OBGYN Y1 Module 5

Create an educational and engaging image related to gynecological health, featuring a silhouette of a woman's body with anatomical features highlighted, along with medical symbols like stethoscopes and charts in a clinical setting.

Endometrial Health Quiz

Test your knowledge on endometrial carcinoma, fibroids, and related gynecological conditions with this informative quiz. Designed for health students and professionals, this quiz will challenge you with questions covering diagnosis, treatment, and management of various uterine disorders.

Key features of the quiz include:

In-depth questions on endometriosis and adenomyosis
Explore treatment options and management strategies
Perfect for medical students and those in the OBGYN field

50 Questions12 MinutesCreated by EducatingHeart32

Spread and staging for endometrial carcinoma : lesions confined to uterus, deepest invasion < ½ of myometrial thickness , which one’s ?

A rare malignant tumour that arises from the smooth muscle or connective tissue of the uterus

Fibroids are less common in :

Women approaching the menopause

Those who have taken the combined pill

Africo- carbbean women

Women with a family history

Progesterone diminishes uterine bleeding chiefly by which mechanism :

The followings are true of endmetriosis :

It cannot occur in postmenopausal women as their endometrium is atrophic

It occurs in the reproductive age because of the presence of gonadotrophins

It can cause deep and superficial dyspareunia

All the above

None of the above

A 35 years old woman presents with history of period of amenorrhoea followed by heavy bleeding and denies using drugs. She wants to get pregnant. The following are likely causes :

Over stimulation of the follicular system of the ovaries by the hypophysis

Under production of oestrogens and progesterone

Under production of FSH and LH

All the above

None of the above

Treatment of endometriosis involves :

Administration of gonadotrophins releasing hormone agonists to cause a pseudo-pregnancy

Administration of gonadotrophins releasing hormone antagonists to cause a pseudo-menopause state

Adminisration of large doses of oestrogens and androgens state to cause a pseudo-pregnancy

Administration of gonadotrophins releasing hormone agonists to cause a pseudo-pregnancy,Adminisration of large doses of oestrogens and androgens state to cause a pseudo-pregnancy

Administration of gonadotrophins releasing hormone antagonists to cause a pseudo-menopause state ,Adminisration of large doses of oestrogens and androgens state to cause a pseudo-pregnancy

There is a 5% incidence of primary extrauterine malignancy associated with endometrial cancer, the most frequent site for such is ?

Interstitial uterine myomas most often cause menorrhagia due to :

Adenomyosis is often associated with all of the following except :

Presence of pyometra in a post menopausal females strongly suggests :

Physical exam reveals the uterus to be about 6 weeks size. Vaginal bleeding is scanty with no discernible tissue in the cervical os. There are on palpable adnexal masse. The uterus is midly tender. Ultrasonographic exam does not reveal a gestational sac. Which of the following should be recommended ?

Which of the following statement is incorrect regarding levnorgestrel releasing intrauterine system :

There is increased incidence of menorrhagia

This system can be used as hormone replacement therapy

This method is useful for the treatment of endometrial hyperplasia

Irregular uterine bleeding can be problem initialy

A 48 years old woman presents with intermenstrual bleeding for two months and episodes of bleeding occurring any time in the cycle. There is associated pain. Differential diagnosis for intermenstrual bleeding does not include :

All of the following drugs are associated with hyperprolactinaemia, apart from :

A 32 years old woman presents to the gynecology clinic with infrequent periods. A hormone profile is done and all of the following are consistent with polycystic ovarian syndrome, apart from

Which of the following statements is FALSE regarding fibroids ?

HRT may cause continued fibroid growth after the menopause

Asymptomatic patients which small fibroid need no treatment

Larger fibroid should be severally measured

Tranexamic acid is often effective when metrorrhagia is due to fibroid

GnRH agonists cause temporaly fibroid enlargement

An acute degenerative process caused by hemorrhage into the fibroid; affects half of all fibroids during pregnancy

All of the following are effects of premature menopause , apart from :

A 24 years old women presents with the absence of period for nine months . She started her periods at the age of 13 years and had a regular 28-day cycle until 18 monts ago . The periods then became irregular , occurring every two to three months until they stopped completely. The following are all included in the differential diagnosis of secondary amenorrhoea , apart from :

The following statements regarding adenomyosis are true, apart from :

It tends to occur in women over 35 years

The condition commonly occurs in association with endometriosis

Risk factor include increased parity , termination and quick labours

With each period , bleeding occurs from the endometrial tissue into the smooth muscle .

The diagnosis can be made by ultrasound or magnetic resonance imaging scan

A 35 years old women comes requesting long – term reversible contraception . You advise that the method that can provide the longest protection is :

Regarding the menstrual cycle , which is the true statement ?

Menstruation occurs with vasodilation of the spiral arteries

The LH surge triggers menstruation

Both the follicule and the corpus luteum secrete oestradiol

The graafi an follicle develops during the luteal phase

Progesterone levels fall after the onset of menstruation

The risk of endometrial carcinoma is the highest with the following histological pattern of endometrial hyperplasia :

Simple hyperplasia without atypia

Simple hyperplasia with atypia

Complex hyperplasia with atypia

Complex hyperplasia without atypia

Endometrial hyperplasia and carcinoma are most likely associated with this type of ovarian tumor:

A 55 y.o. post – menopausal woman presents with pelvic discomfort , irregular vaginal bleeding and breast tenderness. She is not on any medications. On pelvic exam , her vagina is moist, the uterus is slightly enlarged , and a 7cm mobile mass was palpated at the right adnexa. Your most likely diagnosis :

Mature cystic teratoma

Granulosa cell tumor

Dysgerminoma

Endometrial cancer

Mitotic rate

Grading

Obesity

Cellular atypia

Glycogen is seen in the lumina of endometrial glands :

Large amount of alkaline phosphatase may be demonstrated in the endometrium of :

The clots passed with menorrhagia perhaps indicate

Therapeutic amenorrhea for the treatment of endometrial hyperplasia without atypia may be achieved with :

Cyclic OCPs

NSAIDS

Continuous progestins

Clomiphene Citrate

The advantage of myomectomy over hysterectomy is :

Decreased of post-operative infection rate

Low risk recurrence

Preservation of hormonal function

Preservation of reproductive function

A 40 year old multigravida with multiple fibroids in the lower segment of uterus in 3rd trimester. Most appropriate management in this case would be ?

LSCS

Classical CS

Classical CS with hysterectomy

Vaginal delivery

In a multipara , the most common cause of post partum haemorrahge is ?

Retained placenta

Uterine perforation

Uterine atonicity

Fibroid in the uterus

A pregnant woman with fibroid uterus develops acute pain in abdomen with low grade fever and mild leucocytosis at 28 weeks. The most likely diagnosis is ?

Preterm labor

Torsion of fibroid

Red degeneration of fibroid

Infection in fibroid

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