A uni-locular ovarian cyst measuring 4.4 cm by 4.9 cm found on routine ultrasonograrhy during the 8th week of gestation . best management for this case is

laparoscoic aspiration of the cyst

observation and repeated ultrasonography

laparoscoic aspiration of the cyst

immediate laparotomy and cystectomy

immediate laparotomy and ovariectomy

laparotomy and cystectomy postponed to 14 weeks

58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be:

D & C (dilatation & Curettage).

Considering epithelial neoplasm of the ovaries all true except :

Brenner tumor lined by urinary tract epithelium

mucinous cystadenoma lined by tubal epithelium

Brenner tumor lined by urinary tract epithelium

embryologically arise from wolffian epithelium .

The commonest cause of stress incontinence is

Raised intra abdominal pressure

Congenital weakness of sphincter

Dysfunctional Uterine Bleeding (DUB) is defined as abnormal uterine bleeding ?

Secondary to hormonal dysfunction

In a patient with von Willebrand's disease

Considering the endometroid cyst :

associatd with pelvic endometriosis

The cause of virilizing adrenal hyperplasia is :

Defect in testosterone synthesis

For endometrial cyst all true except :

associated with dysmenoorrhoea .

Endometrial carcinomas associated with estrogen therapy caused by unopposed estrogen therapy :

are sensitive to progesterone therapy

The following is correct about the ovarian ligaments:

Are attached laterally to pelvic wall.

Lie anterior to the broad ligament.

Are homologous to part of the gubernaculums testis in the male

The preferred treatment of ruptured tubo-ovarian abscess is :

Removal of ruptured tube and ovary

Removal of uterus , tubes and involved ovary

Removal of uterus , tubes and ovaries

Removal of ruptured tube and ovary

Removal of adenexae and drainage

182 + Mcqs in Gynecology Page 4 McqOptions

151.	A uni-locular ovarian cyst measuring 4.4 cm by 4.9 cm found on routine ultrasonograrhy during the 8th week of gestation . best management for this case is
A.	observation and repeated ultrasonography
B.	laparoscoic aspiration of the cyst
C.	immediate laparotomy and cystectomy
D.	immediate laparotomy and ovariectomy
E.	laparotomy and cystectomy postponed to 14 weeks
Answer» B. laparoscoic aspiration of the cyst

Discussion

152.	58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be:
A.	Colposcopy.
B.	Pap smear.
C.	Cone biopsy.
D.	D & C (dilatation & Curettage).
E.	Hysteroscopy.
Answer» E. Hysteroscopy.

Discussion

153.	Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be :
A.	follicular cyst
B.	theca lutein cyst
C.	corpus luteum cyst
D.	none of the above .
E.	all
Answer» C. corpus luteum cyst

Discussion

154.	Considering epithelial neoplasm of the ovaries all true except :
A.	the commonest
B.	mucinous cystadenoma lined by tubal epithelium
C.	Brenner tumor lined by urinary tract epithelium
D.	embryologically arise from wolffian epithelium .
E.	none
Answer» C. Brenner tumor lined by urinary tract epithelium

Discussion

155.	Female patient with history of endometriosis , menstrual disorders complaining from pain on right iliac fossa , on examination there was tenderness on right iliac fossa with no rebound pain no rigidity , on CBC it was normal , most likely :
A.	peritonitis
B.	appendicitis
C.	follicular cyst
D.	non of the above
E.	none
Answer» D. non of the above

Discussion

156.	The commonest cause of death in cancer cervix is :
A.	Infection
B.	Uraemia
C.	Haemorrhage
D.	Cachexia
E.	Distant metastasis
Answer» C. Haemorrhage

Discussion

157.	The commonest cause of stress incontinence is
A.	Constipation
B.	Raised intra abdominal pressure
C.	Congenital weakness of sphincter
D.	Childbirth trauma
E.	Estrogen deficiency
Answer» E. Estrogen deficiency

Discussion

158.	Which is the major cause of cancer death in women?
A.	Breast cancer
B.	Cervical cancer
C.	Endometrial cancer
D.	Lung cancer
E.	Ovarian cancer
Answer» B. Cervical cancer

Discussion

159.	The most common symptom of adenomyosis is :
A.	Dysmenorrhoea
B.	Menorrhagia
C.	Pain
D.	Fever
E.	None of the above
Answer» C. Pain

Discussion

160.	Female came to the ER with Bp 80/60 and pulse 125 with history of acute abdomen , next step is
A.	laparotomy
B.	iv fluids
C.	CBC
D.	PV examination
E.	none
Answer» C. CBC

Discussion

161.	The most likely cause of abnormal uterine bleeding in 13 years old girl is:
A.	Uterine cancer.
B.	Ectopic pregnancy.
C.	Anovulation.
D.	Systemic bleeding diatheses.
E.	Trauma.
Answer» D. Systemic bleeding diatheses.

Discussion

162.	Dysfunctional Uterine Bleeding (DUB) is defined as abnormal uterine bleeding ?
A.	Secondary to hormonal dysfunction
B.	Caused by cancer
C.	In a patient with von Willebrand's disease
D.	With no organic cause
E.	Caused by an endometrial polyp
Answer» E. Caused by an endometrial polyp

Discussion

163.	A 23 years old primigravida presents with abdominal pain, syncope and vaginal spotting. Assessment reveals that she has an ectopic pregnancy. The most common site of pregnancy is:
A.	Ampulla.
B.	Isthmus.
C.	Fimbrial end.
D.	Abdomin.
E.	Cervix.
Answer» B. Isthmus.

Discussion

164.	Considering endometroid cyst :
A.	not uncommon
B.	due to menstrual reaction
C.	torsion is common
D.	a&b .
E.	all the above
Answer» E. all the above

Discussion

165.	Considering the endometroid cyst :
A.	associated with dysmenorrhoea
B.	associated with pelvic pain
C.	associatd with pelvic endometriosis
D.	All of the above
E.	none
Answer» E. none

Discussion

166.	The most common symptom of endometrial hyperplasia is:
A.	Vaginal discharge.
B.	Vaginal bleeding.
C.	Amenorrhea.
D.	Pelvic pain.
E.	Abdominal distention.
Answer» C. Amenorrhea.

Discussion

167.	The cause of virilizing adrenal hyperplasia is :
A.	Defect in cortisol synthesis
B.	defect in ACTH synthesis
C.	Defect in testosterone synthesis
D.	All of the above
E.	None of the above
Answer» B. defect in ACTH synthesis

Discussion

168.	Female patient with acute abdomen , CBC normal , B-HCG negative , No vaginal bleeding , Mostly is :
A.	hemorrhagic teratoma
B.	disturbed ectopic pregnancy
C.	appendicitis
D.	peritonitis .
E.	none
Answer» B. disturbed ectopic pregnancy

Discussion

169.	Female patient with history of induction of ovulation present with tender lower abdominal pain and discomfort , TVS show cyst , Next step is :
A.	assurance sending home
B.	hold ovarian stimulatin drug
C.	laparotomy
D.	non of the above .
E.	none
Answer» C. laparotomy

Discussion

170.	Considering a case of follicular cyst it need all of following except :
A.	assurance follow up
B.	OCP
C.	usually surgical removal
D.	repeated US
E.	none
Answer» D. repeated US

Discussion

171.	Endometroid cyst, on examination:
A.	adenexal tenderness
B.	cyst felt in thin people
C.	cyst fixed and tender
D.	all of the above .
E.	none
Answer» E. none

Discussion

172.	There is a 5% incidence of primary extrauterine malignancy associated with endometrial cancer, the most frequent site for such is :
A.	Stomach
B.	lung
C.	Breast
D.	Bone
E.	Spleen
Answer» D. Bone

Discussion

173.	Subnuclear vaculoes in the endometrial mucosa are evidence of activity of:
A.	Cholesterol
B.	Progesterone
C.	Pregnendiol
D.	Androstenendione
E.	Oestrogen
Answer» C. Pregnendiol

Discussion

174.	Perforation of the uterus while doing endometrial biopsy in non pregnant uterus, needs
A.	Laparoscopy
B.	Observation
C.	Immediate laparotomy
D.	Hysterectomy
E.	none
Answer» B. Observation

Discussion

175.	Female patient with endometrial hyperplasia could be all of these except:
A.	thecoma
B.	fibroma
C.	Brenner tumor
D.	follicular cyst
E.	none
Answer» C. Brenner tumor

Discussion

176.	For endometrial cyst all true except :
A.	choclate cyst on TVS
B.	laparoscope is indicated
C.	C125 is a specific test
D.	associated with dysmenoorrhoea .
E.	none
Answer» D. associated with dysmenoorrhoea .

Discussion

177.	Endometrial carcinomas associated with estrogen therapy caused by unopposed estrogen therapy :
A.	well differentiated
B.	are deeply invasive
C.	are sensitive to progesterone therapy
D.	generally have poor prognosis
E.	have high rates of reccurence
Answer» D. generally have poor prognosis

Discussion

178.	In contrast to a malignant ovarian tumor, a benign tumor has which of the following gross features?
A.	Excrescences on the surface.
B.	Peritoneal implants.
C.	Intra-cystic papillations.
D.	Free mobility.
E.	Capsule rupture.
Answer» E. Capsule rupture.

Discussion

179.	A 48-year-old woman has noted a small amount of irregular vaginal bleeding for the past 2 months. She has a pelvic examination that reveals no cervical lesions, and a Pap smear that shows no abnormal cells. Next, an endometrial biopsy is performed, and there is microscopic evidence for endometrial hyperplasia. An abdominal ultrasound reveals a solid right ovarian mass. Which of the following neoplasms is this woman is most likely to have?
A.	Mature cystic teratoma
B.	Choriocarcinoma
C.	Sertoli-Leydig cell tumor
D.	Fibrothecoma
E.	Krukenberg tumor
Answer» E. Krukenberg tumor

Discussion

180.	Which of the following pubertal event would occur even in the absence of ovarian estrogen production:
A.	Thelarche.
B.	Menarche.
C.	Pubarche.
D.	Skeletal growth.
E.	Vaginal cornification.
Answer» D. Skeletal growth.

Discussion

181.	The following is correct about the ovarian ligaments:
A.	Contain ureters.
B.	Contain ovarian arteries.
C.	Are attached laterally to pelvic wall.
D.	Lie anterior to the broad ligament.
E.	Are homologous to part of the gubernaculums testis in the male
Answer» C. Are attached laterally to pelvic wall.

Discussion

182.	The preferred treatment 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» D. Removal of ruptured tube and ovary

Discussion

Explore topic-wise MCQs in Uncategorized topics.

A uni-locular ovarian cyst measuring 4.4 cm by 4.9 cm found on routine ultrasonograrhy during the 8th week of gestation . best management for this case is

58 years old woman has presented with complaints of postmenopausal bleeding for the past two weeks. The most essential investigation would be:

Female patient with history of hydatiform and complaining of lower abdominal pain , on examination there was tenderness on palpation and the lab result show high level of HCG , most likely to be :

Considering epithelial neoplasm of the ovaries all true except :

Female patient with history of endometriosis , menstrual disorders complaining from pain on right iliac fossa , on examination there was tenderness on right iliac fossa with no rebound pain no rigidity , on CBC it was normal , most likely :

The commonest cause of death in cancer cervix is :

The commonest cause of stress incontinence is

Which is the major cause of cancer death in women?

The most common symptom of adenomyosis is :

Female came to the ER with Bp 80/60 and pulse 125 with history of acute abdomen , next step is

The most likely cause of abnormal uterine bleeding in 13 years old girl is:

Dysfunctional Uterine Bleeding (DUB) is defined as abnormal uterine bleeding ?

A 23 years old primigravida presents with abdominal pain, syncope and vaginal spotting. Assessment reveals that she has an ectopic pregnancy. The most common site of pregnancy is:

Considering endometroid cyst :

Considering the endometroid cyst :

The most common symptom of endometrial hyperplasia is:

The cause of virilizing adrenal hyperplasia is :

Female patient with acute abdomen , CBC normal , B-HCG negative , No vaginal bleeding , Mostly is :

Female patient with history of induction of ovulation present with tender lower abdominal pain and discomfort , TVS show cyst , Next step is :

Considering a case of follicular cyst it need all of following except :

Endometroid cyst, on examination:

There is a 5% incidence of primary extrauterine malignancy associated with endometrial cancer, the most frequent site for such is :

Subnuclear vaculoes in the endometrial mucosa are evidence of activity of:

Perforation of the uterus while doing endometrial biopsy in non pregnant uterus, needs

Female patient with endometrial hyperplasia could be all of these except:

For endometrial cyst all true except :

Endometrial carcinomas associated with estrogen therapy caused by unopposed estrogen therapy :

In contrast to a malignant ovarian tumor, a benign tumor has which of the following gross features?

Which of the following pubertal event would occur even in the absence of ovarian estrogen production:

The following is correct about the ovarian ligaments:

The preferred treatment of ruptured tubo-ovarian abscess is :