Week 1

Question 1

The gonadal rudiments appear as the ‘____________ ’

Answer 1

genital ridge

Question 2

What is Abnormal uterine bleeding?

Answer 2

When there is a variation in the duration, quantity , and frequency of the menstrual flow

Question 3

An adult uterus weighs approximately ______

Answer 3

70g

Question 4

In the upper part, the uterus is termed the _______ or _______

Answer 4

body or ‘corpus’.

Question 5

The area of insertion of each Fallopian tube is termed the ‘_______’ and that part of the body above the ———— is called the ‘__________’.

Answer 5

cornu

cornu

Fundus

Question 6

The uterus tapers to a small constricted area, the ___________ , and below this is the ________, which projects obliquely into the __________.

Answer 6

isthmus; cervix

Vagina

Question 7

The ________ axis of the uterus is approximately at ———- angles to the ________ and normally tilts forward. This is called ‘anteversion’.

Answer 7

longitudinal

right ; vagina

Question 8

Normal uterus is ante_______ and anti________

Answer 8

Verted

Flexed

Question 9

FIXED and immobile Retroflexion and retroversion can be associated with ???

Answer 9

Endometriosis

Question 10

The uterus consists of three layers: the outer ________ layer (_________), the middle _________ layer ( ___________ ) and the inner ________ layer (____________).

Answer 10

Serous; peritoneum

Muscular; myometrium

Mucous ; endome- trium

Question 11

Normal menstrual flow is from ______-______ days

Answer 11

2-8

Question 12

The peritoneum of the uterus is intimately attached to a ——————— layer, except laterally where it spreads out to form the leaves of the ————.

Answer 12

subserous fibrous

broad ligament

Question 13

The cervix is narrower than the body of the uterus and is approximately ______ cm in length

Answer 13

2.5

Question 14

The posterior aspect of the cervix is covered by the peritoneum of the __________

Answer 14

pouch of Douglas.

Question 15

_____________ and _____________ are two laparoscopic surgeries used to treat some ectopic pregnancies.

Answer 15

Salpingostomy and salpingectomy

Question 16

The Fallopian tube runs in the _____ margin of the broad ligament, known as the ____________, which encloses the tube so that it is completely covered with peritoneum, except for a narrow strip along this ________ aspect.

Answer 16

upper; mesosalpinx

inferior

Question 17

Each fallopian tube is about ———— long and is described in four parts:
• The ————- portion.
• The __________.
• The ___________ .
• The ____________ or _________ portion.

Answer 17

10 cm

interstitial

Isthmus

Ampulla

infundibulum; fimbrial

Question 18

Each ovary is attached to the cornu of the uterus by the ________ ligament and at the hilum to the broad ligament by the __________

Answer 18

ovarian; mesovarium

Question 19

Laterally, each ovary is attached to the _____________ of the ovary with folds of peritoneum that becomes continuous with that of the overlying psoas major.

Answer 19

suspen- sory ligament

Question 20

The round ligament lies _______ to the uterus. It does not _________ the uterus and is not a _________ structure.

It runs from the ________ of the uterus from the anterior leaf of the —————, to the __________. The round ligament does not contain the vascular bundle of the ovary; this runs in the mesovarian

Answer 20

anterior

physically support; vestigial

cornu; broad ligament

inguinal canal

Question 21

Definitions

Menarche??

LMP??

Answer 21

Start of menstruation

Date of last menstrual bleed

Question 22

What is amenorrhea

Answer 22

Absence of bleeds for more than 6 months in women of reproduc-
tive age

Question 23

Oligomenorrhea

Dysmenorrhea

Menorrhagia

Answer 23

Infrequent menstrual bleeds more than 35 days apart

Painful menstrual bleeding

Now called heavy menstrual bleeding (HMB)

Question 24

HMB

IMB

PCB

Answer 24

Heavy menstrual bleeding

Intermenstrual bleeding

postcoital bleeding

Question 25

AUB Includes ___________ or _____________

Answer 25

postcoital bleeding (PCB)/intermenstrual bleeding (IMB)

Question 26

_______________ scars are used for caesarean section, hysterectomy, etc

Answer 26

Pfannenstiel

Question 27

The normal uterus is ______- shaped and about _____cm in length.

Answer 27

pear; 9

Question 28

Broad ligament is divided into ??

Answer 28

Mesometrium Mesosalpinx Mesovarium

Question 29

Normals Menarch Menopause

Answer 29

10-16 45-55

Question 30

For those not on hormonal birth control, the typical volume of menstrual flow is about ____ to ___________ over the entire period, though this can vary. Generally, it's considered normal to use about _____ to _____ pads or tampons per day during the heaviest days of a period.

Answer 30

30;40 millilitres three to six

Question 31

The median duration of pregnancy is _____ days (____ weeks) and this gives the estimated date of delivery (EDD).

Answer 31

280 40

Question 32

macrosomic baby may be related to ???

Answer 32

gestational diabetes

Question 33

gravida is the ????? parity is the ????

Answer 33

total number of pregnancies regardless of how they ended; number of live births at any gestation or stillbirths after 24 weeks.

Question 34

Women with very long cycles may have a condition known as _______________

Answer 34

polycystic ovarian syndrome.

Question 35

Previous episodes of pelvic inflammatory disease increase the risk for _____________.

Answer 35

ectopic pregnancy

Question 36

Knife cone biopsy is associated with an increased risk for both ________________ and ________ (leading to ——————- and ________ in labour, respectively).

Answer 36

cervical incompetence (weakness) stenosis preterm delivery dystocia

Question 37

A large SFH raises the possibility of: •______________; •________________; •______________

Answer 37

macrosomia multiple pregnancy polyhydramnios

Question 38

A small SFH could represent: •_____________; •________________.

Answer 38

FGR oligohydramnios

Question 39

Pre-eclampsia A potentially dangerous pregnancy complication characterised by ______________

Answer 39

high blood pressure.

Question 40

Pre-eclampsia usually begins after _________ of pregnancy in a woman whose blood pressure had been normal. It can lead to serious, even fatal, complications for both mother and baby.

Answer 40

20 weeks

Question 41

It may be possible to hear the fetal heart with the ______ ultrasound from approximately __________ onwards.

Answer 41

Doppler 12 weeks

Question 42

Layers of endometrium __________ (____%) _____________ (____%) ______________ (____%)

Answer 42

Basalis; 25 Spongiosum;50 Compactum;25

Question 43

Haemostasis in the uterine endome- trium is different from haemostasis elsewhere in the body T/F With reason

Answer 43

as it does not involve the processes of clot for- mation and fibrosis.

Question 44

Precocious is defined as the onset of puberty before the age of _____ in a girl or _____ in a boy. It is classified as either _________ or __________.

Answer 44

8; 9 central or peripheral.

Question 45

When there are no signs of secondary sexual characteristics by the age of ______ years this is termed delayed puberty.

Answer 45

14

Question 46

Amenorrhoea is defined as the absence of men- struation for more than ________ in the absence of pregnancy in a woman of fertile age, and oligomen- orrhoea is defined as irregular periods at intervals of more than _________, with only ____________ a year.

Answer 46

6 months 35 days 4–9 periods

Question 47

Primary amenorrhoea is when girls fail to menstruate by ___\_ years of age

Answer 47

16

Question 48

The crown–rump length (CRL) is used up until _____ weeks + ______, and the head circumference (HC) from _______ to _______

Answer 48

13; 6 days 14 to 20 weeks

Question 49

The ______________is used up until 13 weeks + 6 days, and the ______________ from 14 to 20 weeks.

Answer 49

crown–rump length (CRL) head circumference (HC)

Question 50

PALM represents visually objective ____________ criteria: ______,______,________,________ , and COEIN for causes ________________ anomalies: _________, _________, __________ , __________,___________causes .

Answer 50

struc- tural Polyps, Adenomyosis, Leiomyoma, Malignancy unrelated to structural Coagulopathy, Ovulatory disorders, Endometrial, Iatrogenic, and Not classi- fied

Question 51

PMB: bleeding ——————————————-. Exclude endometrial pathology or vaginal atrophy

Answer 51

more than 1 year after cessation of periods.

Question 52

BEO: ‘______________________ ’, a diagnosis of exclusion, has replaced the term ‘________________________ ’ (DUB).

Answer 52

bleeding of endometrial origin dysfunctional uterine bleeding

Question 53

_______ is the most common type of menstrual bleed- ing disorder.

Answer 53

HMB

Question 54

HMB replaces the older term ‘ ____________ ’.

Answer 54

menorrhagia

Question 55

HMB is defined as a blood loss of greater than ______ per period.

Answer 55

80 ml