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L3 (1ST BMEX) > GYNE 1 > Flashcards

GYNE 1 Flashcards

1
Q

Which of the following does not refer to the underlying cause of abnormal uterine bleeding?

A. Unhealthy lifestyle
B. Abnormality in hemostasis
C. Interference in hormonal cyclical
D. Structural abnormality in endometrial cavity

A

A. Unhealthy lifestyle

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2
Q

Which of the following characteristics of menstrual cycle is abnormal based on the 2018 FIGO system?

A. Frequency of 21 days
B. Volume of 80 mL but ADL is not affected
C. Duration of 7 days
D. Regularity of 8 days

A

A. Frequency of 21 days

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3
Q

A patient came in due to irregular menses. Her LMP was last Aug 19 for 5 days but 18 days after she bled again for another 3 days. What is this condition?

A. Heavy menstrual bleeding
B. Intermenstrual bleeding
C. Dysfunctional uterine bleeding
D. Normal menstrual cycle

A

B. Intermenstrual bleeding

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4
Q

A patient claimed she had irregular menses. She had her LMP last July 4 for 7 days then had another menses last July 30 for 5 days. What is this condition?

A. Dysfunctional uterine bleeding
B. Intermenstrual bleeding
C. Normal menstrual cycle
D. Heavy menstrual cycle

A

C. Normal menstrual cycle

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5
Q

The organic causes of abnormal uterine bleeding will not include this condition

A. Endometrial polyps
B. Leiomyomas
C. Myometrial hypertrophy
D. Hyperplastic endometrium

A

C. Myometrial hypertrophy

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6
Q

A patient came in for heavy and prolonged menstrual bleeding. Pelvic exam showed a rigid and irregular enlarged uterus. Which of the following is not a mechanism of AUB in this case?

A. Increased endometrial surface
B. Hampered myometrial contractility
C. Ulceration and hemorrhage in the endometrium
D. Abnormal myometrial angiogenesis

A

C. Ulceration and hemorrhage in the endometrium

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6
Q

Based on MUSA, which of the following is a diagnostic criterion of an adenomyosis?

A. Symmetrical myometrial thickening
B. Hypoechoic islands
C. Translesional vascularity
D. Endometrial cysts

A

C. Translesional vascularity

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7
Q

A 42-year-old complained of dizziness. History revealed persistent and profuse menses for 6 months…

A. Submucosal myoma
B. Intramural myoma
C. Parasitic myoma
D. Subserosal myoma

A

A. Submucosal myoma

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7
Q

In the subclassification of myoma, which of the following is not descriptive of a submucous mucosa?

A. Pedunculated intracavitary
B. Subserous < intramural
C. <50% intramural
D. >100% intramural, contacts the endometrium

A

B. Subserous < intramural

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8
Q

What type of AUB is exhibited in a woman who complains of heavy but irregular menses occurring regularly?

A. AUB-C
B. AUB-M
C. AUB-O
D. AUB-E

A

D. AUB-E

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9
Q

This characterizes an anovulatory cycle

A. Heavy irregular menses
B. Predictable menses
C. Cyclic menses
D. Regular timing

A

A. Heavy irregular menses

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10
Q

A 15-year-old patient came in due to profuse menses during her cycle. She noted such changes in her menstrual cycle when she became a volleyball player in their school. What type of AUB does the patient exhibit?

A. AUB-C
B. AUB-M
C. AUB-O
D. AUB-E

A

C. AUB-O

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11
Q

A heavy and regular menstrual cycle is usually caused by this underlying factor

A. Decreased plasminogen activator
B. Increased endothelin 1
C. Increased PG I2
D. Increased tissue factor pathway

A

C. Increased PG I2

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12
Q

Patient on OCP but for 3 days, she forgot to take the medication. On the 4th day, she noted vaginal spotting. 2 days after, she noted vaginal bleeding with passage of clots. What type of AUB is she exhibiting?

A. AUB-O
B. AUB-M
C. AUB-I
D. AUB-N

A

C. AUB-I

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13
Q

An 18-year-old … What condition has the highest suspicion for hemostatic disorder?

A. HMB 6 months ago
B. Frequent gum bleeding
C. Epistaxis 1-2x a year
D. Bruising 1-2x a year

A

B. Frequent gum bleeding

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14
Q

A 28yo patient came in due to amenorrhea. Physical exam revealed a slight enlargement of her eyeballs and tremor were noted. What laboratory parameters should be requested on her to find the underlying cause of her condition?

A. Pregnancy test
B. Female hormonal testing
C. Thyroid panel
D. Factor VIII testing

A

C. Thyroid panel

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15
Q

A 54yo postmenopausal woman came in due to vaginal spotting for 3 days. TVS shows a thickened endometrium of 25 mm. What is the best management for this patient?

A. Endometrial biopsy
B. Hysterectomy
C. D&C
D. SIS

A

B. Hysterectomy

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16
Q

A 45-year-old patient was brought to the emergency room for dizziness. She claimed she has profuse menses for 6 weeks already. What condition does this patient have?

A. Acute AUB
B. Chronic AUB
C. Normal menstrual bleeding
D. Dysfunctional uterine bleeding

A

A. Acute AUB

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17
Q

This hormone will stabilize the endometrium

A. Estrogen
B. Progestins
C. LH
D. FSH

A

B. Progestins

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18
Q

In a patient who came in for vaginal bleeding for 2 weeks already, what cannot be given to control the bleeding?

A. Low dose conjugated equine estrogen
B. High dose OCP
C. Progestins
D. Tranexamic acid

A

A. Low dose conjugated equine estrogen

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19
Q

Appropriate to give to regulate menstrual cycle for those who desire to have a baby, except:

A. COCs
B. Progestin implants
C. Micronized progesterone
D. LNG-IUS

A

C. Micronized progesterone

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20
Q

The patient was bleeding profusely for 1 year and is not desirous of pregnancy. What would you give to regulate her menses with an added benefit of higher reduction in blood loss?

A. COC
B. Tranexamic acid
C. Cyclic oral progesterone
D. LNG-IUDs

A

D. LNG-IUDs

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21
Q

Which of the following was found to be ineffective for the treatment of HMB?

A. COCs
B. LNG-IUS
C. POPs
D. Micronized progesterone

A

C. POPs

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21
Q

Which of the following would necessitate endometrial biopsy?

A. Amenorrheic for 2 months, 46yo
B. Intermenstrual bleeding for 6 months, 24yo
C. Breast cancer patient on tamoxifen
D. Vaginal spotting while on OCP for 2 months

A

C. Breast cancer patient on tamoxifen

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22
Q

Hysterectomy is advised as treatment for AUB in which of the following cases?

A. Successful medical therapy
B. ADLs not affected
C. Definitive treatment is desired
D. Low parity

A

C. Definitive treatment is desired

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22
Q

A 5yo came in due to a swollen labia majora noted after her nursery class. Your primary consideration is

A. possibility of abuse
B. straddle injury
C. vulvar infection secondary to foreign body
D. inflammatory condition due to irritation

A

B. straddle injury

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23
Q

Best imaging modality that will aid in the diagnosis of pelvic mass in a prepubertal complaining of abdominal pain

A. Flat plate of the abdomen
B. CT scan of the abdomen
C. Ultrasound of the abdomen
D. MRI

A

C. Ultrasound of the abdomen

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24
Q

Prepubertal ovarian solid mass is best managed by

A. pelvic laparotomy with aspiration
B. laparoscopic oophorectomy
C. pelvic lap with oophorectomy
D. pelvic lap with cystectomy

A

D. pelvic lap with cystectomy

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25
Q

Main reason why surgical intervention of pelvic cystic mass is not advisable

A. Post-operative pelvic tubal adhesions can compromise future fertility
B. These masses can be observed continuously without complications
C. These masses are benign
D. These can regress in 3-6 months

A

A. Post-operative pelvic tubal adhesions can compromise future fertility

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26
Q

The most common endocrine disorder in women presenting with abnormal bleeding

A. Hypothyroidism
B. Hyperprolactinemia
C. Graves’ disease
D. Androgen disorders

A

D. Androgen disorders

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26
Q

Which of the following must be ruled out even in the absence of implicating information when adolescents presents with abnormal uterine bleeding?

A. Hematologic problem
B. Pregnancy-related complications
C. Hormonal dysfunction
D. Endocrine disorder

A

B. Pregnancy-related complications

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27
Q

A teenager with a live-in partner presents at the emergency room with irregular menstrual bleeding. Which of the following is the management of choice in this patient?

A. NSAID with iron supplementation
B. Tranexamic acid
C. Progestin only
D. Combined OCs

A

D. Combined OCs

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28
Q

CA 125 is a tumor marker that is essential for

A. adolescent with a pelvic mass
B. pregnant woman with ovarian mass
C. menopausal woman with adnexal mass
D. premenopausal woman with pelvic mass

A

C. menopausal woman with adnexal mass

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29
Q

Intermittent episodes of pelvic pain with an ultrasound finding of a cystic mass could mean

A. ruptured ovarian cyst
B. intraperitoneal bleeding
C. twisted ovarian cyst
D. ruptured ectopic pregnancy

A

C. twisted ovarian cyst

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30
Q

Which of the following is the most common in childhood?

A. Serous adenomas
B. Dermoid cysts
C. Mucinous cystadenomas
D. Germ cell tumor

A

D. Germ cell tumor

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30
Q

Management of a twisted ovarian cyst which upon laparotomy showed purplish discoloration and almost devoid of blood supply

A. Oophorectomy
B. Detorsion
C. Aspiration biopsy
D. Cystectomy

A

B. Detorsion

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30
Q

This rare condition that results in delayed diagnosis in a 40-year-old woman complaining of oligomenorrhea or prolonged amenorrheic episodes

A. Hyperprolactinemia
B. Premature ovarian failure
C. Primary ovarian failure
D. Primary pituitary disease

A

C. Primary ovarian failure

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30
Q

Physiologic cysts less than 10 cm and managed conservatively can resolve within

A. 4-8 weeks
B. 8-12 weeks
C. 10 weeks
D. 16 weeks

A

A. 4-8 weeks

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30
Q

Which of the following endometrial thickness on a postmenopausal woman warrants further investigation?

A. <4 cm
B. <5 cm
C. >5 cm
D. 10 cm

A

C. >5 cm

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31
Q

Most common cause of postmenopausal bleeding

A. Exogenous estrogen
B. Endometrial polyps
C. Endometrial hyperplasia
D. Leiomyoma

A

A. Exogenous estrogen

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32
Q

Abdominal mass, occasional pain in a 12yo not part of the diagnosis

A. Ovarian cyst Associated with pain
B. Wilms tumor
C. Neuroblastoma
D. Rhabdomyosarcoma

A

D. Rhabdomyosarcoma

33
Q

An infection of this gland can result in rapidly enlarging, painful, inflammatory mass in sexually active patients

A. Epidermal inclusion cysts
B. Bartholin duct cyst
C. Gartner duct cyst
D. Nabothian cyst

A

B. Bartholin duct cyst

33
Q

A 5-year-old female had a bloody vaginal discharge. Which of the following is the least likely cause?

A. Infection
B. Sexual abuse
C. Foreign body
D. GnRH-dependent precocious puberty

A

D. GnRH-dependent precocious puberty

34
Q

A sexually active patient came in for occasional hypogastric pain. An ultrasound was done which revealed an ovarian cyst on the left adnexa. Which of the following commonly mimics an ectopic pregnancy in its presentation?

A. Follicle cyst
B. Corpus luteum cyst
C. Serous cystadenoma
D. Mucinous cystadenoma

A

B. Corpus luteum cyst

35
Q

An 18-year-old patient came in for vaginal spotting. Ultrasound shows a small uterus with a solid mass of 6x6 cm in the right adnexa. What is the most likely cause of her condition?

A. Malignant teratoma
B. Cystic teratoma
C. Granulosa cell carcinoma
D. Serous cystadenoma

A

C. Granulosa cell carcinoma

36
Q

An adnexal mass was found incidentally during ultrasound of a 55-year-old postmenopausal woman. What can be ruled out?

A. Colon cancer
B. Lymphoma
C. Corpus luteum cyst
D. Endometriosis

A

C. Corpus luteum cyst

36
Q

Most common ovarian mass in children and adolescents

A. Thecoma
B. Mature teratoma
C. Immature teratoma
D. Thecoma

A

B. Mature teratoma

37
Q

A 25yo sexually active patient came in for abdominal pain, fever, and mucopurulent discharge. An adnexal mass was palpated. What is the most likely cause of her condition?

A. Tubo-ovarian abscess
B. Twisted ovarian cyst
C. Torsion of paratubal cyst
D. Ectopic pregnancy

A

A. Tubo-ovarian abscess

37
Q

A 12-year-old child has an ultrasound of ovarian mass. What is the most frequent recorded symptom in children in this condition?

A. Pressure symptom
B. Vaginal bleeding
C. Abdominal pain
D. Constipation

A

A. Pressure symptom

38
Q

A 45-year-old patient came in due to abdominal mass. What characteristics of the mass indicate a benign mass?

A. Rapidly growing
B. Cystic
C. Irregular
D. Fixed

A

B. Cystic

39
Q

A 14-year-old G0 came in with an ultrasound result showing a 3 x 3 unilocular, cystic mass. What is your next step?

A. Observation
B. Oophorectomy
C. Laparoscopic cystectomy
D. Cyst aspiration

A

A. Observation

40
Q

A 23-year-old presents with acute abdominal pain and a missed period of 5 weeks. On physical exam, abdomen has direct tenderness. Pelvic exam revealed an adnexal mass on the left, moveable with no other remarkable findings. Transvaginal ultrasound shows a 6cm x 6cm mass. Pregnancy test is negative. What is the MOST likely diagnosis?

A. Endometrioma
B. Ectopic pregnancy
C. Pelvic inflammatory disease
D. Corpus luteum cyst

A

D. Corpus luteum cyst

41
Q

A 24-year-old, married, GO, has profuse menstruation and anemia due to a 4cm submucous myoma. What is the best management?

A. Oral contraceptive pills
B. Hysteroscopic myomectomy
C. Dilatation and curettage
D. Tranexamic acid

A

B. Hysteroscopic myomectomy

41
Q

A 25-year-old patient had regular menses occurring cyclic but noted that it was very profuse & she can consume 5-7 pads per day. What is her most likely diagnosis?

A. AUB-O
B. AUB-C
C. AUB-E
D. AUB-L

A

C. AUB-E

41
Q

A 26-year-old GO patient came in for an intermittent painless mass on her vulva near the introitus. It seems to be aggravated by intercourse but usually goes away on its own. She’s had two lifetime sexual partners and has been with her last partner for 5 years. She never had an STD. On physical exam, a 3 cm non tender mass in the 5-o clock position was palpated. What abnormality is present?

A. Cystocele
B. Gartner’s duct cyst
C. Bartholin’s duct cyst
D. Skene’s gland cyst

A

C. Bartholin’s duct cyst

42
Q

A 30-year-old G3P3(3003) complains of progressive dysmenorrhea and heavy menstrual bleeding. On ultrasound, her uterus is globular and diffusely enlarged with poor definition of the endometrial-myometrial borders: Which of the following is the correct diagnosis?

A. AUB-L(SM)
B. AUB-P
C. AUB-A
D. AUB-E

A

C. AUB-A

43
Q

A 35 GO consults for heavy menstrual bleeding for 6 months. History revealed that she has more than the usual bleeding during dental visits, has epistaxis during stressful moments and gum bleeding when she brushes her teeth. Which among the following tests should be requested to support the diagnosis?

A. vWF Ag
B. Prolactin
C. TSH
D. Beta hCG

A

A. vWF Ag

44
Q

A 35yo G7P6(6016) came in due to prolonged menses of 3 weeks duration. She is taking OCP’s regularly at the same time every day. She was recently diagnosed with PTB and was given anti-PTB meds. What is her most likely diagnosis?

A. AUB-I
B. AUB-E
C. AUB-C
D. AUB-N

A

A. AUB-I

44
Q

A 38yo patient complained of profuse and prolonged menses occurring every 40-42 days was advised for an ultrasound. Which of the following findings would least likely suggest the pathology of her case?

A. Fan-shaped shadowing of the uterus
B. 4mm endometrium
C. Asymmetrical myometrial thickening on the posterior uterus
D. Interrupted junctional zone

A

B. 4mm endometrium

44
Q

A 45-year-old G4P4 patient with symptomatic adenomyosis with an enlarged uterus at 20 weeks size is best managed with?

A. Endometrial ablation
B. Fractional D&C
C. TAH-BSO
D. Hormonal therapy

A

C. TAH-BSO

44
Q

A 5-year-old female had bloody vaginal discharge. Which of the following is the least likely cause?

A. Infection
B. GnRH-dependent precocious puberty
C. Sexual assault
D. Foreign body

A

B. GnRH-dependent precocious puberty

45
Q

A 50-year-old multigravid had an ultrasound finding of a thickened endometrial lining of 25cm. She had profuse vaginal bleeding for 18 days now. How would you diagnose her based on the FIGO classification?

A. AUB-E
B. AUB-M
C. AUB-O
D. AUB-L

A

B. AUB-M

45
Q

A 6-year-old girl presents with vaginal spotting one week after the patient was admitted for pertussis. On PE, the distal aspect of the urethral mucosa is prolapsed along the entire 360 degrees of the urethra. Which of the following should be the treatment of choice?

A. Surgery
B. Clobetasol
C. Topical estrogen
D. Observe

A

C. Topical estrogen

46
Q

A 60-year-old G3P3 consulted because of a small fleshy outgrowth of the distal edge of the urethra. Biopsy showed papillomatous changes. What is the MOST likely diagnosis?

A. Urethral caruncle
B. Urethral diverticulum
C. Urethral prolapse
D. Inclusion cyst

A

A. Urethral caruncle

46
Q

A patient came in for irregular menses. On her history, she claimed her menses lasts for 7-8 days occurring after 30-35days consuming 2-3 pads/day. How would you classify her menses based on the FIGO classification?

A. Normal menstrual cycle
B. Abnormal uterine bleeding
C. Heavy menstrual bleeding
D. Intermenstrual bleeding

A

A. Normal menstrual cycle

47
Q

A patient had an ultrasound finding of a diffusely thickened endometrium with a possible intracavitary mass, the best option to confirm such lesion is:

A. CT scan of the pelvis
B. Color flow doppler studies
C. 2D ultrasound of the pelvis
D. Saline infusion sonohysterography

A

D. Saline infusion sonohysterography

48
Q

A patient with acute bleeding was treated with intravenous estrogen which arrested her bleeding episodes. What should be given to stabilize the endometrium of this patient?

A. Tranexamic acid
B. Mefenamic acid
C. Shift to oral estrogen
D. OCP

A

D. OCP

49
Q

A submucous myoma measuring 4 x 4 cm was prolapsing in the vagina of a 36yo multigravid patient who came in for prolonged & profuse menses of 1 month duration. What is the cause of her AUB?

A. Physical distortion
B. Bleeding from ulcerated endometrium
C. Coagulopathies
D. Constriction of venous plexuses

A

B. Bleeding from ulcerated endometrium

50
Q

Cost-effective alternative to hysterectomy in women with AUB who had completed their family life.

A. Contraceptive implant
B. COCs
C. Endometrial ablation
D. Levonorgestrel intrauterine system

A

C. Endometrial ablation

50
Q

Endometrial hyperplasia with dysfunctional uterine bleeding is the result of:

A. Unopposed progesterone stimulation
B. Birth control pill intake
C. Unopposed estrogen stimulation
D. Unopposed prolactin stimulation

A

C. Unopposed estrogen stimulation

51
Q

Endometrial sampling is mandatory in the evaluation of anovulatory bleeding in the following cases, except:

A. Those who do not respond to medical therapy
B. In younger women who are lean
C. Those with a history of prolonged anovulation
D. Women older than 40 years of age

A

B. In younger women who are lean

52
Q

Exogenous hormone use is sometimes associated with irregular vaginal bleeding. Which of the following is advisable for a patient who complains of abnormal menses but wants contraception at the same time?

A. COC
B. Contraceptive implants
C. Progesterone-only pills
D. DMPA

A

A. COC

53
Q

Heavy menstrual bleeding is not attributed to this factor:

A. Unstable platelet plug
B. Low PGF2
C. High PGE2
D. Formation of fibrin clot

A

D. Formation of fibrin clot

53
Q

In a 30-year-old single woman who complaints of vaginal spotting for 2 days during her last menstrual cycle, the initial diagnostic step to do is:

A. Endometrial sampling
B. Pregnancy test
C. Ultrasound
D. Progesterone challenge

A

B. Pregnancy test

54
Q

Least common cause of postmenopausal abnormal bleeding.

A. Endometrial cancer
B. Atrophic vaginitis
C. Submucous myoma
D. Endometrial polyps

A

C. Submucous myoma

55
Q

Most common cause of AUB-I.

A. Anti-psychotics
B. Aspirin use
C. Hormonal preparations
D. Anti-coagulation therapy

A

C. Hormonal preparations

56
Q

Most valuable tool for diagnosing ovarian masses.

A. CT scan
B. Ultrasonography
C. Magnetic Resonance Imaging
D. PET scan

A

B. Ultrasonography

57
Q

The mechanism responsible for AUB in pts with adenomyosis.

A. Abnormal myometrial angiogenesis
B. Higher thromboxane than prostacyclin
C. Normal myometrial contractility
D. Decreased endometrial surface

A

A. Abnormal myometrial angiogenesis

57
Q

The initial step in the management of abnormal uterine bleeding in a 52-year-old woman is?

A. TAH-BSO
B. Observation
C. Endometrial sampling
D. Progesterone treatment for 6 months

A

C. Endometrial sampling

58
Q

The OCP recommended for reducing blood loss in HMB as maintenance treatment.

A. Yaz
B. Mirena
C. Qlaira
D. Visanne

A

C. Qlaira

59
Q

The treatment of choice in a 50-year-old woman with regular but heavy and prolonged menses with an endometrial biopsy showing endometrial hyperplasia with atypia is:

A. Hysterectomy
B. LNG-IUS and repeat biopsy after 3 months
C. Combination of NSAIDS and Progestin therapy
D. LNG-IUS

A

A. Hysterectomy

59
Q

These functional ovarian cysts are usually bilateral and occur during pregnancy, especially molar pregnancies.

A. Theca lutein cysts
B. Follicular cysts
C. Dermoid cysts
D. Corpus luteum cysts

A

A. Theca lutein cysts

59
Q

This ovarian cyst is a hormonally active tumor which causes endometrial proliferation which leads to vaginal bleeding.

A. Mucinous cystadenocarcinoma
B. Granulosa cell tumor
C. Sertoli Leydig tumor
D. Serous cystadenoma

A

B. Granulosa cell tumor

59
Q

Treatment of choice in the reproductive aged group of women with abnormal uterine bleeding secondary to endometrial dysfunction (AUB-E).

A. Progesterone implant
B. Combined oral contraceptive
C. Copper IUD
D. Progesterone only pills

A

B. Combined oral contraceptive

60
Q

Ultrasound of a 48yo patient who came in for heavy menstrual bleeding of 3 months duration showed an irregularly contoured 20 weeks sized uterus. CBC & vital signs were normal. How would you manage this patient?

A. Qlaira
B. Tranexamic acid 19m 3x a day for 3 months
C. Progestins for 21 days every month for 6 months
D. Hysterectomy

A

D. Hysterectomy

60
Q

Uterine bleeding which is usually not excessive but occurring at irregular intervals is termed:

A. Hypermenorrhea
B. Metrorrhagia
C. Menorrhagia
D. Polymenorrhea

A

B. Metrorrhagia

61
Q

What is the probable cause of the pain in a patient with an ovarian cyst measuring 10 x 8 cm?

A. Malignant change
B. Torsion
C. Secondary infection
D. Rupture

A

B. Torsion

61
Q

What is the recommended management in the absence of a structural or histologic abnormality in a multigravid patient who had HMB for 6 months?

A. Hysterectomy
B. D&C
C. Endometrial biopsy
D. Endometrial ablation

A

D. Endometrial ablation

62
Q

Which of the following medical therapies is least likely used to treat acute abnormal uterine bleeding?

A. NSAIDS
B. High dose combined oral contraceptive pills
C. Antifibrinolytic agent
D. Levonorgestrel IUS

A

D. Levonorgestrel IUS

63
Q

Which of the following would least likely require endometrial biopsy?

A. 47 years old with continuous menstrual bleeding
B. 28-year-old suspected of having pelvic TB
C. 32-year-old diagnosed with endometriosis
D. 55 years old on Tamoxifen complaining of vaginal spotting

A

C. 32-year-old diagnosed with endometriosis

63
Q

Most common cause of abnormal uterine bleeding in reproductive age group

A. Unintended pregnancy
B. Endometrial hyperplasia
C. Myoma
D. Adenomyosis

A

A. Unintended pregnancy

64
Q

Provides a direct evidence of an intrauterine pathology that distort the uterine cavity

A. CT scan
B. MRI
C. Hysteroscopy
D. Ultrasound

A

C. Hysteroscopy

64
Q

Normal volume of flow in reproductive age group

A. 2 to 50 ml
B. 25 to 100 ml
C. 30 to 120 ml
D. 5 to 80 ml

A

D. 5 to 80 ml

64
Q

Diagnostic procedure of choice in reproductive-age women who complained of pelvic mass and abnormal uterine bleeding

A. Endometrial sampling with biopsy
B. CT scan
C. Cystoscopy
D. MRI

A

A. Endometrial sampling with biopsy

64
Q

The primary diagnostic tool for evaluating pelvic masses in adolescents?

A. MRI
B. Ultrasonography
C. CT scan
D. Xray

A

B. Ultrasonography

65
Q

Leiomyoma usually occurs in what age group

A. 35 years old above
B. 26-30 years old
C. 31-35 years old
D. 20-25 years old

A

A. 35 years old above

65
Q

Anatomic causes of abnormal bleeding occur more frequently in this age group

A. Adolescent
B. Postmenopausal
C. Prepubertal
D. Reproductive

A

D. Reproductive

66
Q

Which of the following is abnormal?

A. Menstrual cycle frequency of 24-38 days
B. Cycle variation from cycle to cycle of 2-20 days
C. Volume of flow 100ml
D. 4-8 days duration

A

C. Volume of flow 100ml

66
Q

The most frequent symptom of a woman with submucosal myoma

A. Abnormal bleeding
B. Foul smelling vaginal discharge
C. Abdominal mass
D. Abdominal pain

A

A. Abnormal bleeding

67
Q

The most common benign uterine tumor in the reproductive age group

A. Uterine myoma
B. Polyps
C. Vascular tumor
D. Adenomyosis

A

A. Uterine myoma

L3 (1ST BMEX) (18 decks)

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