دعواتكم لطلاب المرحلة الرابعة باجر امتحانهم paper 1 بالتوفيق ان شاء الله الاسئلة سهلة و تجاوبون🦦

Twelve years after menopause, a 60-year-old woman undergoes laparotomy for an ovarian carcinoma. The ovarian tumor that is most likely to respond to radiotherapy is which of the following?


Dysgerminoma
Krukenberg's tumor
Arrhenoblastoma
Granulosa cell tumor
Brenner tumor

A 60-year-old woman presents with a first episode of post-menopausal bleeding. What is the most appropriate first line of investigation?


Dilatation and Curettage to assess the endometrium

Hysteroscopy to assess the endometrial cavity and obtain an endometrial sample

Pipelle biopsy to obtain an endometrial sample

Saline infusion sonography to measure the endometrial thickness

Transvaginal sonography to assess the endometrial thickness

A 59-year-old woman is referred to the clinic with fullness in the lower abdomen and a serum CA125 level of 64 IU/L (elevated). What is the first line of investigation?


Computed tomography (CT) of abdomen and pelvis

MRI of pelvis

PET scan

Transvaginal ultrasound scan of pelvis

Ultrasound of pelvis with Doppler

A 28-year-old woman, G2P1, presents at 12 weeks’ gestation for routine prenatal care. She reports a prior pregnancy complicated by gestational diabetes mellitus. Her BMI is 32 kg/m², and she has a strong family history of type 2 diabetes. She is currently asymptomatic, and her physical exam is unremarkable. At what gestational age should she undergo screening for gestational diabetes mellitus in this pregnancy?

12 weeks
24-28 weeks
16 weeks
First prenatal visit
After 32 weeks

A patient at 34 weeks' gestation develops marked pruritus especially on her palms and soles, and mildly elevated liver function tests and elevated bile acids. Which of the following diagnostic possibilities is most consistent with the clinical presentation?


pancreatitis
hyperthyroidism
diabetes insipidus
cholestasis of pregnancy
progesterone allergy

During a hysterectomy, vaginal bleeding may be a significant complication even after removal of the uterus. Such bleeding would most likely originate from which of the following arteries?

(A) internal pudendal

(B) superior hemorrhoidal

(C) inferior mesenteric

(D) superior vesical

(E) ovarian

Endometrial carcinoma with vaginal metastasis is staged as:

A-II b
B-III a
C- III b
D-III c
E-IV a