 5
Q1 | Cervical carcinoma that can be treated with cone biopsy
- Stage 5
- Stage 1a
- Stage 3
- Stage 2a
- Stage 4a
Q2 | The presence of atypical cells within the squamous epithelium
- Cervical dyskaryosis
- Nabothian follicles
- Dysplasic dyskaryosis
- Cervical intraepithelial neoplasia
- Cervicitis
Q3 | 5 year survival for someone with stage 1a cervical carcinoma
- 95%
- 10%
- 30%
- 80%
- 60%
Q4 | Cervical carcinoma spread and staging: Invasion of the lower vagina or pelvicwall, or causing ureteric obstruction
- Stage 1a
- Stage 4
- Stage 3
- Stage 2a
- Stage 1b
Q5 | HPV types _________ are the most significant and account for 70% of allcervical cancers
- 45 and 46
- 31 and 33
- 14 and 16
- 16 and 18
- 12 and 14
Q6 | Anovulatory infertility in PCO is due to:
- alteration of folliculogenesis caused by dysregulation of GnRH pulse generator
- alteration of folliculogenesis caused by adrenal & ovarian hyperandrogenism
- alteration of folliculogenesis caused by insulin resistance
- alteration in folliculogenesis caused by alteration of ovarian growth factors
- all of the above
Q7 | Ovarian tumors which may produce chorionic gonadotrophins include :
- Dysgerminoma
- Teratoma
- Choriocarcinoma
- All of the above
- None of the above
Q8 | Pathology of endometriosis may be explained by :
- coelemic metaplasia
- endometrial hyperplasia
- retrograde menstruation
- intraperitoneal immunologic deficit
- lymphatic diffusion
Q9 | The cysts in Polycystic Ovarian syndrome are formed by:
- Failure of atretic follicles to undergo apoptosis
- Oocyte proliferation
- Multiple corpus lutea
- Cystic degeneration of ovarian cortex
- none
Q10 | An ‘ in situ ‘ stage has not been officially recognized in which of the following :
- Ovarian carcinoma
- Endometrial carcinoma
- Cervical carcinoma
- Vulvar carcinoma
- Vaginal carcinoma
Q11 | The gastrointestinal primary of a Krukenberg tumour of the ovary is most oftenfound in the :
- Gall bladder
- Rectum
- Pylorus
- Colon
- Small intestine
Q12 | Functional ovarian cysts include:
- Follicular cysts.
- Endometriomas.
- Dermoid cysts.
- fibromas.
- none
Q13 | In contrast to a malignant ovarian tumor, a benign tumor has which of the following gross features?
- Excrescences on the surface.
- Peritoneal implants.
- Intra-cystic papillations.
- Free mobility.
- Capsule rupture.
Q14 | A 54-year-old woman is found to have endometrial hyperplasia on endometrialbiopsy. A functional ovarian tumor to be suspected is a:
- Lipid cell tumor.
- Granulosa-theca cell tumor.
- Sertoli-Leydig yumor.
- Muncious cystadenocarcinoma.
- Polycystic ovary
Q15 | A uni-locular ovarian cyst measuring 4.4 cm by 4.9 cm found on routine ultrasonograrhy during the 8th week of gestation . best management for this case is
- observation and repeated ultrasonography
- laparoscoic aspiration of the cyst
- immediate laparotomy and cystectomy
- immediate laparotomy and ovariectomy
- laparotomy and cystectomy postponed to 14 weeks
Q16 | Germ cell tumours include all the following except
- choriocarcinoma
- gonadoblastoma
- endodermal sinus tumour
- begnin cystic teratoma
- solid teratoma
Q17 | Which is the major cause of cancer death in women?
- Breast cancer
- Cervical cancer
- Endometrial cancer
- Lung cancer
- Ovarian cancer
Q18 | Endometrial carcinomas associated with estrogen therapy “ caused by unopposedestrogen therapy “ :
- well differentiated
- are deeply invasive
- are sensitive to progesterone therapy
- generally have poor prognosis
- have high rates of reccurence
Q19 | Ovarian cancer:
- Separate FIGO staging systems exist for epithelial and sex-cord/stromal ovarian tumors
- Granulosa Cell Tumor has an excellent prognosis because most patients present with early-stage disease
- Meigs’ syndrome consists of ascites; hydrothorax and a malignant ovarian tumor
- Krukenberg tumours are metastatic ovarian neoplasms originating exclusively in the stomach
- none
Q20 | Regarding ovarian tumours
- adenocarcinoma is more commonly bilateral than mucinous
- the use of oral contraceptives is a risk factor for ovarian cancer
- Sertoli-Leydig tumours of the ovary are typically estrogen secreting
- Fat saturation MRI images are of value in diagnosing cystic teratomas
- RI (Resistive index) values of intratumoral areas can differentiate between benign and malignant ovarian tumours
Q21 | A Krukenberg tumour is an ovarian neoplasm which :
- Is primary in the ovary
- Is associated with hydrothorax
- Is secondary to any GIT cancer
- Shows characteristic mucoid epithelial change
- None of the above
Q22 | CA-125 is ?
- A mucin-type glycoprtein
- A ganglioside
- A tumor-specific transplantation antigen
- Useful for ovarian cancer screening in the general patient population
- An antigen which is commonly expressed by mucinous ovarian carcinomas
Q23 | A young female came to you with complaint of oligomenorrhea ,hirsutism & weightgain ,US reveals bulky ovaries with subcapsular cysts. Most likely diagnosis is
- ovarian cancer
- cushing syndrome
- PCOD
- DM
- PID
Q24 | A large cystic tumour is detected in a woman in routine antenatal examination.The most common complication she can encounter?
- Torsion
- rupture
- hemorrhage
- infection
- degeneration
Q25 | A 18-year-old woman comes to the physician for an annual examination. She has no complaints. She has been sexually active for the past 2 years. She uses the oral contraceptive pill for contraception. She has depression for which she takes fluoxetine. She takes no other medications and has no allergies to medications. Her family history is negative for cancer and cardiac disease. Examination is unremarkable. Which of the following screening tests should this patient most likely have?
- Colonoscopy
- Mammogram
- Pap smear
- Pelvic ultrasound
- Sigmoidoscopy