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b) [ ] m. transversus superficialis
c) [x] m. transversus profundi;
d) [ ] m. bulbo-cavernosus;
e) [ ] m. ischio-cavernosus
--------------------------------------------------------------------8. CM Vagina is formed from the following layers:
a) [x] internal layer
b) [x] medial layer;
c) [x] external layer
d) [ ] peritoneal layer;
e) [ ] skin layer.
--------------------------------------------------------------------9. CS Hypothalamic amenorrhea appears in:
a) [ ] Sheehan syndrome
b) [ ] Shershevskii-Turner syndrom;
c) [ ] Babinski-Frohlich syndrome
d) [x] Chiarri-Fromeli syndrome;
e) [ ] Simonds disease;
--------------------------------------------------------------------10. CM For Stein-Levental syndrome is characteristic:
a) [ ] appears at 30-35 years;
b) [x] increasing of 17-ketosteroids in urine
c) [x] appearing of obesity in 70% of cases
d) [x] anovulatory sterility
e) [x] increasing in volume of both ovaries;
--------------------------------------------------------------------11. CS For amenorrhea is characteristic:
a) [ ] absence of menstrual cycle during 1 month
b) [ ] absence of menstrual cycle during 3 month;
c) [ ] absence of menstrual cycle during 4 month;
d) [ ] regular menstrual cycle;
e) [x] absence of menstrual cycle during 6 month, in absence of pregnancy and lactation of a 16-45
years patient
--------------------------------------------------------------------12. CM which is the cause of false amenorrhea?
a) [x] hymeneal atresia
b) [x] vaginal atresia;
c) [ ] hypophysial tumor;
d) [ ] hypothyroidism
e) [ ] acute and chronic stress;
--------------------------------------------------------------------13. CS
Physiological amenorrhea appears in:
a) [ ] uterine and vaginal aplasia
b) [x] pregnancy
2
c) [ ] hypothyroidism
d) [ ] psychic diseases;
e) [ ] severe anemia;
--------------------------------------------------------------------14. CS
To the pathologic amenorrhea doesn't refer:
a) [ ] primary
b) [ ] secondary;
c) [x] lactation;
d) [ ] veridical;
e) [ ] pseudo;
--------------------------------------------------------------------15. CM physiologic menopause is caused by:
a) [x] decreasing the level of progesterone
b) [ ] excess production of gonadothropine
c) [ ] increased production of steroid hormones
d) [x] exhaustion of ovarian follicular apparatus
e) [ ] aging of genital organs
--------------------------------------------------------------------16. CM Classic symptoms that represent the primary polycystic ovaries are:
a) [x] amenorrhea
b) [x] hirsutism
c) [ ] hyperpolymenorrhea;
d) [x] sterility;
e) [x] obesity
--------------------------------------------------------------------17. CS
Dysmenorrhea is a disturbance of the menstrual cycle that manifests through:
a) [ ] hyperpolymenorrhea
b) [ ] anovulatory dysfunction
c) [x] pains during menstrual cycle;
d) [ ] menometrorrhagia;
e) [ ] dysfunctional ovulatory hemorrhage
--------------------------------------------------------------------18. CM
Causes of the primary Dysmenorrhea are:
a) [ ] endometriosis
b) [x] anomalies of the genitalia;
c) [ ] chronic inflammatory processes of genitalia
d) [x] hyperproduction of PG F2alpha
e) [ ] pelvic ganglioneuritis
--------------------------------------------------------------------19. CM
Causes of the secondary dysmenorrhea are:
a) [x] endometriosis
b) [ ] functional disorders
c) [x] uterine fibromioma
d) [x] cervico-isthmus spikes
3
--------------------------------------------------------------------26. CM
Enumerate the principle of treatment in dysmenorrhea :
a) [x] antioxidant
b) [x] inhibitors of prostaglandin synthesis
c) [x] spasmolitic
d) [x] oral contraceptive;
e) [ ] antibiotics;
--------------------------------------------------------------------27. CS
According to WHO, puberty period is between :
a) [x] 9-16 years
b) [ ] 10-16 years
c) [ ] 10-15 years;
d) [ ] 10-14 years
e) [ ] 8-10 years
--------------------------------------------------------------------28. CS
Early puberty appears under the age of:
a) [x] 9 years
b) [ ] 10 years;
c) [ ] 11 years;
d) [ ] 12 years
e) [ ] 13 years;
--------------------------------------------------------------------29. CS
The neonatal period of reproductive system development is contained in the next
interval:
a) [x] from the birth till the age of 7 days
b) [ ] from the birth till the age of 10 days
c) [ ] from the birth till the age of 12 days
d) [ ] from the birth till the age of 28 days
e) [ ] from the birth till the age of 14 days
--------------------------------------------------------------------30. CM
Early pubertal development can be of type:
a) [x] izosexual
b) [x] heterosexual;
c) [x] mix;
d) [ ] complete;
e) [ ] incomplete;
--------------------------------------------------------------------31. CM
Say the possible forms of hermaphroditism:
a) [x] pure
b) [x] pseudo;
c) [ ] typical
d) [ ] atypical
e) [ ] all above
--------------------------------------------------------------------32. CM
Constitutional, girls with true early pubertal development are characterized
through:
a) [ ] high size
b) [x] low size
c) [ ] long extremity;
d) [x] short extremity;
e) [x] high body
--------------------------------------------------------------------33. CS
At the objective examination of a 3 years girl (exterior normal development,
cariotype-46XX) was attested a 5cm clitoris. The most informative test to confirm the
diagnosis will be:
a) [ ] high level of estrogens in the urine;
b) [ ] high level of progesterone in blood;
c) [ ] high level of prolactin in blood
d) [ ] high level of pregnandiol in urine
e) [x] high level of 17 CS in urine;
--------------------------------------------------------------------34. CM
The clinical picture of early puberty, izosexual type having a central genesis
with organic character, is characterized by:
a) [x] presence of pathologic reflex
b) [x] excessively emotional liability
c) [x] changes on the bottom of the eye;
d) [x] intracranial hypertension;
e) [ ] hirsutism
--------------------------------------------------------------------35. CM
Early puberty (ovarian type, izosexual) is determined by:
a) [ ] intracranial tumor
b) [x] hormonal active ovarian tumor;
c) [x] ovarian follicular cyst;
d) [ ] thyroid gland tumor;
e) [ ] all above mentioned;
--------------------------------------------------------------------36. CM
Through family planning is understand:
a) [x] prevention of unwanted pregnancy
b) [x] birth planning;
c) [ ] interruption the unwanted pregnancy
d) [x] contraception;
e) [x] demography;
--------------------------------------------------------------------37. CM
Select the basic principle of family planning:
a) [x] permanent attention to the demographic process;
b) [x] propagation of contemporary methods of contraception
c) [x] population prophylaxis;
d) [x] the assurance with contraceptives, and medical instruction looking their utilization;
6
--------------------------------------------------------------------44. CM
The intrauterine device can be introduced:
a) [ ] during menses
b) [x] immediately after menses
c) [x] after medical abortion
d) [x] in necessity at any day if it is excluded the pregnancy
e) [ ] at the middle of the menstrual cycle;
--------------------------------------------------------------------45. CM
Enumerate which are the causes of pain after the intrauterine device is
introduced:
a) [x] uterine contraction orientated to expel the starlet
b) [x] uterine perforation;
c) [x] partial expel of the starlet;
d) [x] localized infection
e) [ ] small size of the starlet;
--------------------------------------------------------------------46. CM
Select the contraindication for the intrauterine device application:
a) [x] pregnancy
b) [x] acute inflammatory process;
c) [x] the erosion of the cervix;
d) [x] endocarditis
e) [ ] fertile age;
--------------------------------------------------------------------47. CS
On the background of the intrauterine device are possible the following
accidents , with exception:
a) [ ] modification of menses
b) [ ] intrauterine device expel
c) [ ] inflammatory affections
d) [ ] appearing the pregnancy
e) [x] hyperprolactinema;
--------------------------------------------------------------------48. CM
Select the methods for masculine contraception:
a) [ ] coition interrupted;
b) [x] condom
c) [x] vasectomy;
d) [ ] starlet
e) [ ] tubectomy
--------------------------------------------------------------------49. CS The mechanism of appearing of the genital neoplasm schematic can be represented in
the following way:
a) [ ] primary ovarian hypofunction and decreasing the levels of estrogens
b) [ ] primary ovarian hyperfunction and hyperestrogenemia
c) [ ] compensatory lowering of the hypophysis gonadothropine levels, first of all FSH
d) [x] compensatory increasing of the hypophysis gonadothropine levels, first of all FSH
8
e) [ ]
--------------------------------------------------------------------56. CM
The feminineness ovarian neoplasm come from:
a) [ ] Sertolli and Leiding cells
b) [x] granular cells;
c) [ ] epithelial cells
d) [x] thecal cells
e) [ ] from all types of cells;
--------------------------------------------------------------------57. CM
Appoint the vaginal colpocytologic sample type, characteristic for ovarian
tecoma:
a) [ ] atrophic
b) [x] type III-IV
c) [x] type I-II;
d) [ ] all types
e) [ ] none of them;
--------------------------------------------------------------------58. CS Is androblastoma a hormonal active tumor?
a) [ ] yes, feminineness tumor
b) [ ] no
c) [ ] depends on the dimensions;
d) [x] yes, masculine type tumor
e) [ ] inert tumor;
--------------------------------------------------------------------59. CM
Select the characteristic of androblastoma:
a) [ ] appears frequently at the age of 20-30 and 50-70
b) [ ] usually it is a bilateral tumor;
c) [ ] accompanied by an increased level of estradiol in the blood
d) [x] 10-30% of cases become malign
e) [x] accompanied by an increased level of testosterone in the blood
--------------------------------------------------------------------60. CS
A tumor that derive from the fallopian tube can be:
a) [ ] tecoma;
b) [ ] teratoma;
c) [ ] gonadoblastoma
d) [x] fibroma
e) [ ] cystadenoma
--------------------------------------------------------------------61. CM
In the lutheinizant bilateral cysts should be made:
a) [ ] urgent surgical intervention
b) [ ] puncture of the posterior fornix;
c) [x] to determine the level of chorionic gonadothropine;
d) [x] to exclude hydatic mall;
e) [x] to exclude chorioepithelioma
--------------------------------------------------------------------10
62. CM
Select the characteristics of teratoma:
a) [ ] metastasis tumor
b) [ ] is treated by chemotherapy;
c) [x] a germinal tumor
d) [x] is treated surgically;
e) [ ] tends to malignance;
--------------------------------------------------------------------63. CS
In case of founding the paraovarian cyst is indicated:
a) [ ] hormonal treatment
b) [x] surgical treatment;
c) [ ] monitoring;
d) [ ] physiotherapy
e) [ ] conservative treatment;
--------------------------------------------------------------------64. CM
After provenance the cysts can be:
a) [x] retention
b) [x] embryonic
c) [ ] metastasis;
d) [x] inflammatory
e) [x] parasitical;
--------------------------------------------------------------------65. CM
Androgenic hormone are synthesized in the following places, with exception:
a) [ ] suprarenal
b) [ ] ovaries
c) [ ] placenta
d) [x] thyroid
e) [x] skin
--------------------------------------------------------------------66. CM
Enumerate the androgenic effect on the women organism:
a) [x] anabolic effect
b) [ ] inhibition of the libido
c) [ ] hypertrophy of the mammary glands
d) [x] anovulation
e) [ ] falling of the hair;
--------------------------------------------------------------------67. CS
Types of the virilization are the following, with exception:
a) [ ] suprarenal;
b) [ ] ovaries;
c) [x] thyroid;
d) [ ] hypophysial;
e) [ ] constitutionally-hereditary;
--------------------------------------------------------------------68. CM
To the suprarenal virilization refers:
a) [x] adrenogenital syndrome;
11
b) [ ] Shtein-Leventali syndrome;
c) [x] androsteroma
d) [x] corticosteroma
e) [ ] Chiarri-Fromeli syndrome;
--------------------------------------------------------------------69. CM
To the ovarian virilization refers the following, with the exception:
a) [x] adrenogenital syndrome
b) [ ] Shtein-Leventali syndrome;
c) [x] Chiarri-Fromeli syndrome;
d) [ ] androblastoma
e) [x] Cushing syndrome;
--------------------------------------------------------------------70. CM
According to the time of appearing of the adrenogenital syndrome we can
distinguish:
a) [x] congenital adrenogenital syndrome;
b) [x] adrenogenital syndrome in the fertile period;
c) [ ] adrenogenital syndrome in the pre-climax;
d) [ ] adrenogenital syndrome in the post-climax;
e) [x] adrenogenital syndrome in the pre-puberty
--------------------------------------------------------------------71. CM
Which are the clinical manifestations in the congenital adrenogenital syndrome?
a) [x] pseudohermaphrodism;
b) [x] aplasia of the vagina;
c) [x] uterus, ovaries, fallopian tubes - normal
d) [x] urethral canal opened in the vagina;
e) [ ] marked osteoporosis;
--------------------------------------------------------------------72. CM
what is the clinical manifestation of the pre puberty adrenogenital syndrome?
a) [x] premature sexual maturation
b) [x] early closure of the ossification points
c) [ ] hypertrophy of the mammary glands
d) [x] hypertrophy of the clitoris
e) [ ] baldness;
--------------------------------------------------------------------73. CM
The clinical signs of the adrenogenital syndrome in the reproductive period are:
a) [x] masculine secondary sexual signs
b) [ ] hypertrophy of the mammary glands
c) [x] hypertrophy of the body muscles;
d) [x] hypertrophy of the clitoris;
e) [ ] baldness;
--------------------------------------------------------------------74. CS
What treatment is indicated in case of Cushing disease:
a) [ ] hormone therapy of substitution
b) [ ] surgical therapy;
12
c) [x] radiotherapy
d) [ ] symptomatic treatment;
e) [ ] hormone therapy of inhibition;
--------------------------------------------------------------------75. CS
Clinical picture of corticosteroma includes the following, with the exception:
a) [ ] obesity;
b) [x] Addison's disease;
c) [ ] virilization;
d) [ ] steroid diabetes;
e) [ ] stria;
--------------------------------------------------------------------76. CS
The clinical picture of androsteroma includes the following, with the exception:
a) [ ] Addison's disease;
b) [ ] virilization;
c) [ ] sterility;
d) [ ] amenorrhea;
e) [x] oval face with a red tone
--------------------------------------------------------------------77. CM
The clinical picture in the Cushing disease the following:
a) [ ] polymenorrhea;
b) [x] spikes
c) [x] hirsutism;
d) [ ] habitually abortions;
e) [x] osteoporosis;
--------------------------------------------------------------------78. CS uterine tubes and uterus are formed from:
a) [ ] mezonephral duct (Wolf);
b) [x] paramezonephral duct (Muller);
c) [ ] sinovaginal bulbs;
d) [ ] metanephrotic caniculi
e) [ ] pronephros;
--------------------------------------------------------------------79. CS The primary gonads are transformed in testicles under the action of:
a) [x] HY antigen
b) [ ] The testosterone;
c) [ ] inhibitor factor (antimuller)
d) [ ] cortisone;
e) [ ] hypophysial gonadotropins;
--------------------------------------------------------------------80. CS Paramezonephrotic duct degenerates under the action of:
a) [ ] HY antigen
b) [ ] the testosterone;
c) [x] inhibitor factor (antimuller);
d) [ ] cortisone;
13
e) [ ] hypophysial gonadotropins;
--------------------------------------------------------------------81. CS Mezonephrotic duct transforms in somniferous duct under the action of:
a) [ ] HY antigen
b) [x] the testosterone
c) [ ] inhibitor factor (antimuller)
d) [ ] cortisone;
e) [ ] hypophysial gonadotropins;
--------------------------------------------------------------------82. CS Absence of the uterus and total or partial absence of the vagina represents the
syndrome:
a) [x] Rokitansky-Kuster-Hauser;
b) [ ] Morris;
c) [ ] Klinefelter;
d) [ ] Turner;
e) [ ] Sheehan
--------------------------------------------------------------------83. CS Typical form of gonadal dysgenesis corresponds to the syndrome:
a) [ ] Rokitansky-Kuster-Hauser
b) [ ] Morris;
c) [ ] Klinefelter;
d) [x] Turner;
e) [ ] Sheehan;
--------------------------------------------------------------------84. CS 47YXX cariotype is characteristic for the syndrome:
a) [ ] Rokitansky-Kuster-Hauser
b) [ ] Morris;
c) [x] Klinefelter
d) [ ] Turner
e) [ ] Sheehan
--------------------------------------------------------------------85. CM In patients with Rokitansky-Kuster-Hauser syndrome is determined:
a) [x] feminine genotype
b) [x] feminine secondary sexual signs well developed
c) [ ] 45XO cariotype
d) [ ] ovaries with shoelace form of conjunctive tissue
e) [x] absence of the uterus and vagina
--------------------------------------------------------------------86. CM In patients with Turner syndrome is determined:
a) [ ] absence of the uterus and vagina
b) [x] external genitalia of feminine type
c) [x] ovaries with shoelace form of conjunctive tissue
d) [ ]
e) [x] 47YXX cariotype;
14
b) [x]
c) [x]
d) [x]
e) [ ]
a) [ ] pregnancy signs
b) [ ] amenorrhea;
c) [ ] increasing of the uterus, lower than supposed term of pregnancy;
d) [ ] palpation of a mass in the region of annexes
e) [x] minor uterine hemorrhage
--------------------------------------------------------------------111. CS Diagnosis of tubal pregnancy in evolution is putted on the following, with the
exception:
a) [ ] pregnancy test
b) [ ] ultrasonography
c) [ ] diagnostic curettage
d) [ ] laparoscopy
e) [x] puncture of the posterior fornix
--------------------------------------------------------------------112. CS Interrupted tubal pregnancy is diagnosed on the base of the following symptoms, with
the exception:
a) [ ] pain shock
b) [ ] signs of internal hemorrhages
c) [ ] hypogastric pains
d) [x] temperature
e) [ ] bloody discharges from vagina
--------------------------------------------------------------------113. CS Diagnosis of interrupted tubal pregnancy is based on the following symptoms, with
the exception:
a) [ ] abdominal palpation with evaluation of the signs of peritoneal irritation
b) [ ] evaluation of the clinical signs of hemorrhage;
c) [x] signs of impermeable tube at metrosalpingography
d) [ ] obtaining uncoagulable blood at the puncture of the posterior fornix;
e) [ ] founding at laparoscopy a rupture of the tube and intraabdominal hemorrhage
--------------------------------------------------------------------114. CS At the clinical forms of ectopic pregnancy refers:
a) [ ] pseudosalpinx ;
b) [ ] pseudabortive ;
c) [x] abdominal
d) [ ] pseudoappendicular
e) [ ] pseudoperitoneal;
--------------------------------------------------------------------115. CS Treatment of tubal pregnancy consists of:
a) [x] removing of the tube through laparoscopy or laparotomy
b) [ ] curettage of the uterine cavity;
c) [ ] administration of antibiotics;
d) [ ] administration of estrogen-gestagene drugs;
e) [ ] aspiration of the uterine cavity
--------------------------------------------------------------------19
a) [x] caltrate-600
b) [x] calcitonin;
c) [x] calcitrol;
d) [ ] small doses of corticosteroides
e) [ ] selective modulators of the estrogenic receptors
--------------------------------------------------------------------123. CM
Management of osteoporosis in women with post-menopause doesn't include:
a) [x] supplementation of folic acid
b) [x] supplementation of iron;
c) [ ] supplementation of calcium;
d) [ ] supplementation of vitamin D;
e) [x] hypoproteic diet
--------------------------------------------------------------------124. CM Enumerate the medical factors of risk in osteoporosis in women with postmenopause:
a) [x] heparin prescription
b) [x] corticosteroides prescription
c) [x] parathyroid prescription;
d) [ ] estrogen substitution in hormonal mono therapy
e) [ ] combined hormonal therapy of substitution
--------------------------------------------------------------------125. CM Enumerate the general factors of risk in osteoporosis in women with postmenopause:
a) [ ] familial background of uterine myoma
b) [x] immobility for a long time;
c) [ ] regular physical exercises
d) [x] pour alimentation in calcium
e) [x] excess of smoking and/or alcohol
--------------------------------------------------------------------126. CS What are the alternatives in hormonal therapy of substitution against nocturnal heats
and perspiration in women with post-menopause?
a) [x] clonidine
b) [ ] caffeine;
c) [ ] clomiphen;
d) [ ] sequential combined hormonal drugs
e) [ ] fixed combined hormonal drugs;
--------------------------------------------------------------------127. CM What is the volume of obligatory exams before starting the hormonal therapy of
substitution in women with post-menopause:
a) [x] general clinical exam
b) [x] gynecologic exam;
c) [x] clinical exam of the mammary glands;
d) [ ] mammography;
e) [x] cytological sample Papanicolaou;
21
--------------------------------------------------------------------128. CM What drugs from enumerated are not used in hormonal therapy of substitution
in women with post-menopause:
a) [ ] Kliogest ;
b) [x] Klion D ;
c) [ ] Ovestin ;
d) [ ] Climen ;
e) [x] Femoden ;
--------------------------------------------------------------------129. CS With what purpose is prescribed the progesterone component in hormonal drugs in
women with post-menopause:
a) [ ] to prevent osteoporosis;
b) [ ] To control the nocturnal heat and perspiration;
c) [ ] to control the symptoms of vaginal atrophy;
d) [ ] protection purpose anti-cancer of mammary glands;
e) [x] protection purpose anti-cancer of endometrial layer
--------------------------------------------------------------------130. CS What is the minimal number of days applying the progesterone component in
hormonal drugs in women with post-menopause:
a) [ ] 6-7;
b) [ ] 8-9;
c) [x] 10-12;
d) [ ] 24-26;
e) [ ] 18-21;
--------------------------------------------------------------------131. CS Through feed-back mechanism small doses of FSH act on the secretion of GnRH:
a) [x] stimulator
b) [ ] inhibitor;
c) [ ] don't influence
d) [ ] stimulate secretion of progesterone
e) [ ] inhibit secretion of progesterone;
--------------------------------------------------------------------132. CS In what phase of yellow body development starts the secretion of progesterone:
a) [x] proliferation and vascularization
b) [ ] glandular metamorphose;
c) [ ] flower the yellow body;
d) [ ] involution of the yellow body;
e) [ ] none of this
--------------------------------------------------------------------133. CS In the follicular phase of the ovarian cycle, in ovaries takes place:
a) [x] development and maturation of the follicle with production of estrogen;
b) [ ] development and maturation of the follicle with production of progesterone;
c) [ ] atresia and persistence of the follicle with production of estrogen;
d) [ ] development of the gravidarum body;
e) [ ] involution of the yellow body
22
--------------------------------------------------------------------134. CS Detachment of the follicle take place under the action of:
a) [x] FSH, LH, oxytocin, proteolytic enzymes
b) [ ] ACTH
c) [ ] estradiol, progesterone and androgens;
d) [ ] ACTH, TTH;
e) [ ] FSH and proteolytic enzymes;
--------------------------------------------------------------------135. CS At the base of steroid synthesis is:
a) [x] cyclo-pentano-parhidrophenantren nucleus of cholesterol
b) [ ] ciclophosphate nucleus of cholesterol;
c) [ ] DNA;
d) [ ] protein;
e) [ ] carbohydrates
--------------------------------------------------------------------136. CM Specific effects of estrogen consist of:
a) [x] maturation and maintaining the genital tract and mammary glands
b) [x] regeneration and endometrial proliferation
c) [ ] development of yellow body
d) [ ] endometrial secretor changes
e) [ ] pregnancy maintaining
--------------------------------------------------------------------137. CM Specific effects of progesterone consist of:
a) [x] hyperthermal action upon the thermoregulatory center
b) [ ] regeneration and endometrial proliferation
c) [ ] somatic maturation;
d) [x] endometrial secretor changes
e) [x] pregnancy maintaining
--------------------------------------------------------------------138. CS Hyperthermal effect of which ovarian hormone is used in functional diagnostic tests:
a) [ ] estrogens
b) [x] progesterone
c) [ ] androgens;
d) [ ] prostaglandins;
e) [ ] oxitocin;
--------------------------------------------------------------------139. CM Trigger organs of the estrogenic hormones refer the following:
a) [x] uterus, vagina;
b) [x] mammary gland
c) [x] pilose follicle;
d) [x] skin, bonny tissue
e) [ ] clitoris
--------------------------------------------------------------------23
b) [ ] Danazol
c) [x] surgical treatment;
d) [ ] prostaglandins inhibitors
e) [ ] Gravibinon ;
--------------------------------------------------------------------153. CS What methods are used for diagnosis of early forms of external genital endometriosis:
a) [ ] hysteroscopy;
b) [x] laparoscopy
c) [ ] hysterosalpingography;
d) [ ] uterine curettage - fractionated diagnostic
e) [ ] colposcopy
--------------------------------------------------------------------154. CM More pronounced pain syndrome is found in:
a) [x] nodular adenomiosis
b) [x] ovarian endometriosis
c) [ ] endometriosis of the cervix
d) [x] retrocervical endometriosis;
e) [ ] extragenital endometriosis
--------------------------------------------------------------------155. CS
A menstrual bleeding that exceeds the volume of 150ml is called:
a) [ ] hypomenorrhea
b) [x] hipermenorrhea;
c) [ ] sanguine secretions
d) [ ] amenorrhea;
e) [ ] opsomenorrhea
--------------------------------------------------------------------156. CS
A menstrual bleeding of 15ml is called:
a) [x] hypomenorrhea
b) [ ] hypermenorrhea;
c) [ ] sanguine secretions
d) [ ] amenorrhea;
e) [ ] opsomenorrhea
--------------------------------------------------------------------157. CS
A menstrual bleeding that exceeds 7 days is called:
a) [x] polymenorrhea
b) [ ] oligomenorrhea
c) [ ] proiomenorrhea;
d) [ ] opsomenorrhea;
e) [ ] amenorrhea
--------------------------------------------------------------------158. CS
A menstrual bleeding less than 3 days is called:
a) [ ] menorrhage, menometrorrhage
b) [x] oligomenorrhea;
c) [ ] proiomenorrhea;
26
d) [ ] opsomenorrhea;
e) [ ] amenorrhea
--------------------------------------------------------------------159. CS How would be called the pathology when the menstrual cycle is repeated each 18-20
days:
a) [x] proiomenorrhea
b) [ ] opsomenorrhea
c) [ ] amenorrhea
d) [ ] spaniomenorrhea;
e) [ ] hypomenorrhea
--------------------------------------------------------------------160. CM In ovulatory dysfunctional uterine hemorrhage refers the following:
a) [ ] long persistence of the follicle
b) [ ] follicular atresia;
c) [x] shortening of the follicular phase or luteinic one;
d) [x] increasing of luteinic phase
e) [x] intermenstrual hemorrhage
--------------------------------------------------------------------161. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 40 years old
accuses polymenorrhea, proiomenorrhea and sterility, and the functional diagnosis tests show
T basal monophasic, sign of pupil and fern 3+, 4+, acidophilic and cariopicnotic indexes 6070%:
a) [x] persistence of the yellow body
b) [x] long persistence of the follicle;
c) [ ] shortening of the follicular phase or luteinic
d) [ ] increasing of luteinic phase;
e) [ ] intermenstrual hemorrhage
--------------------------------------------------------------------162. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 16 years old
accuses abundant and prolonged menses, and the functional diagnosis tests show sign of pupil
*** during the whole cycle:
a) [x] persistence of the follicle
b) [x] follicular atresia
c) [ ] shortening of the follicular phase or luteinic;
d) [ ] increasing of luteinic phase
e) [ ] intermenstrual hemorrhage
--------------------------------------------------------------------163. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 30 years old
accuses proiomenorrhea, polyhypermenorrhea, and the functional diagnosis tests show T
basal biphasic and shortening of the follicular phase 7-9 days:
a) [ ] long and temporary persistence of the follicle
b) [ ] follicular atresia;
c) [x] shortening of the follicular phase;
d) [ ] increasing of luteinic phase
e) [x] decrease of the menstrual cycle with 18-21 days;
27
--------------------------------------------------------------------164. CM Enumerate which are the nonspecific and specific haemostatic actions of estrogens:
a) [x] endometrial proliferation and stimulation;
b) [x] ]brisk changes of hormonal estrogenic titer and maintaining it;
c) [x] decrease the capillary fragility;
d) [x] equilibration and increasing the vascular tonus;
e) [ ] effect of endometrial secretor transformation
--------------------------------------------------------------------165. CM
Syndrome of polycystic ovaries is characterized through:
a) [ ] hyperestrogenemia
b) [x] hyperandrogenemia
c) [x] disorders of follicular genesis
d) [ ] excessive production of progesterone;
e) [ ] excessive production of cortisone
--------------------------------------------------------------------166. CM
Synonymies of the Stein-Leventhal syndrome are:
a) [x] primary polycystic ovaries
b) [x] disease of polycystic ovaries , sclerocystic
c) [ ] atretic ovaries
d) [ ] ovarian dermoid cyst;
e) [ ] liver disease
--------------------------------------------------------------------167. CS
Macroscopic polycystic ovaries are characterized by the following, with the
exception:
a) [ ] big ovaries, with a yellow color;
b) [ ] smooth surface of the ovaries, pearl color;
c) [ ] ovaries exceed or are equal with the uterus dimensions
d) [ ] on the hemi section of the ovaries, contain a lot of cystic follicles 5-7 mm, clear content;
e) [x] yellow body, corpus albicans
--------------------------------------------------------------------168. CS
Syndrome of polycystic ovaries is caused by the following factors, with the
exception:
a) [ ] mechanic factor (thick capsule)
b) [ ] genetic factor;
c) [x] inhibition of aromatization in the adipose tissue
d) [ ] incorrect administration of contraceptives;
e) [ ] lack of 19 hidroxylase
--------------------------------------------------------------------169. CM
Diagnostic of syndrome of polycystic ovaries is put on the base of:
a) [x] vaginal-abdominal tact
b) [x] laparoscopy
c) [ ] metrosalpingography
d) [x] testing of the sexual hormones
e) [ ] sounding of the uterine cavity
28
29
--------------------------------------------------------------------176. CS
How it is changed the vaginal microflora in the premenstrual period?
a) [ ] increasing the aerobe flora
b) [x] decrease the number of Doderlein bacilli and increases the number of anaerobic
c) [ ] increases the number of Doderlein bacilli
d) [ ] decrease the anaerobe flora;
e) [ ] doesn't change;
--------------------------------------------------------------------177. CM
Enumerate the clinical picture of acute vulvitis:
a) [x] pain, vulvae Itching
b) [x] edema of the external genital organs;
c) [ ] temperature;
d) [x] hyperemia of vulva
e) [ ] hyperpolymenorrhea
--------------------------------------------------------------------178. CM
Colposcopy changes in case of chronic colpitis:
a) [x] punctiform hemorrhages;
b) [x] mucous edema;
c) [ ] atypical vascularization;
d) [x] mucous hyperemia
e) [ ] all the enumerated signs
--------------------------------------------------------------------179. CM
Enumerate the methods that provoke the inflammatory process:
a) [x] piquant foods
b) [x] the remaking of the cervix and the cervical canal with AgNo3 0,5%
c) [ ] diathermy of the lumbar region;
d) [x] i/m 500 mln CM of gonovaccine
e) [ ] i/m 20 thousand UN of synestroli 2%
--------------------------------------------------------------------180. CM
Enumerate the characteristic signs for chronic cervicitis
a) [x] indurations of the cervix
b) [x] hyperemia at the region of the external orifice;
c) [x] serous-purulent secretions;
d) [x] contact hemorrhage;
e) [ ] formation of pseudoerosion
--------------------------------------------------------------------181. CM
Enumerate the specific signs for acute endometritis:
a) [x] pains in the inferior part of the abdomen
b) [x] temperature;
c) [ ] cyanosis of the region of the external orifice of the cervix;
d) [x] leukocytosis with left deviation of the leukocyte formula
e) [x] serous-purulent secretions;
--------------------------------------------------------------------182. CM
Appreciate which are the characteristic accuses for veridical erosion:
30
a) [ ]
b) [ ]
c) [x]
d) [x]
e) [x]
temperature;
caseous secretions
serous secretions;
serous- hemorrhagic secretions;
contact hemorrhage
--------------------------------------------------------------------183. CM
Enumerate the characteristic accuses for chronic salpingoophoritis in acute
stage:
a) [x] permanent hypogastric and sacral pains
b) [x] sterility;
c) [ ] vulvar itching
d) [x] temperature;
e) [x] purulent leucorrhea
--------------------------------------------------------------------184. CM
Enumerate the characteristic accuses for chronic anexitis:
a) [ ] acute pains in hypogastria and sacrum
b) [x] chronic pains in hypogastria and sacrum
c) [x] disorders of the menstrual cycle
d) [x] sterility;
e) [ ] febrile temperature
--------------------------------------------------------------------185. CS Uterine myoma is a tumor:
a) [x] benign
b) [ ] malign
c) [ ] limytroph
d) [ ] feminizing
e) [ ] masculinizing
--------------------------------------------------------------------186. CS Clinical picture of the uterine myoma doesn't depend on:
a) [ ] localization
b) [ ] dimension
c) [x] presence of abortion in anamnesis
d) [ ] number of nodules
e) [ ] Rhythm of growth
--------------------------------------------------------------------187. CM Enumerate the clinical manifestations of the uterine myoma:
a) [x] menorrhages
b) [x] metrorrhages
c) [ ] dyspareunia
d) [x] pains
e) [x] functional disorders of the adjacent organs
--------------------------------------------------------------------188. CM Enumerate the complications that can appear in the case of uterine myoma:
a) [x] appearing of myomatous nodules
31
b) [ ] ascites
c) [x] suppuration of the nodules
d) [x] necrosis of the nodule
e) [x] torsion of the myomatous nodule
--------------------------------------------------------------------189. CM Which complimentary products are used for diagnosis of uterine myoma:
a) [x] hysterometry
b) [ ] culdocentezis
c) [ ] colpocytologic sample
d) [ ] cystoscopy
e) [x] USG
--------------------------------------------------------------------190. CM Enumerate the radiological methods for diagnosis of uterine myoma:
a) [x] pneumopelvigraphy
b) [x] hysterosalpingography
c) [x] flebography
d) [ ] fluorography
e) [ ] fistulography
--------------------------------------------------------------------191. CM What endoscopic methods are not used for diagnosis of the uterine myoma:
a) [ ] hysteroscopy
b) [ ] laparoscopic
c) [ ] culdoscopy
d) [x] bronchoscopy
e) [x] cystoscopy
--------------------------------------------------------------------192. CS Which is the principal clinical sign in case of subserous localization of myomatous
nodule:
a) [x] pains, caused by the torsion of pedicle
b) [ ] disorders of the menstrual cycle
c) [ ] disorders of the menstrual flow
d) [ ] decreasing of the libido
e) [ ] dyspareunia
--------------------------------------------------------------------193. CM Which complication can appear in case of sub serous localization of myoma:
a) [x] malignancy
b) [x] torsion
c) [x] functional disorders of the adjacent organs;
d) [x] disorder of the urethral topography with their strangulation with formation of hydrourether
and hydronephrosis
e) [ ] appearing of myomatous nodules
--------------------------------------------------------------------194. CM Which complication can appear in case of sub mucous localization of myoma:
a) [x] malignancy
32
b) [x] torsion
c) [ ] functional disorders of the adjacent organs;
d) [x] acute abundant hemorrhage;
e) [x] appearing of myomatous nodules
--------------------------------------------------------------------195. CS For sub mucous uterine myoma the suggestive sign at hysterosalpingography is:
a) [x] fill in defect
b) [ ] shadow after contour
c) [ ] regular contour of the uterine cavity
d) [ ] contrast substance doesn't protrude in the tubes
e) [ ] contrast substance doesn't protrude in the abdominal cavity
--------------------------------------------------------------------196. CS Enumerate the symptoms characteristic for retro flexion of the uterus:
a) [x] pains in the sacral region
b) [ ] hyperpolymenorrhea
c) [ ] amenorrhea;
d) [ ] pains in the ileac region
e) [ ] dysuria;
--------------------------------------------------------------------197. CM
Enumerate the symptoms characteristic for hyperanteflexion of the uterus
a) [ ] hypomenstrual syndrome;
b) [ ] proiomenorrhea;
c) [x] feelings of pressure in the region of the gall bladder;
d) [ ] hyperplazia of the uterus;
e) [x] infertility
--------------------------------------------------------------------198. CM
Which from enumerated below causes can lead to retroflection of the uterus?
a) [x] myomatous nodules situated on the anterior wall of the uterus
b) [x] general asthenia;
c) [x] pelvioperitonitis;
d) [ ] premenstrual syndrome;
e) [ ] twins birth
--------------------------------------------------------------------199. CM
What is specific for the total prolapsed uterus?
a) [x] cystocel
b) [x] rectocel
c) [ ] cervix exteriorized through the genital aperture
d) [x] uterus exteriorized through the genital aperture, difficulties in urination
e) [ ] constipation
--------------------------------------------------------------------200. CM
Enumerate the causes of prolapsed uterus:
a) [x] atrophy of the ligament apparatus and muscles of perineal region
b) [x] inborn hypoplazia of the muscles of perineal region;
c) [x] cachexy;
33
c) [x] chorioepithelioma
d) [ ] adenomiosis;
e) [ ] bicorn uterus;
--------------------------------------------------------------------207. CS
At the functional diagnostic tests of the ovaries refers the following:
a) [ ] crystallization test
b) [ ] chromodiagnosis;
c) [ ] aspirator biopsy;
d) [ ] cervicoscopy;
e) [x] colpocytological
--------------------------------------------------------------------208. CS
Appoint the contraindication for making the exploratory biopsy of the cervix:
a) [ ] macroscopic ulcerative lesions
b) [ ] suspicious colposcopic aspects
c) [x] gravidities;
d) [ ] papillary proliferation and iodine-negative zones, unchangeable after treatment
e) [ ] suspicious colposcopic aspects
--------------------------------------------------------------------209. CM
Appoint the affirmations that characterize premenstrual syndrome:
a) [ ] frequently increases along the age;
b) [x] frequency of the disease doesn't depend on the age
c) [x] 20-55% incidence;
d) [x] represents a complex of pathologic symptoms;
e) [ ] clinical signs approximately last all the menstrual cycle
--------------------------------------------------------------------210. CM
The hormonal disorders in pathogenesis of the premenstrual syndrome leads to:
a) [x] hyposecretion of the progesterone
b) [x] hypersecretion of FSH and ACTH
c) [x] hypersecretion of estrogen;
d) [x] hypersecretion of bradichinine
e) [ ] hyposecretion of adrenaline
--------------------------------------------------------------------211. CM
Clinical picture of adenomiosis includes:
a) [x] progressive algodysmenorrhea
b) [x] hyperpolymenorrhea
c) [ ] coetaneous edema
d) [x] dyspareunia
e) [x] postmenstrual brown secretions "chocolate"
--------------------------------------------------------------------212. CS
Treatment of the premenstrual syndrome includes the following, with the
exception:
a) [ ] psychotherapy;
b) [ ] alimentary regime;
c) [ ] general massage;
35
e) [x] metabolic;
--------------------------------------------------------------------231. CM Neurogen regulation of the menstrual function is stronger than the feed-back and
includes the following structures, with the exception:
a) [ ] hypothalamus
b) [ ] epiphyses
c) [ ] meduloadrenal
d) [x] pancreas
e) [x] liver
--------------------------------------------------------------------232. CS Androgen metabolites are:
a) [x] 17-KS - ketosteroid
b) [ ] pregnandiol;
c) [ ] estriol
d) [ ] estradiol
e) [ ] estron
--------------------------------------------------------------------233. CS Appoint the duration (max and min limit) of a physiological menstrual cycle:
a) [x] 21-35 days
b) [ ] 25-28 days;
c) [ ] 15-25 days
d) [ ] 20-21 days
e) [ ] 40-45 days
--------------------------------------------------------------------234. CS Duration of the life of the menstrual yellow body is of:
a) [x] 12-14 days
b) [ ] 14-20 days;
c) [ ] 5-7 days
d) [ ] 1-10 days;
e) [ ] 21-30 days
--------------------------------------------------------------------235. CS Quantity of lost blood during menses in normal represent:
a) [x] 50-150 ml
b) [ ] 50-80 ml;
c) [ ] 60-180 ml;
d) [ ] 10-20 ml;
e) [ ] 60-110 ml;
--------------------------------------------------------------------236. CM In the anatomic pedicle component of the ovarian tumor doesn't enter:
a) [ ] ovarian suspensor ligament;
b) [x] round ligament;
c) [ ] own ovarian ligament;
d) [x] omentum;
e) [ ] a part of wide ligament
39
--------------------------------------------------------------------237. CS First line treatment of the twisted ovarian tumor consists in:
a) [x] anexectomy (through laparotomy or laparoscopy)
b) [ ] tumor distortion and monitoring;
c) [ ] drainage of the abdominal cavity
d) [ ] conservative therapy
e) [ ] administration of estrogen-gestagene drugs
--------------------------------------------------------------------238. CS Necrosis treatment of the myomatous nodule consists in:
a) [ ] conservative miomectomy
b) [ ] conservative therapy (antibacterial, spasmolitics);
c) [ ] hysterectomy with uterine tube excision;
d) [x] hysterectomy without tubectomy
e) [ ] enucleating the myomatous nodule
--------------------------------------------------------------------239. CM Appoint the relevant symptoms for differential diagnostic of appendicitis and
interrupted tubal pregnancy:
a) [x] menstrual retention
b) [x] temperature;
c) [ ] hypogastria pains
d) [x] presence of pregnancy signs;
e) [x] leukocytosis ;
--------------------------------------------------------------------240. CS A patient with signs of intraabdominal hemorrhage is interned by emergency
gynecology department. From anamnesis - retention of menses with 2 weeks, loss of
consciousness with violent pains in the abdomen. Presumptive diagnostic?
a) [ ] ovarian apoplexy
b) [ ] tubal pregnancy in evolution;
c) [x] interrupted tubal pregnancy;
d) [ ] appendicitis;
e) [ ] trauma of the small pelvis organs;
--------------------------------------------------------------------241. CM
Vagina takes part from:
a) [ ] external genital organs
b) [x] internal genital organs;
c) [ ] pair organ;
d) [x] impair organ;
e) [ ] organ with hormonal secretion
--------------------------------------------------------------------242. CM
Uterus is an organ:
a) [x] cavity
b) [x] muscular
c) [x] impair;
d) [ ] pair
40
e) [x] mobile
--------------------------------------------------------------------243. CM
Endometrial functional layer have the following zones:
a) [x] compact
b) [x] spongiest;
c) [ ] zone of transition;
d) [ ] basal
e) [ ] parabasal
--------------------------------------------------------------------244. CM
From the histological point of view in the ovarian structure we can distinguish:
a) [x] germinating epithelial
b) [x] cortical zone;
c) [x] medullar zone;
d) [ ] pavimentous epithelium
e) [ ] cubic epithelium
--------------------------------------------------------------------245. CM
Enumerate the muscular layers of the perineum:
a) [x] external;
b) [x] medium;
c) [x] internal;
d) [ ] transversal;
e) [ ] oblique
--------------------------------------------------------------------246. CM
Uterine blood supply take place through:
a) [x] uterine arteries
b) [x] ovarian arteries
c) [ ] vesicle arteries
d) [ ] rectal arteries
e) [ ] funicular arteries
--------------------------------------------------------------------247. CM
Celioepithelial cystoma:
a) [ ] doesn't associates with ascitis;
b) [ ] are unicameral or multicameral with celioepithelial tissue;
c) [ ] don't become malignant;
d) [x] frequent associates with ascites 70% bilateral;
e) [x] are formation of conjunctive tissue
--------------------------------------------------------------------248. CM
Name the anatomic pedicle components of cystoma:
a) [ ] round ligament
b) [x] ligamentum proprium ovaricum;
c) [x] ligamentum infundibilo- pelvicum
d) [x] mezoovary;
e) [ ] uterine tube
41
--------------------------------------------------------------------249. CM
Component of the surgical pedicle of the ovarian cystoma can be:
a) [x] intestinal loop
b) [x] omentum;
c) [ ] kidneys;
d) [x] appendix;
e) [ ] liver
--------------------------------------------------------------------250. CS Appreciate, how will be called the pathology when the menstrual cycle repeats every
6 months:
a) [ ] proiomenorrhea
b) [ ] opsomenorrhea
c) [x] amenorrhea;
d) [ ] spaniomenorrhea;
e) [ ] hypomenorrhea
--------------------------------------------------------------------251. CM Determine the causes of uterine dysfunctional anovulatory hemorrhages:
a) [x] temporary and prolonged persistence of the follicle
b) [x] follicular atresia;
c) [ ] shortening follicular or luteinic phase
d) [ ] increasing of the luteinic phase;
e) [ ] inter-menstrual hemorrhage
--------------------------------------------------------------------252. CM Enumerate which are the haemostatic measures in juvenile uterine hemorrhage with
easy form of anemia:
a) [x] hormonal hemostasis
b) [ ] surgical hemostasis (curettage);
c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.);
d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);
e) [x] administration of the antianemic drugs and vitamin therapy
--------------------------------------------------------------------253. CM Enumerate which are the haemostatic measures in juvenile uterine hemorrhage with
severe form of anemia:
a) [x] hormonal hemostasis;
b) [x] surgical hemostasis (curettage);
c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.);
d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);
e) [ ] administration of the antibacterial drugs
--------------------------------------------------------------------254. Enumerate which are the haemostatic measures in uterine hemorrhage from the
perimenopausal period:
a) [ ] hormonal hemostasis
b) [x] surgical hemostasis (curettage)
c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.)
d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);
42
e) [ ]
--------------------------------------------------------------------267. CS
How it is called the artificial contrast method of lactofore canals of mammary
gland:
a) [ ] canaliculography
b) [x] ductography;
c) [ ] mammography;
d) [ ] ultrasonography;
e) [ ] sinusography
--------------------------------------------------------------------268. CM
In case of mastopathy, morphologic we can distinguish the following changes:
a) [x] atrophic
b) [x] dystrophic
c) [x] proliferation
d) [ ] necrotic;
e) [ ] suppuration
--------------------------------------------------------------------269. CM
Usually, mastopathy is associated with:
a) [ ] adrenal gland tumor
b) [ ] tumor of hypophysis
c) [x] uterine myoma
d) [x] dysmenorrhea
e) [x] ovarian dysfunction
--------------------------------------------------------------------270. CM
What method from the following is efficient for the mastopathy prophylaxis:
a) [x] hormonal contraception
b) [ ] contraception with intrauterine devices;
c) [ ] systematic vitamin therapy;
d) [x] long nursing;
e) [ ] condom therapy
--------------------------------------------------------------------271. CS
Name the direct method in appreciation of ovulation:
a) [ ] hysterosalpingography
b) [ ] echohydrotubation;
c) [x] appearing of pregnancy
d) [ ] hysteroscopy
e) [ ] endometrial biopsy
--------------------------------------------------------------------272. CM
Appreciate in which day of the menstrual cycle is made the hormonal
investigation in a patient with endocrine sterility:
a) [ ] 2 day
b) [x] 7 day;
c) [x] 14 day
d) [ ] 17 day;
45
e) [x] 21 day.
--------------------------------------------------------------------273. CS
Name the cause of masculine sterility when the de FSH and LH index is
increased:
a) [ ] inflammatory process of prostate
b) [ ] azoospermia;
c) [ ] epispadia;
d) [ ] varicocele
e) [x] primary testicular insufficiency.
--------------------------------------------------------------------274. CM
In case of sterility determined by the de hyperanteflexion or retroflexion of the
uterus, the management is:
a) [ ] anti-inflammatory treatment
b) [x] gynecologic massage;
c) [ ] hormonal therapy;
d) [x] surgical correction
e) [ ] resultative therapy
--------------------------------------------------------------------275. CS
Treatment of medium form of ovarian hyper stimulation:
a) [ ] diminishing the doze
b) [ ] increasing the doze,
c) [ ] changing the treatment scheme;
d) [ ] prescription of progesterone
e) [x] cessation the drug
--------------------------------------------------------------------276. CM
Enumerate the investigations that are recommended in hyperprolactinemia:
a) [ ] evaluation the level of estrogens
b) [x] cranium radiography
c) [ ] probe with estrogen
d) [x] probe with bromcriptine;
e) [x] tomography of sella turcica
--------------------------------------------------------------------277. CM
Mechanism of action of gestagens contraceptive pastilles includes:
a) [x] condensation and concentration of cervical glare;
b) [x] inhibition of spermatozoids enzymes;
c) [x] slowing the ovule movement through the uterine tubes
d) [ ] disorders of endometrial secretion process;
e) [x] inducing the endometrial atrophy
--------------------------------------------------------------------278. CM
Which is the non-contraceptive effects of hormonal contraceptives:
a) [x] decrease the risk of some tumor development of the reproductive system
b) [x] decrease the incidence of endometriosis
c) [x] decrease the incidence of sterility
d) [ ] prophylaxis of inflammatory affections
46
50
--------------------------------------------------------------------309. CM The clinical signs of the prepubertary adrenogenital syndrome includes the
following, except:
a) [ ] premature sexual maturation
b) [ ] premature ossification region closure
c) [x] mammary gland hypertrophy
d) [ ] clitoris hypertrophy
e) [x] alopecia
--------------------------------------------------------------------310. CM The treatment in case of Itsenko-Cushing disease doesn't include:
a) [x] substitutional hormonal therapy
b) [x] surgical therapy
c) [ ] radiotherapy
d) [x] symptomatic treatment
e) [x] inhibitory hormonal therapy
--------------------------------------------------------------------311. CM Clinical signs of androsteroma includes the following:
a) [x] adisonism;
b) [x] virilism;
c) [x] infertility;
d) [x] amenorrhea;
e) [ ] arterial hypotension
--------------------------------------------------------------------312. CS What is the most frequent form of uterine body cancer?
a) [ ] malignant adenoma
b) [x] adenocarcinoma
c) [ ] adenoconeroil
d) [ ] pavimentous cancer
e) [ ] carcinosarcoma
--------------------------------------------------------------------313. CS According to FIGO endometrial cancer classification the I-st stage corresponds to:
a) [ ] as in situs (atypical endometrial hyperplazia)
b) [x] the cancer in limits of uterine body
c) [ ] length of the uterine cavity 8 cm
d) [ ] length of the uterine cavity more than 8 cm
e) [ ] the cancer affects the body and cervix (especially the cervical canal) but doesn't pass the
uterine borders
--------------------------------------------------------------------314. CS According to the cervical cancer after TNM system, T3 is associated with:
a) [ ] length of the uterine cavity till 8 cm
b) [ ] the carcinoma passes the cervix but doesn't pass over the uterine limits
c) [x] the carcinoma passes over the uterine borders but remain in the limits of the lesser pelvis
d) [ ] the carcinoma spreads on the mucous of the urinary bladder or in the rectum
e) [ ] length of the uterine cavity more than 8 cm
52
--------------------------------------------------------------------315. CS According to the vulvar cancer classification according to stages, to the II-nd stage refers:
a) [ ] preinvasive carcinoma
b) [ ] tumor till 2 cm in diameter, limited in the region of vulva, without metastases
c) [x] tumor, bigger than 2 cm in diameter, limited in the vulvar region, without metastases
d) [ ] tumor without any metastases that spread in the vagina or/and in theinferior third of urethra
or anus, regional metastases
e) [ ] any size tumor with dimensions that spread in the vagina or in the inferior third of urethra and
anus, presence of mobile metastases in the femoral-inguinal lymph nodes
--------------------------------------------------------------------316. CS According to the TNM international classification - tumor localized in the limits of vulva
with the diameter till 2 cm associate with:
a) [ ] T0
b) [ ] Tis
c) [x] T1
d) [ ] T2
e) [ ] T3
--------------------------------------------------------------------317. CS Vaginal cancer with diameter will 2 cm, that doesn't pass the submucous layer of the
vagina without metastases corresponds to the stage:
a) [ ] stage 0
b) [x] stage 1
c) [ ] stage 2
d) [ ] stage 3 a
e) [ ] stage 3 b
--------------------------------------------------------------------318. CM The development of hyperplastic processes of the endometrium usually associate with:
a) [x] ovary tecomatosis
b) [ ] endometrium in the secretion stage
c) [ ] ovarian follicular cyst
d) [x] uterine myoma
e) [x] mammary gland adenofibroma
--------------------------------------------------------------------319. CS Yhe usage of hormonal hemostasis in hyperplastic endometrial processes are indicated in
case of:
a) [x] when after the curettage of uterine cavity in hemostatic purpose, and 6 months didn't pass
b) [ ] purulent discharges from the genital pathways
c) [ ] inflammatory purulent annex tumor
d) [ ] suspicion of submucous uterine myoma
e) [ ] climacteric period
--------------------------------------------------------------------320. CM The cancer of the uterine body more frequently is localized in the following regions of the
uterus:
a) [ ] inferior segment of the uterus
53
b) [x]
c) [x]
d) [ ]
e) [ ]
uterine fund
uterine angles
region of the cervix
posterior wall of the uterus
--------------------------------------------------------------------321. CM Name the contraindications for the associated chemotherapy indication. (distant
intracavitary gamma-therapy)
a) [x] generalized process of the tumoral process
b) [ ] uterine tumors spread locally in the T1-2 No Mo limits
c) [x] invasion of the neighbor organs (urinary bladder, rectum)
d) [x] presence of intracavitary anomalies
e) [x] decompensated anomalies of the CV, pulmonary and endocrine system
--------------------------------------------------------------------322. CS What is the method for tubal functional determination.
a) [ ] hysterography
b) [ ] hysterosalpingography
c) [ ] laparoscopy
d) [x] chemographic pertubation
e) [ ] pneumogynecography
--------------------------------------------------------------------323. CS Uterine curettage during ectopic pregnancy reveals:
a) [x] decidual modifications of the uterine mucosa
b) [ ] endometrial hyperplazia
c) [ ] dilation of one of the uterine horns
d) [ ] presence of ovary rests
e) [ ] all mentioned above
--------------------------------------------------------------------324. CS Endometrial polyposis appears more frequently in:
a) [ ] juvenile period
b) [ ] postnatal
c) [x] climacteric period
d) [ ] during treatment with gestagens
e) [ ] after finishing the treatment with oral contraceptives
--------------------------------------------------------------------325. CS Metrorrhage is called:
a) [ ] long-lasting menstruation
b) [x] acyclic uterine hemorrhages
c) [ ] menstruation that occurs after 35 days and more
d) [ ] abundant menstruation
e) [ ] cyclic uterine hemorrhages
--------------------------------------------------------------------326. CS A releasing role in the regulation in the menstrual cycle goes to:
a) [x] hypothalamus
b) [ ] hypophysis
54
c) [ ] ovaries
d) [ ] uterus
e) [ ] suprarenal glands
--------------------------------------------------------------------327. CS The couple is considered sterile if:
a) [x] if pregnancy doesn't occur for 1 year, in the lack of contraception and regulate sexual life
b) [ ] lack of pregnancy after2 years of regulate sexual life
c) [ ] lack of pregnancy in case of lack of contraception
d) [ ] after the first pregnancy a year has passes
e) [ ] after the first pregnancy has passed 2 years
--------------------------------------------------------------------328. CS The most effective diagnostic method of cervical cancer is:
a) [ ] in valve examination
b) [ ] colposcopy
c) [ ] sample cytology
d) [x] cervix biopsy
e) [ ] to sound the cervical canal
--------------------------------------------------------------------329. CS When a feminizing tumor is suspected during menopause in necessary:
a) [ ] surveillance for 6 months
b) [ ] diagnostic curettage of the uterine cavity for cancer exclusion
c) [x] operative treatment-uterus removal with its anexa
d) [ ] hormonal treatment
e) [ ] chemotherapy
--------------------------------------------------------------------330. CM Plastic microsurgical interventions on the fallopian tubes are done in case of:
a) [ ] tubal-ovarian tumor
b) [x] tubal occlusion in different portions
c) [ ] infertility for more than 10 years
d) [x] ectopic pregnancy
e) [ ] age more than 35
--------------------------------------------------------------------331. CM In the treatment of adenomiosis are used:
a) [ ] estrogens
b) [x] androgens
c) [x] gestagens
d) [x] Danazol
e) [x] synthetic antigonadotropins
--------------------------------------------------------------------332. CS Lahm-Schiller test assumes
a) [ ] paint the cervix with acetic acid
b) [x] paint the cervix with Lugol solution
c) [ ] paint the cervix with fluorescine
d) [ ] paint the cervix with methilen blue
55
56
--------------------------------------------------------------------339. CM The treatment of endometriosis that appear during the reproductive period is treated with...
a) [x] progestin
b) [x] Danazol
c) [x] gonadotropin releasing-hormone
d) [ ] dexametazon
e) [ ] androgens
--------------------------------------------------------------------340. CM Specify which from the following allow to establish the diagnosis of ectopic pregnancy in
evolution:
a) [x] beta-HCG dosage
b) [ ] vaginal smear
c) [x] echography
d) [x] diagnostic curettage
e) [x] laparoscopy
--------------------------------------------------------------------341. CS What surgical intervention represents the election method in a 50 year old women with
uterine mioma and cervix without pathology:
a) [ ] myomectomy
b) [ ] myometrectomy
c) [x] subtotal hysterectomy
d) [ ] total hysterectomy
e) [ ] Werthaim intervention
--------------------------------------------------------------------342. CS What is the volume capacity of the uterine cavity:
a) [x] 2-5 ml
b) [ ] 7-8 ml
c) [ ] 15-20 ml
d) [ ] 1 ml
e) [ ] 50 ml
--------------------------------------------------------------------343. CS The results obtained in the treatment of ovarian cancer depend on the following aspects,
except:
a) [ ] histological type of tumor
b) [ ] form of histological malignization
c) [ ] tumoral staging
d) [x] female parity
e) [ ] applied therapeutical method
--------------------------------------------------------------------344. CS The diagnosis of amenorrhea is based on the lack of menstruation not less than:
a) [ ] 2 months
b) [ ] 3 months
c) [ ] 4 months
d) [x] 6 months
e) [ ] 8 months
57
--------------------------------------------------------------------345. CS In what cases in a patient with uterine myoma is not indicated surgical treatment:
a) [ ] submucous nodules
b) [x] myoma 8-9 months, for more than 10 years
c) [ ] dimensions bigger than 13 weeks of pregnancy
d) [ ] disturbances of the excretion system
e) [ ] myoma with increased speed of growing
--------------------------------------------------------------------346. CS What is the indication for in vitro fecundation:
a) [ ] masculine infertility
b) [x] tubal infertility
c) [ ] mixt infertility
d) [ ] endocrine infertility
e) [ ] genetic cause infertility
--------------------------------------------------------------------347. CS Increased speed of tumor growing, attaching to neighbour organs, bilaterality, ascites,
cahexia - are characteristic for:
a) [ ] tumor torsion
b) [ ] ovary fibroma
c) [ ] pseudomixoma development
d) [x] tumor malignization
e) [ ] inflammatory anexa tumor
--------------------------------------------------------------------348. CM In uterine myoma causes of metrorrhage are:
a) [x] endometrial hyperplazia
b) [x] enlargement of uterine cavity
c) [x] hormonal disturbances
d) [x] decrease in uterine contractions
e) [ ] myometrial thinning
--------------------------------------------------------------------349. CM What is characteristic for the hemorrhages determined by uterine myoma:
a) [x] progressive menorrhages
b) [x] polymenorrhea
c) [x] hypermenorrhea
d) [x] progressive anemia
e) [ ] acyclic hemorrhages
--------------------------------------------------------------------350. CS In the I-st phase of the menstrual cycle the basal temperature can vary between :
a) [ ] 37,0 - 37,3
b) [ ] 36,6 - 36,8
c) [x] 36,3 - 37,0
d) [ ] 35,5 - 36,2
e) [ ] 38,0 - 39,0
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--------------------------------------------------------------------351. CM The investigations that confirm the diagnosis of sexual transmitted diseases are:
a) [ ] colposcopy
b) [ ] differential diagnosis curettage
c) [ ] cytology
d) [x] vaginal smear
e) [x] bacteriologic exam
--------------------------------------------------------------------352. CM Pathogenetic mechanisms of pelvioperitonitis include:
a) [x] excitation of the peritoneal receptor group
b) [x] synthesis of the adrenergic mediators
c) [x] vasodilatation and vascular hyperpermeability
d) [x] kininic system activation
e) [ ] generalized vasoconstriction
--------------------------------------------------------------------353. CM Surgical intervention in diffuse peritonitis has a direct goal:
a) [x] removing the source of infection
b) [x] adequate drainage
c) [x] decompression of the digestive tract
d) [ ] keeping of uterus and adnexa
e) [ ] hydro-electrolytic re-equilibration
--------------------------------------------------------------------354. CM Specific treatment of genital herpes is done with the following drugs:
a) [x] Valtex;
b) [ ] Ciprobai;
c) [ ] Mycosist
d) [ ] Sumamed;
e) [x] Aciclovir;
--------------------------------------------------------------------355. CM Specific treatment of candidosis includes the drugs, except:
a) [ ] Nizoral;
b) [x] Valtrex;
c) [ ] Diflucan;
d) [x] Sumamed;
e) [x] Tetracycline
--------------------------------------------------------------------356. CM To the primary signs of sexual transmitted diseases refers:
a) [x] colpitis
b) [x] cervicitis
c) [ ] hepatitis
d) [ ] death
e) [ ] chronic pelvic inflammatory diseases
--------------------------------------------------------------------357. CM To the consequences of STD refers the following:
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c) [ ] hyperprogesteronemia
d) [ ] hypoandrogenemia
e) [ ] hypophysis gonadotropin insufficiency
--------------------------------------------------------------------364. CM What from the following modifications are not the causes of anovulatory
dysfunctional uterine hemorrhages:
a) [ ] temporary and prolonged persistency of the follicle
b) [ ] follicle atresia
c) [x] shortening of the follicular or luteinic phase\
d) [x] prolonging of the luteinic phase
e) [x] intermenstrual hemorrhages
--------------------------------------------------------------------365. CS At the specific and nonspecific haemostatic actions of estrogens refer the following,
except:
a) [ ] stimulation of endometrial proliferation
b) [ ] quick correction of estrogenic hormonal titer and its maintenance in plateau
c) [ ] correction of capillary fragility
d) [ ] equilibration and improving the vascular tone
e) [x] endometrial secretor transformation effect
--------------------------------------------------------------------366. CM What hormonal drugs are not used in juvenile uterine hemorrhage hemostasis.
a) [ ] estrogens
b) [ ] natural estrogens
c) [x] androgens;
d) [x] progesterone and its derivatives
e) [x] nonsteroids
--------------------------------------------------------------------367. CS Differential diagnosis of dysfunctional hemorrhages in the reproductive period is
done with the following pathologies, except:
a) [ ] placental or endometrial polyp
b) [ ] uterine myoma (submucosal)
c) [ ] adenomiosis;
d) [ ] endometrial adenocarcinoma
e) [x] lung cancer
--------------------------------------------------------------------368.
CM To the causes of acute abdomen, determined by trophic disturbances refers:
a) [x] torsion of the subserous myomatous peduncle
b) [x] torsion of the ovarian cyst peduncle
c) [x] necrosis of the myomatous nodule;
d) [ ] ovarian apoplexy
e) [ ] stopped uterine pregnancy
--------------------------------------------------------------------369. CM Which from the named doesn't represent forms of tubal pregnancy :
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a) [ ] in evolution
b) [x] imminence of pregnancy interruption
c) [ ] interrupted;
d) [x] stopped ;
e) [x] abdominal
--------------------------------------------------------------------370. CS Diagnosis of tubal pregnancy in evolution is put for certain on the base of the
following :
a) [ ] pregnancy test
b) [ ] vaginal exam
c) [ ] diagnostic curettage
d) [x] laparoscopy ;
e) [ ] punction of the posterior fornix
--------------------------------------------------------------------371. CM What methods do not refer to the tubal pregnancy treatment:
a) [ ] tubal removal through laparoscopy or laparotomy
b) [x] curettage of the uterine cavity
c) [x] antibiotic administration
d) [x] administration of estrogen-gestagen drugs
e) [x] uterine cavity aspiration
--------------------------------------------------------------------372. CM Diagnosis of ovarian apoplexy is based on the following:
a) [x] clinical signs include intraabdominal hemorrhage
b) [x] anamnesis (link with the menstrual cycle)
c) [ ] fever
d) [x] positive punction of the posterior fornix
e) [x] disturbance of ovarian integrity during laparoscopy
--------------------------------------------------------------------373. CS What symptom isn't useful in the differential diagnosis of appendicitis and
interrupted ectopic pregnancy :
a) [ ] menstruation delay
b) [ ] fever;
c) [x] hypogastric pains
d) [ ] presence of pregnancy signs
e) [ ] leukocytosis ;
--------------------------------------------------------------------374. CM Indication of oral contraceptives in dysmenorrhea leads to:
a) [x] decrease in myometrial contractility
b) [x] delay in endometrial proliferation
c) [ ] stimulation of prostaglandin synthetase
d) [x] decrease the quantity of estrogens
e) [x] anovulation induction
--------------------------------------------------------------------375. CS Exocrine function of the ovaries is manifested through:
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following hormones:
a) [ ] corticosteroides
b) [ ] aldosterone
c) [ ] androgens
d) [x] estrogens
e) [ ] progesterone
--------------------------------------------------------------------394. CM As a result of estrogen-gestagene treatment takes place:
a) [x] improvement of general state
b) [x] decrease of hirsutism
c) [x] appearance of menstrual reaction
d) [ ] decrease of weight
e) [ ] decrease in uterine size
--------------------------------------------------------------------395. CM Premature tellarhe is characterized through:
a) [x] increased secretions of estrogens
b) [x] increased secretion of FSH
c) [ ] decreased secretion of FSH
d) [x] increased secretion of LH
e) [ ] increased secretion of progesterone
--------------------------------------------------------------------396. CM For the puberty delay of central geneses are characteristic:
a) [x] 1-2 menstruation per year
b) [x] eunucoid constitution
c) [x] secondary sexual signs poorly developed
d) [x] hypoplazia of internal genital organs
e) [ ] hyperplazia of internal genital organs
--------------------------------------------------------------------397. CS Endometrial cancers more frequently are:
a) [ ] clear cell carcinoma
b) [x] adenocarcinoma
c) [ ] adenosquamous
d) [ ] papillary serous carcinoma
e) [ ] adenoacantoma
--------------------------------------------------------------------398. CM What doesn't refer to the neuroendocrine disorders that lead to virilization in SteinLeventhal syndrome:
a) [ ] ovarian hyperandrogeny
b) [x] suprarenal hyperandrogeny
c) [x] hypoestrogenemia
d) [x] hyperestrogenemia
e) [x] multiple births
--------------------------------------------------------------------399. CS Triad of suggestive clinical signs for ectopic pregnancy suspicion is:
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