Questions and Answers {Verified} |
2026/2027 Academic Cycle |
Comprehensive Obstetrics &
Gynecology Review | Guaranteed Pass
|Brand New!!!!!
1. The clinical signs of a 32-year-old woman with an enlarged uterus on physical examination
and a history of cyclic profuse and prolonged bleeding with increasing pain most likely represent
which one of the following? a. Early pregnancy b. Leiomyoma c. Ruptured nabothian cyst d.
Ruptured follicular cyst - CORRECT ANSWER ANS: B Clinical signs of uterine leiomyoma include
irregular bleeding, menorrhagia, an enlarged uterus, pelvic pain, and bladder symptoms.
2. Which one of the following is the most common site for a leiomyoma to occur? a.
Submucosal b. Subserosal c. Pedunculated d. Intramural - CORRECT ANSWER ANS: D An
intramural (confined to the myometrium) is the most common site of a leiomyoma.
3. Complications in delivery may occur with pregnancy if a fibroid is located in or near which
one of the following structures? a. Near the fundus b. Pedunculated off the fundus c. Near the
cervix d. Near the ovary - CORRECT ANSWER ANS: C a fibroid locates in the lower uterine
segment or cervix may interfere with a normal vaginal delivery
, 4. Hydrometra appears sonographically as a(n) _____ a. Sonolucent tubular structure in the
adnexa b. Echogenic thickening of the endometrium c. Sonolucent fluid collection in the uterine
canal d. Sonolucent fluid collection in the uterus, cervix, and vagina - CORRECT ANSWER ANS: C
Fluid accumulation in the uterus is termed hydrometra
5. A benign invasion of endometrial tissue into the myometrium is known as which one of the
following conditions? a. Endometriosis b. Pelvic inflammatory disease (PID) c. Adenomyosis d.
Endomyosarcoma - CORRECT ANSWER ANS: C Adenomyosis is a benign disease, commonly
diffuse, with global infiltration of the endometrium
6. Which one of the following conditions is described as a hyperplastic protrusion of the
epithelium of the cervix that may be broad based or pedunculated? a. Cervical stenosis b.
Pyometrium c. Cervical polyps d. Cervical obstruction - CORRECT ANSWER ANS: C a cervical
polyp is a benign condition arising from the hyper plastic protrusion of the epithelium of the
cervix
7. Which one of the following sonographic characteristics is the most common finding in
endometrial carcinoma? a. Abnormal thinning of the endometrial cavity, usually with irregular
bleeding in postmenopausal women b. Abnormal thickening of the endometrial cavity, usually
with irregular bleeding in perimenopausal and postmenopausal women c. Irregular bleeding d.
Heavy bleeding with a thickening of the myometrium - CORRECT ANSWER ANS: B In
endometrial carcinoma, the most common sonographic finding is an abnormally thickened
endometrium. The most common clinical symptom is irregular uterine bleeding.
8. A small percentage of leiomyomas is located in which one of the following structures? a. Body
b. Fundus c. Myometrium d. Cervix - CORRECT ANSWER ANS: D A small percentage of
leiomyomas is located in the cervix.
9. Which one of the following is most likely the result of an acquired condition with obstruction
of the cervical canal? a. Leiomyoma b. Cervical c. Cervical stenosis
d. Adenomyosis - CORRECT ANSWER ANS: C an acquired condition with obstruction of the
cervical canal is most likely a result of cervical stenosis at the internal or external os. This