GYN Daily Quiz 1 15 November 2021
1. An 87-year-old woman comes to your clinic complaining that she feels as though she is "sitting on a ball" On examination, you
find tout hat the vagina is essentially turned inside out, and the entire uterus lies outside the vaginal introitus. What is the
diagnosis?
A. Vaginal evisceration C. 3rd degree prolapse
B. 2nd degree prolapse D. Procidencia uteri
2. Who among the following women is more likely to have an ovulatory menstrual cycle?
A. A woman with menses occuring irregularly with dysmenorrhea
B. A woman with menses occuring regularly without dysmenorrhea
C. A woman with menses occuring regularly with dysmenorrhea
D. A woman with menses occuring irregularly without dysmenorrhea
3. What provides the basis for medical therapy in case of endometriosis?
A. Course of the infertility work-up
B. Gravity and parity of the patient
C. Dependence of on the cyclic production of cycle hormones
D. Age of the patient
4. With regards pathophysiology of endometriosis, which one refers to as the "Sampson's Theory"
A. Embryonic cell transformation C. Reflux or retrograde menstruation
B. Transformation of peritoneal cells D. Immune system disorder
5. After menstruation, regeneration of the endometrium comes from what layer?
A. Basal layer C. Myometrial layer
B. Compact laver D. Spongy layer
6. This is defined as presence of normal endometrial mucosa (glands and stroma) abnormally implanted in locations other than the
uterine cavity:
A. Leimyoma uteri C. Pelvic endometriosis
B. Adenomyosis D. Internal endometriosis
7. G.R. 35-year-old GOPO, whose menstrual cycle is regular complained of painful intercourse. What should be considered the
primary diagnostic modality that you will recommend?
A. NSAIDS prescription C. Hysteroscopy
B. Laparoscopy D. Progesterone challenge
8. Parity and infertility have long been associated with endometriosis, with infertility among the chief clinical findings. What is the
most common cause of infertility in patients with endometriosis?
A. Anovulation C. Pelvic adhesions
B. Impaired implantation D. Altered peritoneal function
9. Which of the following patients would be of greatest risk for ectopic pregnancy?
A. A woman with past history of PID C. A healthy woman with irregular menses
B. A woman currently IUD-wearer D. A woman currently treated for endometriosis
10. In descending order, what are the most common sites of endometriotic involvement?
A. Ovaries, post cul de sac, broad ligament, uterosacral ligament
B. Post cul de sac, broad ligament, ovaries, uterosacral ligament
C. Post cul de sac, ovaries, broad ligament, uterosacral ligament
D. Post cul de sac, broad ligament, uterosacral ligament, ovaries
11. Which of the following is NOT a classic manifestation of endometriosis?
A. Deep dyspareunia,
B. Chronic pelvic pain
C. Absence of dysmenorrhea
D. Middleschmertz
1. An 87-year-old woman comes to your clinic complaining that she feels as though she is "sitting on a ball" On examination, you
find tout hat the vagina is essentially turned inside out, and the entire uterus lies outside the vaginal introitus. What is the
diagnosis?
A. Vaginal evisceration C. 3rd degree prolapse
B. 2nd degree prolapse D. Procidencia uteri
2. Who among the following women is more likely to have an ovulatory menstrual cycle?
A. A woman with menses occuring irregularly with dysmenorrhea
B. A woman with menses occuring regularly without dysmenorrhea
C. A woman with menses occuring regularly with dysmenorrhea
D. A woman with menses occuring irregularly without dysmenorrhea
3. What provides the basis for medical therapy in case of endometriosis?
A. Course of the infertility work-up
B. Gravity and parity of the patient
C. Dependence of on the cyclic production of cycle hormones
D. Age of the patient
4. With regards pathophysiology of endometriosis, which one refers to as the "Sampson's Theory"
A. Embryonic cell transformation C. Reflux or retrograde menstruation
B. Transformation of peritoneal cells D. Immune system disorder
5. After menstruation, regeneration of the endometrium comes from what layer?
A. Basal layer C. Myometrial layer
B. Compact laver D. Spongy layer
6. This is defined as presence of normal endometrial mucosa (glands and stroma) abnormally implanted in locations other than the
uterine cavity:
A. Leimyoma uteri C. Pelvic endometriosis
B. Adenomyosis D. Internal endometriosis
7. G.R. 35-year-old GOPO, whose menstrual cycle is regular complained of painful intercourse. What should be considered the
primary diagnostic modality that you will recommend?
A. NSAIDS prescription C. Hysteroscopy
B. Laparoscopy D. Progesterone challenge
8. Parity and infertility have long been associated with endometriosis, with infertility among the chief clinical findings. What is the
most common cause of infertility in patients with endometriosis?
A. Anovulation C. Pelvic adhesions
B. Impaired implantation D. Altered peritoneal function
9. Which of the following patients would be of greatest risk for ectopic pregnancy?
A. A woman with past history of PID C. A healthy woman with irregular menses
B. A woman currently IUD-wearer D. A woman currently treated for endometriosis
10. In descending order, what are the most common sites of endometriotic involvement?
A. Ovaries, post cul de sac, broad ligament, uterosacral ligament
B. Post cul de sac, broad ligament, ovaries, uterosacral ligament
C. Post cul de sac, ovaries, broad ligament, uterosacral ligament
D. Post cul de sac, broad ligament, uterosacral ligament, ovaries
11. Which of the following is NOT a classic manifestation of endometriosis?
A. Deep dyspareunia,
B. Chronic pelvic pain
C. Absence of dysmenorrhea
D. Middleschmertz
