‫األخ الدكتور سعاده حفظه هللا هذه مجموعه من االسئله المقترحه‬

‫المتحان السنه السادسه وال شك ان هناك بعض االسئله الصعبه‬

‫والتى تعمدت ان تكون اسئله ليست سهله الن الوضع الحالي مع‬
7‫الطلبه يحتاج الى الشده‬
‫ارجو عند اعداد االمتحان بصورته النهائيه ارساله الي على بريدي‬
‫ االكتروني وهو‬DR.ARADI@HOTMAIL.COM
‫مع اضافه ايميلي ضمن بريدك االكتروني حتى يتم التواصل عبره‬

One true about gonadotrophin releasing hormone analogue -1

GnRHA
A They are given continuously in IVF to stimulate follicular growth
B The can be given intramuscular
D Their long term use increase bone density
E Progestrone back up is better used with it's chronic use

: As regard osteoporosis the following are true except- 2

A There is increased osteoclastic activity resulted in fragile bone
B Is prevented by estrogen therapy
C Bisphosphonates are the most effective bone building drugs
D Diagnosed mainly by determination of serum cacium
E Occurs more commonly in patients with turner syndrome

The Manchester repair may includes3 -

,A Amputation of the cervix
,B Anterior approximation of cardinal ligaments
C Anterior colporrhaphy
D Posterior colpoperieorrhaophy is optional
E All of the above

The following about dermoid cyst are true except :4 -

A It's a germ cell tumor
B It's the commonest ovarian tumor during pregnancy
% C Malignant change occurs in 1.5
D Usually are unilateral
E Rarely causes haem to the patient when rupture

Carcinoma of the vulva ,one true 5 -

A Usually ulcerates even if not advanced
B Is usually histologically anaplastic
C Spread initially to the iliac lymph nodes via vaginal lymphatics
D Seldom involves lymph nodes at the time of presentation
E Is equally amenable to treatment by surgery and radiotherapy

Microinvasion of carcinoma of the cervix involves a depth below - 6

the base of the epithelium of no more than
A 1mm
B 2mm
C 3mm
D 4mm
E 5mm

Elevated alfa fetoprotein is used for detection of -7

A Cancer vulva
B Cancer cervix
C Endodermal sinus tumor
D Serous cystoadenocarcinoma
E. Mucinous cystoadenocarcinoma

Which initiating treatment with a progesterone only -8

contraceptive,the following points are true
A Extra contraceptive precaution should be used if started on day 1 of the
cycle
B They should not be taken 4 weeks prior to surgery
C If switching from a combined oral contraceptive, they should be
commenced after the 7 day break
D Post abortion they should be started on the day after the operation
E They are secreted in significant amounts in breast milk

A 19-year-old married white female complains of vaginal -9

discharge ,odor, and itching Speculum examination reveals a
homogeneous yellow discharge, vulvar and vaginal erythema , and a
: "strawberry " cervix ,The most likely diagnosis is
A Candidal vaginitis
B Bacterial vaginosis
C Trichomonal vaginitis
D Chlamydial infection
E Herpes simplex type 2

True about pre-menstrual syndrome,except-10

A Caffeine restriction has been shown to decrease symptoms
B Fertility is decreased in those who suffer from severe symptoms
C The majority of women seek doctor's help with symptoms related to the
condition
D Suppression of ovulation typically relieves symptoms
E Luteal phase progesterone support

About autosomal dominant inheritance all are true except -11

A It's always expressed in homozygotes
B Always one parent is affected
C 50% of children affected
D Offspring of a nondiseased child of a diseased parent will not have the
mutant gene
E None of the above
The most common presenting symptoms of ovarian carcinoma is -12
A Vaginal bleeding and anoxia
B Weight loss and dysparenia
C Nosuea and vaginal discharge
D Constipation and frequent urination
E Abdominal distension and pain

Signet ring cells are characteristic findings in which tumour of -13

the ovary
A Brenner tumour
B Krukenberg tumour
C Dermoid cyst
D Endometriod carcinoma
E Dysgerminoma

Regarding ovarian tumors of low malignant potential ,all are -14

: correct except
A They are mostly mucinous tumour
B They is no stromal invasion
C The 10 year survival mor than 90%
D 50% die Of their disease
E Occurs more in young women

The lymphatic drainage of the cervix is to the following lymph - 15

nodes except 15

A The femoral lymph nodes

B The internal iliac lymph nodes
C The paracervical lymph nodes
D Presacral lymph nodes
E Obturator lymph nodes

The patient with imperforated hymen might present with the - 16

following except

A Primary amenorrhea
B Cyclic menstrual molimina
C Acute retension of urine
D Abdominal mass
E Hypomenorrhea

Barr body may be found in the following except 17 -

A Klinfilter syndrome
B Turner syndrome
C Down syndrome
D Adrenogenital syndrome
E Pituitary adenoma

Congenital absence of the vagina is most commonly associated -18

with
A Absent secondary sexual character
B Absent uterus
C Exposure to diethyl stilbosterol
D Turner syndrome
E Imperforated anus

The function of mid cycle LH surge include the following -19

except
A Enhance thecal cell androgen production
B Lutenizes granulose cells
C Intiate resumption of meiosis
D Faciltate ooocyt expulsion
E Produce luteoly
The following is a normal finding on the 23 day of a normal - 20
28 day menstrual cycle provide strong evidence that ovulation has
occurred
A Cervical mucus with positive arborization when dry on a glass slide
B Subnuclear vaculation apparent on endometrim biopsy
C High cornification index in vaginal cytology preparation
D High level of total estrogen in a 24 hour specimen of urine
E Presence of an apparently healthy corpus luteum in an ovary
The following is a normal finding on the 23 day of a normal -21
28 day menstrual cycle provide strong evidence that ovulation has
occurred
A Cervical mucus with positive arborization when dry on a glass slide
B Subnuclear vaculation apparent on endometrim biopsy
C High cornification index in vaginal cytology preparation
D High level of total estrogen in a 24 hour specimen of urine
E Presence of an apparently healthy corpus luteum in an ovary

Menopause could be diagnosed by -22

A history of absent menstruation
B High FSH level in young age group
C Absent menstruation for 1 year at the age of 52 year
D Hot flushes
E Insomnia

Contraindication to postmenpausal estrogen replacement -23

therapy include the following except
A Resent deep vein thrombosis
B Acute liver disease
C High serum triglyceride
D Premenpausal mastectomy for breast cancer
E Diabetes mellitus

As regard osteoporosis the following are true except- 24

A There is increased osteoclastic activity resulted in fragile bone
B Is prevented by estrogen therapy
C Bisphosphonates are the most effective bone building drugs
D Diagnosed mainly by determination of serum calcium
E Occurs more commonly in patients with turner syndrome

In normal puberty the following are true except- 25

A Pubic hair growth is the first sign
B The first menstrual cycles are anovulatory
C Axillary hair growth occurs often before menstrual cycle
D Changes in the vaginal epithelium
E Estrogen produce the growth spurt and then closure of long bone
epiphyses

Hyperprolactinemia may be associated with all of the -26

following except
A Chronic renal failure
B Hypothyrodism
C Pituitory adenoma
D Methyl dopa therapy
E Adrenogenital syndrome

The incorrect statement about a women presenting with - 27

cyclical menorrhagia at the age of 46 years is
A Is likely to be cured by an oral progesterone
B May have uterine fibroid
C May require hysterectomy if medical treatment fails
D Shoud be treated with dilation and curettage
E May have uterine adenomyosis

The following are advantage of laparoscope in the diagnosis of- 28

infertility except
A Good evaluation of tubal factor
B Diagnosis of endometriosis
C Diagnosis of Asherman syndrome
D Good visualization of pelvic adhesion
E Direct visualization of corpus luteum

PCOS ovarian disease characterized by all of the following - 29

except
A Increase LH level
B Increase in androgen level
C Decrease in estrogen level
D Oligomenorrhea
E Android obesity

Suggestions of anovulation include the following except- 30

A Flat cells with pyknotic nucleia on vaginal smears

B Distrubed menstrual cycles
C Serial ultrasound scans show show failure of follicle rupture
D Secretory changes detected at histological examination of the
endometrium
E Monphasic basal body temperature
Facts about clomophene citrate include the following except- 31
A Has antiestrogenic properties
B May be started with 50 mg dose daily
C Is useful in primary ovarian failure
D May cause cervical mucus hostility
E Multiple pregnancy may be a side effect of its use

Genital prolapse is associated with the following except- 32

A Chronic constipation
B Prolonged second stage
C Unreparied hidden perineal tear
D Improper applied forceps
E The use of HRT at the menpause

The natural defenses of the vagina to infection include all of - 33

the following except

A The acidic vaginal PH

B The presence of Doderlin bacillia
C The physical apposition of the vaginal wall
D The bacteriostatic secretion of vaginal gland
E The vaginal stratified squamous epithelium

The following are true about human papulloma virus except- 34

A The disease is the most common viral STD

B Infection may lead to CIN and cervical cancer
C Infection may be warty or flat condyloma
D Can be treated by trichloroacetic acid
E HPV infection is not associated with other STD

The following about nipple discharge are correct except- 35

A It is a common complaint
B Galactorrhea is atypically bilateral
C It is usually physiological
D Duct ectesia is a benign cause for discharge
E Mammogram shoud be a part of evaluation with bloody discharge
All of the following about Bartholin gland are correct except- 36

A Are remnant of mesonephric origin

B Can commonly be infected by E. coli
C Excision of the cyst when infected is contraindicated
D Are situated in the posterior part of the vagina
E Should be marsupilzed when acutely infected

The following are risk factors to developing uterine myomata - 37

except
A Low parity
B Late menarche
C Negro race
D Positive family history of disease
E Associated with endometriosis

Endometriosis characteristically occurs in women who are- 38

A In low socioeconomic group
B Perimenpausal
C Nulliparous
D Using IUCD
E Using oral contraceptive

Danazol treatment of endometriosis is associated with all of - 39

the following except
A Acne
B Weight gain
C Hot flashes
D Mucoid vaginal discharge
E Decreased breast size

Non- neoplastic cyst of the ovary include the following except- 40

A Theca lutein cyst
B Pregnancy luteoma
C Endometritic cyst
D Corpus luteum cyst
E Dermoid cyst

In contrast to a malignant ovarian tumour benign tumor has - 41

which of the following
A Excrescences on the surface
B Peritoneal implant
C Intracystic papillae
D Free mobility
ECapsule rupture

Complex endometrial hyperplasia without atypia in a women - 42

aged 41 years could be treated with the following except

A Progestin
B Estrogen
C Progestin plus estrogen
D Oral contraceptive
E Hysterectomy

Risk factors for development of cancer cervix include the - 43

following except

A Early sexual activity

B Nullipar s ou
C HPV infection
D Smoking
E Multiple sexual partner

Microinvasion of carcinoma of the cervix involves a depth - 44

below the base of the epithelium of no more than

A 1 mm
B 2 mm
C 3 mm
D 4 mm
E 5 mm

The following factors increased risk of a women developing - 45

endometrial cancer except

A Early age of menarche

B Late menopause
C Combined hormonal replacement therapy
D Diabetes mellitus
E A history of polycystic ovary disease
The side effects of combined OCP include the - 46
following except
A Nausea
B Dizziness
C Vaginal discharge
D Menorrhagia
E Weight gain
The following vessels contains oxygenated blood except- 47
A Umbilical artery
B Ductus venosus
C The inferior vena cava as enters the right atrium
D Carotid artery
E Umbilical vein

Physiological anemia of pregnancy is due to- 48

A Increase iron Requirement
B Increase folic acid requirement
C Disproportionate increase in plasma volume compared with
RBCS mass
D Repeated blood loss
E Nausea and vomiting

Physiological changes in pregnancy include the following - 49

except
A Dilation of the renal pelvis
B Increase in the size of the kidneys
C Increase frequencies of micturition
D Decrease of the renal plasma flow
E More compression of the right ureter than the left one

Which of the following is not a characteristic of a 28 weeks - 50

pregnancy
A Viability
B A fetal weight of 1000g
C Lecithin to spphingmyelin ratio of less than 2 / 1
D The absence of type two fetal lung alveoli cells
E The presence of phosatidylgylcerol

The following investigations are component of routine - 51

antenatal care except
A Rh type
B Hemoglobin
C Urine analysis for sugar and protein
D Blood grouping
E Urine culture

The correct statement about biophysical profile is- 52

A It is made up of four components

B A score of 6 is satisfactory
C Perinatal mortality rises with falling biophysical profile score
D Amniotic fluid volume is an important sign of acute asphyxia
E It consists of Doppler flow readings of the umbilical cord

Ultrasound can be helpful in the diagnosis of all of the - 53

following except
A Incompetent cervix
B Fetal cardiac anomalies
C Type of twins
D Site of implantation
E Placental location

As regard fetal presentation , the incorrect statement is- 54

A Is the part of the fetus that enters the pelvis first

B In face presentation the occiput and back comes into contact
C is usually cephalic
D The denominator is the lowest part of the presenting area
E In cephalic presentation it is more common to be vertex

The shortest diameter of the pelvic cavity is- 55

A The external conjugate
B The diagonale conjugate
C The interspines
D The true conjugate
E The transverse

As regard the mechanism of labor , which of the following - 56

sequences is correct
A Descent , internal rotation , flexion
B Engagement , flexion , descent
C Engagement , internal rotation , descent
D Engagement , descent , flexion
E Descent , flexion , engagement

The following statements regarding ischial spines are correct - 57

except

A They make the beginning of the forward curve of the pelvis

B The are landmarks for pudendal nerve block procedure
C They indicate a normal pelvis when particularly prominent
D They help to assess station of the presenting part
E They lie at the level of the plane of least pelvic dimensions

Caput succedaneum- 58
A Resolves spontaneously after labor
B May lead to jaundice of the baby postpartum
C Indicate traumatic vaginal delivery
D Indicates that the fetal head engaged
E Is a sign of intrauterine fetal death

The following hormone is responsible for the contraction of - 59

the myoepithelial cells of the breast
A Oxytocin
B Prolactin
C Progestrone
D Placental lactogen
E Estrogen

The risk factors for an ectopic pregnancy include the - 60

following except
A History of PID
B Previous ectopic pregnancy
C Use of combined oral contraceptive pills
D Assisted reproductive techniques
E Previous tubal surgery

The following is the main differences between complete and - 61

partial vesicular mole
A Propensity of metastases
B Tripoloidy and diploidy
C Need for chemotherapy
D Trophoblatic hyperplasia
E Androgenesis

In eclampsia- 62

A Peripheral edema is common

B The circulating blood volume increased
C Immediate delivery under general anesthesia is the management of
choice
D Beta blocker would be the best antihypertensive drugs
E Delivery is contraindicated before 34 weeks

Obstetrics complications of diabetus mellitus include the - 63

following except

A Congenital fetal malformation

B IUFD
C Macrosomia
D Caput succadenum
E Preterm

Which of the following drugs are known to have a teratogenic - 64

potential

A danazol
B warfaran
C sodium valoproate
D all of the above
E none of the above

Which of the following conditions is associated with raised - 65

FSH level
A hypogonadotrophic hypogonadism
B turner syndrome
C PCOS syndrome
D Asherman syndrome
E none of the above

The bishops score is used to assess- 66

A pelvic diameters
B fetal head diameter
C fetal presentation
D the recommended method of delivery
E the recommended method of induction of labour

The most effective chemotheraopeutic agent in management - 67

of recurrent endometrial carcinoma is

A antiemetabolities
B progestogen
C alkylating agent
D Vinka alkaloid
E carboplatin