MCQs-Gynaec-1

· Uncategorized
Vessels of the uterus and its appendages, rear...

Image via Wikipedia

(Description located on image page)

Image via Wikipedia

Arteries of the female reproductive tract (pos...

Image via Wikipedia

Uterus and right broad ligament,, seen from be...

Image via Wikipedia

 Contents

CHOOSE THE MOST APPROPRIATE ANSWER

1 The nerve supply to the ovary is from :

B Iliolumbar plexus
C Aortic plexus
D A+B
E A+C
Answer-E
2 Of the following pubertal changes which appears first ?
A Filling out of breasts
B Menstruation
C Axillary hair
D Pubic hair
E Decreasing rate of growth
Answer-D
3 All of the following are mullerian origin except :
A Ovaries
C Oviducts
D Upper vagina
E Cervix
Answer-A
4 Blood loss during menstrual period amounts to approx:
A 15 cc
B 35cc
C 75cc
D 125cc
E 150cc
Answer-D
5 The most likely cause of simple acute ulcer of vagina is :
A Vincent’s organisms
B Gonococcus
C Systemic lupus
D Donovan virus
E Streptococci
Answer-A
6 Condyloma accuminata are the result of infection by a :
A Bacteria
B Fungi
C Protozoa
D Spirochete
E Virus
Answer-E
7 Select the diagnostic criteria for the proliferative phase of endometrium
A Low cuboidal epithelium
B Columnar epithelium
C A+B
D Numerous mitoses
E B+D
Answer-E
8 Which mechanism is responsible for ovum migration into fallopian tube ?
A Excessive intrafolicular pressure
B Excessive progesterone level
C Low oestrogen level
D Midcyclic LH surge
E Critical haemodynamic response
Answer-D
9 The corpus luteum is programmed , in the absence ofpregnancy , to function for how many days ?
A 10-12
B 14-16
C 18-20
D 22-24
E 26-28
Answer-B
10 Which is necesary for the normal development of the ovary
A Oestrogen
B Progesterone
C Both
D Neither
Answer-A
11 The uterovaginal plexus ( ganglion of Frankenhauser ) is located at the base of :
A Infundibulopelvic ligaments
C Uteroovarian ligaments
D Uterosacralligaments
E Round ligaments
Answer-D
12 The uterine veins enter the :
C Inferior vena cava
D Femoral veins
E External iliac veins
Answer-B
13 Which of the various walls of vagina are covered with peritoneum
A Anterior
B Posterior
C Lateral
D A and B
E A and C
Answer-B
14 Menstrual bleeding is secondary to constriction and leakage from a branch of which endometrial arteries ?
A Uterine
B Straight
C Radial
D Coiled
Answer-D
15 Progesterone’s main action is on the
A Uterus
B Ovary
C Placenta
D Adrenal
E Foetus
Answer-A
16 Corpus luteum function is taken over by the placenta of approx what week of gestation ?
A 4
B 12
C 18
D 24
E 28
Answer-B
17 The normal vaginal pH is
A 2-3
B 4-5
C 6-7
D 8-9
E 10-11
Answer-B
A Embryonic rests
B Masonephric remnants
C Retention cysts
D Endometrial implants
E Keratinous cysts
Answer-C
19 The most common cause of leucorrhoea is :
A Endometritis
B Oopheritis
C Salpingitis
D Myometritis
E Cervicitis
Answer-E
20 Granuloma inguinale has been seen to involve :
A Vulva
B Cervix
C Face
D Mouth
E All of the above
Answer-E
21 The term ‘ cervical erosion’ may be referred to all except
A Anaplastic area of epithelium
B Stromal cells
C Eversion of endocrvical canal
D Denuded inflammed mucosa
E Metaplasia of epitheium
Answer-B
22 Carcinoma in situ of cervix implies :
A Extensive glandular involvement of cancer cells
B Full thickness epithelium replacement by undifferentiated cancer cells
C Partial epithelial replacement of stratified basal cells
D Reserve cell hyperplasia
E Nests of malignant basal cells throughout epithelium
Answer-B
23 The following may be Schiller positive
A Ectropion
B Eversion
C Erosion
D Leukoplakia
E Cancer
F All of the above
Answer-F
24 The two most frequent positions for beginning of neoplasia of the cervix are
A 12 0′ clock and 6 0′ clock
B 3 0′ clock and 9 0′ clock
C 6 0’clock and 8 0 ‘ clock
D 9 0, clock and 11 0′ clock
Answer-A
25 A severe cystocele is often associated with all except :
A Dysuria
B Cystitis
C Incontinence
D Trabeculated bladder
E Tenesmus
Answer-D
26 An enterocele is herniation of :
A Bladder
B Small bowel
C Rectum
D Colon
E None of above
Answer-B
27 When the uterus has it’s cervix presenting at the level of introitus, it is spoken of as prolapse of the :
A First degree
B Second degree
C Third degree
D Fourth degree
Answer-B
28 Endometrial polyps are :
A Usually due to retained placental tissue
B Always seen to reflect the cyclic changes of endometrium.
C Often associated with malignancy in postmenopausal patient.
D Frequently a cause of pyometra
E Seen mostly in patients with birth control pills.
Answer-C
29 The main cause of functional uterine bleeding is :
A Myoma uteri
B Cervical polyps
C Endometritis
D Persistent corpus luteum
E Endometrial hyperplasia
Answer-E
30 The most common complaint of a patient of vulval herpes is :
A Bleeding
B Pain
C Discharge
D Fever
E Oedema
Answer-B
31 The disease that forms a granular , superficial , serpiginous ulcer of the vulva is most likely :
A Condyloma accuminata
B Granuloma inguinate
C Lymphogranuloma venerum
D Syphilis
E Leukoplakia
Answer-B
32 Lipschutz ulcers most often affect the :
A Cervix
B Vagina
C Vulva
D Perineum
E Anus
Answer-B
33 Turner’s syndrome does not include :
A Growth retardation
B Cubitus valgus
C Webbedneck
D Mature secondary sex organs
E Ovarian dysgenesis
Answer-D
34 Gonadotrophins are elevated after the menopause and remain so for :
A 1-3 yrs
B 5 yrs
C 10 yrs
D 15 yrs
E rest of life
Answer-E
35 During the stage of retrogression the corpus luteum undergoes :
A Hyalinization
B Fibrosis
C Fatty degeneration
D All of the above
E None of the above
Answer-C
36 Corpus luteum is developed to its fullest :
A On the day of menstrual bleeding
B 1-2 days before menstrual bleeding
C 4-6 days before menstrual bleeding
D 4 days after ovulation
E At the time of ovulation
Answer-C
37 Resurfacing the entire endometrium usually has occurred by :
A Late in the secretory phase
B Early in the secretory phase
C Just before ovulation
D The last day of menstrual flow
E Late in the proliferative phase
Ansewr-D
38 Select diagnostic criteria for secretory phase of endometrium
A Subnuclear vacuoles
B Glycogen in cytoplasm
C Abundant vascular stroma
D All of the above
E None of the above
Answer-D
39 Sarcoma botryoides is thought to arise primarily from
A Vagina
B Corpus uteri
C Cervix
D Distant primary
E Vulvovagial gland
Answer-A
40 The treatment of choice of sarcoma botryoides is
A Radiation
B Fulgration
C Chemotherapy
D Radical hysterectomy with vaginectomy
E None of the above
Answer-D

MATCH THE FOLLOWING

Each lettered item may be used more than once:
A Metrorhagia
B Menorrhagia
C Oligomenorrhoea
D Amenorrhoea
E None of the above
1 Pregnancy
2 Submucous fibroid
3 Cervical polyp
4 Carcinoma of vulva
5 Polycystic ovaries
6 Turner’s syndrome
7 Granuloma cell tumour
Answer-1-D
2-B
3-A
4-E
5-C
6-D
7-B

MATCH THE FOLLOWING

Each lettered item may be used more than once:
A Arrhenoblastoma
B Dysgerminoma
C Granulosa cell tumour
D  Struma ovarii
E None of the baove
1- A tumour of early life
2- Contains psammoma bodies
3- Identical to seminoma
4- Secretes oestrogen
5- Secretes androgen
6- Rarely secretes hormones
7-May increase basal metabolism
Answer
1-B
2-E
3-B
4-C
5-A
6-B
7-D

MATCH THE FOLLOWING

Each lettered item may be used more than once:
A Chromatin negative
B Chromatin positive
1- Gonadal agenesis
2-Female mongoloides
3-MultiX females
4-Testicular dysgenesis
5-True hermaphrodites
6-Male pseudohermaphrodites
7-Female pseudohermaphrodites
Ansewr-
1-A
2-B
3-B
4-B
5-B
6-A
7-B

TRUE OR FALSE

1 All the feamle infants show god sex chromocentres at birth–F
2 The exfoliated urinary epithelium may be used cytohormonally to evaluate oestrogen activity-T
3 An extremely small number of sex chromatin positive cells should make one suspect mosacism–T
4 Ovarian blood in patients of Stein-leventhal syndrome contains an elevated testosterone level-T
5 Patients with congenital absence of vagina most often have associated cytogenetic abnormalities-F
6 Urological anomalies are often associated with mullerian duct dysplasia-T
7 Once the gonococcus invades the oviduct , it remains viable in the tissues indefinitely and serves as a source of recurrent infections-F
8 Histological gradingof endometrial carcinoma bears no apparent relationship to the invasive character of such a tumour-F
9 Menstruation is an important factor in limiting the duration of gonorrhoeal endometritis-T
10 All areas of endometritis throughout the pelvis will reflect the cyclic changes of the endometrial lining of the uterus-F

CASE HISTORY

A 65 year old para 1 who had her last menstrual period at 50 years of age comes to you with sudden bleeding from vagina .Physical examination shows obesity and hypertension.Pelvic examination indicates no abnormality of vulva or cervix.The uterus is slightly enlarged.
1-The most probable diagnosis is :
A Carcinoma of vulva
B Carcinoma of vagina
C Cervical cancer
D Endometrial carcinoma of bodyof the uterus
E Endometrial hyperplasia
Answer-D
The most productive diagnostic procedure of this stage would be :
A Ultrasonography , colour doppler , CT , MRI
B EB and fractional curettage
C Vaginal cytology
D A+ B
Answer -D
The stage of carcinoma , based upon the information which had been made available is :
A 0
B 1
C 2
D 3
E 4
Answer -B
The appropriate operation would be :
A Radical hysterectomy alone
B Radical hysterectomy with pelvic lymphadenectomy
C Hysterectomy with pelvic lymphadenectomy
D Hysterectomy with bilateral salpingo-oopherectomy
5 Year survival for the patient with proper therapy is estimated to be :
A 85%
B 65%
C 45%
D 25%
E 5%
Answer -A

Ref

A BOARD OF THREE EXAMINERS PGI, AIIMS, BHU MCQ

1 Comment

Comments RSS
  1. MCQs-Gynaec-4 – ObGyn linked to this post.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: