Gynaecology MCQ 62+

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• Bicornuate uterus is associated with an increased risk of
  ক

  Preterm labour

  খ

  Retained placenta

  গ

  Unstable lie

  ঘ

  Prolonged labour

  ঙ

  Oligohydramnios
• A 20 weeks anomaly scan will detect the following percentage of anomalies
  ক

  Over 80% of open spina bifida

  খ

  80% cleft lips

  গ

  30% of cardiac anomalies

  ঘ

  60% of trisomies

  ঙ

  90% cases of duodenal atresia
• Symptoms of endometriosis
  ক

  Secondary dysmenorrheal

  খ

  Infertility

  গ

  Dysparunia

  ঘ

  Amenorrhea

  ঙ

  Obesity
• In precocious puberty:
  ক

  Onset of menstruation with other evidence of puberty before ten years of age

  খ

  Epiphyseal closure is likely to occur early

  গ

  Reproductive life is normal

  ঘ

  Mental developments are unchanged

  ঙ

  Menopause occurs relatively earlier
• Precocious puberty may be caused by
  ক

  Ovarian tumours

  খ

  Cerebral tumours

  গ

  Leydig’s cell tumour

  ঘ

  47 xxx genotype

  ঙ

  Polycystic ovarian syndrome
• Precocious puberty
  ক

  Is associated with Me-cune-albright syndrome

  খ

  Is associated with granulosa cell tumour

  গ

  Can be treated with cyproterone acetate

  ঘ

  Is rarely of the familial constitutional type

  ঙ

  Is associated with Waterhouse-Freiderichsen syndrome
• Lining epithelium of several parts of Bartholins gland
  ক

  Gland proper is lined by cubical epithelium

  খ

  Inner half of the duct is lined by columnar epithelium

  গ

  Aloveoli of the gland is lined by squamous epithelium

  ঘ

  Outer half of the duct is lined by squamous epithelium

  ঙ

  Duct mouth is lined by transitional epithelium
• Regarding cervical dysplasia
  ক

  It is an in situ carcinoma

  খ

  It is common in HPV infection

  গ

  It is also known as “Cervical Intraepithelial Neoplasia (CI

  ঘ

  It always progresses to malignancy

  ঙ

  Can not be detected by cytological examination
• Which of the following are likely to have an acidic vaginal pH?
  ক

  2 days old girl

  খ

  16 years old adolescents with vaginal trichomoniasis ( > 4.5)

  গ

  21 years old woman

  ঘ

  4 years old girl

  ঙ

  65 years old postmenopausal woman
• Endometrial hyperplasia is associated with
  ক

  Anovulatory cycles

  খ

  PCOS

  গ

  Hypothyroidism

  ঘ

  Combined oral pill

  ঙ

  Hyperprolactinemia
• Monilial infection of the vulva is associated with
  ক

  Pregnancy

  খ

  Diabetes mellitus

  গ

  Systemic antibiotic therapy

  ঘ

  Presence of intrauterine contraceptive device

  ঙ

  Bartholinitis
• Usual cause/s of abnormal uterine bleeding in teenagers is/are
  ক

  Anovulation

  খ

  Coagulopathies

  গ

  Complications of pregnancy

  ঘ

  Genital tuberculosis

  ঙ

  Uterine tumour
• Medications associated with infertility are
  ক

  Calcium channel blockers

  খ

  Spironolactone

  গ

  Cimetidine

  ঘ

  Proton pump inhibitors

  ঙ

  Cephalosporins
• Genital tract infection that can cause blockage of fallopian tubes are
  ক

  Mycobacterium tuberculosis

  খ

  Chlamydia trachomatis

  গ

  Herpes genitalis

  ঘ

  Candida albicans

  ঙ

  Trichomonas vaginalis
• Infection with the following organisms is associated with tubal blockage and infertility
  ক

  Neisseria gonorrhoeae

  খ

  Chlamydia trachomatis

  গ

  Mycobacterium tuberculosis

  ঘ

  Treponema pallidum

  ঙ

  Human immune deficiency virus
• The pelvic factors of infertility in female are
  ক

  Endometriosis

  খ

  Post-surgical pelvic adhesion

  গ

  Pelvic inflammatory disease

  ঘ

  Fibroid uterus

  ঙ

  Adenomyosis
• Tuberculosis of the female genital tract
  ক

  Most commonly affects the fallopian tubes

  খ

  May cause ascites

  গ

  Causes infertility

  ঘ

  Is usually sexually transmitted

  ঙ

  Is best diagnosed by taking an endometrial biopsy in the first half of the cycle
• Organisms associated with female infertility is/are
  ক

  Neisseria gonorrhoeae

  খ

  Chlamydia trachomatis

  গ

  Mycobacterium tuberculosis

  ঘ

  Treponama pallidum

  ঙ

  Human immune deficiency virus
• Causes of secondary amenorrhea are
  ক

  Acquired hypothyroidism

  খ

  Premature ovarian failure

  গ

  Malnutrition

  ঘ

  Obesity

  ঙ

  Hypoprolactinaemia
• The following can be associated with secondary amenorrhoea
  ক

  Asherman's syndrome

  খ

  Pelvic tuberculosis

  গ

  Virilizing ovarian tumour

  ঘ

  Thyrotoxicosis

  ঙ

  Bicornuate uterus
• Common conditions causing secondary amenorrhoea includes
  ক

  Hypothalamic dysfunction

  খ

  Poly/cystic ovary syndrome

  গ

  Congenital adrenal hyperplasia

  ঘ

  Asharman’s syndrome

  ঙ

  Hypoprolactinaemia
• Patients with following conditions typically present with primary amenorrohea
  ক

  Imperforate hymen

  খ

  Anorexia nervosa

  গ

  Testicular feminization

  ঘ

  Untreated congenital adrenal hyperplasia

  ঙ

  Uterus didelphys
• Causes of primary amenorrhoea:
  ক

  Turner’s syndrome

  খ

  Mullarian agenesis

  গ

  Hyperprolactinaemia

  ঘ

  Asharman’s syndrome

  ঙ

  Sheehan’s syndrome
• Primary amenorrhoea is associated with
  ক

  Imperforate hymen

  খ

  Anorexia nervosa

  গ

  Testicular feminization

  ঘ

  Untreated congenital adrenal hyperplasia

  ঙ

  Uterus didelphys
• Primary amenorrhea may occur in
  ক

  Imperforate hymen

  খ

  Testicular feminization syndrome

  গ

  Untreated congenital adrenal hyperplasia

  ঘ

  Uterus didelphys

  ঙ

  Subsepted uterus
• Primary amenorrhea is caused by
  ক

  imperforate hymen

  খ

  Mullerian agenesis

  গ

  Ovarian agenesis

  ঘ

  Testicular feminizing syndrome

  ঙ

  Granulosa cell tumor of ovary
• Heavy menstruation occurs in
  ক

  Fibroid uterus

  খ

  Carcinoma of the cervix

  গ

  Cervical erosion

  ঘ

  Cervical intraepithelial neoplasia (CI

  ঙ

  Dysfunctional uterine bleeding
• Regarding dysmenorrhoea:
  ক

  Rudimentary horn of uterus may cause dysmenorrhoea

  খ

  Common in pelvic endometriosis

  গ

  Primary dysmenorrhoea occurs after 30 years of age

  ঘ

  Secondary dysmenorrhoea occurs before 20 years of age

  ঙ

  Is relieved by use of IUCD
• Dysmenorrhoea is associated with
  ক

  Adenomyosis

  খ

  Pelvic endometriosis

  গ

  Myoma of uterus

  ঘ

  Dysfunctional uterine bleeding

  ঙ

  Polycystic ovarian syndrome
• Dysmenorrhoea commonly associated with
  ক

  Adenomyosis

  খ

  Fibroid

  গ

  Pelvic endometriosis

  ঘ

  Dysfunctional uterine bleeding

  ঙ

  Malignant ovarian tumour