MCQs-Gynaec-3

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A-Answer

Choose the one most appropriate answer:

All are true about lutenising hormone except :
A It is not bound to plasma proteins
B Plasma levels are increased throughout pregnancy
C Release is stimulated by thyrotrophin releasing hormone
D Stimulates the synthesis of testosterone in the male
E Plasma level is increased in post menopausal women

A-B

2 All are true about prolactin except :
A It is secreted by eosinophil cells of anterior pituitary
B Is necessary for mammary duct growth
C Plasma levels are unaffected by suckling
D Is necessary for establishment of lactation
E Secretion is controlled by inhibition factor

A-C

3 Which of the following is true about oxytocin :
A It is a steroid hormone
B Stimulates all involuntary muscle
C Is produced by anterior pitutiary gland
D Has an antidiuretic effect
E Is activated from a precursor by oxytocinase

A-D

4 The pathogenesis of adenomyosis is :
A Excess oestrogen response
B Dedifferentiation of myometrium
C Mesothelial metaplasia
D Direct invasion of myometrium
E All of the above

A-E

5 The commonest cause of oligomenorrhoea is :
A Hypothyroidism
B Turner’s syndrome
C Systemic disease
D PCOD
E D+A

A-E

6 The pelvic diaphragm is composed by all of the following except :
A Iliococcygeus
B Ischiococcygeus
C Pubococcygeus
D Obturatar internus
E Levator anii

A-D

7 All of the following muscles meet and fuse at the perineal body except :
A Levator ani
B Bulbocavernous
C Deep transverse perinei
D Ischiocavernous
E Superficial transverse perinei

A-D

8 The incidence of endometriosis is affected by :
A Parity
B Age
C Economic status
D All of the above
E None of the above

A-D

9 Patients of generalized vulvitis should undergo which of the following tests :
A Glucose tolerance test
B Fasting blood sugar
C Urine analysis
D Two -hour post prandial blood sugar
E None of the above

A-A

10 The usual primary site of pelvic tuberculosis is :
A Ovaries
B Fallopian tubes
C Cervix
D Bartholin glands
E Endometrium

A-B

11 Jaundice at birth , or within 24 hrs of birth , is most likely due to :
A Erythroblastosis foetalis
B Homologous serum hepatitis
C Galactosaemia
D Septicaemia
E Congenital atresia of the bile ducts

A-A

12 Ferning of cervical mucus is most pronounced during :
A Early pregnancy
B The late proliferative phase
C Late secretory phase
D Menstrual bleeding
E The day before onset of bleeding

A-B


13 Klinefelter’s syndrome is associated with all of the following except :
A Sparse facial and body hair
B Gynaecomastia
C Abnormally small pelvis
D Eunochoid appearance
E XXY karyotype

A-C

14 Very early cancer of cervix usually produces :
A Post coital bleeding
B Abnormal bleeding
C Pain
D Blood-malodorous discahrge
E Symptomless

A-E

15 Gonorrhoeal salpingitis 
A Is mainly a perisalpingitis
B Produces pyosalpinx
C Has a low incidence of sterility
D Occurs by dissemination from cervix via the broad ligament
E None of the above

A-B
16 Which factor is implicated as a predisposing factor in carcinoma of cervix :
A Oral contraceptives
B Obesity
C Early onset of sexual life
D Herpes virus
E Unopposed oestrogenic stimulation

A-C


17 Sarcoma batryoides originates in :
A The lower end of mullerian duct
B The bartholin gland
C the uterine gland
D The vulva
E None of the above

A-A

18 Normal number of chromosomes is :
A 43
B 44
C 45
D 46
E 47

A-D

19 Gonadal aplasia may be :
A Webbed neck
B Cubitus valgus
C male chromatin pattern
D All of the above
E None of the baove

A-D

20 Earliest secondary sexual development is :
A Menarche
B Growth of external genitalia
C Growth of pubic hair
D Budding of nipples
E None of the above

A-D

21The peak secretion of progesterone occurs on :
A 1st day of cycle
B 7th day of cycle
C 14th day of cylce
D 21st day
E 28th day of cycle

A-D


22 The treatment of virilizing adrenal hyperplasia is
A Cortisone
B Thyroid
C ACTH
D FSH
E Oestrogen

A-A


23 Adrenal hyperplasia is a cause of
A Gonadal agenesis
B Male pseudohermaphrodites
C Female pseudohermaphrodites
D All of the baove
E None of the above

A-C


24 Ovarian agenesis (Turner’s syndrome ) is associated with
A Polycystic breasts
B Precocious puberty
C XXY chromosomes
D All of the above
E None of the above

A-E

25 Super females (XXX ) may
A Display low intelligence
B Suffer from oligomenorrhoea, sterility and genital hypoplasia
C Enjoy good health and appear to be a completely normal women
D All of the above
E None of the above

A-D

26 Acute gonorrhoeal salpingitis characteristically has its onset
A During pregnancy
B Premenstrually
C Within 48 hrs of infection
D During pregnancy
E None of above

A-D

27 Oophritis occurs as a complication of 
A Pneumonia
B Septicemia
C Gonorrhoea
D Any of the above
E None of the above

A-D

28 Ovarian cyst with a chocolate coloured content are associated with
A Endometriosis
B Cystoadenoma ovari
C Follicle or corpus luteum cyst
D All of the baove
E None of the above

A-D 

29 Choriocarcinoma is a primary tumour of
A Myometrium
B Undifferentiated gonadal cells
C Trophoblast
D Decidua
E None of the above

A-C


30 Uterine myomas generally produce more symptoms when they are
A Pedenculated
B Cervical
C Submucous
D Intramural
E Subserous

A-C

31 The following abnormal endometrial patterns may be associated with uterine myomas
A Hyperplasia
B Atrophy
C Acute endometritis
D All of the above
E None of the above

A-D

32 Uterine myomas are caused by
A Pregnancy
B Oestrogen
C Abnormal ovarian function
D All of the above
E None of the above

A-E

33 Adenocarcinoma of the fundus
A Is occasionally discovered in the in situ stage
B May arise in any portion of uterus
C Is present in either a diffuse or circumscribed form
D All of the above
E None of the above

A-D


34 Ovarian tumours characterized by mucin secretion may have primary in
A Stomach
B Breast
C Gall bladder
D All of the above
E None of the above

A-D


35 Basophilic adenoma of the pituitary leads to
A Hypertension
B Wasting of muscles
C Obesity
D Abnormal fat distribution
E All of the above

A-E

36 Identifying features of trichomonas vaginalis include
A Candida
B Mycelia
C Flagella
D All of the above
E None of the above

A-C

37 Blood supply of vagina
A Vaginal artery
B Branches of uterine artery
C Branches of internal pudendal artery
D Branches of middle rectal artery
E All of the above

A-E

38 The ovary 
A Is a retroperitoneal organ
B Is attached to the lateral pelvic wall by the ovarian ligament
C Is usually adjacent to the anterior surface of the broad ligament
D All of the above
E None of the above

A-E

39 Transitional type of epithelium is found in
A Bartholin’s duct
B Skene’s ducts
C Urethra
D All of the above
E None of the above

A-D

40 The broad ligament contains
A Uterine vessels
B Cardinal ligaments
C fallopian tubes
D All of the above
E None of the above

A-D

41 The nerve supply of ovary is through
A Peudendal nerve
B Sacral fibres
C Branches of renal and aortic plexus
D All of the above
E None of the above

A-C

42 The right ovarian artery arises from
A Aorta
B Common iliac artery
C Renal artery
D Uterine artery
E Hypogastric artery

A-A

43 The cumulus oophorus is made up of
A Connective tissue
B A cellular material
C Granulosa cells
D Theca cells
E Lutenized theca and granulosa cells

A-C

44 The urogenital sinus is concerned with the development of 
A Hymen
B Lower vagina
C Vaginal vestibule
D All of the baove
E None of the above

A-D

45 From the mesonephric duct in the female develops
A Upper vagina
B Uterus
C Fallopian tubes
D All of the above
E None of the above

A-E

46 The most common type of cancer in female affects which of the following
A Ovary
B Cervix
C Mammary glands
D Uterine fundus
E Vulva

A-C

47 The vagina is supported by 
A The cardinal ligament
B The pubocervical fascia
C The fibres of levator ani 
D All of the above
E None of the above

A-D
 
48 The commonest cause of delayed adolescence is
A Organic lesion of pituitary
B Nutritional disturbance
C Hypothyroidism
D Adrenogenital syndrome
E Gonadal deficiency

A-B


49 Sexual precocity may be due to
A Malignant teratoma
B Granulosa cell tumour
C Intracranial lesion
D All of the above
E None of the above

A-D

50 Menarche coincides with
A Onset of pituitary gonadotropin production
B Onset of oestrogen production
C Development of pubic hair
D All of the above
E None of the above

A-E

51 Progesterone has been isolated from
A Adrenal tissue
B Placental tissue
C Ovarian tissue
D Testes
E All of the above

A-E

52 Bleeding of menstrual phase is due to
A Fibrinolysis
B Necrosin
C Menotoxin
D Vasoconstriction and ischaemia
E None of the above

A-D

53 Cyclic uterine bleeding without ovulation may occur during
A Maturity
B Adolescence
C Premenopausal period
D All of the above
E None of the above

A-D
 
54 The commonest ovarian tumour in children is 
A Mesonephroma
B Teratoma
C Arrhenoblastoma
D Granulosa cell tumour
E Disgerminoma

A-B

55 Reiter’s disease is manifested by
A Arthritis
B Non-gonococcal urethritis
C Conjunctivitis
D All of the above
E None of the above

A-D

56 Oedema of vulva indicates
A Ascites
B Intrapelvic tumour
C Inflammatory lesion of vulva
D All of the above
E None of the above

A-D

57 Dysfunctional uterine bleeding is associated with
A Infective endometrium
B Secretory hyperplasia
C Endometrial hyperplasia
D All of the above
E None of the above

A-D

58 Inversion of uterus may be caused by
A Senility
B Misconducted third stage of labour
C Pedenculated intrauterine tumour
D All of the above
E None of the above

A-D
59 Endometrial haemorrhage may be caused by
A Heart disease without congestive failure
B Thrombocytopenic purpura
C The later stages of acromegaly
D All of the above
E None of the above

A-B

60 The two main antomical divisions of the fundus are
A Corpus and cervix
B Cervix and isthmus
C Corpus and fundus
D Cornu and fundus

A-A

61 Granulosa cells lack what enzyme necessary for oestrogen production
A Desmolase
B Alkaline phosphatase
C 17 alpha hydroxylase
D Acid phosphatase
E Beta -glucuronidase

A-C


62 What is responsible for yellow colour of  mature corpus luteum
A Fat
B Vitamin A
C Vitamin E
D Cholesterol
E Carotene

A-E

63 An imperforate hymen may cause
A Mucocolpos
B Dyspareunia
C A+B
D Haematocolpos
E A+B+D

A-E


64 Congenital absence of vagina is most commonly associated with
A Imperforate anus
B Imperforate hymen
C Exstrophy of bladder
D uterine agenesis
E Ovarian agenesis

A-D

65 The congenital transverse vaginal septum is located most commonly at the level of
A Cervix
B Hymen
C Lower and middle 1/3 of vagina
D Upper and middle 1/3 of vagina
E None of the above

A-D

66 Emphysematous vagina is usually seen with
A Heart failure
B Clostridium perfringens
C Tetanus
D Eclampsia
E Herpes simplex

A-A



67 The blebs of vaginitis emphysematous contain
A H2S
B He
C CO2
D N2O
E NO2

A-C

68 The green filter of colposcope improves visualisation of
A Nabothian cysts
B Vessels
C Cleft openings
D Squamous metaplasia
E Lymphatics

A-B

69 Causes of cystic glandular hyperplasia of endometrium include
A Granulosa cell tumour of ovary
B Ovarian failure
C Exogenous progesterone
D All of the above
E None of the above

A-A

70 The frei skin test can be used for the diagnosis of
A Granuloma inguinale
B Chancroid
C Lymphopathia venereum
D Syphilis
E Carcinoma of cervix

A-C

71 Pruritis vulva may be caused by
A Psoriasis
B Chemical irritation
C Vaginitis
D All of the above
E None of the above

A-D

72 Prolactin
A Is an alcohol soluble protein
B Was formerly described as luteotrophin
C Stimulates the breasts to lactate
D All of the above
E None of the above

A-D

73 The hemochorio placenta is found in
A Guniea pig
B Rat
C Man
D All ofthe above
E None of the above

A-D


74 The vagina stains deep brown with iodine because
A There are no glands
B High level of alkaline phosphatase in the epithelium
C The epithelium contains glycogen
D All of the above
E None of the above

A-C

75 The uterine artery is a branch of
A Internal iliac
B External iliac
C Internal pudendal
D Inferior mesentric
E Ovarian

A-A



Match the following

Each lettered item may be used more than once
A Ducrey’s bacillus
B Virus
C Spirochete
D Donovan bodies

1 Granuloma inguinale
D
2 Chancroid
A
3 Condyloma latum
C
4 Herpes genitalis
B
5 Lymphopathia venereum
B

Match the following

A Coelomic epithelium
B Original blastomeres 
C Germinal epithelium
D Undifferentiated gonadal cells

1 Histogenesis of dysgerminoma
D
2 Histogenesis of Brenner tumour
A
3 Histogenesis of serous cystadenoma
C
4 Histogenesis of struma ovarii
B
5 Histogenesis of embryonal teratoma
B

Match the following

A Hemophilus vaginalis
B Trichomonas vaginalis
C Candida albicans

1 Causes thrush
C
2 Strawberry appearance of vagina
B
3 Yellowish white bubbly discharge
B
4 White curd like discharge
C
5 Common cause of diabetic vulvovaginitis
B

Statement and Reasoning Type of Questions

A If both the statement and the reasons are correct and related cause and effect
B If both the statement and reasons are correct but not related cause and effect
C If the statement is correct but reason is incorrect
D If statement is incorrect but the reason is correct
E If both are incorrect
Examination of breast is an essential part of a gynaecological examination because the breast is the most common site of cancer in women
A

2 A well formed uterus is never associated with absence of fallopian tubes because mullerian ducts fuse from below upwards

B

3 There is slight regression of the endometrium at the time of ovulation because of loss of fluid from the tissues
A

4 The extruded ovum is directed into the fallopian tubes following ovulation because ciliary currents are produced by the epithelium of fimbrica ovarica
A

5 Tubal function diagnostic tests are sometimes therapeutic because they tend to overcome minor tubal obstruction
A

6 An oestrogen assay is practical in determining impending ovulation because a peak of oestrogen excretion occurs near the time of ovulation

D

7 The ovary is common site of secondary malignant tumours because ovary produces oestrogen and progesterone
B

8 Pain is not the symptom of cancer ovary because pain occurs only when cancer has spread beyond the limits of ovary
A

9 Pseudomucinous cystadenoma becomes the largest of ovarian tumours because this tumour is not worthy for its lack of symptoms
A


10 The term ‘ uterine fibroid ‘ is incorrect because uterine myomas are of smooth muscle origin
A

11 Pelvic tuberculosis should not be treated medically because there is an increase in tubal pregnancy after tubal involvement with tuberculosis
D
12 Intrauterine menstrual blood clots and then lyses because an anticlotting factor is added as systemic blood passes through the endometrium
A


Case History

A 42 yr old woman has small uterine myoma that has not been changed in size during 10 yrs of observation.She complained of irregular , frequent and scanty periods for six weeks and pain in the right lower quadrant for 24 hrs along with nausea.Examination of pelvis revealed a slightly irregular uterus with size of 6 weeks gestation.The left ovary was 5 cm in diameter , firm and not tender . The right adenexal area revealed no mass on palpation but was very tender.

1 Differential diagnosis includes
A Ectopic pregnancy
B carcinoma of cervix
C Acute appendicitis
D All of the above
E none of the above

A-D

2 The characteristic symptoms of early ovarian carcinoma include
A Pain
B Nausea
C Uterine bleeding
D All of the above
E None of the above

E

3 The bleeding associated with ectopic may be 
A Similar in amount to normal menses
B Near the time of expected period
C Similar in character to normal menses
D All of the baove
E None of the above

D

4 Pain associated with uterine myomas may be due to
A Adhesions to adjacent viscera
B torsion of pedenculated tumour
C Coexisting lesion
D Degenerative changes in myoma
E All of the above

E

5 The ocurrence of abnormal uterine bleeding with pain eliminates the need for consideration of
A Ovulation pain
B Endometriosis
C Acute appendicitis
D All of the above
E None of the above

E





References

MCQ….Carrier guide for medical graduates , AIIMS , PG Entrance.
.

3 Comments

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  1. MCQs-Gynaec-4 – ObGyn linked to this post.
  2. MCQs-Gynec-5 – ObGyn linked to this post.
  3. hesham

    so valuable

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