Obstetrics & Gynecology 10

1. Question

Metastatic tumors to the ovary rarely originate from the:

Breast.
Stomach
Large intestine.
Uterus.
Vagina.

2. Question

A patient with uterine leiomyoma accompanied by excessive uterine bleeding should be initially evaluated and /or treated by:

myomectomy
Hysterectomy
Irradiation
High dose of estrogen
Hysteroscopy with endometrial biopsy

3. Question

Pelvic endometriosis:

Is a cause of 1ry dysmenorrheal
Associated with excessive vaginal discharge
Associated with prolonged use of IUCD
Combined OCP are predisposing factor
Can be diagnosed by laparoscopy

4. Question

Which of the following tumors is NOT an ovarian epithelial neoplasm:

Serous tumor
Mucinous tumor.
Endometrioid tumor.
Endodermal sinus tumor.
Brenner tumor

5. Question

Uterine leiomyomata generally require no treatment. When treatment is indicated, it is most frequently because of:

Interference with reproductive function.
Rapid enlargement with the hazards of Sarcomatous degeneration.
Pain.
Excessive uterine bleeding.
Impingement on another organ.

6. Question

Regarding Endometriosis:

is the presence of endometrial tissue in the myometrium
The liver is the most common site
Implantation, lymphatic –vascular metastasis & coelomic metaplasia are the theories about the pathogenesis
OCP are contraindicated as they worsen the symptom
Is best treated by avoiding the pregnancy

7. Question

Ovarian neoplasm most commonly arise from:

Ovarian epithelium.
Ovarian stroma.
Ovarian germ cells.
Ovarian sex cords.
Metastatic disease.

8. Question

Regarding uterine leiomyomata may undergo the following changes EXCEPT:

Hyaline degeneration
Squamous metaplasia
Atrophy
Calcification
Sarcomatous change

9. Question

Secondary dysmenorrhea can be caused by all of the following EXCEPT:

Endometrial polyp
Endometriosis
PID
Uterine leiomyoma
OCP

10. Question

Which of the following is an early symptom of ovarian cancer?

Pelvic pain.
Bloating.
Dysuria.
Constipation.
It's usually asymptomatic.

11. Question

Fibromyoma of the uterus:

Is pre malignant tumor
Symptoms are related to the site
Estrogen dependent tumor
Can be associated with endometriosis & endometrial hyperplasia.
Can cause postpartum hemorrhage.

12. Question

Regarding Adenomyosis, the following are true EXCEPT:

Causes dysmenorrhea
Usually associated with menorrhagia
The uterine size not affected by the disease
Hysterectomy is the treatment of choice to cure this condition.
Only confirmed after histopathology

13. Question

Regarding uterine fibroid in pregnancy, all are true EXCEPT:

Are often asymptomatic.
May present with abdominal pain.
May cause obstructed labor.
Should be removed surgically if it becomes symptomatic.
May cause postpartum hemorrhage.

14. Question

Uterine fibroid: Which is true

Is commoner in white people than black
All should be treated immediately
Sarcomatous change occurs in 1%
Can cause obstructed labor
In pregnancy should indicate caesarian section.

15. Question

The Commonest uterine fibroid to cause excessive bleeding is:

Submucous fibroid
Subserous fibroid
Intramural fibroid
Cervical fibroid
Broad ligament fibroid

16. Question

Types of uterine fibroid degeneration include all EXCEPT :

Red degeneration
Yellow degeneration
Calcification
Hyaline degeneration
Fatty degeneration

17. Question

Acceptable treatment for uterine fibroids includes all of the following EXCEPT:

No treatment
Myomectomy during pregnancy if red degeneration occurs.
Myomectomy.
Hysterectomy
GnRH agonist.

18. Question

Laparoscopy is used in the diagnosis of the following EXCEPT:

Ectopic pregnancy
Endometriosis
Ovarian cyst
Tubal patency
Submucous fibroid

19. Question

A 20 year old lady pregnant in 1st trimester came complaining of lower abdominal pain, in examination a mass continued with the uterus was found what is the diagnosis:

Red degeneration of fibroid
Ectopic pregnancy
Uterine rupture
Rupture placenta
Placenta previa

20. Question

The most common malignancy in the female reproductive organs:

Carcinoma of the cervix
Carcinoma of the ovary
Carcinoma of the breast
Carcinoma of the uterine corpus.
Leiomyosarcoma of the uterus

21. Question

16 year old single girl presented with a mass in the pelvis was detected clinically all the following investigation can be done , EXCEPT :

CT
Laparoscopy
PAP smear
USS
MRI

22. Question

True statement regarding leiomyomas is:

The severity of the bleeding is proportional to the size and he number of myomas
Intermenstrual pain is present in more than 50% of women with myomas that have not undergone degeneration
Intermenstrual bleeding is the most common menstrual disorders
The majority of the women with multiple myomas are fertile
It is highly malignant

23. Question

Which of the following tumors is LEAST likely to be hormonally active:

Sertoli-lyeding cell tumor
Granulosa cell tumor
Hair cell tumor
Fibroma
Thecoma

24. Question

The diagnosis of endometriosis is often strongly suspected from patient’s initial history expressing the following EXCEPT:

Infertility
Dysmenorrhea.
Vaginal dryness.
Dyspareunia.
Chronic Pelvic pain.

25. Question

Regarding Submucous uterine fibroids all of the following are correct EXCEPT:

May become polypoidal.
Can become infected.
Frequently cause infertility.
Often present with menorrhagia.
Can be removed hysteroscopically

26. Question

Premenstrual tension should be initially treated with:

COCP.
Hysterectomy
Aldosterone
Diuretics
D & C.

27. Question

Endometriosis is:

The presence of endometrial glands outside the uterus.
The presence of endometrial stroma outside the uterus.
The presence of endometrial glands & Stroma outside the uterus.
A disease of menopause.
Hyperplasia of normally located endometrium.

28. Question

Regarding red degeneration in fibroids, all are true EXCEPT:

Common during pregnancy.
Causes acute abdominal pain.
Surgery is the 1ST line treatment.
Caused by ischemic necrosis.
Can occur in postmenopausal women on HRT.

29. Question

A 40 year-old woman complains of menorrhagia and dysmenorrhea that progressed gradually, the most likely diagnosis is:

Endometrial cancer.
Adenomyosis.
Cervical cancer.
Ovarian cyst.
Endometrial polyps.

30. Question

Primary dysmenorrhea is most likely caused by:

Uterine hypercontractility.
Increased parity
High levels of estrogen
Coitus during menses
Obesity.

31. Question

Uterine fibroid:

Commonly associated with endometriosis
Are tumors of Striated muscle.
Commonly present with post-menopausal bleeding
Associated with multiparty
progesterone dependent tumor

32. Question

The leading theories in the pathogenesis of endometriosis include:

Retrograde menstruation with transport of endometrial cells
Metaplasia of coelomic epithelium
Hematogenous of lymphatic spread
Direct transplantation of endometrial cells
All of the above

33. Question

A woman with symptomatic endometriosis is likely to complain of all of the following EXCEPT:

Dyspareunia
Mood swings
Painful defecation
Severe dysmenorrhea.
Infertility

34. Question

In ovarian tumors all these are germ cell tumor EXCEPT :

Teratoma
Choriocarcinoma
Endometrioid tumor
Yolk sac tumor
Dysgerminoma

35. Question

The following are TRUE about Leiomyomas EXCEPT:

Usually multiple
Usually malignant
Usually discrete
Usually spherical or irregular lobulated
Usually easy enucleated from the surrounding myometrium.

36. Question

Each of the following can be a treatment modality for endometriosis EXCEPT:

Depoprovera medroxy progesterone
GnRH analogues
Estrogen skin patches
Oral contraceptive pills
Danazol

37. Question

The following are theories of endometriosis EXCEPT:

Retrograde menstruation
Endometrial hyperplasia
Immunological factor
Coelomic metaplasia
Lymphatic spread

38. Question

Which of the following ovarian tumors is the most common:

Arrhenoblastoma
Granulosa cell tumors
Granulosa cell tumor
Endometrial sinus
Mucinous Cystadenoma

39. Question

The following is TRUE regarding degenerative changes in uterine fibroids:

Sarcoma occurs in 2%
Cystic degeneration is common with the use of oral contraceptive pills.
Hyaline degeneration causes acute pain.
Torsion is common in intramural fibroid
Red degeneration should be managed conservatively.

40. Question

The operation of Endometriosis should be:

Tailored to the patient's age, symptoms, & extent of disease.
Total abdominal hysterectomy (TAH) & bilateral Salpingo-oophorectomy (BSO).
Removal of implants only.
Presacral neuroectomy.
Unilateral Salpingo-oophorectomy.

41. Question

The diagnosis of endometriosis is confirmed by histologically identifying extragenital implants containing:

Endometrial glands and Stroma.
Hypertrophic smooth muscle
Hemorrhage & iron pigment deposit
Fibroid
Stromal decidualization

42. Question

Regarding ovarian cysts in pregnancy:

The dermoid accounts for up to 50% of total.
They are commonly malignant in origin.
Corpus luteal accounts for the majority of cases.
Torsion does not occur during pregnancy.
They rarely cause obstructive labor.

43. Question

Which of the following tumors produces estrogen?

Endodermal sinus tumors.
Choriocarcinoma.
Granulosa-cell tumors.
Dysgerminoma.
Serous cyst adenoma.

44. Question

Dyspareunia in endometriosis can be caused by the following EXCEPT:

Endometriomas
Flexed retroversion of the uterus.
Uterosacral implants.
Danazol therapy.
The use of the birth control pill.

45. Question

Ovarian cancer is more likely to occur in all of the following EXCEPT:

Nulliparous women.
Women who have breast cancer
Patients with history of prolonged use of oral contraceptive pills.
Women with a family history of ovarian cancer.
Low socioeconomic class.

46. Question

Suggestive ultrasound features of ovarian malignancy include following EXCEPT :

Bilateral
Presence of ascites
Contain solid component
Unilocular
Capsule integrity is disrupted with projection

47. Question

Regarding Endometriosis, all of the following are CORRECT, EXCECPT:

Is frequently associated with infertility.
Causes deep dyspareunia
Is often asymptomatic
Causes post coital bleeding
Causes Dysmenorrhea

48. Question

The following are Suspicious criteria for malignancy in ovarian tumors EXCEPT:

Presence of Ascites.
Presence of cachexia.
Edema of the lower limbs.
Bilateralism.
Elevated serum Estradiol.

49. Question

These are possible symptoms caused by fibroids EXCEPT:

Pelvic pain.
Subfertility.
Pressure symptoms.
Deep vein thrombosis.
Irregular vaginal bleeding.

50. Question

The following are theories for endometriosis, EXCEPT:

Coelomic metaplasia.
Endometrial hyperplasia
Retrograde menstruation.
Immunological factor
Lymphatic spread of endometrial fragments