OBGYN_Pediatric and Adolescent Gyno

Question 1

What is the effect that counts for the differentiation of the gonads?
A) testosterone
B) estrogen
C) sex chromosome
D) hypophyseal hormones

Answer 1

C) sex chromosome

Question 2

In case of primary amenorrhea the first step after general gynecological examination should be:
A) clomiphene test
B) genetical screening
C) estrogen-progesterone test
D) gonadotropin stimulation test

Answer 2

C) estrogen-progesterone test

Question 3

Which of the followings is not progesterone effect?
A) endometrial proliferation
B) increase of basal body temperature
C) development of breast acinars
D) endometrial secretion

Answer 3

A) endometrial proliferation

Question 4

The estimated amount of an average menstruation is about:
A) 10-15 ml
B) 25-50 ml
C) 75-100 ml
D) 100-120 ml

Answer 4

B) 25-50 ml

Question 4

In adolescents, secondary amenorrhea is defined as missing the menstrual period for at least:
A) 2 months
B) 4 months
C) 6 months
D) 12 months

Answer 4

C) 6 months

Question 5

The origin of lutein cells:
A) theca externa
B) theca interna
C) granulosa cells
D) corona radiata

Answer 5

C) granulosa cells

Question 6

The most frequent malignant tumor in adolescents is:
A) cervical cancer
B) clear cell adenocarcinoma of the vagina
C) ovarian cancer
D) rhabdomyosarcoma

Answer 6

C) ovarian cancer

Question 7

Which of the following is not characteristic for Turner’s-syndrome?
A) pigmented nevus
B) hypoplastic fingernails and toenails
C) incidence is increasing in newborns with maternal age
D) high-arched roof of mouth

Answer 7

C) incidence is increasing in newborns with maternal age

Question 7

A 17-year-old girl underwent transabdominal ultrasound scan due to the reason of cystopyelitis. A simple ovarian cyst measuring 4,5 x 3,5 cm was detected. The next step in the management should be:
A) start to use combined oral contraceptive pill
B) repeat the ultrasound scan after 1 month
C) ultrasound guided transvaginal/transabdominal punction
D) laparoscopy

Answer 7

B) repeat the ultrasound scan after 1 month

Question 8

Which of the followings is not characteristic for polycystic ovarian syndrome?
A) increased GnRH pulsatoric frequency
B) increased LH/FSH ratio
C) increased estradiol/estron ratio
D) increased DHEAS level (dehydroepiandrosterone-suphate)

Answer 8

C) increased estradiol/estron ratio

Question 9

With a short history of existing acute abdominal complaints, a 16-year virgin girl was admitted. Based on the complaints and the physical examination, diagnostic laparoscopy was performed and the torsion of the right adnexa was detected with blue-colored ovaries. The best solution during surgery:
A) salpingo-oophorectomy
B) detorsion of the ovary and wait until normal color returns
C) converting to laparotomy, detorsion and resection of the ovary
D) converting to laparotomy, salpingo-oophorectomy

Answer 9

B) detorsion of the ovary and wait until normal color returns

Question 9

Which of the followings is frequently related to hematometra?
A) polycystic ovarian syndrome
B) hirsutism
C) endometriosis
D) adnexal torsion

Answer 9

C) endometriosis

Question 10

Which organs are formed from the Müllerian-tube?
1) the fallopian tubes
2) lower third of the vagina
3) uterus
4) ovaries
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 10

B) 1st and 3rd answers are correct

1) the fallopian tubes
3) uterus

Question 11

Mild hirsutism is influenced favorably by combined oral contraceptives because:
1) LH-regulated androgen produce is decreased
2) SHBG level elevates
3) free testosterone level decreases
4) androgen produce of the suprarenal gland is decreased
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 11

E) all of the answers are correct

1) LH-regulated androgen produce is decreased
2) SHBG level elevates
3) free testosterone level decreases
4) androgen produce of the suprarenal gland is decreased

Question 11

Diagnostic criteria of bacterial vaginosis:
1) greyish-white adherent vaginal secretion
2) positive KOH-test (amin-test)
3) presence of „clue-cells”
4) vaginal pH is less than 4,5
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 11

A) 1st, 2nd and 3rd answers are correct

1) greyish-white adherent vaginal secretion
2) positive KOH-test (amin-test)
3) presence of „clue-cells”

Question 12

Most common causes of cervicitis:
1) Neisseria gonorrhoeae
2) Trichomonas vaginalis
3) Chlamydia trachomatis
4) Candida albicans
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 12

E) all of the answers are correct

1) Neisseria gonorrhoeae
2) Trichomonas vaginalis
3) Chlamydia trachomatis
4) Candida albicans

Question 12

Characteristics of Chlamydia trachomatis infection:
1) mucopurulent cervicitis
2) the infection is frequently asymptomatic
3) parallel treatment of the partner is necessary
4) risk of HIV infection is higher
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 12

E) all of the answers are correct

1) mucopurulent cervicitis
2) the infection is frequently asymptomatic
3) parallel treatment of the partner is necessary
4) risk of HIV infection is higher

Question 13

Applicable medications to treat uncomplicated Chlamydia trachomatis infection:
1) doxycycline
2) erythromycin
3) azithromycin
4) clindamycin
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 13

E) all of the answers are correct

1) doxycycline
2) erythromycin
3) azithromycin
4) clindamycin

Question 14

In case of juvenile vaginal bleeding we should consider the following conditions:
1) foreign body in the vagina
2) botryoid sarcoma
3) isosexual pubertal praecox
4) endometrial cancer
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 14

A) 1st, 2nd and 3rd answers are correct

1) foreign body in the vagina
2) botryoid sarcoma
3) isosexual pubertal praecox

Question 14

Malignant ovarian tumors originated from germ cells include:
1) dysgerminoma
2) choriocarcinoma
3) endodermal sinus tumor
4) granulosa-cell tumor
A) 1st, 2nd and 3rd answers are correct
B) 1st and 3rd answers are correct
C) 2nd and 4th answers are correct
D) only 4th answer is correct
E) all of the answers are correct

Answer 14

A) 1st, 2nd and 3rd answers are correct

Question 15

The cytology smear below is characteristic for which phase?

Mainly surface cells are visible; number of cells from the intermedier layer is small

A) early follicular phase
B) late follicular phase
C) early luteal phase
D) late luteal phase

Answer 15

B) late follicular phase

Question 16

The cytology smear below is characteristic for which phase?

Some of the cells of the intermediate layer are located in smaller groups, the edges of the cells curl, the number of cells of the superficial layer decreases

A) early follicular phase
B) late follicular phase
C) early luteal phase
D) late luteal phase

Answer 16

C) early luteal phase

Question 17

The cytology smear below is characteristic for which phase?

Mainly isolated cells of the intermediate layer are seen, with less superficial and parabasal cells

A) early follicular phase
B) late follicular phase
C) early luteal phase
D) late luteal phase

Answer 17

A) early follicular phase

Question 18

The cytology smear below is characteristic for which phase?

Pronounced group formation in the intermediate layer, the number of cells in the superficial layer is low

A) early follicular phase
B) late follicular phase
C) early luteal phase
D) late luteal phase

Answer 18

D) late luteal phase

Question 19

Pair intrauterine drug exposure with possible side effects: Progesterone A) adenocarcinoma of the vagina B) disorder in the development of the bones C) aplasia cutis D) masculinization of the female fetus E) deafness

Answer 19

D) masculinization of the female fetus

Question 20

Pair intrauterine drug exposure with possible side effects: Diethylstilbestrol A) adenocarcinoma of the vagina B) disorder in the development of the bones C) aplasia cutis D) masculinization of the female fetus E) deafness

Answer 20

A) adenocarcinoma of the vagina

Question 21

Pair intrauterine drug exposure with possible side effects: Streptomycin A) adenocarcinoma of the vagina B) disorder in the development of the bones C) aplasia cutis D) masculinization of the female fetus E) deafness

Answer 21

E) deafness

Question 22

Pair intrauterine drug exposure with possible side effects: Tetracycline A) adenocarcinoma of the vagina B) disorder in the development of the bones C) aplasia cutis D) masculinization of the female fetus E) deafness

Answer 22

B) disorder in the development of the bones

Question 23

Pair intrauterine drug exposure with possible side effects: Methimazole A) adenocarcinoma of the vagina B) disorder in the development of the bones C) aplasia cutis D) masculinization of the female fetus E) deafness

Answer 23

C) aplasia cutis

Question 24

The following statements are characteristic of which stage of sexual maturation? It occurs for a low amount of oestrogen A) pubarche B) thelarche C) menarche

Answer 24

B) thelarche

Question 25

The following statements are characteristic of which stage of sexual maturation? In Hungary it occurs at 12,4 years of age A) pubarche B) thelarche C) menarche

Answer 25

C) menarche

Question 26

The following statements are characteristic of which stage of sexual maturation? It is present also in testicular feminization A) pubarche B) thelarche C) menarche

Answer 26

B) thelarche

Question 27

The following statements are characteristic of which stage of sexual maturation? It is the puberty of the suprarenal gland A) pubarche B) thelarche C) menarche

Answer 27

A) pubarche

Question 28

Match the statements with the clinical scenario: It is typically the result of endogenous or exogenous hormonal effects during pregnancy. A) female pseudo hermaphroditism B) male pseudo hermaphroditism C) testicular feminization D) ovotesticular intersexuality

Answer 28

A) female pseudo hermaphroditism

Question 29

The following statements are characteristic of which stage of sexual maturation? Usually this is the first somatic change during puberty A) pubarche B) thelarche C) menarche

Answer 29

B) thelarche

Question 30

Match the statements with the clinical scenario: At birth, the genital gender is not clear based on the examination of the external genitalia. A) female pseudo hermaphroditism B) male pseudo hermaphroditism C) testicular feminization D) ovotesticular intersexuality

Answer 30

C) testicular feminization

Question 31

Match the statements with the clinical scenario: It is the rarest intersexual disorder. A) female pseudo hermaphroditism B) male pseudo hermaphroditism C) testicular feminization D) ovotesticular intersexuality

Answer 31

D) ovotesticular intersexuality

Question 32

Match the statements with the clinical scenario: It is the consequence of insufficient testicular secretion or target organ reaction. A) female pseudo hermaphroditism B) male pseudo hermaphroditism C) testicular feminization D) ovotesticular intersexuality

Answer 32

B) male pseudo hermaphroditism

Question 33

Match the statements with the clinical scenario: This includes the adrenogenital syndrome A) female pseudo hermaphroditism B) male pseudo hermaphroditism C) testicular feminization D) ovotesticular intersexuality

Answer 33

A) female pseudo hermaphroditism

Question 34

Match the statements with the clinical scenario: It is characterized by regular internal female genitalia A) female pseudo hermaphroditism B) male pseudo hermaphroditism C) testicular feminization D) ovotesticular intersexuality

Answer 34

A) female pseudo hermaphroditism

Question 35

Pair homologous male and female organs. major labia A) gubernaculum testis B) prostate C) scrotum D) vas deferens E) penis

Answer 35

C) scrotum

Question 36

Pair homologous male and female organs. round ligament A) gubernaculum testis B) prostate C) scrotum D) vas deferens E) penis

Answer 36

A) gubernaculum testis

Question 36

Pair homologous male and female organs. Gärtner-duct A) gubernaculum testis B) prostate C) scrotum D) vas deferens E) penis

Answer 36

D) vas deferens

Question 37

At birth, the proliferation of estrogen-target organs of female newborns is observed, because the fetal ovary has a temporarily expressed endocrine activity. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 37

C) the statement is true, but the explanation is false;

Question 37

Pair homologous male and female organs. clitoris A) gubernaculum testis B) prostate C) scrotum D) vas deferens E) penis

Answer 37

E) penis

Question 38

Hypothyroidism may cause premature sexual maturation because increased TSH production can coexist with increased GnRH production. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 38

A) both the statement and the explanation are true and a causal relationship exists between them;

Question 39

In testicular feminization breasts are well developed because peripheral estrogen transformation is enhanced. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 39

C) the statement is true, but the explanation is false;

Question 40

The small body-stature characteristic of Turner-syndrome is apparent even in early childhood because no regular ovarian tissue can be detected. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 40

D) the statement is false, but the explanation itself is true

Question 41

Pregnancy may also conceive in real pubertal praecox because the full functional maturation of the hypothalamus-pituitary-ovarian axis occurs. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 41

A) both the statement and the explanation are true and a causal relationship exists between them;

Question 42

58 In children, a 3.5 MHz abdominal transducer can easily detect ovaries because the typical location of the ovaries is the area between the bifurcation of the iliac artery and the fallopian tubes. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 42

B) both the statement and the explanation are true but there is no causal relationship between them;

Question 42

In case of recurrent vaginal bleeding in childhood vaginoscopy should always be performed because the cause of bleeding is most often cervical cancer. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 42

C) the statement is true, but the explanation is false;

Question 43

In nulliparous teenagers we usually do not recommend the use of an intrauterine device because the risk of uterine perforation is higher due to the smaller size of the uterus. A) both the statement and the explanation are true and a causal relationship exists between them; B) both the statement and the explanation are true but there is no causal relationship between them; C) the statement is true, but the explanation is false; D) the statement is false, but the explanation itself is true E) both the statement and the explanation are false

Answer 43

C) the statement is true, but the explanation is false;