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MCQ

7. What is ideal love should be


1. Passion

2. Intimacy

3. Commitment
4. Puppy

8. 45 abnormal vaginal bleeding LMP 8


fractional curettage complex hyperplasia
with cellular atypia manage

1. record menstruation and follow up in 6 months


2. cyclic progestin for 6 months

3. high dose progestin for 6 months


4. HRT till 50 years old
5. hysterectomy

10. phanensteil low midline incision


- pressure

13. ( choice thelarche, menarche, adrenache,


growth spurt, )

17. presenting symptoms of chorionic GA


1. vaginal bleeding
2. stroke

3. cough / dyspnea
4. hematuria

5. pelvic pain

18.

1. LMP regarded as the last day of menstrual cycle


2. ectopic pregnancy count as parity

3. Polymenorrhea = at least 14 /year


4. Normal menstruation = regular w/o previous hormone use
5. Pelvic pain is uncorrelated w/ uterine abnormality
0

53. 20 2 amenorrhea, BMI 28, PE unremarkable

1. endometriosis

2. cystadenoma of ovary
3. pituitary adenoma
4. PCOS

54. PID

1. post partum risk


2. vaginal discharge

3. chronic PID asymptomatic and anemia


4. IUD

5. hysterectomy young women


65. estrogen progestrin menopausal women
1.prevent breast CA

2.prevent endometrial CA
3.prevent heavy bleeding
4. ?

5.none of above
66.molar pregnancyGA 16 wk with bilateral theca lutein cyst 8
cm

1.hysterectomy

2. hysterectomy with mole in situ


3. hysterectomy with BSO
4.S/C

5.D/C
97. which is contraceptive method is the most effective
a. oral pills
b. injected

c. transdermal patch
d. IUD

e. condom
98. endometriosis
a. ovary

b. pelvic peritoneum
c. endometrium
d. vagina
e.??

99. abnormal vagianl bleeding, PV mass at

cervix( CA cervix) invade vagina wall + thickening


parametrium+ no palpable mss at parametrium IVP

hydronephrosis CXR cystoproctoscope


a. IIa

b. IIb
c. IIIa

d. IIIb
e. IV

100. chronic pelvic pain


a. pelvic surgery
b. endometriosis
c. adnexal mass

d. pelvic organ prolapsed

5. PID

MEQ
1. 4
- (7 )

2. 4

( deep dyspareunia ^^)


Ponstan 3-4

PV : adnexal mass 3 cm
uterus (R/V)

nodularity cul-de-sac

- Differential diagnosis Plan of management (7 )


3. 6

Loss follow up 3
...

PE: no fever (37.8c), P 110/min, BP 106/70 mmHg, RR 22/min


Abdomen: generalized tenderness, rebound tenderness, guarding,
rigidity

PV : adnexal mass 6 cm marked tenderness


Cul-de-sac : tenderness,nodularity
Cervical motion tenderness +ve

Normal vaginal mucosa and discharge


- Diagnosis treatment (7 )

4. explore lap cystectomy lysis adhesion


complication

1-2
- management (5 )
MEQ

30 G2P2 2 wks
1.
(8 mins)
2


4
(8 mins)
3 (5 mins)
pH 6.0

Whiffs test (+), E:C(WBC) = 1:1, clue cell 25%,


trichomonas, no bact., no fungus Pap smear

(10)(10)

4 (5 mins)
Pap = HSIL

Colpo adequate T zone, acetowhite lesion


os
Biopsy CIN III
PV

.
*

* .. .
.

* .
.

. 4

4 PV ( ),

management , provisional diagnosis (


3 )

-

-
-
normal
-
.

oral

* 28 progressive dysmenorrheal 6
months provisional diagnosis + Differential
diagnosis . PE management

oral

, DDx,
Investigation definitive Dx >> ectopic pregnancy

- adenomyosis

definition,sign and symptoms,investigation,treatment

- 15-20
-*** ()

- ... ()
-
-

- .
update adeno (mirena) TAH

- adeno ?

(submucous myoma)
.

* .
* . ()

* case (
CA )

* . CA cervix ( GYN-009)
conization (3 LEEP, cold knife, Lason) complication
? Cervix incompetent, cervix stenosis

* .
culdocentesis ruptures ectopic pregnancy un clotted blood
infect

* term (.+ )
ultrasonography, fetal heart motion

*
(.
5555)

*
(1-2) (.)
10

* chemo .
. ()

, Locker (.)

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