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