Old Wall Quiz #3

Question 1

1. Fluoroquinolones are contraindicated in
   children, adolescents, and breast feeding women
   due to possible adverse effects on the
   development of which of the following tissues?
   A. Bone
   B. Liver
   C. Cartilage
   D. Dental enamel
   E. Kidneys

Answer 1

c

Question 2

2. CA – 125 is least likely to be associated with
which of the following?
A. Ovarian neoplasm
B. Endometriosis
C. Renal disease
D. Normal pregnancy
E. Liver disease

Answer 2

c

Question 3

3. What is the most common presenting sign
in a patient with a pulmonary embolus?
A. Tachypnea
B. Dyspnea
C. Tachycardia
D. Cyanosis
E. Wheezing

Answer 3

a

Question 4

4. Which of the following is least likely
presenting symptom associated with a
pulmonary embolism?
A. Angina
B. Hemoptysis
C. Cough
D. Leg pain
E. Palpitations

Answer 4

a

Question 5

5. A chorioangioma greater than 5cm can be
   associated with all of the following EXCEPT:
   A. Normal Pregnancy
   B. Arterial-venous shunting
   C. Fetal anemia
   D. Thrombosis
   E. Fetal growth restriction

Answer 5

d

Question 6

10. Which ovarian cancer resembles cervical
glands?
A. Mucinous
B. Serous
C. Hilus Cell
D. Granulosa Cell
E. Sertoli-leydig

Answer 6

a

Question 7

13. Which of the following conditions is
associated with increased estrogen levels in
pregnancy
A. Erythroblastosis fetalis
B. Fetal anencephaly
C. Down syndrome
D. Fetal demise
E. Fetal placental aromatase deficiency

Answer 7

a

Question 8

17. All of the following vaccinations can be
safely given in pregnancy EXCEPT:
A. Influenza
B. Hepatitis B
C. Varivax
D. Pneumococcus
E. Meningococcus

Answer 8

c

Question 9

19. Measurement of which of the following
    serum levels is helpful in evaluating a patient
    suspected of having late onset congenital
    adrenal hyperplasia?
    A. Testosterone
    B. 17-hydroxyprogesterone
    C. FSH
    D. DHEAS
    E. Cortisol

Answer 9

b

Question 10

21. Which of the following findings on
ultrasound least likely suggest an adnexal
malignancy?
A. Hyperechoic 5cm mass
B. Papillary or solid components
C. Irregularity
D. Presence of ascites
E. High color Doppler flow

Answer 10

a

Question 11

23. Risks of Tamoxifen include all of the
following EXCEPT:
A. Osteoporosis
B. Thromboembolism
C. Endometrial Cancer
D. Vasomotor symptoms
E. Fluid retention

Answer 11

a

Question 12

27. Which of the following is a common
mechanism of primary vaginal cancer spread?
A. Exfoliative
B. Hematogenous
C. Transperitoneal
D. Lymphatic
E. Sideroblastic anemia

Answer 12

d

Question 13

30. The least common symptom of early
cervical carcinoma is:
A. Watery vaginal discharge
B. Intermittent spotting
C. Pelvic pain
D. Post coital bleeding
E. No symptoms

Answer 13

c

Question 14

31. Medical conditions associated with
hypothalamic anovulation are each of the
following EXCEPT:
A. Anorexia Nervosa
B. Kallman’s syndrome
C. Hypothalamic tumors
D. Bulimia
E. Female triathlon athlete

Answer 14

d

Question 15

32. Of the following, which symptom would be
most bothersome to a patient with
endometriosis?
A. Dysuria
B. Dyschezia
C. Dyspareunia
D. Anterior abdominal wall pain
E. Amenorrhea

Answer 15

c

Question 16

33. The most common indication for hospital
    admission during the first part of pregnancy is:
    A. Pyelonephritis
    B. First trimester bleeding
    C. Hyperemesis gravidarum
    D. Chronic hypertension
    E. Ectopic pregnancy

Answer 16

c

Question 17

34. The most important tests in the evaluation
    of a stillbirth are all of the following EXCEPT:
    A. Fetal autopsy
    B. Karyotype evaluation
    C. Umbilical cord segment specimen
    D. Placental cytology specimen
    E. Antinuclear antibody test (ANA)

Answer 17

e

Question 18

35. A 35 y/o nulligravid woman undergoes a
    Colposcopic biopsy that reveals a
    microscopically invasive cervical cancer with a
    2-mm depth of invasion. What is your next
    step in management?
    A. Simple hysterectomy
    B. Radical hysterectomy
    C. Conization
    D. Radiation therapy
    E. Chemotherapy with cisplatin and radiation

Answer 18

c

Question 19

36. A 38 y/o woman with type 1 DM is
scheduled for a TAH. Which of the following
diagnostic tests is least important as part of her
preoperative evaluation?
A. Electrocardiogram
B. HbA1c
C. Bun and Creatinine
D. Glucose
E. Electrolytes

Answer 19

b

Question 20

37. Most common side effect of statins is:
A. Myalgias
B. Diarrhea
C. Abdominal discomfort
D. Flatulence
E. Pelvic pain

Answer 20

a

Question 21

38. Which of the following most warrants
obtaining a karyotype?
A. Single umbilical artery
B. Club feet
C. Gastroschisis
D. Polyhydramnios
E. Cystic hygroma

Answer 21

e

Question 22

39. All of the following are common causes of
ovulatory dysfunction EXCEPT:
A. Polycystic ovarian syndrome
B. Anorexia nervosa
C. Hyperprolactinemia
D. Depo Lupron
E. Asherman’s syndrome

Answer 22

e

Question 23

40. Of the following malformations, which is
associated with the use of lithium during
pregnancy?
A. Pulmonary
B. Intestinal
C. Central nervous system
D. Renal
E. Cardiac

Answer 23

e

Question 24

41. A newborn in the nursery, who is 24 hours
    old, has begun to exhibit petechiae and
    ecchymosis. The mother had an uneventful
    pregnancy. Her platelet count is normal, but the
    infant’s platelets are low. The most likely
    diagnosis is:
    A. Immune thrombocytopenic purpura
    B. Drug-induced thrombocytopenia
    C. Von-Willebrands disease
    D. Alloimmune thrombocytopenia
    E. HELLP syndrome

Answer 24

d

Question 25

43. Criteria for referral for BRCA testing
    include all of the following EXCEPT:
    A. A male relative with breast Cancer
    B. A first degree relative with bilateral breast
    cancer
    C. A combination of two or more first or
    second degree relatives with breast cancer
    at any age
    D. A first or second degree relative with both
    breast and ovarian cancer at any age
    E. A combination of both breast and ovarian
    cancer among first and second degree
    relatives

Answer 25

c

Question 26

45. All of the following are examples of
Imprinting EXCEPT:
A. Prader-Willi Syndrome
B. Angelman Syndrome
C. Ovarian teratoma
D. Ehlers Danlos syndrome
E. Complete Mole

Answer 26

d

Question 27

46. Breast feeding is contraindicated in
women with:
A. Hepatitis B
B. Human immunodeficiency virus (Viral load
undetectable)
C. Hepatitis A
D. Cytomegalovirus
E. Parvovirus B19 infection

Answer 27

b

Question 28

47. Which of the following progestins in the
oral contraceptive Yasmin is FDA approved for
the treatment of Premenstrual dysmorphic
disorder?
A. Gestodene
B. Desogestrel
C. Levonorgesterol
D. Drospirenone
E. Etonogestrel

Answer 28

d

Question 29

48. Which of the following generally occurs
first among the major developmental events
of female puberty?
A. Menarche
B. Closure epiphyseal plates
C. Thelarche
D. Pubarche
E. Adrenarche

Answer 29

c
-initiation of growth spurt
Thelarche
Pubarche
Adrenarche
-Max growth spurt
Menarche

Question 30

48. Which of the following generally occurs
first among the major developmental events
of female puberty?
A. Menarche
B. Closure epiphyseal plates
C. Thelarche
D. Pubarche
E. Adrenarche

Answer 30

c
-initiation of growth spurt
Thelarche
Pubarche
Adrenarche
-Max growth spurt
Menarche

Question 31

49. What is the most common complaint in
patients experiencing a postoperative
myocardial infarction?
A. Dyspnea
B. Palpitations
C. Chest pain
D. Chest pressure
E. Arm pain

Answer 31

a

Question 32

50. What should not be used for hemostasis
in cases of life threatening hemorrhage from
cervical cancer?
A. Acetone
B. Lugol’s solution
C. Emergent radiation
D. Uterine Artery Embolization
E. Monsel (ferric subsulfate) solution

Answer 32

b