MCQs-Gynaec-4

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English: ultrasound. 1: urinary bladder; 2: ut...

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A-Answer

Choose the one most appropriate answer

1 The normal flora of adult vagina may include :
C Diphtheroid
D Doderlein’s bacilli
E All of the above

A-E

2 The gonococcus characteristically produces vaginitis in:
B Women in reproductive age
C Infants and children
D All of the above

A-C

3 Suburethral diverticula may occur as a sequelae to infection of:
C Clitoral gland
D Vulvovaginal gland
E Vestibular gland

A-B

4 Monilial vagintis occurs frquently during pregnancy because :
A Gycosuria 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

A-D

5 The differential diagnosis of vaginal cysts include :
B Urethral diverticulum
C Urethrocoele
D All of the above
E None of the above

A-D

6 Dysontogenic ovarian neoplasms include :
A Dysgerminoma
B Fibroma
D All of the above
E None of the above

A-A
7 Dysgerminomas :
A Are associated with pregnancy
B Are associated with pseudohermaphroditism
C Have no characteristic effect on menstruation
D May be associated with ascites
E All of the above
A-E
8 The most common cause of leucorrhoea is :
A Foreign body
B Pelvic congestion
C Cervicitis
D Allergy
E Non specific vaginitis
A-C
9 Which of the following does not occur in post partum pituitary necrosis :
A signs of hypoglycaemia
B Asthenia
C Amenorrhoea
D Galactorrhoea
E Decreased libido

A-D

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

A-B

11 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

A-D


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

A-B

13 Cervical amputation :
A Is followed frequently by abortion
B Is associated with high incidence of post operative sterility
C Is not frequently followed by cervical dystocia in patients who become pregnant
D All of the above
E None of the above


A-A

14 Frequent complication due to uterine retroversion may be :
A Constipation
B Backache
C Irregular menses
D All of the above
E None of the above

A-E

15 Common accompaniments of salpingitis are :
A Pelvic mass
B Bleeding
C Pain
D All of the above
E None of the above

A-D


16 Ovarian precursors of oestradiol include :
AOestrone
B Androstenedione
C Testosterone
D All of the above
E None of the above

A-D

17 The genetic sex of an individual :

A May be altered by endocrine factors during foetal life :
B Is fixed at fertilization
C Corresponds universally with the sex manifested by the external genitalia
D All of the above
E None of the above

A-B


18 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

A-C


19 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

A-A


20 Sexual precocity may result due to :
A Malignant teratoma
B Granulosa cell tumour
C Intracranial lesions
D All of the baove
E None of the above

A-D

21 The important causes of delayed puberty are :
A Poor hygiene
B Poor nutrition
C Poor general health
D All of the above
E None of the above

A-D
 
22 Ovarian oestrogen :
A Maintains lactation
B Is a polypeptide
C Is produced only before ovulation
D Inhibits uterine motility
E Causes growth of mullerian duct derivatives

A-E
23 Anterior pituitary function may be blocked by:
A Blood levels of steroids
B Emotional factors
C Sensory stimuii
D All of the above
E None of the above

A-D

24 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

A-C


25 Breast secretion not related to pregnancy may be caused by:
A Injection of phenothiazine derivatives
B Pituitary tumours
C repeated suckling in a virgin
D All of the above
E None of the above

A-D

26 The ovary of new born may contain :
A Small folicular cysts
B Corpora lutea
C Lutenized grnulosa cells
D All of the above
E None of the above

A-A


27 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

A-D

28 The neurohypophysis secretes :
A Secretin
B Oxytocin
C Growth hormone
D All of the above
E None of the above

A-B

29 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

A-B


30 FSH and LH or their precursors travel from the hypothalamus to anterior pituitary:
A Through lymphatic channels
B Along nerve axons
C Via veins
D All of the above
E None of the above

A-C


31 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

A-C

32 Hypothlamic pituitary activity is inhibited by:
A ACTH
B Oestrogen
C Testosterone
D All of the above
E None of the above

A-B

33 The ovarian artery supplies the :
A Round ligament
B Fallopian tubes
C Uterus
D All of the above
E None of the above


A-D
34 The uterine artery supplies the

A Vagina
B Lower cevix
C Ovary
D All of the above
E None of the above
A-D
35 The main sensory supply to the uterus is by:
A Presacral nerve
B Splanchnic nerve
C Pampiniform plexus
D Pudendal nerve
E Hypogastric nerve

A-A


36 The Bartholin glands :
A Are frequently the seat of gonorrhoea
B Are of racemose type
C Have a lubricating function during coitus
D Have a stratified transitional epithelium in their main ducts
E All of the above
A-E
37 The primary drainage of the lower vagina is to :
A external iliac nodes
B Sacral nodes
C Femoral nodes
D superficial inguinal nodes
E internal iliac nodes

A-D


38 Foci for reinoculation of the vagina with trichomonads include:

A Urethra
B Bladder
C Bartholin’s glands
D All of the above
E None of the above
A-D
39 The term leucorrhoea should be correctly used to designate :
A physiological mucous secretion
B Any white vaginal discharge
C An abnormal blood free discharge
D Any vaginal discharge
E None of the above

A-C


40 A Krukenberg tumour is an ovarian neoplasm which :
A Is primary in the ovary
B Is associated with hydrothorax
C Is secondary to any GI cancer
D Shows characteristic mucoid epithelial change
E None of the above

A-D

41 Commonest primary cystic ovarian carcinoma is :
A Malignant degeneration in a dermoid cyst
B Papillary serous cystadenocarcinoma
C Pseudomucinous cystadenocarcinoma
D Endometrial carcinoma
E None of the above
A-B
42 The contralateral ovary may show signs of activity in precocious sexual development due to :
A Choriocarcinoma
B Granulosa cell tumour
C Luteoma
D All of the baove
E None of the above

A-A


43 Hilus or Leydig cell tumour may be associated with :
A Reinke crystals
B Oestrogen effect on endometrium
C Clinical virilism
D All of the above
E None of the above

A-D

44 The Wolfian duct in the female :
A Develops into the fallopian tube
B Forms the ovary
C Forms the round ligament
D Retrogresses and becomes vestigial
E None of the above
A-D
45 The definitive epithelium of vagina is derived from :
A Wolfian duct
B Mullerian duct
C Urogenital epithelium
D Coelomic epithelium
E Paramesonephric duct

A-C

46 The first ovarian follicle :
A Appears initially in the central part of the ovary 
B Consists of ovocytes surrounded by granulosa cells
C Apppears when the fetus is baout 5 months
D All of the above
E none of the above

A-D

47 Normal development of wolfian duct structures depend chiefly on 
A Presence of foetal testes
B Absesnce of fetal ovary
C Maternal hormones
D Chromosmal sex
E None of the above
A-A


48 The uterus of an infant differs from an adult in that :
A Fusion is incomplete
B Posterior lip of cervix is longer than the anterior one
C The cervix is longer than the corpus
D All of the above
E None of the above

A-C

49 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

A-B

50 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
A-E



51 Which of the following change in puberty is influenced by the oestrogen :
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

A-B

52 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

A-C

53 Withdrawal bleeding following progesterone in an amenorrhoeic woman indicates :
A Absence of pregnancy
B Endogenous oestrogen production
C Gonadotrophic production
D All of the above
E None of the above

A-D

54 Aberrations in total number of chromosomes occurs in 
A Gonadal dysgenesis
B Klinefelter’s syndrome
C Mongolism
D All of the above
E None of the above

A-D

55 The commonest cause of congenital female pseudohermaphroditism is :
A Exogenous endrogen
B Virilizing ovarian tumour
C Chromosomal anomaly
D Ovarian agenesis
E Congenital adrenal hyperplasia

A-E


56 The Y chromosome is always present in individuals with 
A Klinefeler’s syndrome
B Gonadal dysgenesis
C Female pseudohermaphroditism
D All of the above
E None of the above

A-A

57 Psychosexual orientation is dependant upon :
A Hormonal sex
B Gonadal sex
C Chromosomal sex
D All of the above
E None of the above

A-E

58 Failure to find sperm in postcoital examination may be due to :
A Excessive oestrogen effect on cervical mucous
B Excessive vaginal lactic acid
C Oligospermia
D All of the above
E None of the above

A-C

59 Polyostotic fibrous dysplasia is associated with
A Sclerotic overgrowth at the base of skull
B Sexual precocity
C Patchy pigmentation
D All of the above
E None of the above

A-D
60 The most common causative organism in acute bartholinitis is
A Staphylococcus
B Streptococcus
C Colon bacillus
D Gonococcus
E Trichomonas

A-D

61 The direct transformation of columnar to squamous epithelium is termed
A Metaplasia
B Hyperplasia
C Proptoplasia
D Epidermidization
E None of the above

A-C


62 The insensitive ovary syndrome is probably due to :
A Lack of LH receptor sites
B Lack of primordial follicles 
C Lack of FSH receptor sites
D FSH and LH deficiency
E Thickened ovarian cortex

A-C

63 Pseudocyesis may be associated with all except
A impaired ovulatory process
B Atrophic vaginal smear
C Lactation
D Immature secondary sexual characteristics
A-D


64 Metabolic causes of anovulatory DUB include all except :
A Hypothyroidism
B Hallan’s syndrome
C Cushing’s syndrome
D Hyperthyroidism
E diabetes mellitus

A-B

Comparative type of questions :

The following questions involve quantitative comparisons.
Answer with the help of the key mentioned below:
A If choice A is of greater magnitude and frequency than B
B If choice B is of greater magnitude and frequency than A
C If choice A and B are approximately equal

1 Frequency of vaginal infection with
A Tinea cruris
B Candida albicans

A
2 Incidence of uterine myoma
A Multiparous woman
B Nulliparous woman

B
3 Distribution of metastatic tumours to ovary
A Unilateral
B Bilateral
B

4 Frequency of childhood leucorrhoea is due to
A Gonorrhoea
B Foreign body

B

5 Frequency of bleeding
AEndometrial polyp
B Cervical polyp

B

6 Endometrial thickness
A Secretory phase
B Proliferative phase

A


7 Frequency of torsion
A Large ovarian tumours
B Small ovarian tumours

B

8 Frequency of secretory reactin in 
A Adenomyosis
B Adjacent endometrium

B

9 Incidence of cerviacl cancer
A Non-Jewish women
B Jewish women
A
10 Frequency of prolonged intermenstrual pain
A Adenomyosis
B Endometriosis

B

11 The effectiveness of tubal ligation
A Madlener’s
B Pomeroy’s

B


12 Usual primary site of genital tuberculosis
A Endometrium
B Fallopian tube
B

13 Occurence in vulva of
A Lipoma
B Fibroma
B


14 Malignant ovarian tumours
A Serous cystadenocarcinoma
B Mucinous cystadenocarcinoma

A

15 Frequency of pyometra
A Sequel of malignancy
B Endometritis
A

Match the following :

Each lettered item may be used only once :
A sertoli-leydig cells only
B Ectoderm , mesoderm and endoderm
C Granulosa + Sertoli -Leydig cell
D Signet ring cells
E Dysgerminoma + Sertoli-leydig and /or granulosa cells
1 Krukenberg
D
2 Teratoma
B
3 Arrhenoblastoma
A
4 Gynandroblastoma
C
5 Gonadoblastoma
E

Match the following :

A Anovulatory cycles

B Ovulatory cycles

1 More often associated with premenstrual tension-oedema

B

2 More often associated with painless menses
A

3 More often associated with primary dysmenorrhoea
B


State true or false :

1 A short luteal phase may accompany clomiphene induced ovulation
T
2 The majority of women with acromegaly have menstrual disturbances
T
3 The majority of sperm in each ejaculate is present in the first portion of the ejaculate
T
4 Salpingitis isthmica nodosa is a type of chronic salpingitis
T
5 Subnulear vacuoles are typical in the endomterium immediately prior to menstruation
F
6 The secretory activity of progesterone is usually not very marked among the glands of the basalis
T
7 The precocious menstruation resulting from a granulosa theca tumour in early childhood is ovulatory in nature
F
8 Stromal adenomyosis lacks invading glandular elements
T

References

  1. Medical Examination Review :MCQ : 1979

2 Comments

Comments RSS
  1. MCQs-Gynec-5 – ObGyn linked to this post.
  2. G.Alberts

    Hey!! you have a great collection of MCQ questions here did you compose them yourself or do you have a source like a book or something??

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