Regarding embryology of female reproductive system, the following is true:
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3%
a. Ovaries are developed from Wolffian ducts.
7%
b. Streak gonads are due to absent Mullerian duct.
10%
c. Fetal external genitalia are not androgen dependent.
13%
d. Imperforate hymen is due to aplasia of Mullerian ducts.
67%
e. Septate uterus is due to failed fusion of Mullerian duets
. The broad ligament contains all the following structures EXCEPT:
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3%
Uterine vessels.
16%
Parametrial lymphatics.
23%
Ureters.
3%
Sympathetic and parasympathetic nerves
55%
Ovarian vessels
. The lymphatic drainage of the cervix includes:
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6%
a. Internal iliac lymph nodes.
6%
b. Para-aortic lymph nodes.
3%
Pre-sacral lymph nodes.
3%
d. Obturator lymph nodes.
81%
All of the above
. In the female pelvis, the ureter forms an important relation with the ovaries and lies:
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0%
Anterior to ovary
6%
b Inferior to ovary
29%
Medial to ovary.
19%
d Lateral to ovary.
45%
e Posterior to ovary
. Ovarian artery is a branch of which artery:
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0%
a Renal artery
22%
b Anterior branch of internal iliac artery.
0%
c. Inferior epigastric artery.
78%
d Abdominal aorta.
0%
e External iliac artery.
.Which of the following is a characteristic of normal ovaries:
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12%
a. They normally remain constant in size throughout a woman's lifetime.
4%
b They are supported by the round ligaments
77%
They secrete hormones and store germ cells
4%
d They are immobile
4%
They are 1x2x3 inches in diameter
. All the following are true EXCEPT:
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4%
a Urogenital sinus develops into the lower portion of the vagina.
65%
Genital tubercle forms the upper portion of the vagina.
8%
d. Genital swelling develops into the labia majora.
0%
Genital folds develop into the labia minora.
23%
e Genital ridge forms the ovary.
. The internal pudendal artery is a branch of:
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0%
a Femoral artery
11%
b External iliac artery.
89%
Internal iliac artery.
0%
d Common iliac artery.
0%
Superficial pudendal artery.
The following is hormone relevant to the embryogenesis of the external genitalia:
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80%
Androgen.
4%
Thyroxine
12%
Estrogen.
0%
HCG
4%
Progesterone
. Infundibulopelvic ligament contains one of the following structures:
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7%
a Uterine vessels.
74%
b Ovarian vessels.
11%
C Parametrial lymphatics
4%
d Ureters.
4%
e Sympathetic and parasympathetic nerves
. Regarding the infundibulum of the fallopian tube:
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23%
a. It is the widest portion of the tube.
42%
b. It opens in the peritoneal cavity.
8%
c. It measures 5 cm long.
12%
d. It pierces the uterine wall.
15%
e. It has no peritoneal covering
Aplasia of the fallopian tube is associated with:
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8%
a. Tubal diverticulum.
62%
b. Absence of the upper 3/4th of the vagina.
12%
c. Absence of the ipsi-lateral ovary,
15%
d. Ectopic pregnancy
4%
e. Recurrent pregnancy loss.
A 32-year-old woman presents with 2ry amenorrhea for 3months. Her pregnancy test is negative. She noticed vaginal dryness and episodes of sweating by night, her FSH: 45 IU/L, her LH: 30 IU/L, her PRL: 25ng/ml. Most probable cause of amenorrhea is:
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8%
Hyperprolactinemia.
0%
Microadenoma.
88%
POI (premature ovarian insufficiency)
4%
PCO (polycystic ovarian disease).
0%
Pregnancy
Which of the following meets the definition of amenorrhea:
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0%
a. 12-year-old girl with no breast development.
7%
b. 14-year-old girl with well developed breast
67%
с. 16-year-old girl with well developed breast.
11%
d. 18-year-old with well developed breast and cessation of menses for 2 cycles
15%
e. Any of the above.
An 18-year-old female presents with Iry amenorrhea. She has well developed breast, sparse pubic and axillary hairs, and blind ending vagina. Most likely diagnosis:
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31%
a. Mullerian agenesis
4%
b. POI
50%
AIS
12%
d. Congenital adrenal hyperplasia (CAH).
4%
e. PCO
A 14-year-old girl with Iry amenorrhea, had non developed pubic and axillary hair, and no breast development. Her FSH: 34 IU/L, LH: 30 IU/L. She is most likely:
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16%
Kallman syndrome
0%
AIS
28%
MRKH Syndrome. d. Turner syndrome
8%
POI (premature ovarian insufficiency).
48%
Turner syndrome
During the reproductive life, GnRH is released in a pulsatile manner from:
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4%
a. Corpus luteum.
4%
b. Ovarian follicle.
19%
c. Pituitary gonadotrophs.
73%
d. Arcuate nucleus of the hypothalamus.
0%
e Basal ganglia.
Women with POI are at increased risk of all the following EXCEPT:
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0%
Atherosclerosis
8%
C. Cerebrovascular accidents
67%
b. Breast cancer.
17%
d. Osteoporosis.
8%
e Vulvovaginitis
Most common medical complaint of women during menopausal transition is:
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0%
Depression.
0%
b. Painful intercourse.
4%
с. Urinary incontinence.
96%
d. Vasomotor flashes.
0%
Vaginal dryness
HRT is contraindicated in all the following EXCEPT:
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70%
Vasomotor flashes.
13%
b. Active liver disease.
13%
с. Known or suspected breast cancer.
0%
d. Abnormal genital bleeding of unknown origin.
4%
e. History of DVT