A Round Ligaments: 1. Which Structure Provides The Major Support To The Uterus and Cervix?

1. Which structure provides the major support to the uterus and cervix?
A Round ligaments
B Broad ligaments
C Cardinal ligaments
D Uterosacral ligaments
E Scarpa fascia
2.Premenstrual syndrome (PMS) has a constellation of possible symptoms. Which

of the following would NOT be expected?
A Abdominal bloating
B Weight loss
C Constipation
D Anxiety
1
E Breast tenderness
3.Which structure produces gonadotropins?
B Anterior pituitary
C Posterior pituitary
D Ovaries
E Endometrium
4.A 46-year-old, non-pregnant, morbidly obese woman presents with irregular

periods over the past 6 months. Which of the following represents the most
appropriate initial management in this setting?
A Oral contraceptives
B Endometrial ablation
C Office hysteroscopy
D Dilation and curettage (D&C)
2
E Endometrial biopsy
5.Which of the following is NOT a risk factor for ectopic pregnancy?
A Prior history of pelvic inflammatory disease (PID)
B Prior history of infertility
C Prior history of uterine fibroids
D Prior history of ectopic pregnancy
E Prior history of tubal surgery
6.A 24-year-old G1P0 presents to the office at 6 weeks gestation with a β human

chorionic gonadotropin (βhCG) 16,000 mIU/mL and mild left lower quadrant pain.
Transvaginal sonogram confirms the presence of an unruptured 3-cm ectopic
pregnancy without fetal cardiac motion. Which of the following is the best
management option?
A Methotrexate 30 mg/m2 intramuscularly
B Methotrexate 50 mg/m2 intramuscularly
3
C Culdocentesis
D Laparoscopic salpingostomy
E Repeat βhCG in 48 hours
7.An 18-year-old G2P1 received intramuscular (IM) methotrexate on Monday for a

confirmed ectopic pregnancy with βhCG of 3,500 mIU/mL. She returns on
Thursday with additional pelvic discomfort and a βhCG of 4,100 mIU/mL. Which of
the following management options is most appropriate?
A Second dose of methotrexate
B Transvaginal sonogram
C Laparoscopic salpingostomy
D Repeat βhCG in 48 hours
E Repeat βhCG in 72 hours
8.A 48-year-old woman presents to the office with a several year history of low
pelvic pain. Which of the following is the LEAST likely cause?
4
A Interstitial cystitis
B Adenomyosis
C Ectopic pregnancy
D Herniated disc
9. Please identify which of the following are true with regard to pubertal
development.
A Pregnancy is not possible until regular menstruation occurs.
B Adrenarche is the beginning of breast development.
C Menarche, or onset of menstruation, is the first manifestation of puberty in the female.
D Development of a menstrual cycle is dependent upon GnRH pulses increasing in

amplitude and frequency.
F None of the above.
5
10. Physiology of the menstrual cycle. Identify which of the following statements
are correct.
A Ovulation follows 36 hours after the LH surge.
B This is as a result of ‘negative feedback’ effect on the hypothalamus and pituitary of

oestrogen at its maximum.
C The corpus luteum produces oestradiol.
D Withdrawal of endogenous progesterone results in endometrial breakdown and formation

of secretory endometrium..
E Average cycle length is 23–35 days.
F None of the above
11. Regarding the anatomy and function of the cervix, which of the following
statements are true?
A The uterosacral ligaments attach the cervix laterally to the pelvic side walls.
B The endocervix, continuous with the vagina, is lined by squamous epithelium.
C The lower pH of the vagina causes the exposed area of the columnar epithelium
approaching the ‘squamocolumnar junction’ to undergo dysplasia to squamous epithelium,
producing a ‘transformation zone.’
D The cervix is supplied by upper vaginal branches and the umbilical artery.
E Lymph drainage is to the paracervical nodes.
F None of the above.
6
12. Vestibule is an almond-shaped area , enclosed by the labia minora laterally and
extends from the clitoris to the fourchette. It is the functionally mature female structure of
the urogenital sinus of the embryo. In the mature state is perforated by six openings
exept:
the urethra
the fossa naivcularis
the vagina
the ducts of the Bartholin glans
Skene ducts
13. Vagina - A tubular , musculomembranous structure It has many functions like :
1.the excretory canal of the uterus throw which uterine secretions and menstrual flow
escape;
2.organ of copulation and part of the birth canal.
3.the upper portion of vagina arises from the mullerian ducts
4the part of nerv sistem
14. Vagina is in contact with - wich of the following is true
1.Anteriorly it is in contact with the bladder and urethra, from where is separted by
connective tissue or vesicovaginal septum.
2.Posteriorly , between the lower portion of vagina and the sigmoid colon there are similar
tissues that form the rectovagian septum .
3.Anteriorly it is in contact with the bladder and ovaries, from where is separted by
connective tissue or vesicovaginal septum.
4.Posteriorly , between the lower portion of vagina and the rectum there are similar tissues
that form the rectovagian septum .
5.1 and4
6.1and 2
7
15.Wich of following are not Ligaments of the Uterus:
1.broad ,
2.round
3.uteroscral
4.suspensory
16.Ligament form the lateral boundaries of the rectouterine cul-de-sac / pouch of Douglas
1.Uterosacral
2.Broad
3.Infundibulopelvicum
4.Cardinal
17. For ectopic pregnancy is false:
1.has a higher incidence in women with coopper intrauterine devices
2.cannot be diagnosed by ultrasound
3.is treated by salpingoectomy
4.is excluded by a negative serum HCG
18.The following statemens are true regarding spontaneous abortions
1.Threatened abortion often becomes septic
2.Complete abortion terminates as carneous mole
3.Oxytocin is given if bleeding is absent
4. Termination of pregnancy spontaneously
8
19.The most commom sites of the ectopic pregnancy include
1.Ampulla of the Fallopian tube
2.ovary
3.fimbrial end of Fallopian tube
4.cervix of uterus
20. Uterine cycle consist of all phases besides:
1. proliferative phase
2.menstuation
3. follcular phase
4.secretory phase
9
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1. Which structure provides the major support to the uterus and cervix?

2.Premenstrual syndrome (PMS) has a constellation of possible symptoms. Which

3.Which structure produces gonadotropins?

4.A 46-year-old, non-pregnant, morbidly obese woman presents with irregular

D Dilation and curettage (D&C)

5.Which of the following is NOT a risk factor for ectopic pregnancy?

A Prior history of pelvic inflammatory disease (PID)

B Prior history of infertility

C Prior history of uterine fibroids

D Prior history of ectopic pregnancy

E Prior history of tubal surgery

6.A 24-year-old G1P0 presents to the office at 6 weeks gestation with a β human

E Repeat βhCG in 48 hours

7.An 18-year-old G2P1 received intramuscular (IM) methotrexate on Monday for a

A Second dose of methotrexate

D Repeat βhCG in 48 hours

E Repeat βhCG in 72 hours

A Pregnancy is not possible until regular menstruation occurs.

B Adrenarche is the beginning of breast development.

C Menarche, or onset of menstruation, is the first manifestation of puberty in the female.

D Development of a menstrual cycle is dependent upon GnRH pulses increasing in

F None of the above.

A Ovulation follows 36 hours after the LH surge.

B This is as a result of ‘negative feedback’ effect on the hypothalamus and pituitary of

C The corpus luteum produces oestradiol.

D Withdrawal of endogenous progesterone results in endometrial breakdown and formation

E Average cycle length is 23–35 days.

F None of the above

B The endocervix, continuous with the vagina, is lined by squamous epithelium.

E Lymph drainage is to the paracervical nodes.

F None of the above.

the fossa naivcularis

the ducts of the Bartholin glans

13. Vagina - A tubular , musculomembranous structure It has many functions like :

2.organ of copulation and part of the birth canal.

3.the upper portion of vagina arises from the mullerian ducts

4the part of nerv sistem

14. Vagina is in contact with - wich of the following is true

17. For ectopic pregnancy is false:

1.has a higher incidence in women with coopper intrauterine devices

2.cannot be diagnosed by ultrasound

3.is treated by salpingoectomy

4.is excluded by a negative serum HCG

18.The following statemens are true regarding spontaneous abortions

1.Threatened abortion often becomes septic

2.Complete abortion terminates as carneous mole

3.Oxytocin is given if bleeding is absent

4. Termination of pregnancy spontaneously

1.Ampulla of the Fallopian tube

3.fimbrial end of Fallopian tube

20. Uterine cycle consist of all phases besides:

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