Gyne 5th Long Exam 2010 10.

The ff are risk factors for endometrial cancer,

except:
1. It is the second most common malignancy of a. Nulliparity
the lower part of the female genital tract: b. Obesity
a. Cervix c. Anovulation
b. Ovary d. Multiple sexual partners
c. Corpus
d. Vulva 11. The most common histopathologic type of
endometrial adenocarcinomas
2. In the Philippines, this is the second most a. Clear cell
common cancer in women: b. Papillary
a. Breast c. Serous
b. Lung d. Endometroid
c. Cervix
d. Ovary 12. Rare and most malignant group of uterine
tumors of mesodermal origin:
3. Carcinomas of the cervix is predominantly a. Uterine sarcoma
________: b. Endometrial polyp
a. Squamous cell carcinoma c. Adenocarcinoma of the
b. Adenocarcinoma endometrium
c. Adenosquamous d. Adenomyoma
d. Glassy cell
13. Histological differentiation of CIN includes:
4. Endometrial cancer occurs in what age a. Mitotic activity
group? b. Nuclear abnormality
a. Pre-menarcheal c. Differentiation, maturation,
b. Postmenopausal stratification
c. Childbearing age d. AOTA
d. Perimenopausal
14. For an adolescent with endometrial
5. The main pathophysiology in endometrial hyperplasia with atypia, the management
hyperplasia is: option of choice is:
a. Hyperestoronism a. Total hysterectomy
b. Hyperprogesteronism b. Total abdominal hysterectomy with
c. Hyperaldosteronism bilateral salpingooophorectomy
d. Hyperestrogenism c. Oral contraceptive pills/cyclic
progestins
6. The most important factor in the propensity of d. Endometrial ablation
endometrial hyperplasia to progress to
endometrial cancer is: 15. A 30 year old nulligravid was diagnosed to
a. Presence of estrogen receptors have CIN 2 involving almost the entire
b. Presence of progesterone circumference of the cervix with visible upper
receptors limit of the lesion. The best management is:
c. Degree of atypia a. Observation with follow-up
d. Body mass index of patient smears
b. Cryotherapy with destruction of the
7. Cervical cancer that involves the posterior lip whole transformation zone
of the cervix and extends to the posterior c. Conization
fornix would be assessed as: d. Hysterectomy
a. Stage IB2
b. Stage IIA 16. Patients with carcinoma in situ of the cervix
c. Stage IIB are younger than patients with invasive
d. Stage IIIA squamous cell carcinoma by an average of:
a. 1 2 years
8. Obesity is a risk factor in endometrial cancer b. 3 5 years
patients due to endogenous estrogen. This is c. 6 9 years
due to the conversion of androstendione to: d. 10 15 years
a. Estrone
b. Estriol 17. The definition of cervical transformation zone
c. Estradiol is:
d. Ethinyl estradiol a. The squamous epithelium
b. The endocervix
9. The most common presenting symptom in c. The portio vaginalis
patients with endometrial cancer: d. Those parts of the cervical
a. Abdominal mass epithelium undergoing or having
b. Vaginal bleeding undergone squamous metaplasia
c. Abdominal distention
d. Anorexia 18. What color would the normal cervical
squamous epithelium show in Schillers test?
a. Yellow
 b. Mahogany brown
c. Red 28. Symptoms of cervical cancer except:
d. Black a. Postcoital bleeding
b. Epigastric pain
19. What is the most common histologic type for c. Back or leg pain
malignant tumors of the cervix? d. Vaginal discharge
a. Squamous cell carcinoma
b. Adenocarcinoma 29. Most common cause of death in cervical
c. Clear cell carcinoma cancer is:
d. Small cell carcinoma a. Uremia
b. Malnutrition
20. The most effective cancer screening c. Peritonitis
procedure of the cervix is: d. Hemorrhage
a. CA 125
b. Routine cervical biopsy 30. The risk of spread of cervical cancer to the
c. Colposcopic guided biopsy pelvic node in stage III is:
d. Pap smear a. 17%
b. 27%
21. Criteria for the diagnosis of Stage I A1 c. 37%
carcinoma of the cervix is: d. 47%
a. <3 mm depth of invasion
b. >7 mm in width 31. Which of the ff provides the best clue that a
c. Volume of 30 mm square woman is having an orgasm?
d. Lymphatic or vascular space a. Face
involvement b. Breasts
c. External genitalia especially the
22. All of the ff are route of spread in cervical clitoris and vulva
cancer, except: d. Amount of lubrication of the vagina
a. Direct extension
b. Paracervical lymphatics and pelvic 32. Which of the ff is true about the G-spot?
lymph nodes a. Thought to be the cause of female
c. The blood stream ejaculation
d. NOTA b. A dense size erotically sensitive
area at the posterior vaginal wall
23. The recommended time to start screening c. An anatomically proven structure
with papsmear is: d. The Gutenberg spot
a. Coitarche
b. 3 years after coitarche 33. Which of the ff sex positions is recommended
c. If no history of sexual contact at for elderly couples?
age 30 a. Rear entry position
d. Age 40 b. Man on top, face to face
c. Woman on top, face to face
24. Which of the ff factors consistently associated d. Missionary position
with carcinoma of the cervix?
a. Use of oral contraceptive pills 34. Which of the ff researches is now the basis of
b. Cigarette smoking our current understanding of the human
c. Women who have frequent sexual sexual response?
contact a. Kuisey Reports
d. Human papilloma virus infection b. Masters & Johnsons
c. Grafenberg report
25. The Schillers test involves application of: d. William Masters
a. Acetic acid
b. Lugols iodine 35. Which phase/phases of the sexual response
c. Normal saline solution is caused by stimulation of the
d. Distilled water parasympathetic fibers of the autonomic
nervous system?
26. Which of the ff is an inadequate treatment for a. Excitement phase
Stage IB Carcinoma of the cervix? b. Plateau phase
a. Radical hysterectomy with pelvic c. Orgasm phase
lymph node dissection d. A & B
b. Cobalt
c. Brachytherapy 36. Which phase/phases of the sexual response
d. Total hysterectomy is caused by stimulation of the sympathetic
fibers of the autonomic nervous system?
27. What stage is microinvasive cancer of the a. Excitement phase
cervix: b. Plateau phase
a. Stage 0 c. Orgasm phase
b. Stage IA d. Resolution phase
c. Stage IB
d. Stage IIA
37. Which sexual position is comfortable during
pregnancy?
a. .Rear entry
b. Woman on top, face to face
c. Missionary position
D Side by side, face to face
38. Which sexual position is advised for the
obese and elderly?
a. Rear entry
b. Woman on top, face to face
c. Missionary position
d. Side by side, face to face
39. Which of the ff physiologic changes in the
menopause decrease the ability to
demonstrate normal sexual response?
a. Vaginal atrophy
b. Decrease secretion
c. Poor circulation to vagina and
uterus
d. AOTA
40. Which of the ff sexual dysfunction is the most
common?
a. Inhibited sexual desire
b. Vaginismus
c. Orgasmic dysfunction
d. Dyspareunia
41. Which of the theories on the cause of
homosexuality is the most widely accepted?
a. Genetic theory
b. Hormonal theory
c. Psychoanalytical theory
d. NOTA
42. The purpose of the operation is to remove the
uterus via the vagina
a. Total abdominal hysterectomy
b. Myomectomy
c. Laparoscopic hysterectomy
d. Vaginal hysterectomy
43. A.M., is 23 years old and a nulligravid. Upon
internal examination, the uterus is enlarged to
10 weeks AOG with a palpable nodular mass
on the fundal area measuring approximately
6 x 6 cm. What is the best procedure to do on
AM?
a. Myomectomy
b. Total abdominal hysterectomy
c. Laparoscopic hysterectomy
d. Vaginal hysterectomy
44. K.D. 48 years old G3P3 (3003) came in due
to profuse vaginal bleeding. She had her
menopause at the age of 45. What is the best
procedure to do on KD?
a. Fractional dilatation and
curettage
b. Completion curettage
c. Total abdominal hysterectomy
d. Myomectomy
45. JM 24 years old came in due to profuse
vaginal bleeding and passage of meaty
substance. On internal examination the cervix
was 2 cm dilated, soft and the uterus was
enlarged to 8 weeks AOG. What is the best
procedure to do on JM?
a. Fractional dilatation and curettage
b. Completion curettage
c. Total abdominal hysterectomy
d. Myomectomy
46. LM 40 years old G2P2 (2002) came in due to
an enlarging abdomen. After ultrasound was
done there was a note of multiple myoma
uteri, intramural with subserous components.
Her last menstrual period was on January 21,
2010. Her previous menstrual period was on
December 20, 2009. What is the best
procedure to perform on LM?
a. Total abdominal hysterectomy with
bilateral salpingo-oophorectomy
b. Total abdominal hysterectomy
c. Vaginal hysterectomy
d. Myomectomy
47. The purpose of the operation is to remove a
segment of the fallopian tube:
a. Salpingectomy
b. Salpingostomy
c. Salpingo-oophorectomy
d. Salpingoscopy
48. M.M. 30 years old G2P2 (2002) came in due
to severe abdominal pain. On sonography
there was a note of ovarian torsion. What
procedure would you perform on MM?
a. Ovarian cystectomy
b. Oophorectomy
c. Salpingooophorectomy
d. Salpingectomy
49. When performing a total abdominal
hysterectomy the ff structures are ligated
EXCEPT:
a. Cardinal ligament
b. Round ligament
c. Infundibulopelvic ligament
d. Suspensory ligament
50. KD 56 years old was diagnosed with a
submucous myoma. She is G4P4 (4004).
She had her menopause at the age of 50.
What is the best procedure to perform on
KD?
a. Total abdominal hysterectomy with
bilateral salpingo-oophorectomy
b. Total abdominal hysterectomy
c. Vaginal hysterectomy
d. Myomectomy