MCQs-Gynaec-2

December 12, 2011 Uncategorized

Authors
Dr minoo bhagia minoo bhagia M B B S , M S

Contents

CHOOSE THE
APPROPRIATE
ANSWER
MATCH THE
FOLLOWING
MATCH THE
FOLLOWING
MATCH THE
FOLLOWING
STATEMENT Image via Wikipedia
AND
REASONING
TYPE OF QUESTIONS:
CASE HISTORY

Link

CHOOSE THE APPROPRIATE

ANSWER
1 There is a 5% incidence of Image via Wikipedia
primary extrauterine
malignancy associated with Image by BlueRidgeKitties via Flickr
endometrial cancer, the most
frequent site for Pre-antral follicle Graafian follicles
such is . Image via Wikipedia Image via Wikipedia
A Stomach
B lung
C Breast
D Bone
E Spleen
Answer-C
2 Interstitial uterine myomas most often cause menorrhagia due to :
A Secondary degeneration
B Rupture into endometrial cavity
C Pressure necrosis
D Inhibition of uterine contractility
E Prolapse
Answer-D
3 The most common symptom associated with adenomyosis is :
A Infertility
B Menorrhagia
C Haematometra
D Dyspareunia
E Metrorrhagia
Answer-B
4 Adenomyosis is often associated with all of the following except :
A Endometrial hyperplasia
B Myoma
C Endometriosis
D Mymetrial hypertrophy
E Subinvolution of uterus
Answer-E
5 The most frequent cause of acute pelvic inflammatory disease is :
A Staphylococcus
B Tubercular bacilli
C Gonococcus
D Streptococcus
E Diphtheroid
Answer-C
6 Pyogenic infections of genital tract usually spread via :
A Mucous membrane
B Veins
C Lymphatics
D Fistulous tracts
E B+C
Answer-E
7 The preferred tratment of ruptured tubo-ovarian abscess is :
A Cul-de-sac drainage
B Removal of uterus , tubes and involved ovary
C Removal of uterus , tubes and ovaries
D Removal of ruptured tube and ovary
E Removal of adenexae and drainage
Answer-C
8 Presence of pyometra in a post menopausal females strongly suggests :
A Diabetes mellitus
B Degenerating myoma
C Senile endometritis
D Malignancy
E Sexual promiscuity
Answer-D
9 Subinvolution is most frequently associated with :
A Hyperplasia
B Leiomyoma
C Stromatosis
D Abortion
E Adenomyosis
Answer-D
10 the most common cause of sterility in PID is infection by :
A Streptococcus
B Gonococcus
C Staphylococcus
D Clostridium
E Proteus
Answer-B
11 The site of primary infection in patients with pelvic tuberculosis is usually
A Tubal
B Uterine
C Cervical
D Ovarian
E Lungs
Answer-E
12 Lutein and theca lutein cysts may be associated with all the following except :
A Mole
B Chorionepithelioma
C Stein-leventhal syndrome
D Pregnancy
E Abortion
Answer-C
13 The cysts of Stein -Leventhal ovary or PCOD are of which kind ?
A Lutein
B Germinal inclusion
C Follicular
D Theca lutein
E Endometrial
Answer-C
14 Clinical findings of PCOD include all except :
A Obesity
B Olgomenorrhoea
C Infertility
D Tall stature
Answer-D
15 Myxoma peritonei may occur as a consequence of rupture of which ovarian cyst ?
A Dermoid
B Struma ovarii
C Serous cystadenoma
D Mucinous cystadenoma
E Cystadenofibroma
Answer-D
16 Three ovarian tumours often confused by gross examination are the folowing except :
A Thecoma
B Fibroma
C Struma ovarii
D Brenner
Answer-C
17 An in situ stage has not been officially recognized in which of the following :
A Ovarian carcinoma
B Endometrial carcinoma
C Cervical carcinoma
D Vulvar carcinoma
E Vaginal carcinoma
Answer-A
18 The gastrointestinal primary of a Krukenberg tumour of the ovary is most often found in the :
A Gall bladder
B Rectum
C Pilorus
D Colon
E Small intestine
Answer C
19 Ovarian tumours which may produce chorionic gonadotrophins include :
A Dysgerminoma
B Teratoma
C Choriocarcinoma
D All of the above
E None of the above
AnswerD
20 The most common cause of tubal pregnancy is :
A Endometriosis
B Follicular salpingitis
C Transmigration of ovum
D Salpingitis nodosum
E Salpingoplasty
Answer B
21 There is greater than 50% incidence of tubal pregnancy following the medical treatment of salpingitis caused by :
A Gonococcus
B Tuberculosis
C Staphylococcus
D E Coli
E Streptococcus
Answer B
22 The most frequent cause of haematosalpinx is :
A Salpingitis
B Tubal pregnancy
C Ectopic pregnancy
D Adenomyosis
E Streptococcus
Answer-C
23 Which of the following is pathognomonic of ectopic pregnancy when found in tissues outside the uterus :
A Organized thrombii
B Decidual reaction
C Trophoblastic cells
D Aris-stella reaction
E Chorionic villi
Answer-E
24 The Aris-Stella reaction may be seen with all except :
A Ectopic pregnancy
B Birth control pills
C Abortion
D Trophoblastic disease
Answer-B
25 The passage of decidual cast in cases of ectopic pregnancy usually means :
A Impending tubal rupture
B Reabsorption of embryo
C Pregnancy was intrauterine
D Death of embryo
Answer D
26 The source of vaginal bleeding in a patient with ectopic pregnancy is due to :
A Tubal rupture
B Decidual separation
C Ruptured varix
D Tubal abortion
E Cervical pregnancy
Answer-B
27 Hydrothorax may occur in association with:
A Struma ovarii
B Benign thecoma
C Benign fibroma of ovary
D Cystadenoma
E All of the above
Answer-E
28 The histologic criteria for diagnosing hydatidiform includes :
A Oedematous enlargement of villli
B Deficient villous vasculature
C Hyperplastic trophoblastic proliferation
D All of the above
Answer-D
29 Which of the following is most common clinical finding in hydatidiform mole ?
A Bleeding
B Uterus larger than the dates
C Foetal heart sounds
D Foetal skeletons
E Eclampsia
Answer-A
30 A patient who has been treated for trophoblastic disease is best followed by the use of repeated :
A Chest X ray
B Gonadotrophin titres
C Dilatation and curettage
D Liver function tests
E Ultrasound
Answer-B
31 The presence of an enlarged uterus and persistently elevated titres of HCG 60 days after evacuation of a benign mole in
a young patient is indicated for :
A Pitocin
B Chemotherapy
C Curettage
D Hysterectomy
E Exenteration
Answer-C
32 The secretion of Bartholins gland is :
A Serous
B Mucoid
C Watery
D Sebaceous
Answer-B
33 The normal vaginal pH is maintained by which organism
A Anaerobic streptococci
B Ducrey bacilus
C Diphtheroids
D Haemophilus
E Doderlein bacilli
Answer-E
34 Chronic vulvovaginitis is frequently caused by:
A Trichomonas
B Gonococcus
C Herpes
D Candida albicans
E H. vaginalis
Answer-D
35 the organism most commonly infecting Skenes and Bartholin glands is :
A Streptococcus
B Staphylococcus
C Gonococcus
D Candida
E E. coli
Answer-C
36 Which of the following is secreted so as to crate the normal vaginal pH ?
A Lactic acid
B Acetic acid
C Glucuronic acid
D Bicarbonate
E Peroxidase
Answer-A
37 The life span of sperm in female is at least :
A 12 hrs
B 1 day
C 2 days
D 3 days
E 4 days
Answer-D
38 What is the name of the test which involves postcoital study of cervical mucous near the time of ovulation :
A Rubin test
B Novak test
C Bonney test
D Sims-Huhner test
E Marshall Marchetti test
Answer-D
39 Common cause of hostile cervical mucous at the time of ovulation is :
A Progesterone deficiency
B Oestrogen deficiency
C Ovulatory bleeding
D B+C
E Excessive glycogen
Answer-D
40 Habitual abortion may be defined as :
A Five or more abortions
B Two or more consecutive regardless of the cause
C Three or more consecutive spontaneous abortions
D Two abortions-one therapeutic and one spontaneous
Answer-C
41 Clomiphene therapy is most specific for the production of the ovulation in patients with :
A Sheehans syndrome
B Turners syndrome
C Hypogonadotrophic eunuchoidism
D Hypothalamic hypogonadotrophism
D Simmons disease
Answer-D
42 Sheehans disease is caused by thrombosis of anterior pitutiary during pregnancy and its symptoms are :
A Amenorrhoea
B Hyperpyrexia
C Failure of lactation
D Loss of pubic hair
E All of the above
Answer-E
43 Which of the compound is most important in the therapy of patients with Sheehans disease :
A Oestrogen
B Progesterone
C Cortisone
D Thyroid extract
E Pituitary gonadotrophins
Answer-C
44 Anorexia nervosa is a disorder of adolescence which most commonly mimics :
A Graves disease
B Chiari-Frommel syndrome
C Cushings disease
D Simmonds disease
E Addisons disease
Answer-D
45 Puberty is brought about by the maturation of the :
A Ovaries
B Pituitary
C Hypothalamus
D Mullerian system
E Adrenal cortex
Answer-C
46 Dysfunctional uterine bleeding is most often caused by :
A Tumours
B Endocrine disorders
C Inflammation
D Pregnancy
E Adrenal cortex
Answer-B
47 Intermenstrual spotting is most commonly associated with :
A Ovarian carcinoma
B Myoma
C Tubal malignancy
D Cervical erosison
E Vaginitis
AnswerD
48 Progesterone diminishes uterine bleeding chiefly by which mechanism :
A Causing hyperplasia
B Chemical curettage
C Vascular haemostasis
D Decidual change
E Platelet production
Answer-B
49 Of the following changes brought about by menopause which is usually the latest to become menifest :
A Insomnia
B Osteoporosis
C Flushes
D Sweats
E Dyspareunia
Answer-B
50 Aetiological factors of primary dysmenorrhoea include all except :
A Constitutional debility
B Extrauterine pelvic disease
C Psychogenic overlay
D Oestrogen-progesterone imblanace
E Mechanical obstruction of uterine canal
Answer-B
51 Vaginal bleeding at the time of ovulation is thought to be due to :
A Increase in progesterone
B Decrease in oestrogen
C Follicular haemorrahge
D Implantation
E Passage of ovum
Answer-B
52 Reasons for inserting IUCD at the time of menses include :
A Lower expulsion rate
B Allows easy insertion of larger device
C Insertion easier with dilated cervix
D Rules out pregnancy
E C+D
Answer -E
53 The least number of X Chromosome in any normal nucleus is equal to the number of :
A Barr bodies minus one
B Barr bodies minus two
C Barr bodies
D Barr bodies plus one
E Barr bodies plus two
Answer-D
54 One is advised not to resume any intercourse after vasectomy without using an additional contraceptive until :
A 1 week has passed
B He has ejaculated three times
C Sperm count is less than 20 million per cc
D There is no sperm to ejaculate
E 8 weeks have passed
Answer-D
MATCH THE FOLLOWING
Each lettered item may be used more than once :
A Round ligament
B Cardinal ligament
C Uterosacral ligament
1 Pass through inguinal canal
A
2 Most important in preventing uterine prolapse
B
3 Helps maintain uterus in antero posterior position
C
4 Ligament colli of Mackenrodt
B
5 Sensory nerve fibres course through this ligament and transmit the pain of dysmenorrhoea:
C

MATCH THE FOLLOWING

Each lettered item may be used more than once :
A Oestrogen
B Progesterone
C Both
D Neither
1 In ovulatory cycles withdrawal of which hormone is / are most important in producing bleeding
B
2 Causes the endometrium to synthesize prostaglandins :
B
3 Causes lysozymes to release acid hydrolase enzymes :
B
4 Ovulation is caused by transient drop of which hormone :
A
5 Causes decidual hypertrophy of endometrium
B

MATCH THE FOLLOWING

Each lettered item may be used more than once :
A Psammoma bodies
B Signet cells
C Crystalloids of Reinke
D Call-Exner bodies
1 Hilus cell tumour
C
2 Krukenberg tumour
D
3 Serous cystadenoma
A
4 Granulosa cell tumour
D

STATEMENT AND REASONING TYPE OF QUESTIONS:

A : If both the statement and the reason are correct and are related cause and effect
B If both are correct but are not related cause and effect
C If the statement is correct and reason is not correct
D If both are correct
E If both are incorrect
1 Ovulation is brought about by increasing pressure of follicular fluid because the partially mature follicles undergo atresia:
D
2 The uterus is larger during neonatal period than at six month of age because maternal hormones have an effect on foetal
reproductive tract :
A
3 Menstrual desquamation occurs in cervical glands because cervix is affected by oestrogen and progesterone
D
4 Adolescent menstrual cycles may be anovulatory because follicle maturation and oestrogen production occur without
ovulation
A
5 Degenerative changes first appear in the endometrium at the onset of menstruation because the function of the corpus
luteum declines two weeks after formation
E
6 Gartner duct cysts of vagina occur in the anterolateral portion because the vestigial Wolffian duct extends downwards
along the anterolateral awll of vagina
A
7 Degeneration frequently occurs in fibroids because of an interference with the capsular circulation.
A
8 Monilial vaginitis may be temporarily relieved during menstruation because the vagina is more alkaline during
menstruation.
A
9 A tubal insufflation test should be performed prior to ovulation because oestrogen has a demonstrable effect
on tubal motility
B
10 Abnormal bleeding associated with myomas may be either functional or organic because it has been definitely proved
that uterine myomas are caused by an endocrinal disorder
C

CASE HISTORY
A woman age 25, was married at the age of 20 years , she has not used contraception and has not been pregnant.She
requests evaluation of her problem :
1 Routine evaluation of problem requires :
A Semen analysis
B Gonadotrophin assay
C Psychiatric consultation
D All of the above
E None of the above
A
2 ovulation may be implied by the presence of :
A Clear cervical mucous
B Cornified vaginal cells
C Secretory changes in the endometrium
D All of the above
E None of the above
C
3 Other clinical useful methods for evaluating ovarian functions are :
A Measurement of total gonadotrophins
B Basal body temperature recordings
C USG studies
D B+C
E Measurement of oestrogen excretion
D
4 Important factors influencing fertility are :
A Race
B Age
C Social status
D All of the above
E None of the above
D

References

1. Carrier guide for medical graduates, MCQ - AIIMS , CPMT , BHU Entrance
 RELATED ARTICLES
Polycystic Ovarian Disease (bhagia.wordpress.com)
PCOS and Endometrial Cancer Risk (everydayhealth.com)
When Heavy Menstrual Bleeding Is Abnormal (everydayhealth.com)
Can adenomyosis harm fallopian tubes? (zocdoc.com)

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Bouy WRONG ANSWERS!!!!!

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