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Gynecology Flashcards

1
Q
  1. Preovulatory changes of hormones are characterized by elevation of: 1. LH and decreasing of FSH
  2. FSH and decreasing of LH
  3. FSH and LH
  4. Prolactin
  5. FSH, LH and prolactin
A

*3.FSH and LH

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2
Q
  1. Physiological processes in ovaries may be evaluated by
  2. Taking basal temperature
  3. Hysterosalpingographia 3. X-ray exam
  4. Bimanual exam 5. Sonography
A
  • 1.taking basal temperature

* 5.sonography

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3
Q
  1. in the first phase of menstrual cycle
  2. Secretion of gestagens is maximum
  3. Growth and intensive development of the basal layer of endometrium are observed
  4. Intensive growth of endometrial vessels with development of spiral arteries is observed 4. Degeneration of granulosa cells is observes
  5. Basal temperature is not higher than 37° C
A

*5.basal temperature is not higher than 37° C

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4
Q
  1. in the first phase of menstrual cycle
  2. LH secretion is gradually increasing up to its maximum 2. The form the endometrial glands become saw like
  3. The amount of oestradiol binding receptors is decreasing 4. Granulose cells of follicle are growing
  4. “Pupil” symptom becomes negative
A

*4.granulose cells of follicle are growing

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5
Q
  1. Fern test (symptom of crystallization of cervical mucus)
  2. Depends on phase of menstrual cycle
  3. is maximum in the second phase of menstrual cycle
  4. Is maximum before ovulation
  5. Depends on muscular tonus of cervix 5. Is detected by colposcopy
A
  • 1.depends on phase of menstrual cycle

* 3.is maximum before ovulation

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6
Q
  1. The maturity of follicle may be determined
  2. according to FSH level
  3. according to progesterone level in serum
  4. according to pregnandiol level in urine
  5. by sonography
  6. according to basal temperature
A

*4.by sonography

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7
Q
  1. Physiological amenorrhea is the absence of menstruation
  2. before menarche
  3. during pregnancy
  4. during lactation
  5. after menopause
  6. due to atresia of cervical canal
A

menarche

  • 2.during pregnancy
  • 3.during lactation
  • 4.after menopause
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8
Q
  1. Progesterone
  2. stimulates endometrial hyperplasia
  3. has influence on the physical properties of cervical mucus 3. has influence on thermoregulation center
  4. Relaxes the cervical musculature
  5. Increases the caryopyknotic index
A

*2.has influence on the physical properties of cervical mucus *3.has influence on thermoregulation center

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9
Q
  1. Oestrogens
  2. Provide proliferate processes in target organs
  3. Have influence on thermoregulation center
  4. Determine ovulatory release of LH
  5. Are circulated in blood in active form
  6. Do not have influence on the physical properties of cervical mucus
A
  • 1.provide proliferate processes in target organs

* 3.determine ovulatory release of LH

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10
Q
  1. Fern test
  2. Is known like “symptom of arborization of cervical mucus”
  3. Maximum manifested in the second phase of menstrual cycle
  4. Maximum manifested before ovulation
  5. Depends on musculature tonus of cervix 5. Is detected by colposcopy
A
  • 1.is known like “symptom of arborization of cervical mucus”
  • 3.maximum manifested before ovulation
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11
Q
  1. Colpocytological investigation
  2. Provides for taking smear from upper lateral fornix of vagina
  3. Is used for detection of cervical index
  4. Helps to detect the phase of menstrual cycle
  5. Is used for early detection of cervical cancer
  6. May be done by colposcope
A
  • 1.provides for taking smear from upper lateral fornix of vagina
  • 3.helps to detect the phase of menstrual cycle
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12
Q
  1. Dysfunctional uterine bleeding is polyethiological disease, which is caused by
  2. Disturbances of cyrhoral production of gonadotropins
  3. Organic pathology of sex organs
  4. Dysfunction of sex glands
  5. Disturbances of hemocoagulation
  6. Disturbances of regulation in hypothalamo-hypophysis system
A
  • 1.disturbances of cyrhoral production of gonadotropins
  • 3.dysfunction of sex glands
  • 5.disturbances of regulation in hypothalamo-hypophysis system
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13
Q
  1. Dysfunctional uterine bleeding can be caused by 1. Heavy physical work
  2. Neuropsychological factors
  3. Professional harmfulnesses
  4. Allergy
  5. Changes of immune status
A
  • 2.neuropsychological factors

* 3.professional harmfulnesses

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14
Q
  1. Dysfunctional uterine bleeding in case of persistent follicle is associated with
  2. High level of estrogens
  3. Low level of estrogens
  4. High level of progesterone 4. High level of androgens
  5. Low level of glucocorticoids
A

*1.high level of estrogens

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15
Q
  1. Dysfunctional uterine bleeding of reproductive period caused by
  2. Interrupted ectopic pregnancy 2. Endometriosis
  3. PCOD
  4. Endometritis
  5. Disturbances in regulation of menstrual cycle
A

*5.disturbances in regulation of menstrual cycle

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16
Q
  1. Dysfunctional uterine bleeding of climacteric period caused by
  2. Disturbances of Gn-RH production
  3. adenomiosis
  4. adenomatosis
  5. Endometrial atrophy
  6. Development of immunodeficiency
A

*1.disturbances of Gn-RH production

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17
Q
  1. Dysfunctional uterine bleeding in case of atresia follicle is associated with 1. High level of estrogens
  2. Low level of estrogens
  3. High level of gestagens
  4. Hyperandrogenemia
  5. Hyper production of prolactin
A

*2.low level of estrogens

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18
Q
  1. Ovulatory cyclic disturbances concern
  2. Insufficiency of 1st phase of menstrual cycle
  3. Insufficiency of 2nd phase of menstrual cycle
  4. Persistent corpus luteum
  5. Intermenstrual bleedings
  6. Atresia of follicle
A
  • 1.insufficiency of 1st phase of menstrual cycle *2.insufficiency of 2nd phase of menstrual cycle
  • 4.intermenstrual bleedings
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19
Q
  1. Endometrium in case of persistent follicle characterized by the presence of
  2. Bright Overbec’s glands
  3. adenoacantoma
  4. adenomatosis
  5. adenomyosis
  6. cystic glandular hyperplasia
A

*5.cystic glandular hyperplasia

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20
Q
  1. Insufficiency of 1st phase of menstrual cycle can be treated by
  2. gestagens
  3. vitamins 3. oestrogens
  4. antiandrogens 5. indomethacin
A

*2.vitamins *3.oestrogens

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21
Q
  1. True pathological amenorrhea
  2. frequently observed as a result of diseases of hypothalamic structures 2. may be the result of severe hemorrhage during labor
  3. may be a complication of postpartum sepsis
  4. may develops after administration of phenothiazines
  5. may develop in case of ectopic pregnancy
A
  • 1.frequently observed as a result of diseases of hypothalamic structures *2.may be the result of severe hemorrhage during labor
  • 3.may be a complication of postpartum sepsis
  • 4.may develops after administration of phenothiazines
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22
Q
  1. Amenorrhea is regarded
  2. the primary if the menstruation and the secondary sex characteristics are absent in 16 years
  3. of the central genesis in case of Asherman’s syndrome
  4. false in case of atresia of hymen 4. physiological in postmenopause
  5. false in case of Shereshevskiy-Turner syndrome
A
  • 1.the primary if the menstruation and the secondary sex characteristics are absent in 16 years
  • 3.false in case of atresia of hymen *4.physiological in postmenopause
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23
Q
  1. Postpartum neuroendocrine syndrome
  2. may develops after septic shock
  3. clinical features are similar to Itsenko-Cushing’s syndrome
  4. may be accompanied by virilization
  5. frequently is accompanied by rapid weight loss
  6. develops on background of hyperfunction of adiposocyties
A
  • 1.may develops after septic shock
  • 2.clinical features are similar to Itsenko-Cushing’s syndrome *3.may be accompanied by virilization
  • 5.develops on background of hyperfunction of adiposocyties
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24
Q
  1. Amenorrhea may accompanied by
  2. weight loss
  3. obesity
  4. schizophrenia 4. Itsenko-Cushing’s syndrome 5. PCOS
A
  • 1.weight loss
  • 2.obesity
  • 3.schizophrenia *4.Itsenko-Cushing’s
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25
Q
  1. Investigation in case of amenorrhea includes
  2. skull x-ray
  3. EEG
  4. detection of prolactin level 4. investigation of colour fields vision
  5. sonography of pelvis and suprarenal glands
A
  • 1.skull x-ray
  • 2.EEG
  • 3.detection of prolactin level *4.investigation of colour fields vision *5.sonography of pelvis and suprarenal glands
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26
Q
  1. Transmission way of inoculation is typical for
  2. gonorrhea 2. trichomoniasis
  3. tuberculosis 4. chlamydiasis 5. mycoplasma infection
A
  • 1.gonorrhea
  • 2.trichomoniasis
  • 4.chlamydiasis
  • 5.mycoplasma infection
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27
Q
  1. Colpitis (vaginitis)
  2. Causes changes of vaginal pH up to 3, 8-4, 3
  3. in case of foamy discharges is caused by Trichomonas vaginalis
  4. may be the result of hypooestrogenia
  5. in reproductive period usually caused by N. gonococcus
  6. is indication for biopsy of vaginal mucus
A
  • 2.in case of foamy discharges is caused by Trichomonas vaginalis
  • 3.may be the result of hypooestrogenia
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28
Q
  1. Colpitis
  2. may be one of the clinical feature of ovarian hypofunction
  3. caused by Trichomonas v. does not have specific clinical symptoms
  4. caused by Trichomanas v. is treated antibiotics and sulphanylamids successfully 4. caused by Candida albicans requires treatment of sex partner
  5. Has acute symptoms in the most cases
A
  • 1.may be one of the clinical feature of ovarian hypofunction
  • 4.caused by Candida albicans requires treatment of sex partner
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29
Q
  1. Chlamydial infection
  2. may be the cause of infertility
  3. is diagnosed by bacterioscopy of smear from posterior fornix
  4. is diagnosed according to specific changes on hysterosalpingogramms 4. may affects the mucus of cervical canal
  5. is indication for administration antibiotics of tetracycline group
A
  • 1.may be the cause of infertility
  • 4.may affects the mucus of cervical canal
  • 5.is indication for administration antibiotics of tetracycline group
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30
Q
  1. Specimen for detecting gonorrhoea must be obtained
  2. by special instrument from urethra, cervical canal and rectum 2.not less than 5-7 days after antibioticotherapy
  3. during menstruation
  4. before administration of antibiotics
  5. by endometrial biopsy
A
  • 1.by special instrument from urethra, cervical canal and rectum
  • 2.not less than 5-7 days after antibioticotherapy
  • 3.during menstruation
  • 4.before administration of antibiotics
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31
Q
  1. Diagnosis of gonorrhoea may put according to
  2. Positive Borde-Jangu test
  3. Detection of bilateral inflammation of fallopian tubes
  4. Combination of inflammation of urethra and cervical canal 4. Detection of N. gonococcus
  5. Increasing body temperature up 38 C to administration of gonovaccine
A

*4.detection of N. gonococcus

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32
Q
  1. Gonorrhoea of upper genital tract is/are
  2. bartholinitis
  3. endocervicitis
  4. endometritis 4. adnexitis
  5. pelvioperitonitis
A
  • 3.endometritis
  • 4.adnexitis
  • 5.pelvioperitonitis
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33
Q
  1. Peculiarities of clinical features of women’s gonorrhoea is/are
  2. Significant clinical symptoms with affection of urethra and cervical canal
  3. Foamy discharges
  4. Bilateral affection of uterine appendages
  5. Absence of relations between the onset of disease and menstruation, labours, abortions.
  6. Frequent development of parametritis
A
  • 1.significant clinical symptoms with affection of urethra and cervical canal
  • 3.bilateral affection of uterine appendages
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34
Q
  1. Ectopic pregnancy
    1. Does not have specific objective features and is not diagnosed before its termination
    2. Usually spontaneously cured through tubal abortion
    3. Never combined with the pregnancy of another localization
    4. In interstitial portion more frequently terminates by rupture of tube
    5. May has aetiological ties with previous artificial abortion
A
  • 4.in interstitial portion more frequently terminates by rupture of tube
    * 5.may has aetiological ties with previous artificial abortion
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35
Q
  1. Frequent forms of ectopic pregnancy
  2. Tubal
  3. Ovarian
  4. Abdominal
  5. interligamental
  6. Accessory (rudimentary) horn
A

*1.tubal

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36
Q
  1. Tubal pregnancy
  2. May occur because congenital defects of fallopian tubes
  3. May be aetiologically related to the method of contraception
  4. Usually terminates at 4-8 weeks
  5. Is diagnosed properly by serological tests
  6. May be combined with uterine pregnancy
A
    1. May occur because congenital defects of fallopian tubes
    1. May be aetiologically related to the method of contraception
    1. Usually terminates at 4-8 weeks
    1. May be combined with uterine pregnancy
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37
Q
  1. Tubal abortion
    1. Frequently occurs in case of interstitial site of the ovum
    2. Usually does not present difficulties in differential diagnosis
    3. May be completed by dislodging of the ovum into uterine cavity
    4. Not infrequently is accompanied by specific uterine bleeding
    5. May be completed by dislodging of the ovum into the peritoneal cavity
A
  • 4.not infrequently is accompanied by specific uterine bleeding
    * 5.may be completed by dislodging of the ovum into the peritoneal cavity
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38
Q
  1. Cervical pregnancy
  2. usually is accompanied by profuse bleeding
  3. usually is accompanied by specific changes of vaginal portion of the cervix 3. is diagnosed by laparoscopy
  4. may be detected by sonography
  5. may be treated by total hysterectomy
A
  • 2.usually is accompanied by specific changes of vaginal portion of the cervix
  • 4.may be detected by sonography
  • 5.may be treated by total hysterectomy
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39
Q
  1. Cervical pregnancy
  2. Is the most frequent variant of ectopic pregnancy
  3. Terminates due to detachment of cervical mucus
  4. May be accompanied by profuse bleeding
  5. Has typical clinical signs revealed during speculum examination
  6. May be indication for supravaginal amputation of the uterus
A
  • 3.may be accompanied by profuse bleeding

* 4.has typical clinical signs revealed during speculum

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40
Q
  1. Diagnosis “Unruptured tubal gestation” is indication for 1. Planned laparotomy
  2. Emergency laparoscopy
  3. Sonography
  4. Special diagnostic test 5. Culdocentesis
A

*2.emergency laparoscopy

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41
Q
  1. Uterine myoma
  2. is not absolute indication for surgery
  3. is poor vascularized tumour with the surface vessels
  4. may cause secondary anaemia
  5. with atypical localization frequently causes pressure symptoms
  6. frequently associated with endometriosis
A
  • 1.is not absolute indication for surgery
  • 2.is poor vascularized tumour with the surface vessels
  • 3.may cause secondary anaemia
  • 4.with atypical localization frequently causes pressure symptoms
  • 5.frequently associated with endometriosis
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42
Q
  1. Uterine myoma
  2. Is indication for surgery if the uterine size is more than 14 weeks
  3. Is contraindication for artificial abortion if a lady has conceived 3. Is regarded as contraindication for D&C
  4. Is indication for chemotherapy
  5. Usually leads to miscarrige
A

*1.is indication for surgery if the uterine size is more than 14 weeks

43
Q
  1. Uterine myoma
    1. Has certain pathogenetic relations with the condition of myometrial receptors
    2. With broad ligament growth is regarded as atypical
    3. With rapid enlargement of size more than 4 weeks/year is regarded as “a rapid growth myoma”
    4. May be accompanied by anaemia
    5. Becomes more firm in case of malignization
A
  • 1.has certain pathogenetic relations with the condition of myometrial receptors
    * 2.with broad ligament growth is regarded as atypical
    * 3.with rapid enlargement of size more than 4 weeks/year is regarded as “a rapid growth myoma”
    * 4.may be accompanied by anaemia
44
Q
  1. for differential diagnosis of uterine myoma
  2. And pregnancy more than 20 weeks - detection of HCG is widely used
  3. And adenomyosis – hysterography is indicated
  4. And adenomyosis – D&C is indicated
  5. And ovarian tumour – HSG may be used
  6. And ovarian tumour – sonography may be used
A
  • 2.and adenomyosis – hysterography is indicated

* 5.and ovarian tumour – sonography may be used

45
Q
  1. Submucous uterine myoma
  2. Manifests constant pain in lower abdomen in uncomplicated cases
  3. May be diagnosed by sonography
  4. Usually is diagnosed by hysterography
  5. Is detected positively by per vagina examination
  6. Is indication for surgery
A
  • 2.may be diagnosed by sonography
  • 3.usually is diagnosed by hysterography
  • 5.is indication for surgery
46
Q
  1. Contraindication for conservative treatment of uterine myoma is 1. Intramural type
  2. Pedunculated subserous tumour
  3. Rapid growth
  4. Pressure symptoms
  5. Severe form of hypertension
A
  • 2.pedunculated subserous tumour *3.rapid growth

* 4.pressure symptoms

47
Q
  1. Indication for surgical treatment of uterine myoma
  2. A lady over 40 years
  3. Subserous-intramural type
  4. Submucuos type
  5. Pressure symptoms 5. Hyperpolymenorrhoea leading to anaemia
A
  • 3.submucuos type

* 4.pressure symptoms *5.hyperpolymenorrhoea leading to anaemia

48
Q
  1. Radical operation in case of uterine myoma is 1. Myomectomy
  2. Total hysterectomy
  3. Subtotal hysterectomy
  4. Defundation of uterus
  5. Removal of delivering submucous myoma
A
    1. Total hysterectomy

* 3.subtotal hysterectomy

49
Q
  1. Cancer of cervix
  2. Is diagnosed according positive Schiller’s test
  3. May be caused by herpes simplex virus 2 infection
  4. Arises only from ectocervix
  5. May manifest by contact bleedings
  6. Of the 1st grade is indication for electroexcision of cervix
A
  • 2.may be caused by herpes simplex virus

* 4.may manifest by contact bleedings

50
Q
  1. The following pathological conditions may be regarded as background lesions of the
    cervix (Bokhman Ya.V., 1976)
    1.pseudoerosion
    2.erosive ectropion
    3.polyp
    4.diskeratosis (leucoplacia, erythroplacia)
    5.dysplasia
A
  • 1.pseudoerosion
  • 2.erosive ectropion
  • 3.polyp
  • 4.diskeratosis
51
Q
  1. Pseudoerosion (ectopia) of the cervix
  2. May occurs in case of inflammation
  3. Is contraindication for artificial abortion
  4. May be regarded as preinvasive cancer
  5. During its healing may be accompanied by formation of retentional cysts 5. May be treated by cryosurgery
A
  • 1.may occurs in case of inflammation
  • 4.during its healing may be accompanied by formation of retentional cysts
  • 5.may be treated by cryosurgery
52
Q
  1. Pseudoerosion (ectopia) of the cervix
  2. May occurs after birth trauma of the cervix
  3. Occurs in children
  4. Is regarded as premalignancy according to Bokhman’s classification
  5. Is characterized by growth of columnar epithelium on the ectocervix surface
  6. Is treated by iodine electrophoresis
A
  • 1.may occurs after birth trauma of the cervix

* 4.is characterized by growth of columnar epithelium on the ectocervix surface

53
Q
  1. Polyp of cervical canal
  2. is premalignant lesion according to Bokhman’s classification
  3. must be removed in office
  4. is indication for fractional D&C
  5. may be fibrous
  6. may be revealed by cervicography
A
  • 3.is indication for fractional D&C
  • 4.may be fibrous
  • 5.may be revealed by cervicography
54
Q
  1. Carcinoma of uterus
  2. occurs at 60-70% of patients with chronic hyperoestrogenia, disturbances of fat and carbohydrate metabolism
  3. has more favorable clinical outcomes in case of the 1st pathogenetic variant than in the 2nd
  4. more frequently occurs in multipares
  5. 0 stage has synonym “atypical hyperplasia of endometrium”
  6. T1 according to TNM classification (1985) means the process limited to body of the uterus
A
  • 1.occurs at 60-70% of patients with chronic hyperoestrogenia, disturbances of fat and carbohydrate metabolism
  • 2.has more favorable clinical outcomes in case of the 1st pathogenetic variant than in the 2nd
  • 4.0 stage has synonym “atypical hyperplasia of endometrium”
  • 5.T1 according to TNM classification (1985) means the process limited to body of the uterus
55
Q
  1. Uterine carcinoma of the 1st pathogenetic variant is characterized by
  2. more prolonged clinical symptoms
  3. high degree of differentiation
  4. high potency to metastasis
  5. high sensitivity to progestins
  6. superficial invasion to myometrium
A
  • 1.more prolonged clinical symptoms *2.high degree of differentiation
    3. High potency to metastasis
  • 4.high sensitivity to progestins *5.superficial invasion to myometrium
56
Q
  1. Uterine carcinoma of the 2nd pathogenetic variant is characterized by
  2. rapid development of disease
  3. low degree of differentiation
  4. deep invasion to myometrium
  5. low sensitivity to progestins
  6. doubtful prognosis
A
  • 1.rapid development of disease

* 2.low degree of differentiation *4.low sensitivity to progestins *5.doubtful prognosis

57
Q
  1. Special investigation for detection of uterine carcinoma and its pathogenetic variants includes
  2. cytological investigation of vaginal smear 2. guided biopsy of endometrium
  3. cystoscopy
  4. pelvis sonography
  5. HSG
A
  • 1.cytological investigation of vaginal smear
  • 2.guided biopsy of endometrium
  • 4.pelvis sonography
58
Q
  1. Clinical manifestations of endometriosis are
  2. menstrual disturbances
  3. cyclic pain syndrome
  4. infertility
  5. disturbances of functions of neighboring organs
  6. astenoneurotic syndrome
A
  • 1.menstrual disturbances
  • 2.cyclic pain syndrome
  • 3.infertility
  • 4.disturbances of functions of neighboring organs *5.astenoneurotic syndrome
59
Q
  1. Internal endometriosis
    1. Is diagnosed by colposcopy
    2. Is rare disease
    3. Arises from basal layer of endometrium
    4. Well treated by hormones
    5. Is revealed by hysteroscopy
A
  • 3.arises from basal layer of endometrium

* 5.is revealed by hysteroscopy

60
Q
  1. Endometriosis of ovaries is
  2. external genital endometriosis
  3. characterized by typical clinical symptoms
  4. is detected by HSG
  5. diagnosed by hysteroscopy
  6. indication for surgery
A
  • 1.external genital endometriosis

* 5.indication for surgery

61
Q
  1. Adenomyosis
  2. may accompany with uterine myoma
  3. rarely is associated with menstrual disturbances
  4. is proved by histological examination of endometrial scrape
  5. may be revealed by hysteroscopy/hysterography
  6. is well treated conservatively
A
  • 1.may accompany with uterine myoma

* 4.may be revealed by hysteroscopy/hysterography

62
Q
  1. Synthetic oestrogen-gestagen medications for complex treatment of endometriosis
  2. Are used rare
  3. May be prescribed from the 5th to 25th day of menstrual cycle
  4. Are used in case of combination endometriosis with uterine myoma
  5. Are used in combination with androgens
  6. Influence on proliferation activity in the endometrial sites
A
  • 2.may be prescribed from the 5th to 25th day of menstrual cycle
  • 5.influence on proliferation activity in the endometrial sites
63
Q
  1. According to the modern hypotheses the main role in origin of ovarian tumours play(s)
  2. Disturbances in hormonal balance of hypophysis-ovaries system
  3. Frequent pregnancies
  4. Hormonal contraception
  5. Intrauterine contraception
  6. Viral invasion
A

*1.disturbances in hormonal balance of hypophysis-ovaries system

64
Q
  1. From the modern point of view among possible causes of ovarian tumours are
  2. Neuroendocrine disturbances
  3. Viral affections
  4. Hereditary factors
  5. Frequent pregnancies
  6. Inflammatory diseases of uterine appendages
A

*1.neuroendocrine disturbances

65
Q
  1. Hormone producing tumours are
  2. Granulosa cell tumours
  3. endometrioid tumours
  4. Mucinous tumours
  5. Cilioepithelial tumours
  6. Sertoly-Leydig’s tumors
A
  • 1.granulosa cell tumours

* 5.Sertoly-Leydig’s tumors

66
Q
  1. Symptomocomplex of granulosa cell tumours includes
  2. galactorrhoea
  3. masculinization
  4. premature development of secondary sexually characteristics
  5. bleeding in menopause
  6. decreasing of libido
A

*3.premature development of secondary sexually characteristics *4.bleeding in menopause

67
Q
  1. Anatomical pedicle of ovarian tumour includes 1. Broad ligament
  2. Fallopian tube
  3. Ovarian ligament
  4. Ovary suspension ligament
  5. Round ligament
A
  • 3.ovarian ligament

* 4.ovary suspension ligament

68
Q
  1. Surgical pedicle of ovarian tumour includes
  2. fallopian tube
  3. ovarian ligament
  4. ovary suspension ligament
  5. round ligament
  6. cardinal ligament
A
  • 1.fallopian tube
  • 2.ovarian ligament
  • 3.ovary suspension
69
Q
  1. Management of benign ovarian tumour in childhood and puberty is 1. Administration of chemotherapy course
  2. Administration of hormontherapy
  3. Bilateral salpingo-oophorectomy (BSO)
  4. Resection of affected ovary
  5. Subtotal hysterectomy with BSO
A

*4.resection of affected ovary

70
Q
  1. Investigations in case of ovarian tumour can include
    1. x-ray of stomach
    2. rectoromanoscopy
    3. hormonal colpocytology
    4. cytological examination of cervical scrape smear
    5. detection of CA 125
A
  • 1.x-ray of stomach
    * 2.rectoromanoscopy
    * 3.hormonal colpocytology
    * 5.detection of CA 125
71
Q
  1. Metastatic ovarian tumours are commonly from
    1. carcinoma of stomach
    2. carcinoma of breast
    3. carcinoma of rectum
    4. skin carcinoma
  2. lymphogranulomatose
A
  • 1.carcinoma of stomach
    * 2.carcinoma of breast
    * 3.carcinoma of rectum
72
Q
  1. Operation of choice in case of benign ovarian tumour in pre- and postmenopausal period is
    1. Resection of ovary
    2. Removal of appendage on the affected side
    3. BOS
    4. Subtotal hysterectomy+BOS
    5. Subtotal hysterectomy+BOS+omentectomy
A

*4.subtotal hysterectomy+BOS

73
Q
  1. Secondary infertility –
    1. Infertility for 2 years
    2. Infertility in ladies who have had pregnancies in history
    3. Infertility caused by endocrine disturbances
    4. Infertility due to inflammatory diseases
    5. Infertility caused by husband’s disease
A

*2.infertility in ladies who have had

74
Q
  1. Infertility which caused by mechanical blockage for sperm is
    1. Tubal infertility
    2. Aplasia of uterus
    3. Atresia of internal oss
    4. Absence of gonads
    5. Absence of gonads
A
  • 1.tubal infertility

* 3.atresia of internal oss

75
Q
  1. Diagnosis of absolute female infertility may be put in case of
    1. Absence of fallopian tubes
    2. Absence of uterus
    3. Absence of ovaries
    4. Stein-Levental syndrome
    5. Anovulation
A
  • 2.absence of uterus

* 3.absence of ovaries

76
Q
  1. For diagnosing of tubal infertility the following methods are used
    1. Postcoital test
    2. Colposcopy
    3. HSG
    4. Laparoscopy 5. Chromohydrotubation
A
  • 3.HSG

* 4.laparoscopy *5.chromohydrotubation

77
Q
  1. The incidence of male infertility
    1. 10-15%
    2. 15-20%
    3. 20-30%
    4. 40-50%
    5. 60-65%
A
  1. 10-15%
    1. 15-20%
    2. 20-30%
      * 4.40-50%
    3. 60-65%
78
Q
  1. According to WHO classification (1980) premenopause is the time
    1. from the end of reproductive period until the onset of menopause
    2. after the last menstruation
    3. of the last menstruation
    4. of menstrual disturbances until the last menstruation
    5. before menarche
A

*1.from the end of reproductive period until the onset of menopause

79
Q
  1. Microsurgery of fallopian tubes are performed due to
    1. Occlusion in different portions of tubes
    2. Bilateral tuboovarian formations
    3. Extensive pelvic adhesions
    4. Duration of infertility over 10 years
    5. Lady’s age over 35 years
A
  • 2.bilateral tuboovarian formations
    * 3.extensive pelvic adhesions
    * 5.lady’s age over 35 years
80
Q
  1. IVF is indicated in case of
    1. Anovulation
    2. Absence of fallopian tubes
    3. Unsuccessful correction of tubal infertility
    4. Frequent episodes of PID
    5. High level of antisperm antibodies in cervical mucus
A

*4.frequent episodes of PID

81
Q
  1. Artificial insemination by donor’s sperm is used in case of
    1. Rokitansky-Mayer-Kyustner syndrome
    2. Anovulation
    3. Asherman’s syndrome
    4. Immunological infertility
    5. Tubal infertility
A

*1.Rokitansky-Mayer-Kyustner syndrome

82
Q
  1. According to WHO classification (1980) menopause is
    1. The period of normal menstrual function
    2. The last menstruation
    3. The period of time after the last menstruation
    4. The period of time after reproductive age
    5. The time of menarche
A

*2.the last menstruation

83
Q
  1. According to WHO classification (1980) postmenopause is
    1. The last menstruation
    2. The time of menstrual disturbances until the last menstruation
    3. The period of normal menstrual function
    4. The time of menarche
    5. The time after the last menstruation
A

*5.the time after the last menstruation

84
Q
  1. Differential diagnosis of climacteric syndrome
    1. myocardodistrophy
    2. diencephalic syndrome
    3. hypertension
    4. brain tumour
    5. osteochondrosis of neck portion of columna
A
  • 1.myocardodistrophy
    * 2.diencephalic syndrome
    * 3.hypertension
    * 4.brain tumour
    * 5.osteochondrosis of neck portion of columna
85
Q
  1. Climacteric syndrome is characterized by
    1. heart pain
    2. hot flashes
    3. algomenorrhoea
    4. sleep disturbances
    5. palpitation
A
  • 1.heart pain
    * 2.hot flashes
    * 4.sleep disturbances
    * 5.palpitation
86
Q
  1. Climacteric syndrome
    1. Has incidence 70-80%
    2. Occurs due to hyperoestrogenia
    3. Is regarded as mild form if the number of hot flashes not more than 10 per a day and patient’s condition is normal.
    4. Usually disappeared for the first 5 years of postmenopause spontaneously
    5. Often is accompanied by hirsutism, hypertrichosis, voice changes
A

*3.is regarded as mild form if the number of hot flashes not more than 10 per a day and patient’s condition is normal.

87
Q
  1. Postpartum endocrine syndrome is characterized by
  2. amenorrhoea
  3. galactorrhoea
  4. ACTG hypersecretion
  5. hyperprolactinemia
  6. hypercholesterolemia
A

*1.amenorrhoea

  * 3.ACTG hypersecretion
  * 4.hyperprolactinemia
 * 5.hypercholesterolemia
88
Q
  1. The main role in pathogenesis of postpartum endocrine syndrome plays
    1. Pathology of hypothalamic structures
    2. Ovarian enzyme insufficiency
    3. Suprarenal gland’s enzyme insufficiency
    4. Hyper production of prolactin
    5. Disturbances of sympatho-adrenal system
A
  • 1.pathology of hypothalamic structures

* 5.disturbances of sympatho-adrenal system

89
Q
  1. Polycystic ovarian syndrome (PCOS) is manifested by
    1. ovarian hyperandrogenia
    2. anovulation
    3. infertility
    4. menstrual disturbances
    5. enlargement of one of the ovaries
A
  • 1.ovarian hyperandrogenia
    * 2.anovulation
    * 3.infertility
    * 4.menstrual disturbances
90
Q
  1. Development of hyperprolactinomic amenorrhoea may be connected with
    1. prolonged stress
    2. prolonged administration of psychotropic medications
    3. prolonged administration of antibiotics
    4. insufficiency of thyroid hormones
    5. tumour of hypophysis
A
  • 1.prolonged stress
    * 2.prolonged administration of psychotropic medications
    * 4.insufficiency of thyroid hormones
    * 5.tumour of hypophysis
91
Q
  1. Hyperprolactinomic amenorrhoea is treated by
    1. Steroidal contraceptives
    2. parlodel
    3. cyproteron acetate
    4. danazol
    5. L-Dopa’s medications
A
  • 2.parlodel

* 5.L-Dopa’s medications

92
Q
  1. Shihan’s syndrome
    1. Is the result of congenital anomaly of gonads
    2. Is characterized by hypofunction of endocrine glands – sex, thyroid, suprarenal
    3. Is manifested by galactorrhoea, olygo- or amenorrhoea
    4. May be suspected by specific anamnesis – bleeding or septic shock in labours, abortions
    5. Is indication for colpopoesis
A
  • 2.is characterized by hypofunction of endocrine glands – sex, thyroid, suprarenal
    * 4.may be suspected by specific anamnesis – bleeding or septic shock in labours, abortions
93
Q
  1. Adrenogenital syndrome
    1. is known like suprarenal hyperandrogenia
    2. is manifested by hypermenstrual syndrome
    3. may be the cause of pregnancy loss
    4. should be differentiated with polycystic ovaries
    5. is treated by glucocorticoids
A
  • 1.is known like suprarenal hyperandrogenia
    * 3.may be the cause of pregnancy loss
    * 4.should be differentiated with polycystic ovaries
    * 5.is treated by glucocorticoids
94
Q
  1. For confirmation of adrenogenital syndrome the following methods are used
    1. Measurement of testosterone in serum and 17-ketosteroiods in urine
    2. Probing of uterine cavity
    3. HSG
    4. Laparoscopy
    5. Sonography of suprarenal glands
A
  • 1.measurement of testosterone in serum and 17-ketosteroiods in urine
    * 5.sonography of suprarenal glands
95
Q
  1. for confirmation of Shereshevsky-Turner syndrome necessary to do
    1. Transpheroidal arteriography
    2. Detection of gonadotropin levels
    3. Pelvis sonography or pneumopelviography
    4. Hysteroscopy
    5. Investigation of chromosomes
A

*5.investigation of chromosomes

96
Q
  1. Postpubertal form of adrogenital syndrome is characterized by
    1. hirsutism
    2. hypomenstrual syndrome
    3. infertility
    4. hypermenstrual syndrome
    5. missed abortions at early terms
A
  • 1.hirsutism
    * 2.hypomenstrual syndrome
    * 3.infertility
    * 5.missed abortions at early terms
97
Q
  1. Shihan’s syndrome
    1. Develops due to tumour of hypophisis
    2. May be the result of profuse bleeding in labour
    3. Is characterized by hyperprolactinemia
    4. Is accompanied by hyperthyreosis
    5. Is accompanied by hypercorticocisis
A

*2.may be the result of profuse bleeding in labour

98
Q
  1. Investigation of amenorrhoea includes
    1. colposcopy
    2. detection of prolactin
    3. detection of colour field vision
    4. x-ray of sella turcica
    5. detection of cortisole in serum
A
  • 2.detection of prolactin
    * 3.detection of colour field vision
    * 4.x-ray of sella turcica
    * 5.detection of cortisole in serum
99
Q
  1. Significant role in formation of genital prolaps belongs to
    1. Vaginal mucus
    2. Broad ligament
    3. Sacro-uterine ligaments
    4. Round ligaments
    5. perineal muscles
A

*2.broad ligament

100
Q
  1. Clomiphene citrate is the drug of choice in:
    1. Endometrial carcinoma
    2. Stein-Leventhal syndrome
    3. Dysmenorrhoea
    4. Metropathia hemorrhagica
    5. Hyperprolactinemia
A

*2.Stein-Leventhal syndrome

101
Q
  1. First investigation to be done for post menopausal bleeding
    1. Endometrial biopsy
    2. Dilatation & Curettage
    3. Fractional curettage
    4. Hysterosalpingography
    5. Hysteroscopy
A

*3.Fractional curettage

102
Q
  1. Oral contraceptives prevent pregnancy by:
    1. Inhibition of ovulation by inhibition release of LH
    2. Preventing the nidation of the fertilized ovum
    3. Increasing the motility of the cilia in the tube and uterus
    4. Alteration of the PH of the endometrium
    5. Elevating of prolactin level
A

*1.Inhibition of ovulation by inhibition release of LH

103
Q
  1. Oral pill may prevent the development of:
    1. Breast carcinoma
    2. Ovarian malignancy
    3. Endometrial carcinoma
    4. Submucous fibroid
    5. All of the above
A

*2.ovarian malignancy

104
Q
  1. IUCD acts by all mechanisms except:
    1. Ovulation inhibition
    2. Chronic endometritis
    3. Endometrial atrophy
    4. Tubal dysmotility
    5. Production of oxytocin
A
  • 1.ovulation inhibition

* 5.production of oxytocin

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