Common ovulation induced drugs are

Tamoxifen or the newer letrozole

GnRh analogue down regulation protocols

Which of the following change in puberty is influenced by the estrogen:

Growth of the acinar buds of the breast

The Wolfian duct in the female :

Develops into the fallopian tube

Regresses and becomes vestigial

Glycogen is seen in the lumina of endometrial glands :

During proliferative phase only

The levator ani muscle :

Is attached laterally to the white line of the pelvis

Is composed of pubococcygeus and iliococcygeus muscle

Contracts to prevent spillage of urine during strain

The function of round ligament is :

Vestigial with no apparent function

To prevent retrodisplacement of the uterus

To provide nerve supply of the upper vagina

Of germ cell origin may secrete hormones

Are malignant in presence of ascites

Of germ cell origin may secrete hormones

May be confused with develpomental abnormalities of renal tract

If malignant can be reliably staged pre-operatively

Vaginal adenocarcinomas in children is caused by

Administration of DES to pregnant mothers

Pathology of endometriosis may be explained by :

intraperitoneal immunologic deficit

The uterus is held in anteflexed position by :

The ventral pull of round ligament

The dorsal pull of uterosacral ligaments

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

Bicornute uterus may predispose to all the following except:

retention of placenta after delivery

gammaleinoliec acid is contraindicated

in cyclic mastalgia pain is usaully max. postmenestrual

gammaleinoliec acid is contraindicated

The cyclic production of pituitary hormones is dependant upon:

An adult anterior pituitary gland

An intact pituitary- portal system

An adult anterior pituitary gland

Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is scanty with no discernible tissue in the cervical os. There are no palpable adnexal masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a gestational sac. Which of the following should be recommended?

Observation followed by serial B-HCG determinations.

Monilial vagintis occurs frquently during pregnancy because :

The vagina contains more glycogen

Higher vaginal acidity suppresses other organisms

The effect of ovarian steroid on anterior pituitary is

Direct stimulation and inhibition

Second degree uterovaginal prolapse is characterized by:

Descent of cervix below the ischeal spines.

Complete protrusion of uterus outside introitus.

Descent of genital tract within vagina.

Descent of genital tract upto introitus.

Descent of genital tract outside the introitus.

Descent of cervix below the ischeal spines.

the next step in dysplastic smear is colposcopy

should be carried out every 5 years

has no role in screening of assymptomatic women

A 25 years old school teacher Para 1 wants to use oral contraceptive pills for contraception. She is asking about the mode of action of oral contraceptive pills. The mechanism of action of oral contraceptive pills is:

Inhibiting ovulation by suppression of serum FSH.

Increasing cervical mucous hostility.

182 + Mcqs in Gynecology in Uncategorized topics Page 1 McqOptions

1.	Common accompaniments salpingitis are :
A.	Pelvic mass
B.	Bleeding
C.	Pain
D.	All of the above
E.	None of the above
Answer» D. All of the above

Discussion

2.	Common ovulation induced drugs are
A.	Clomiphene citrate
B.	Tamoxifen or the newer letrozole
C.	Gonadotrophins
D.	GnRh analogue down regulation protocols
E.	All of the above
Answer» F.

Discussion

3.	Women with postmenopausal bleeding need endometrial sampling if endometrial on US is thicker than
A.	1mm
B.	2mm
C.	5mm
D.	8mm
E.	10mm
Answer» D. 8mm

Discussion

4.	Pelvic ultrasound is helpful in the diagnosis of:
A.	Endometrial carcinoma
B.	Asherman s syndrome
C.	Ascites
D.	Ovulation detection
E.	Endometriosis
Answer» E. Endometriosis

Discussion

5.	Which of the following change in puberty is influenced by the estrogen:
A.	Growth of the acinar buds of the breast
B.	Epiphyseal fusion
C.	Proliferatve phase
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

6.	The Wolfian duct in the female :
A.	Develops into the fallopian tube
B.	Forms the ovary
C.	Forms the round ligament
D.	Regresses and becomes vestigial
E.	None of the above
Answer» E. None of the above

Discussion

7.	Large amount of alkaline phosphatase may be demonstrated in the endometrium of :
A.	Decidua
B.	Secretory phase
C.	Proliferative phase
D.	All of the above
E.	None of the above
Answer» D. All of the above

Discussion

8.	Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:
A.	Venous channels
B.	Lymphatics
C.	Nerve axons
D.	All of the above
E.	None of the above
Answer» D. All of the above

Discussion

9.	Glycogen is seen in the lumina of endometrial glands :
A.	During the luteal phase
B.	During pregnancy only
C.	During pre and post ovulatory
D.	During proliferative phase only
E.	At the time of ovulation only
Answer» B. During pregnancy only

Discussion

10.	The levator ani muscle :
A.	Is a voluntary muscle
B.	Is attached laterally to the white line of the pelvis
C.	Is composed of pubococcygeus and iliococcygeus muscle
D.	Contracts to prevent spillage of urine during strain
E.	All of the above
Answer» F.

Discussion

11.	The function of round ligament is :
A.	Vestigial with no apparent function
B.	To prevent retrodisplacement of the uterus
C.	To prevent uterine prolapse
D.	To provide nerve supply of the upper vagina
E.	None of the above
Answer» C. To prevent uterine prolapse

Discussion

12.	Causes of post partum amenorrhoea may be :
A.	Anorexia nervosa
B.	Cervical atresia
C.	Chlorpromazaine therapy
D.	Any of the above
E.	None of the above
Answer» E. None of the above

Discussion

13.	The definitive epithelium of vagina is derived from :
A.	Wolfian duct
B.	Mullerian duct
C.	Urogenital epithelium
D.	Coelomic epithelium
E.	none
Answer» D. Coelomic epithelium

Discussion

14.	Ovarian masses:
A.	Are malignant in presence of ascites
B.	Include benign teratomas
C.	Of germ cell origin may secrete hormones
D.	May be confused with develpomental abnormalities of renal tract
E.	If malignant can be reliably staged pre-operatively
Answer» C. Of germ cell origin may secrete hormones

Discussion

15.	Vaginal adenocarcinomas in children is caused by
A.	Virus
B.	Administration of DES to pregnant mothers
C.	Hormonal changes
D.	All of the above
E.	none
Answer» C. Hormonal changes

Discussion

16.	Pathology of endometriosis may be explained by :
A.	coelemic metaplasia
B.	endometrial hyperplasia
C.	retrograde menstruation
D.	intraperitoneal immunologic deficit
E.	lymphatic diffusion
Answer» D. intraperitoneal immunologic deficit

Discussion

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» B. Endometrial carcinoma

Discussion

18.	What are the signs of ovulation on Ultrasonography :
A.	Irregular follicle wall
B.	Collapse of follicle
C.	Fluid in cul de sac
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

19.	The uterus is held in anteflexed position by :
A.	The ventral pull of round ligament
B.	The dorsal pull of uterosacral ligaments
C.	Its weight
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

20.	Bartholin s gland duct opens in.....
A.	Upper third of labia majora
B.	Middle third of labia majora
C.	Upper third of labia minora
D.	Middle third of labia minora
E.	none
Answer» E. none

Discussion

21.	CA-125 is ?
A.	A mucin-type glycoprtein
B.	A ganglioside
C.	A tumor-specific transplantation antigen
D.	Useful for ovarian cancer screening in the general patient population
E.	An antigen which is commonly expressed by mucinous ovarian carcinomas
Answer» B. A ganglioside

Discussion

22.	Bicornute uterus may predispose to all the following except:
A.	recurrent PTL
B.	primary amenorrhea
C.	retention of placenta after delivery
D.	menorrhagia
E.	none
Answer» C. retention of placenta after delivery

Discussion

23.	As regard mastalgia:
A.	in cyclic mastalgia pain is usaully max. postmenestrual
B.	is treaeted surgically
C.	bromocriptine may be used
D.	gammaleinoliec acid is contraindicated
E.	none
Answer» D. gammaleinoliec acid is contraindicated

Discussion

24.	Post menopausal bleeding does not occur in....
A.	Use of combined OCP's
B.	Atrophic vaginitis
C.	Endometrial hyperplasia
D.	CA-Endometrium
E.	none
Answer» B. Atrophic vaginitis

Discussion

25.	The cyclic production of pituitary hormones is dependant upon:
A.	Normal menstruation
B.	An intact pituitary- portal system
C.	An adult anterior pituitary gland
D.	All of the above
E.	None of the above
Answer» C. An adult anterior pituitary gland

Discussion

26.	The clots passed with menorrhagia perhaps indicate
A.	No endometrial regeneration
B.	No terminal arteriolar spasm
C.	Large amount of bleeding
D.	All of the above
E.	None of the above
Answer» D. All of the above

Discussion

27.	Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is scanty with no discernible tissue in the cervical os. There are no palpable adnexal masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a gestational sac. Which of the following should be recommended?
A.	Dilatation & curettage.
B.	Culdocentesis.
C.	Observation followed by serial B-HCG determinations.
D.	Diagnostic laparoscopy.
E.	Laparotomy
Answer» E. Laparotomy

Discussion

28.	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» E. Cystadenofibroma

Discussion

29.	Monilial vagintis occurs frquently during pregnancy because :
A.	Glycosuria is commoner
B.	The vagina contains more glycogen
C.	Higher vaginal acidity suppresses other organisms
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

30.	Lutein and theca lutein cysts may be associated with all the following except :
A.	Mole
B.	Chorionepithelioma
C.	Stein-leventhal syndrome(PCO)
D.	Pregnancy
E.	Abortion
Answer» D. Pregnancy

Discussion

31.	The site of primary infection in patients with pelvic tuberculosis is usually
A.	Tubal
B.	Uterine
C.	Cervical
D.	Ovarian
E.	Lungs
Answer» F.

Discussion

32.	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» D. Theca lutein

Discussion

33.	Clinical findings of PCOD include all except :
A.	Obesity
B.	Olgomenorrhoea
C.	Infertility
D.	Tall stature
E.	none
Answer» E. none

Discussion

34.	Pyogenic infections of genital tract usually spread via :
A.	Mucous membrane
B.	Veins
C.	Lymphatics
D.	Fistulous tracts
E.	B+C
Answer» F.

Discussion

35.	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» E. Sexual promiscuity

Discussion

36.	The most common symptom associated with adenomyosis is :
A.	Infertility
B.	Menorrhagia
C.	Haematometra
D.	Dyspareunia
E.	Metrorrhagia
Answer» C. Haematometra

Discussion

37.	A 63 years old lady presents with abdominal mass and weight loss, was diagnosed as having an ovarian tumour. The most common ovarian tumour in this woman would be:
A.	Epithelial tumour.
B.	Germ cell tumour.
C.	Stromal tumour.
D.	Sex cord tumour.
E.	Trophoblastic tumour.
Answer» B. Germ cell tumour.

Discussion

38.	Medadteam.org More than you dream 125. A 63 old lady presents with abdominal mass & weight loss , was diagnosed as having an ovarian tumor , the most common ovarian tumour in this woman would be...:
A.	epithelial tumour
B.	germ cell tumour
C.	stromal tumour
D.	sex cord tumour
E.	trophoblastic tumour
Answer» B. germ cell tumour

Discussion

39.	Which of the following ovarian tumor is most prone to undergo torsion during pregnancy?
A.	Serous cystadenoma
B.	Mucinous cystadenoma
C.	Dermoid cyst
D.	Theca lutein cyst
E.	none
Answer» D. Theca lutein cyst

Discussion

40.	Non-neoplastic ovarian cysts include all of the following except:
A.	follicular cyst
B.	theca lutein cyst
C.	dermoid cyst
D.	corpus luteum cyst
E.	endmetroid cyst
Answer» D. corpus luteum cyst

Discussion

41.	The effect of ovarian steroid on anterior pituitary is
A.	Direct stimulation
B.	Direct inhibition
C.	Mediated via hypothalamus
D.	Unknown
E.	Direct stimulation and inhibition
Answer» D. Unknown

Discussion

42.	Ovarian precursors of oestradiol include :
A.	Oestrone
B.	Androstenedione
C.	Testosterone
D.	All of the above
E.	None of the above
Answer» E. None of the above

Discussion

43.	The Commonest ovarian neoplasm complicated with torsion during pregnancy:
A.	fibroma
B.	teratoma
C.	simple serous cyst
D.	thecoma .
E.	none
Answer» C. simple serous cyst

Discussion

44.	Considering malignant ovarian neoplasm histologically may be all except :
A.	epithelial tumors
B.	germ cells tumor
C.	cystic and solid tumors
D.	sex cord tumors .
E.	none
Answer» D. sex cord tumors .

Discussion

45.	Serum prolactin levels are highest in which of the following conditions:
A.	Menopause.
B.	Ovulation.
C.	Parturition.
D.	Sleep.
E.	Running.
Answer» D. Sleep.

Discussion

46.	Mean age for menopause is:
A.	40 years.
B.	45 years.
C.	51 years.
D.	48 years.
E.	39 years.
Answer» D. 48 years.

Discussion

47.	Second degree uterovaginal prolapse is characterized by:
A.	Complete protrusion of uterus outside introitus.
B.	Descent of genital tract within vagina.
C.	Descent of genital tract upto introitus.
D.	Descent of genital tract outside the introitus.
E.	Descent of cervix below the ischeal spines.
Answer» E. Descent of cervix below the ischeal spines.

Discussion

48.	A young girl, 23 years old is presented with complaint of abdominal pain, menorrhagia and 18 weeks size mass arising from hypogastrium. The most likely diagnosis is:
A.	Endometriosis.
B.	Pelvic inflammatory disease.
C.	Ovarian cyst.
D.	Fibroid uterus.
E.	Mesenteric cyst.
Answer» E. Mesenteric cyst.

Discussion

49.	Pap smear
A.	the next step in dysplastic smear is colposcopy
B.	is simple but inaccurate
C.	should be carried out every 5 years
D.	has no role in screening of assymptomatic women
E.	all of the above
Answer» B. is simple but inaccurate

Discussion

50.	A 25 years old school teacher Para 1 wants to use oral contraceptive pills for contraception. She is asking about the mode of action of oral contraceptive pills. The mechanism of action of oral contraceptive pills is:
A.	Inhibiting ovulation by suppression of serum FSH.
B.	Inducing endometrial atrophy.
C.	Increasing cervical mucous hostility.
D.	Inducing endometritis.
E.	Inhibiting prolactin.
Answer» B. Inducing endometrial atrophy.

Discussion

Explore topic-wise MCQs in Uncategorized topics.

Common accompaniments salpingitis are :

Common ovulation induced drugs are

Women with postmenopausal bleeding need endometrial sampling if endometrial on US is thicker than

Pelvic ultrasound is helpful in the diagnosis of:

Which of the following change in puberty is influenced by the estrogen:

The Wolfian duct in the female :

Large amount of alkaline phosphatase may be demonstrated in the endometrium of :

Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:

Glycogen is seen in the lumina of endometrial glands :

The levator ani muscle :

The function of round ligament is :

Causes of post partum amenorrhoea may be :

The definitive epithelium of vagina is derived from :

Ovarian masses:

Vaginal adenocarcinomas in children is caused by

Pathology of endometriosis may be explained by :

An in situ stage has not been officially recognized in which of the following :

What are the signs of ovulation on Ultrasonography :

The uterus is held in anteflexed position by :

Bartholin s gland duct opens in.....

CA-125 is ?

Bicornute uterus may predispose to all the following except:

As regard mastalgia:

Post menopausal bleeding does not occur in....

The cyclic production of pituitary hormones is dependant upon:

The clots passed with menorrhagia perhaps indicate

Physical exam reveals the uterus to be about 6 wk size. Vaginal bleeding is scanty with no discernible tissue in the cervical os. There are no palpable adnexal masses. The uterus is mildly tender. Ultrasonographic exam does not reveal a gestational sac. Which of the following should be recommended?

Myxoma peritonei may occur as a consequence of rupture of which ovarian cyst ?

Monilial vagintis occurs frquently during pregnancy because :

Lutein and theca lutein cysts may be associated with all the following except :

The site of primary infection in patients with pelvic tuberculosis is usually

The cysts of Stein -Leventhal ovary or PCOD are of which kind?

Clinical findings of PCOD include all except :

Pyogenic infections of genital tract usually spread via :

Presence of pyometra in a post menopausal females strongly suggests:

The most common symptom associated with adenomyosis is :

A 63 years old lady presents with abdominal mass and weight loss, was diagnosed as having an ovarian tumour. The most common ovarian tumour in this woman would be:

Medadteam.org More than you dream 125. A 63 old lady presents with abdominal mass & weight loss , was diagnosed as having an ovarian tumor , the most common ovarian tumour in this woman would be...:

Which of the following ovarian tumor is most prone to undergo torsion during pregnancy?

Non-neoplastic ovarian cysts include all of the following except:

The effect of ovarian steroid on anterior pituitary is

Ovarian precursors of oestradiol include :

The Commonest ovarian neoplasm complicated with torsion during pregnancy:

Considering malignant ovarian neoplasm histologically may be all except :

Serum prolactin levels are highest in which of the following conditions:

Mean age for menopause is:

Second degree uterovaginal prolapse is characterized by:

A young girl, 23 years old is presented with complaint of abdominal pain, menorrhagia and 18 weeks size mass arising from hypogastrium. The most likely diagnosis is:

Pap smear

A 25 years old school teacher Para 1 wants to use oral contraceptive pills for contraception. She is asking about the mode of action of oral contraceptive pills. The mechanism of action of oral contraceptive pills is: