Gynecology Past Paper Questions PDF

GYNECOLOGY 3 – COLLEZIONE (All the docs that I’ve received are here more than 30+ files have been checked, hope that was enough, if you feel like to check some other docs that you receive do it but careful because sometimes you need to search just for some keywords). GYNECO 2 – COLLEZIONE – VERSION...

GYNECOLOGY 3 – COLLEZIONE (All the docs that I’ve received are here more than 30+ files have been checked, hope that was enough, if you feel like to check some other docs that you receive do it but careful because sometimes you need to search just for some keywords). GYNECO 2 – COLLEZIONE – VERSIONE FINALE Second parturition (second stage of labor): a. ends with the birth of the placenta b. it is not usually monitored by a cardiotocograph c. may be complicated by fetal hypoxia d. it usually takes 2 hours Simpson forceps a. they are outlet forceps b. are loaded into the pelvic isthmus c. they have a french castle d. are a rotary tool Gemini bichorionic biamniotic: I think they mean bichorical biamniotic twins? a. they can be monozygotic and dizygotic b. they are always the same sex c. they are always formed by merging 2 eggs with 2 sperm d. they are always biparent? The baby test "works" on the principle of determination (pregnancy test) a. HCG in the mother's blood b. HCG in the mother's urine c. HCG in fetal urine d. ECG in the mother's urine BWR examination means à Bordet-Wasserman reaction a. examination for the diagnosis of syphilis b. examination for the diagnosis of mycosis c. HIV testing IUD means a. intrauterine body/device b. intrauterine fetal hypoxia c. intrauterine bleeding What is IUD (intrauterine device): small birth control device, T-shaped, containing either copper or levonorgestrel, which is inserted into the uterus as a form of contraceptive The most important factor of preeclampsia a. hypertension b. proteinuria c. lower limb edema Which statement is incorrect a. multiple fetal pregnancy is associated with an increased risk of preterm birth b. the collision position of the fetus is not an indication for a caesarean section c. TTT syndrome occurs in monochirical gemins The drug of first choice for preeclampsia is a. methyldopa b. various AC inhibitors c. diuretics Paravaginal hematoma is a complication of rupture a. Vagina (paravaginal veins) b. cervix c. vulvy d. fallopian tube The most common dental disease in pregnant women is: a. carious teeth b. gingivitis c. periodontitis The most common cause of anovulatory cycles in young women is a. polycystatic ovary syndrome b. anorexia c. Asherman's syndrome Fertilization most often occurs in a. uteri b. ampular part of the fallopian tube c. cerix uterus In case of extensive premature placental detachment is indicated a. ATB b. tocolysis c. transfusion d. termination of pregnancy Secondary sexual characteristics include a. Pubarche (appearance of pubic hair) b. amenorrhea c. juvenile metrorrhagia One of the most fertile periods of women is a. Senium (old age) b. after 35 years of life c. between 20-35 years of age How many vessels are in the umbilical cord under physiological circumstances a. 1 b. 2 c. 3 d. 4 What is typical of six weeks period? Postpartum missing of period? a. primary amenorrhea b. secondary amenorrhea c. primary polymenorrhea d. secondary polymenorrhea Which term refers to cleansing after childbirth a. white line b. lochia c. involution Which intrauterine diagnostic method ………. fetus? a. USG b. CTG c. HCG d. TENT What infections are more commonly associated with pregnancy? a. pneumonia b. urinary tract infections c. hepatitis We refer to the reduced amount of amniotic fluid a. normohydramnios b. polyhydramion c. oligohydramnios d. anhydramnios Which of the above does not potentiate labor activity? a. rupture of amniotic sacs b. oxytocin c. prostaglandins d. magnesium Photos sent from last year: 1. The most important factors that make postpartum hemorrhage a life-threatening conditions is: a. consistently underestimate visible blood loss and well controlled blood loss in healthy women with late signs of hypovolemia b. labor management is not in accordance with guidelines available in the country c. absent of two doctors at labour room d. separation and delivery of the placenta over 30 min 2. The absolute indication for caesarean section is: a. primarily low contractile activity b. complete breech position c. occipito-anterior position d. ruptura uteri imminens 3. For successful forceps application it is important: a. The fetus must be present a breech b. Not to perform episiotomy c. To have completely dilated cervix d. The membranes can be intact 4. Prediction of preterm labor/Prediction of preterm labour?: a. under physiological conditions is fetal fibronectin found in cervical secretions of 24 w.g. b. the main biochemical marker that can reveal the risk of premature birth is the fetal fibronectin c. the only way to evaluate the risk of premature birth is cervicometry d. with in the cervicometry the risk of preterm delivery increases at less than 35 mm e. cervical length more than 20mm indicate a false preterm labor à if X doesn’t exist 5. Determination of PAPP - A, free beta-hCG, nuchal translucency, nasal bone evaluation, cardiac events, blood flow to the tricuspid valve and through the ductus venosus: a. takes place in 8 T. G. b. it is part of a combined ultrasound test multimarker c. a part III. trimester screening d. it is a part II. trimester screening 6. The single most powerful marker available today for differentiating Down syndrome from euploid pregnancies is the first trimester sonographis measurement of: a. width of heart ventricles b. intracranial lucency c. femur length d. nuchal translucency ((Nuchal translucency refers to the normal subcutaneous fluid-filled space between the back of the fetal neck and the overlying skin) 7. Twins CANNOT be delivered vaginally when: a. there is cephalopelvic disproportion b. the is no evidence of fetal disstres c. twin A is head down d. twin B is head down, breech 8. By the parturition we call/ What is parturition?/ By the delivery we name: a. All answers are correct b. If is the stillbirth more and equals than 1,000 grams/ stillbirth with baby weight above 1000g c. Any termination of pregnancy, in which a newborn baby born with min. weight 500 g. d. If is the fetus less and equals than 500 g and survive at least 24 hours 9. Which of these conditions are clear indications for termination of pregnancy by Caesarean section/ Which of these conditions are unambiguous (absolute) indications for termination of pregnancy by caesarean section: a. BP - breech presentation + euhydramnion, + regular contractions uterine activity b. oligohydramnion + reduced fetal movement activity, regular contractions uterine activity c. cephalopelvic disproportion + anhydramnionic or conflict position of twins d. FHP - fetal head position, rupture of amniotic membrane present 4 hours 1. Medicament choice in finding postpartum hemorrhage in the first line is/ Medication in postpartum hemorrhage first line: a. Ice on hypogastric area b. Oxygenotherapy c. Uterotonic agent-oxytocin d. Spasmolytic agent 2. For caesarean section is the most practical … (not readable)/ in caesarean section, it is mostly used in practice: a. General anesthesia b. Spinal anesthesia c. Combine subarachnoidal and epidural anesthesia d. Epidural anesthesia à CHECK 3. Vacuum extraction it is: a. Not extraction delivery b. Not connected with any serious risk for fetus c. Just for stillbirth d. For fetuses who have attained a gestational age of at least 34 weeks Vacuum extraction? Can’t be done 35d 113. Myoma of uterus will not lead to: Myotic infection of the vagina 114. Uterine myopia is divided into: Subserous, submucous & intramural localization 115. What true for syphilis: Presence of ulcus durum 116. How is complete surgical removal of both breasts called: Mastectomy 118. What is the primary methods of treatment for breast cancer ? Ct for cancer staging 121. mother in delivery room what are we interested in? everything 122. phh within 24h hypotony/atony of uterus Heart in USG? 6-7 week 124. first trimester screening free B-hcg and papp-a 126. Qs about post partum haemorrhage causes: If placenta is not getting out ? or something If procedures are not followed, due to not discovering internal bleeding? 127. INCORRECT about monocygotic twins Not identical 128. Most common cause of preterm labor? Cervical insufficiency 129. Which of the following is an absolute indication of C section ( lecture: pre-labour – „electively“ Obstetric indications: placenta praevia, severe fetal growth resriction, sever preeclampsia, transverse lie, breech presenations Gynecological indications: myomas, status after myomectomy e.g. Maternal morbidity: cardiac diseases, asthma, orthopedic myopia e.g. In labour (emergency) – hypoxia, placental abruption, hemorrhage e.g. 130. Choose the right correct definition: multigravida – birth with twins (incorrect) primigravida – 1st time pregnant according to lecture: Primigravida - pregnant for first time Multigravida - pregnant more than once Viability - able to survive outside the womb (24+ weeks gestation) Nulliparous - never carried a pregnancy to viability Multiparous - has had two or more deliveries that were carried to viability 131. What is complication of forceps? Connected to fetal legs What is NOT a complication of forceps? Connected to fetal legs à ??? – how can be the same answer? 132. Choose correct qs Cardiac activity in USG is seen in 6 – 7 weeks ̈ 133. Reason of termination of pregnancy by c section Oligohydramnion ? (there weren’t the other options) 135. Qs about absolute breech position? Indictation for caesarian section ? 137. Stages of labour: First stage: Latent and active phase Second stage: Fetal expulsion Third stage: Placenta delivery Delivery itself is divided into: 3 phases 138. Complication multigravida: Preclampsia, preterm labour, Gestational diabetes, pph, anemia, wo twin transfusion syndrome, miscarriage 139. Treatment of post partum haemorrhage: I.V oxytocin (syntocinon) 140. Physiological menstrual cycle -28+/- 5 day, 3-5 days of bleeding, 3-5 pads. 143. Hypermenorrhea Excessive bleeding >5 pads/24 hours. 144. Hypomenorrhea Less bleeding. 145. Menorrhagia Prolonged bleeding >7 days. 146. Metrorrhagia Irregular bleeding. 147. Dysmenorrhea Painful bleeding/pain with menstruation. 148. Dysfunctional bleeding Abnormal bleeding without organic reason. May be due to persisting folicule (produce estrogen) 149. Bimanual examination Its examination of the organs of the true pelvis, its possible to examine-Cervix and fundus of Uterus and ovaries , 2 fingers in vagina and the other hand on abdomen. 150. Screening for cancer in gynecology Uterine, cervix, breast. 151. Mammography : X-ray examination of breast. screening- strart at women 40 years old, 1 per 2 years(every 2 years), unless there is a positive family history so start earlier-30 years old. or if there’s some finding on USG. Radiation from this test is a risk factor breast cancer. The test doesn’t effect the ovary reserve 152. laparoscopy vs laparotomy: laparoscopy=Less pain post operation ,Less complications, No/small scar. 153. Diagnosis of breast cancer Biopsy 154. Primary sterility laparoscopy and hysteroscopy 155. 1st Phase of menstruation Proliferative / Follicular 156. Secretory/luteal more stable- 14 days Ovulation happens in: 14th day of menstrual cycle 157. Ovulation starts : 36 hours after the raise of gonadotropin/12 hours after a peak 158. FSH is higher than LH : on the beginning – Follicular phase. 159. If theres something on breasts will you examine BRCA1,2 ??: NIE 160. Laparoscopy and hysteroscopy at the same time Malformation of uterus 161. C.T : Oncology 162. Screening in gynecology Cancer of cervix , from 21 Years old. or 3 years from first intercourse, one time every 3 years-when previous examination was negative 163. Treatment Cancer of cervix Surgery- If its up to and include 2a stage, BUT from and include 2b- radiotherapy and chemotherapy 164. 6cm Myoma without complication : laparoscopic, myomectomy 165. Treatment for 6cm cancer in abdomen : Morcellator 166. Diagnosis of cancer in the endometrium : Biopsy 167. When cervix of uterus is +/- 1 cm from hymen 2nd degree of uterine prolapse (decline?) 169. Revision of uterus: 1. Before revision do bimanual examine, 2. Do revision with Hegar dilators 170. Perforation of uterus can be caused by: Hegar dilators, curette 171. Abortion on mothers request no histology(?!) 172. Ectopic pregnancy in Fallopian tube for example Treatment-salpingoectomy 173. Increase of CA 125: Adenocarcinoma of ovary(ovarian cancer) 174. Gynecological speculum instruments names: Simonove, Scherbackove, Trelatove 175. Angiography therapy of myoma of uterus 176. Hysteroscopy : Diagnostic and Therapeutic 177. BI-RADS III monitoring after 6 months 178. Open identity child has the right to know biological parents. 179. In vitro fertility : Gonadotropín, analog gonádoliberínov, HCG, progesterón 180. Therapy of infertile patient with endometriosis: 2-3 insemination , or in vitro fertility 181. Gynecological screening starts at age 21 every 3 years 182. Names of speculum: 2 blades: Cusco Trelat 183. 1 blade Sims Scherbak-in Young woman, curretages mainly 184. Indications for hysteroscopy Malformation of uterus like-septum. 186. Marsupialization surgical technique, Treatment bartholin cyst. 187. Treatment for uterine fibroid Esmya , Shrinkage of tumor+Prevent bleeding. 188. USG can diagnose Fibroid-Submucous, subserous, intramural 189. 2 ways for laparoscopy- Places of insertion-linea alba or yellow islands. 190. Fibroid symptom Pelvic pain 191. Pelvic diaphragm consist of Diaphragmrectovaginal , Diaphragmurovaginal 192. What hold pelvis Muscles, ligaments, Ligamentum longitudinal anterior, sacrospinosum ligament. 193. Different types of proplapse Descendus (ureter from vagina) 194. Risk factors of prolapse obesity, multiple pregnancies, age, big babies, abdominal stress. 195. Treatment of prolapse Conservative-Kegel, weight loss, pessary or surgical-Location of insertion of mesh 197. Prevention prolapse of vagina Surgical=cyctocele-Anterior colporaphy, Rectocele-Posterior,-colpoperineuplasty Uterine descent- vaginal hysterectomy. 198. Length of vagina 8cm 200. Back pain due to prolapse is because of sarcospinous ligament. 201. Open identitiy IVF means The child has the right to know the identity of the sperm donor=Legal 202. Drugs used for IVF Gonadotropin-ovarian stimulation, Gonadoliberin-prevents premature ovarian stimulations, Progesteron-Lutheal phase. 203. Vaginal pessary/ In vaginal pessary: Ring form-Place in top of vagina. 204. Which day of menstrual cycle possible to check ovarian reservoir Any day 205. Clomifene citrate-Antiestrogen if women do not ovulate we use this drug. 206. Folicular monitoring Measure folice by USG. transvaginal-folicular size. 207. For IVF Collect 2-3 oocyte 208. LH drugs- HCG-Trigger ovulation 209. CT gynecology NOT in pregnancy, Cancer staging, USG transvaginal-Intrauterine growth restriction. 210. MRI Good for pregnancy, Diagnosis-Endometriosis, fistulas, connection with organs. Big tumor in pelvis Transabdominal Sonography (TAS) CIN staging CIN I-surgery, CIN Iia-hysterectomy, CIN III+IV-radio&Chemo Oncological disease+screening Overflow hypotonic incontinence Cholinergics-bethanechol-neurological problem Continual leakage Because of bypass fistula 216. Breast malignancies #1 most common-Infiltrating ductal carcinoma, #2 most common-Infiltrating lobular carcinoma. Ovarian cancer screening-CA-125, Transvaginal Sonography(TVS). Cervical cancer screening is the most succesfull program in gynecological cancer... Inflammatory carcinoma Most malignant, Do pitting edema. Malignant uterus tumors Endometrial hyperplasia, Uterine sarcoma, Endometiral adenocarcinoma-Most common, USG,TAS. 221. C.T for Staging, post-surgical complications of hysteroscopy, evaluation of malignancies. 222. Laparoscopy trendulberg position. 223. Posterior erior wall. GYN 30.09.2021.pdf Forceps delivery à CHECK a. Epistiomy not required b. Cervix needs to be dilated c. Sac can be intact Maternal Fever (> 38 °C or > 100°F) Tachycardia > 120/min Uterine tenderness, pelvic pain Malodorous and purulent amniotic fluid, vaginal discharge Premature contractions, PROM Fetal tachycardia > 160/min in cardiotocography leukocytosis, mother tachycardia above 100, fetal tachycardia above 160, 1. What is the best practice for the infertility treatment in 32-year old woman with laparoscopically confirmed endometriosis, patent fallopian normal partner sperm parameters and 4 years history of infertility: a. 6-months gonadoliberin analogs treatment, the ovulation induction with clomifene citrate during 3-months, and in case of failure then intrauterine insemination b. 6-month progestogens treatment 20 days during each cycle, followed by 3-month of spontaneous effort of conception, and then in case of failure to achieve pregnancy ovulation induction with clomifene citrate c. 6-month contraception treatment, followed by 3-month of spontaneous effort of conception, and then in case of failure to achieve pregnancy in vitro fertilization d. 2-3 cycles of intrauterine insemination after stimulation with gonadotropins eventually clomifene citrate, and then in case of failure to achieve pregnancy in vitro fertilization 153. Assisted hatching: à CHECK a. all answers are correct b. is performed in young men à I didn’t find a source talking about men but only women c. is performed especially in young women à usually are older (> 37yo) d. is an iatrogenic interruption of the zona pellucida in order to facilitate embryo nidation 2. Pap smear screening schedule: (21yo - 3 to 5 y) After 21 or 3 years after 1st sexual intercourse 3. Symptoms of breast cancer: Swelling discharge from nipple, asymmetry, swelling of lymph nodes, redness, inversion of nipple 4. Critical symptoms of carcinoma of uterus: Irregular bleeding, menorrhagia (excessive + long bleeding) 5. What’s curettage?: - medical therapeutic procedures involve curettage to remove tissue by scrapping or scooping - Fractional curettage: dilation of the cervix + surgical removal of part of the lining of the uterus contents 6. Downs syndrome detection: Chorionic villus sample (placenta) Amniocentesis (Amnionic fluid sample) 7. The signs of the onset of childbirth are: regular contracting activity and 10 min + spontaneous amniotic fluid outflow a. DIP 1- umbilical cord compression 8. Find correct statement: cervix length in 25 week of gestation must be > 25mm 9. Treatment of ectopic pregnancy in hemodynamically unstable patients: laparotomy 10. Before prescribing contraceptive drugs: check blood pressure 11. Etiopathogenesis of dysfunctional bleeding does not apply: uterine myoma 12. Phases of mestrual cycle: 1. menstrual phase (1-5d); 2. follicular phase (1-13d); 3. ovulation (14d); 4. lutheal phase (15-28d) 13. Types of contraceptives:Barrier methods, hormonal methods, emergency contraception, intrauterine methods, sterilization 14. Cervical dysplasia: Healthy cells on woman's cervix undergo abnormal changes, can be found during PAP smear, 15. Amenorrhea:Is the absence of a menstrual period in a woman of reproductive age 89. Oligomenorrhea:Is infrequent (or light0 menstruation. Menstrual periods occurring at intervals greater than 35d with only 4-9 periods per year 90. Often problem in woman in fertile ages after ATBs: Mycosis (symptotoms: itching of vulva(urethra labia majora minora commisura ),discharge 93. Complele surgical removal of both breast is called: Masectomy 95. HPV infection in ethiological factor for: Cervical cancer 96. Acute metriasis means: Inflammation of the uterus 97. Main risk factor for dev. of uterine prolapse and internal organs: Vaginal delivery 98. Normal position of internal organs are characterized (uterus): Anteversion & anteflexion 102. How to obtain histological material in case of woman with blueing from uterus: Perform curettage 103. Bleeding of woman in reproductive age is not connected with: DM 104. Metriasis means inflammation of: Whole uterine wall 105. Presence of pus in the fallopian tubes is called: Pyosalpinx 108. Instrument used in laparoscopy to move the uterus: schultzer 116. Most common localization of endometriosis: Peritoneum, ovaries, Rectovaginal pouch 120. Which procedure we do under spinal anesthesia: Vaginal hysterectomy 122. Follicular monitoring is done by: USG 123. Which drug is considered LH drug: HCG-trigger ovulation 129. Breast cancer can metastasize: Bone, lung, liver 130. Benign uterus tumors are: Leiomyoma, endometrial polyp, adenomyosis 132. Asherman’s syndrome is characterized by: Adhesions and fibrosis of endometrium 133. Laparoscopy: trendelenburg position 134. ——-: Posterior erior wall 136. CIN staging: CIN I-surgery, CIN Iia-hysterectomy, CIN III+IV-radio&Chemo 138. Folicular monitoring: Measure folice by USG. transvaginal-folicular size 139. IVF: Collect 2-3 oocytes 140. Drugs used for IVF: Gonadotropin-ovarian stimulation, Gonadoliberin-prevents premature ovarian stimulations, Progesteron-Lutheal phase. 141. Open identity IVF means: The child has the right to know the identity of the sperm donor=Legal 142. Lenght of vagina: 8cm 143. Back pain due to prolapse is due to: Lig. Sarcospinosum 144. Under general anesthesia and with laparoscopy: hysteropexy, sarcocolpopexy, cervicopexy 145. Pelvic diaphragm consist of: Diaphragmrectovaginal , Diaphragmurovaginal 146. Fibroid symptom: Pelvic pain 147. 2 ways for laparoscopy: Places of insertion-linea alba or yellow islands. 148. Treatment for uterine fibroid: Esmya , Shrinkage of tumor+Prevent bleeding. 149. Untreated endometriosis can cause: Adhesion - lead to retroversion of uterus 150. Indications for hysteroscopy: Malformation of uterus like-septum 1 blade: Sims, Scherbak-in Young woman, curretages mainly 152. Different types of colposcopy: Natural/Classical/Native or Extended (lugo solution used acetic acid) 154. Antimullerian hormone: For measurement of ovarian reservoir-Index of ovarian reserve 155. BI-RADS III monitoring after 6 months 156. 1st phase of menstruation: proliferative/follicular Physiological menstrual cycle-28+/- 5 day, 3-5 days of bleeding, 3-5 pads. Oligomenorrhea-Menstrul cycle >35 days. Hypermenorrhea Excessive bleeding >5 pads/24 hours. Hypomenorrhea Less bleeding. Menorrhagia Prolonged bleeding >7 days. Metrorrhagia-Irregular bleeding. Dysmenorrhea Painful bleeding. Dysfunctional bleeding Abnormal bleeding without organic reason. The first symptoms of cervical carcinoma include: abnormal vaginal discharge with blood 16. C-section? Lower middle laparotomy 17. how is first stage of delivery deifined/ how does the first stage start: with regular contractions 18. What is the routine examination of woman before delivery: Cardiotocography (CTG) 19. what is typical for gestational diabetes?: Low concentration of insulin & hyperglycaemia. 20. How often should we perform examination of teeth in a pregnant woman?: Once during pregnancy. 21. Symptoms of chorioamnitis Credit Test WS 2022 corrected final.pdf/ 1.Credit Altfragen/ Credit Test WS 2022 corrected final (1) Which of the following types of gynecological speculas do we use in colposcopy? Cusco à also: introducing an intrauterine contraceptive device, taking a Pap smear and cauterization of vaginal erosion Kristeller Sims Scherback Which of the following is NOT the cause of secondary amenorrhea? a. Mayer-Rokitansky-Kustner-Hauser syndrome à genetic disease where uterus doesn’t develop + hypoplasia of tubes etc…(primary amenorrhea) b. Sheehan’s syndrome c. Asherman’s syndrome d. Stein-Levental’s syndrome Colposcopy: is miniinvasive diagnostic method for cervical lesions à for sure this is correct basic dividing defines native and advanced colposcopy is not useful for the examination of the vagina is included in screening program for cervical cancer Aspermia is: Inability to ejaculate à absence of sperm (azoospermia à tehre is sperm but not spermatozoa) Low ejaculate volume =20 million/ml Total sperm count >=40 million per ejaculate Motility (movement) >=50 % with forward progression or >=25 % rapid linear motion Morphology >=30 % with normal form The following is evaluated in addition: White blood cells