Gynae 64

1 The normal flora of adult vagina may include :
A Streptococcus
B Staphylococcus
C Diphtheroid
D Doderleins bacilli
E All of the above
A-E
2 The gonococcus characteristically produces vaginitis in:
A Pregnant women
B Women in reproductive age
C Infants and children
D All of the above
E None of the above
A-C
3 Suburethral diverticula may occur as a sequelae to infection of:
A Bartholins gland
B Skenes gland
C Clitoral gland
D Vulvovaginal gland
E Vestibular gland
A-B
4 Monilial vagintis occurs frquently during pregnancy because :
A Gycosuria is commoner
B The vagina contains more glycogen
C Higher vaginal acidity suppresses other organisms
D All of the above
E None of the above
A-D
5 The differential diagnosis of vaginal cysts include :
A Cystocele
B Urethral diverticulum
C Urethrocoele
D All of the above
E None of the above
A-D
6 Dysontogenic ovarian neoplasms include :
A Dysgerminoma
B Fibroma
C Dermoid cyst
D All of the above
E None of the above
A-A
7 Dysgerminomas :
A Are associated with pregnancy
B Are associated with pseudohermaphroditism
C Have no characteristic effect on menstruation
D May be associated with ascites
E All of the above
A-E
8 The most common cause of leucorrhoea is :
A Foreign body
B Pelvic congestion
C Cervicitis
D Allergy
E Non specific vaginitis
A-C
9 Which of the following does not occur in post partum pituitary necrosis :
A signs of hypoglycaemia
B Asthenia
C Amenorrhoea
D Galactorrhoea
E Decreased libido
A-D
10 The commonest cause of death in cancer cervix is :
A Infection
B Uraemia
C Haemorrhage
D Cachexia
E Distant metastasis
A-B
11 Causes of post partum amenorrhoea may be :
A Anorexia nervosa
B Cervical atresia
C Chlorpromazaine therapy
D Any of the above
E None of the above
A-D
12 The most common symptom of adenomyosis is :

A Dysmenorrhoea
B Menorrhagia
C Pain
D Fever
E None of the above
A-B
13 Cervical amputation :
A Is followed frequently by abortion
B Is associated with high incidence of post operative sterility
C Is not frequently followed by cervical dystocia in patients who become pregnant
D All of the above
E None of the above
A-A
14 Frequent complication due to uterine retroversion may be :
A Constipation
B Backache
C Irregular menses
D All of the above
E None of the above
A-E
15 Common accompaniments of salpingitis are :
A Pelvic mass
B Bleeding
C Pain
D All of the above
E None of the above
A-D
16 Ovarian precursors of oestradiol include :

AOestrone
B Androstenedione
C Testosterone
D All of the above
E None of the above
A-D
17 The genetic sex of an individual :
A May be altered by endocrine factors during foetal life :
B Is fixed at fertilization
C Corresponds universally with the sex manifested by the external genitalia
D All of the above
E None of the above
A-B
18 The clots passed with menorrhagia perhaps indicate :

A No endometrial regeneration
B No terminal arteriolar spasm
C Large amount of bleeding
D All of the above
E None of the above
A-C
19 Glycogen is seen in the lumina of endometrial glands :

A During the luteal phase
B During pregnancy only
C During pre and post ovulatory
D During proliferative phase only
E At the time of ovulation only
A-A
20 Sexual precocity may result due to :

A Malignant teratoma
B Granulosa cell tumour
C Intracranial lesions
D All of the baove
E None of the above
A-D
21 The important causes of delayed puberty are :
A Poor hygiene
B Poor nutrition
C Poor general health
D All of the above
E None of the above
A-D
22 Ovarian oestrogen :
A Maintains lactation
B Is a polypeptide
C Is produced only before ovulation
D Inhibits uterine motility
E Causes growth of mullerian duct derivatives
A-E
23 Anterior pituitary function may be blocked by:
A Blood levels of steroids
B Emotional factors
C Sensory stimuii
D All of the above
E None of the above
A-D
24 The effect of ovarian steroid on anterior pituitary is
A Direct stimulation
B Direct inhibition
C Mediated via hypothalamus
D Unknown
E Direct stimulation and inhibition
A-C
25 Breast secretion not related to pregnancy may be caused by:

A Injection of phenothiazine derivatives
B Pituitary tumours
C repeated suckling in a virgin
D All of the above
E None of the above
A-D
26 The ovary of new born may contain :
A Small folicular cysts
B Corpora lutea
C Lutenized grnulosa cells
D All of the above
E None of the above
A-A
27 The uterus is held in anteflexed position by :

A The ventral pull of round ligament
B The dorsal pull of uterosacral ligaments
C Its weight
D All of the above
E None of the above
A-D
28 The neurohypophysis secretes :
A Secretin
B Oxytocin
C Growth hormone
D All of the above
E None of the above
A-B
29 The cyclic production of pituitary hormones is dependant upon:
A Normal menstruation
B An intact pituitary- portal system
C An adult anterior pituitary gland

D All of the above
E None of the above
A-B
30 FSH and LH or their precursors travel from the hypothalamus to anterior pituitary:
A Through lymphatic channels
B Along nerve axons
C Via veins
D All of the above
E None of the above
A-C
31 Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:

A Venous channels
B Lymphatics
C Nerve axons
D All of the above
E None of the above
A-C
32 Hypothlamic pituitary activity is inhibited by:
A ACTH
B Oestrogen
C Testosterone
D All of the above
E None of the above
A-B
33 The ovarian artery supplies the :
A Round ligament
B Fallopian tubes
C Uterus
D All of the above
E None of the above
A-D
34 The uterine artery supplies the
A Vagina
B Lower cevix
C Ovary
D All of the above
E None of the above
A-D
35 The main sensory supply to the uterus is by:
A Presacral nerve
B Splanchnic nerve
C Pampiniform plexus
D Pudendal nerve
E Hypogastric nerve
A-A
36 The Bartholin glands :

A Are frequently the seat of gonorrhoea
B Are of racemose type
C Have a lubricating function during coitus
D Have a stratified transitional epithelium in their main ducts
E All of the above
A-E
37 The primary drainage of the lower vagina is to :
A external iliac nodes
B Sacral nodes
C Femoral nodes
D superficial inguinal nodes
E internal iliac nodes
A-D
38 Foci for reinoculation of the vagina with trichomonads include:

A Urethra
B Bladder
C Bartholins glands
D All of the above
E None of the above
A-D
39 The term leucorrhoea should be correctly used to designate :
A physiological mucous secretion
B Any white vaginal discharge
C An abnormal blood free discharge
D Any vaginal discharge
E None of the above
A-C
40 A Krukenberg tumour is an ovarian neoplasm which :

A Is primary in the ovary
B Is associated with hydrothorax
C Is secondary to any GI cancer
D Shows characteristic mucoid epithelial change
E None of the above
A-D
41 Commonest primary cystic ovarian carcinoma is :
A Malignant degeneration in a dermoid cyst
B Papillary serous cystadenocarcinoma
C Pseudomucinous cystadenocarcinoma
D Endometrial carcinoma
E None of the above
A-B
42 The contralateral ovary may show signs of activity in precocious sexual development due to :
A Choriocarcinoma
B Granulosa cell tumour
C Luteoma
D All of the baove
E None of the above
A-A
43 Hilus or Leydig cell tumour may be associated with :

A Reinke crystals
B Oestrogen effect on endometrium
C Clinical virilism
D All of the above
E None of the above
A-D
44 The Wolfian duct in the female :
A Develops into the fallopian tube
B Forms the ovary
C Forms the round ligament
D Retrogresses and becomes vestigial
E None of the above
A-D
45 The definitive epithelium of vagina is derived from :
A Wolfian duct
B Mullerian duct
C Urogenital epithelium
D Coelomic epithelium
E Paramesonephric duct
A-C
46 The first ovarian follicle :
A Appears initially in the central part of the ovary
B Consists of ovocytes surrounded by granulosa cells
C Apppears when the fetus is baout 5 months
D All of the above
E none of the above
A-D
47 Normal development of wolfian duct structures depend chiefly on
A Presence of foetal testes
B Absesnce of fetal ovary
C Maternal hormones
D Chromosmal sex
E None of the above
A-A
48 The uterus of an infant differs from an adult in that :

A Fusion is incomplete
B Posterior lip of cervix is longer than the anterior one
C The cervix is longer than the corpus
D All of the above
E None of the above
A-C
49 The function of round ligament is :
A Vestigial with no apparent function
B To prevent retrodisplacement of the uterus
C To prevent uterine prolapse
D To provide nerve supply of the upper vagina
E None of the above
A-B
50 The levator ani muscle :
A Is a voluntary muscle
B Is attached laterally to the white line of the pelvis
C Is composed of pubococcygeus and iliococcygeus muscle
D Contracts to prevent spillage of urine during strain
E All of the above
A-E
51 Which of the following change in puberty is influenced by the oestrogen :

A Growth of the acinar buds of the breast
B Epiphyseal fusion
C Proliferatve phase
D All of the above
E None of the above
A-B
52 Large amount of alkaline phosphatase may be demonstrated in the endometrium of :
A Decidua
B Secretory phase
C Proliferative phase
D All of the above
E None of the above
A-C
53 Withdrawal bleeding following progesterone in an amenorrhoeic woman indicates :
A Absence of pregnancy
B Endogenous oestrogen production
C Gonadotrophic production
D All of the above
E None of the above
A-D
54 Aberrations in total number of chromosomes occurs in
A Gonadal dysgenesis
B Klinefelters syndrome
C Mongolism
D All of the above
E None of the above
A-D
55 The commonest cause of congenital female pseudohermaphroditism is :
A Exogenous endrogen
B Virilizing ovarian tumour
C Chromosomal anomaly
D Ovarian agenesis
E Congenital adrenal hyperplasia
A-E
56 The Y chromosome is always present in individuals with

A Klinefelers syndrome
B Gonadal dysgenesis
C Female pseudohermaphroditism
D All of the above
E None of the above
A-A
57 Psychosexual orientation is dependant upon :
A Hormonal sex
B Gonadal sex
C Chromosomal sex
D All of the above
E None of the above
A-E
58 Failure to find sperm in postcoital examination may be due to :

A Excessive oestrogen effect on cervical mucous
B Excessive vaginal lactic acid
C Oligospermia
D All of the above
E None of the above
A-C
59 Polyostotic fibrous dysplasia is associated with
A Sclerotic overgrowth at the base of skull
B Sexual precocity
C Patchy pigmentation
D All of the above
E None of the above
A-D
60 The most common causative organism in acute bartholinitis is
A Staphylococcus
B Streptococcus
C Colon bacillus
D Gonococcus
E Trichomonas
A-D
61 The direct transformation of columnar to squamous epithelium is termed
A Metaplasia
B Hyperplasia
C Proptoplasia
D Epidermidization
E None of the above
A-C
62 The insensitive ovary syndrome is probably due to :

A Lack of LH receptor sites
B Lack of primordial follicles
C Lack of FSH receptor sites
D FSH and LH deficiency
E Thickened ovarian cortex
A-C
63 Pseudocyesis may be associated with all except
A impaired ovulatory process
B Atrophic vaginal smear
C Lactation
D Immature secondary sexual characteristics
A-D
64 Metabolic causes of anovulatory DUB include all except :

A Hypothyroidism
B Hallans syndrome
C Cushings syndrome
D Hyperthyroidism
E diabetes mellitus

Gynae 64

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1 The normal flora of adult vagina may include :

12 The most common symptom of adenomyosis is :

16 Ovarian precursors of oestradiol include :

18 The clots passed with menorrhagia perhaps indicate :

19 Glycogen is seen in the lumina of endometrial glands :

20 Sexual precocity may result due to :

25 Breast secretion not related to pregnancy may be caused by:

27 The uterus is held in anteflexed position by :

C An adult anterior pituitary gland

31 Oxytocin and vasopressin are transferred from hypothalamus to neurohypophysis through:

36 The Bartholin glands :

38 Foci for reinoculation of the vagina with trichomonads include:

40 A Krukenberg tumour is an ovarian neoplasm which :

43 Hilus or Leydig cell tumour may be associated with :

48 The uterus of an infant differs from an adult in that :

51 Which of the following change in puberty is influenced by the oestrogen :

56 The Y chromosome is always present in individuals with

58 Failure to find sperm in postcoital examination may be due to :

62 The insensitive ovary syndrome is probably due to :

64 Metabolic causes of anovulatory DUB include all except :

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