Started on Sunday, 23 May 2021, 11:07 PM

State Finished
Completed on Sunday, 23 May 2021, 11:28 PM
Time taken 20 mins 30 secs
Marks 36.00/40.00
Grade 90.00 out of 100.00

Question 1 The fertilization of an egg in a nutrient medium and subsequent transfer to the
Complete mother's uterus is known as

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Select one:
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a. Intracytoplasmic injection

b. In vitro fertilization
c. Intrauterine insemination

d. Gamete intrafallopian transfer

e. Zygote intrafallopian transfer

Question 2 The functional test with dexamethasone is taken in order to:

Complete
What kind of amenorrhea indicates the negative functional test with combined
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estrogen-progestin drugs?
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{=Uterine
~Pituitary
~Ovarian
~Hypothalamic
~None lised above}

Select one:
a. Identify the inferiority of luteal phase of the cycle

b. Clarify the genesis of hyperandrogenism

c. Determine ovulation

d. Diagnose the typical form of gonadal dysgenesis

e. Determine hyperestrogeny

Question 3 Bacterial vaginosis is:

Complete
Select one:
Mark 1.00 out of
1.00 a. Local vaginal dysbiosis

b. Inflammation of the mucous membrane of the cervical canal

c. Inflammation of the large gland of the vestibule of the vagina

d. Inflammation of the vaginal mucosa

e. Iflammation of the mucosa of the vulva

Question 4 On the 5th postnatal day postparturient woman complained of headache,
Complete weakness, increase of the body temperature up to 39˚C, trills, boring pain in lower
abdomen. Delivery was complicated by long unhydrous period. Objective data:
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pale skin, pulse – 100 beats per min., BP – 110/65 mm of m.c. Uterine fundus
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was on the 8 cm above the pubic bone, pasty, painful, purulent discharge from
the uterus. Diagnosis?

Select one:
a. Postpartum endometritis

b. Uterine subinvolution

c. Metrotrombophlebitis

d. Colpitis

e. Placental polyp

Question 5 A 28-year-old patient complains of profuse, painful and prolonged menstruation.

Complete Before and after the menstrual period there is spotting lasting for 4-6 days.
Vaginal examination reveals that the uterus is enlarged corresponding to 5-6
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weeks of pregnancy, has limited mobility, is painful. Appendages are not
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palpable.On the 15th day of the menstrual cycle, the uterus was of normal size,
painless. On account of stated problems and objective examination the patient
has been diagnosed with internal endometriosis. Which drug should be used for
the efective treatment of this patient?

Select one:
a. Klomid

b. Duphaston

c. None of the above

d. Femostone

e. Parlodel

Question 6 The main clinical symptom of submucous uterine fibroids is:

Complete
Select one:
Mark 1.00 out of
1.00 a. Irondeficiency anemia

b. Secondary infertility.
c. Abnormal uterine bleeding

d. Chronic pelvic pain.

e. Algodysmenorrhea.
Question 7 Complications of submucous uterine fibroids, which is born, are all listed, except:
Complete
Select one:
Mark 1.00 out of
1.00 a. Decubital ulcer formation.

b. Inversion of the uterus

c. Acute ischuria.

d. Profuse uterine bleeding.

e. Infection of the node.

Question 8 A 68-year-old patient consulted a doctor about a tumour in her leftbreast.

Complete Objectively: in the upper internal quadrant of the left breast there is a neoplasm
up to 2,5 cm in diameter, dense, uneven, painless on palpation. Regional lymph
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nodes are not enlarged.What is the most likely diagnosis?
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Select one:
a. Cyst

b. Cancer

c. Fibroadenoma

d. Mastopathy

e. Lipoma

Question 9 AUB risk factors in the reproductive age are:

Complete
Select one:
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1.00 a. Insulinresistance.
b. Obesity.

c. Abortion.

d. Prolonged infertility
e. The first pregnancy after age of 30.

Question 10 The most informative methods of diagnosis of the endometriosis are:

Complete
Select one:
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1.00 a. Biopsy of heterotopias

b. CA-125 level

c. USD
d. Laparoscopy

e. MRT
Question 11 Stein-Leventhal syndrome is characterized by following features, except:
Complete
Select one:
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1.00 a. Bilateral polycystic ovary

b. Amenorrhea
c. Obesity

d. Hyperandrogenism

e. Hypotension

Question 12 Complications of chronic salpingo-ophritis is:

Complete
Select one:
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1.00 a. Erosive ectropion

b. Adhesive process in the pelvis

c. Thrombophlebitis of the veins of the small pelvis

d. Endometrial hyperplasia
e. Endocervicitis

Question 13 A 68-year-old patient consulted a doctor about a tumour in her leftbreast.

Complete Objectively: in the upper internal quadrant of the left breast there is a neoplasm
up to 2,5 cm in diameter, dense, uneven, painless on palpation. Regional lymph
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nodes are not enlarged.What is the most likely diagnosis?
1.00

Select one:
a. Lipoma
b. Cancer

c. Cyst

d. Fibroadenoma
e. Mastopathy
Question 14 Patient 38 years old complains of irregular menstruation, sharp pain in the
Complete abdomen before menstruation, the presence of vaginal chocolate color discharge.
She recognizes back and rectal area pain, especially before the begining of the
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cycle. Bimanual examination: the uterus is fixed in retroflexio position, enlarged,
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painful. Cyanotic eyes on the cervix are visualized during colposcopy
investigation. What is a primary diagnosis.

Select one:
a. Adenomyosis

b. Endometriosis

c. Cervical erosion
d. Cervical polype

e. Uterine fibroid

Question 15 Lymph outflow from uterine body is made into, except:

Complete
Select one:
Mark 1.00 out of
1.00 a. Nodi lymphatici parauterini

b. Nodi lymphatici obturatorii

c. Nodi lymphatici iliaci interni, externi

d. Nodi lymphatici iliaci communis

e. Nodi lymphatici parasacrales, sacrales

Question 16 The patient of 46 years was admitted to the hospital with complaints of the
Complete increased size of the abdomen,aching pain in the lower abdomen,general
weakness and shortness of breath. Objectively: the skin was pale, the enlarged
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abdomen (froggy) and the positive symptom of fluctuation. The bimanual
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research: the uterine and its appendages boundary were not clearly determined
due to the presence of the tumular neoplasm without clear contours in the
abdominal cavity; it was limitedly-mobile, dense and painless. The fornix of the
vagina was slightly shortened, painless. Make the preliminary diagnosis.

Select one:
a. Ovarian cancer

b. Cancer of the endometrium.

c. Sarcoma of the uterus.

d. Cervical cancer with metastasis

e. Chorioncarcinoma.
Question 17 A 52-year-old woman suffering from obesity, complains of bloody discharges from
Complete sexual paths during 4 days. Last normal menses were 2 years ago. Histological
investigation of biopsy of the endometrium has revealed adenomatous
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hyperplasia. What reason from the mentioned below caused the development of
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disease?

Select one:
a. Hypersecretion of estrogens by tissues of the organism.

b. The increased contents of folliclestimulating hormone

c. Supersecretion of androgens by the cortex of paranephroses

d. Poor aromatization of preandrogens due to hypothyroidism

e. Excessive transformation of preandrogens from adipose tissues

Question 18 Which of the following is NOT a hormonal contraceptive?

Complete
The female method of contraception achieved by surgically cutting and
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cauterizing the fallopian tubes is
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{=Tubal sterilization
~Tubal bypass
~ Fallopian cryogenics
~ Vasectomy
~ Tubectomy}

Select one:
a. Mirena

b. Contraceptive patch
c. Cervical cap

d. Combined oral contraceptive

e. Progestogen-only pills

Question 19 During self-examination a 22- yearold patient revealed a mammary tumour.

Complete Palpation revealed a firm, painless, freely mobile formation up to 2 cm, peripheral
lymph nodes were not changed. USI results: in the superior external quadrant of
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the right mammary gland there was a big formation of increased echogenicity,
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sized 18x17 mm. The patient was provisionally diagnosed with fibroadenoma.
What is a doctor’s further tactics?

Select one:
a. Surgical removal of the tumour prior to pregnancy
b. Nonsteroid anti-inflammatory drugs, oral contraceptives

c. Dynamic follow-up

d. Surgical treatment after pregnancy

e. Radical mastectomy
Question 20 A 25 year old woman and her husband use natural family planning as their
Complete method of contraception. Her menstrual cycle length range from 26 to 28 days.
She does not measure her basal body temperature. The time of her maximum or
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peak fertility with the first day of her menses would be between
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Select one:
a. Day 1-14

b. Day 14-21
c. Day 16-26

d. Day 10-16

e. Day 8-21

Question 21 The secretion of gonadotropins,typical for the normal menstrual cycle,is

Complete established by:

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Select one:
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a. 14-15 years

b. 15-16 years
c. 12-13 years

d. 9-10 years

e. 16-17 years

Question 22 The external genitalia are supplied by the following arteries, except:
Complete
Select one:
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1.00 a. A.vesicalis inferior

b. A.perinealis
c. A.pudenda externa

d. A.obturatoria

e. A.pudenda interna
Question 23 Patient 29 years old complains of primary infertility. Married for 7 years. There are
Complete the long-term and significant uterine bleeding during menstruation, significant
pain before and during menstruation, pain radiates to the lower back and rectal
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area. Additional methods of examination.
1.00

Select one:
a. Colposcopy

b. Laparoscopy
c. Hysteroscopy

d. Ultrasonography

e. X-ray

Question 24 Indications for hysteroscopy are:

Complete
Select one:
Mark 1.00 out of
1.00 a. All of the above

b. Submucosal fibroid, endometrial carcinoma

c. Adenomyosis

d. Submucosal fibroid, intrauterine synechia, endometrial carcinoma

e. Intrauterine synechia, adenomyosis

Question 25 The accumulation of pus in the fallopian tube is ...

Complete
Select one:
Mark 1.00 out of
1.00 a. Salpingoophoritis
b. Ovarian abscess

c. Hydrosalpinx

d. Piovar
e. Pyosalpinx

Question 26 Name the most specific sings of the chorioncarcinoma:

Complete
Select one:
Mark 1.00 out of
1.00 a. All of the above

b. There are bilateral luteine cysts

c. None of the above

d. There are no metastases

e. The metastases are in the lungs

Question 27 48-year-old female has been admitted to the gynecology department for pain in
Complete the lower right abdomen and low back pain, constipations. Bimanual examination
findings: the uterus is immobile, the size of a 10- week pregnancy, has uneven
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surface. Aspirate from the uterine cavity contains atypical cells.What diagnosis
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can be made?

Select one:
a. Cervical cancer

b. Metrofibroma

c. Hysterocarcinoma
d. Colon cancer

e. Chorionepithelioma

Question 28 A 31 year old G1P1 had unprotected sex 4 days ago. What type of contraception
Complete you’ll advice?

Mark 1.00 out of

Select one:
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a. Female condoms

b. Combined oral contraceptive

c. Progestogen-only pills

d. Levonorgestrel 1.5 mg

e. Insertion of a copper IUD

Question 29 The anatomical crus of the ovarian tumor are formed by:
Complete
Select one:
Mark 1.00 out of
1.00 a. All listed above

b. The suspending ovarian ligament

c. The bowel loops and the omentum

d. The proper ovarian ligament,suspending ovarian ligament

e. The fallopian tube

Question 30 A patient, aged 31, was admitted to hospital with acute pain in the lower part of
Complete the abdomen, which appeared after physical activity. The patient complains of
general weakness, dizziness, nausea, vomiting, headache, acute abdominal pain,
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right-side. At the moment of admission: body temperature is 37,2°, the pulse is 96
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b/min, BP - 110/65 mm of mercury. Abdomen is soft, painful at the right
illiohypogastric area where are noted muscle tension and positive Schotkin-
Blumberg sign. A menstrual function isn’t disturbed. Vaginal investigation: vaginal
fornixes are free, painless. Uterus has normal sizes. The left appendages are
without any peculiarities. And elastic painful tumor-like mass in the
diameter12x8x8 cm is palpated in the region of the right appendages. During of
investigation it was noted an increasing of pain. Wich diagnosis can you make in
this case?

Select one:
a. Metroendometritis

b. Acute bilateral salpingoophoritis, pelvioperitonitis

c. Parametritis

d. Pyovar, pyosalpinx

e. Complicated cystoma (torsion of cystoma)

Question 31 The cause of tubal/peritoneal factors of infertilityin majority of cases is

Complete
Select one:
Mark 1.00 out of
1.00 a. Endometritis

b. Ovarian tumor

c. Asherman's syndrome

d. PID
e. OCP

Question 32 A patient was admitted to the hospital with complaints of occasional pains at the
Complete bottom of abdomen that get worse during menses, weakness, indisposition,
nervousness, some dark bloody discharges from vagina on the day before and
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the day after menses. Bimanual examination results: body of womb is enlarged,
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appendages cannot be determined, posterior fornix has tuberous surface
Laparoscopy results: ovaries, peritoneum of rectouterine pouches and pararectal
fat are covered with "cyanotic spots". What is the most probable diagnosis?

Select one:
a. Polycystic ovaries

b. Ovarian cystoma
c. Chronic salpingitis

d. Widespread form of endometriosis

e. Genital organs tuberculosis

Question 33 A 42-year-old woman has had hyperpolymenorrhea and progressing
Complete algodismenorrhea for the last 10 years. Gynecological examination revealed no
changes of uterine cervix; discharges are moderate, of chocolate colour, uterus is
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slightly enlarged and painful, appendages are not palpable, the fornices are deep
1.00
and painless. What is the most likely diagnosis?

Select one:
a. Adnexal endmetriosis

b. Tumour of sigmoid colon

c. Subserous uterine fibromyoma
d. Endomyometritis

e. Uterine endometriosis

Question 34 Complications of submucous uterine fibroids, which is born, are all listed, except:
Complete
Select one:
Mark 1.00 out of
1.00 a. Profuse uterine bleeding.

b. Inversion of the uterus

c. Acute ischuria.

d. Decubital ulcer formation.

e. Infection of the node.

Question 35 With functional hyperprolactinemia, the treatment is carried out:

Complete
Select one:
Mark 1.00 out of
1.00 a. COC for 12 months
b. X-ray therapy, telegammotherapy

c. Dopamine agonists (bromocriptine, cabergoline)

d. a-GnRH for 3 months

e. Psychotherapy, antidepressants, anxiolytics
Question 36 A 40-year old patient complained of long-term, painful, profuse menstruation with
Complete a significant loss of blood causing anemia, dark blood discharge 2-3 days before
menstruation. In anamnesis there were 3 artificial abortions and delivery by
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cesarean section. On the bimanual examination: uterus was enlarged up to the
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size of 7-8 week pregnancy, painful on palpation. Initial diagnosis.

Select one:
a. Leiomyoma of the uterus

b. Endometrial cancer
c. Adenomyosis

d. Endometriosos of the appendages

e. Endometritis

Question 37 For the diagnosis of the tubal-perytoneal infertility can be used:

Complete
Select one:
Mark 1.00 out of
1.00 a. All of the above

b. The radionuclide study of the tubal function

c. None of the above

d. The laparoscopy combined with the chromatosalpingoscopy

e. The roentgenotelevision hysterosalpingography

Question 38 What is the best method for determining ovulation

Complete
Select one:
Mark 1.00 out of
1.00 a. Laparoscopy
b. Cervical mucus method
c. Folliculometry

d. Culdocentesis
e. Hysteroscopy

Question 39 Oxytocin and vasopresin are produced by:

Complete
Select one:
Mark 0.00 out of
1.00 a. Posterior pituitary
b. Ovaries

c. All
d. Anterior pituitary

e. Paraventricularis and supraopticus nuclei

Question 40 Basic clinical signs of trichomoniasis are:
Complete
Select one:
Mark 1.00 out of
1.00 a. Excessive foamy discharge from vagina, itch of the external genitalia,
dyspareunia

b. Acyclic blood discharge from vagina

c. All of the above

d. Excessive foamy discharge from vagina, dyspareunia

e. Dyspareunia, acyclic blood discharge from vagina