. Infundibulopelvic ligament contains one of the following structures:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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:
Anonymous Quiz
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
An 18-year-old girl presents with Iry amenorrhea. She reports vaginal bleeding following a hormone withdrawal test. The following conditions is most likely EXCLUDED:
Anonymous Quiz
46%
Mullerian agenesis.
21%
b. Hypothalamic amenorrhea.
4%
POI
8%
d. PCO
21%
e Turner syndrome.
. The luteal phase of the menstrual cycle is associated with:
Anonymous Quiz
4%
a High luteinizing hormone level.
88%
b High progesterone levels.
4%
High prolactin level.
0%
d Excessive watery cervical secretion.
4%
Proliferative changes in the endometrium
All the following are likely diagnoses in a 16-year-old girl with Iry amenorrhea but normal 2ry sexual characters EXCEPT:
Anonymous Quiz
24%
Androgen insensitivity syndrome a.
0%
b. Uterine agenesis.
68%
c. Kallman's syndrome.
4%
d. Vaginal atresia.
4%
e. Imperforate hymen.
. The following are characteristics of Turner's syndrome EXCEPT:
Anonymous Quiz
92%
Secondary amenorrhea.
0%
Hypergonadotropic hypogonadism. b.
4%
C. Short stature.
0%
d. Streak ovaries.
4%
e. Wide carrying angle.
A 68-year-old woman presents with vaginal dryness and dyspareunia. She is on no medications nor HRT. TVS is normal. PV shows loss of rugae. Most appropriate next step:
Anonymous Quiz
0%
Outpatient hysteroscopy to assess the endometrium.
35%
Transdermal continuous combined HRT
8%
Water based vaginal lubricants.
58%
Estrogen-containing vaginal pessaries.
The effect of which hormone causes arborization on Fern test:
Anonymous Quiz
13%
Estrone.
75%
b Estradiol.
6%
Estriol
3%
d Progesterone.
3%
e Testosteron
A patient with high FSH and LH levels and low AMH probably suffers from:
Anonymous Quiz
4%
Endometriosis
11%
PCOS
7%
Hypogonadotropic hypogonadism.
0%
Sheehan Syndrome.
78%
Premature ovarian failure
Several follicles begin to grow in a menstrual cycle. Their ultimate fate is:
Anonymous Quiz
7%
Ovulation
13%
b Dominance.
3%
c. Cyst formation
63%
d. Atresia.
13%
e. Regression.