Tests «Obstetric» for bachelors, english language

5 course GM (200 tests)

~Monitoring and hospitalization of pregnant women and women in labor in the obstetric service
of the Republic of Kazakhstan includes ... stages.
|3
|7
|5
|6
|4
~ The tasks of obstetricians and gynecologists include... .
| reducing maternal mortality
| fertility decline
| the fight against tuberculosis
| the fight against AIDS
| prevention of anemia
~A sign of the developed labor activity is:
| shortening and smoothing of the cervix
| increasing frequency of contractions
| outpouring of waters
| increasing pain in the lumbar region
| pressing the head to the entrance to the pelvis
~The effectiveness of labor activity is objectively assessed by....
| dynamics of cervical opening
| duration of labor
| frequency and duration of contractions
| condition of the fetus
| the time of rupture of membranes
~In the partogram in the column "number of contractions in 10 minutes" the midwife made a
solid painting of 5 cells. With what frequency and the nature of contractions passes generic
activity?
| 5 good contractions
| 5 weak contractions
| 5 moderate contractions
| 2 good contractions
| irregular contractions
~The woman with 39-40 weeks of pregnancy was admitted to the maternity hospital in the 1st
period of labor. After 5 hours, she gave birth to a live full-term girl. After the birth of the child,
the midwife palpated the abdomen for the presence of another fetus in the uterus. Convinced of
the absence of the second fetus, the midwife carried out the prevention of bleeding in childbirth.
Specify the drug that was used by the midwife?
|Oxytocin of 2.0 i/m
|Papaverine 2.0 i/m
|Methylergometrine 1.0 i/m
|Dicinone 1.0 i/m
|Analgin 2.0, i/v
~The maternity hospital received a multiparouswith 39 weeks gestation after 6 hours from the
beginning of labor. The condition is satisfactory. The fetal position is longitudinal, the head is
reclining, the fetal heartbeat is clear, rhythmic. PV: the cervix is smoothed, the opening of the
uterine throat is 12 cm. The fetal bladder is intact. The head is presented. Specify the delivery
period:
|II delivery period
| preparatory period
| I period childbirth, latent phase
|I delivery period, active phase
| III stage of labor
~When a pregnant woman enters the hospital with 26 weeks and a complaint about premature
amniotic fluid outflow, it is necessary:
|send to the maternity hospital
|send to the therapeutic department
|send to the gynecological department
|temporarily observe at home
|send to the surgical department
~The woman in labor, 28 years old, gave birth to a live full-term boy, weighing 3500, 53 cm
long. At birth: heart rate-136 per minute, pink skin, rhythmic breathing -46 per minute, live
reflexes, hypertonus.What grade on the Apgar scale can be given to a newborn?
| 9-10 points
| 4-5 points
| 5-7 points
| 8-9 points
| 2-3 points
~ Obstetric surgery on the fetal bladder, to accelerate the first period of the birth process, is
called:
|Amniotomy
| Craniotomy
| Episiotomy
|Cleidotomy
| Laparotomy
~In the period of disclosure there are phases:
| active
| retractions
| slowdowns
| contractions
| latent
~The rate of opening of the cervix in the active phase in primiparous:
| 0.5-1.0 cm/hour
| 1.0-1.5 cm/hour
| 1.5-2.0 cm/hour
| 2.5-3.0 cm/hour
| 0.2-0.5 cm/hour
~The rate of cervical opening in the active phase in repeat births:
| 1.5-2 cm/hour
| 1-1.5 cm/hour
| 0.5-1.0 cm/hour
| 2-2.5 cm/hour
| 0-0.5 cm/hour
~ A newborn weighing is carried out ... .
| after 2 hours
| immediately after birth
| after 1 hour
| after 30min.
| under indications
~ An important principle of the "Safe motherhood" program :
| abandonment of the tight swaddling practice
|the umbilical cord treatment with a alcohol solution
| newborn eye treatment immediately after birth
| physiological management of the postpartum period
| spinal anesthesia in childbirth
~The number of obstetrician visits during physiological pregnancy:
|7
| 14
| 10
|6
|8
~ Valsalva's method is that a woman in labor....
| holds the air and pushes in the attempt 2-3 times for 20-30sec
| breathes rapidly at every attempt
|holds long breath during attempts
| pushes under the guidance of a doctor or midwife
| pushes herself independently arbitrarily
~ New perinatal technologies include ... .
| partner births
|gravidogram maintenance
| artificial feeding
| enema
| mandatory ultrasound screening
~ Partner support in childbirth affects ... .
| pain reduction
| increased pain
| quantity of water
|fetalt weight
| the condition of the fetus
~In a healthy newborn after birth ... .
| the liquid from the alveoli is adsorbed and replaced by air
| umbilical artery and veins are straightened
| the blood vessels of the lung tissue narrowed
| the pressure in the pulmonary capillaries decreases sharply
| part of the fluid remains in the alveoli
~ Effective method in the afterbirth period:
|after the birth of the fetus is oxytocin I/m
| cold on the lower abdomen
| bladder catheterization
| use of antiseptics
| inspection in the mirror after birth
~ Prolactin secretion is stimulated only when ... .
| emptying of the breast
| emptying of the bladder
| defecation
| artificial feeding
| the introduction of prolactin analogues
~ Prevention of cracked nipples is carried out with ... .
| antiseptic drugs
| hormonal agents
| antibiotics
| breast pump application
| decanting of milk remains
~Lactostasis is characterized by... .
| significant uniform breast swelling
| moderate breast swelling
|increased body temperature to 40 degrees
| free milk separation
| increased blood pressure
~ The duration of feeding of the newborn ... .
| regulates the child himself
|regulates mother
| no more than 30 minutes
| no more than 20 minutes
| at least 1 hour
~The basis of modern perinatal technology is....
| exclusively breastfeeding
| artificial feeding
| nipple application
| application of all kinds of drinking and feeding
|staying the child apart from the mother
~ Lactation begins under the action of ... .
| prolactin
| placental lactogen
| progesterone
| estrogen
| luteinizing hormone
~ Lactation begins... .
| from 3-4 days
| immediately after delivery
| from 1-2 days
| 2 hours after delivery
| 24 hours after delivery
~Content of the mammary glands in the first 2-3 days after birth:
| colostrum
| transition milk
| breast milk
| mature milk
| pasteurized milk
~ Early toxicosis of pregnant women include ... .
| vomiting of pregnancy
| eclampsia
| epilepsy
| preeclampsia
| viral hepatitis
~ Rare forms of early gestosis:
|osteomalacia
| vomiting of pregnant women
|ptyalism
| severe preeclampsia
| mild preeclampsia
~Mild form of early toxicosis confirms ... .
| vomiting
| increase body temperature to 38 C
| increased heart rate up to 100-120 per minute
| lowering blood pressure
| drastic weight loss
~A pregnant woman with a pregnancy term of 8-9 weeks has nausea and vomiting 3-5 times a
day, mainly after eating. General condition, temperature and diuresis are normal. Your tactics:
|no need for treatment
| outpatient treatment
| urgent hospitalization
| restorative therapy
| abortion
~A pregnant woman with a term of 8-9 weeks vomits 20 or more times a day, does not hold
food, is exhausted, progressively loses weight, hypotension, pulse 100 beats per minute. Diuresis
decreased, increased residual nitrogen, creatinine in the urine, acetonuria-4plus. Your diagnosis:
| excessive vomiting
| renal failure
| vomiting of pregnant women, moderate severity
| vomiting of pregnant women, mild degree
| exacerbation of cholecystitis
~Rare forms of early toxicosis include:
| dermatosis of pregnant women
| mild preeclampsia
| severe preeclampsia
| eclampsia
| gestational hypertension
~Doctor's tactics in the unsuccessful treatment of excessive vomiting of pregnant women:
| abortion
| hormone therapy and dispensary observation
| vitamin therapy
| pregnancy termination
| measures for hardening the body of a pregnant woman
~The first pregnant N., in the period 9-10 weeks of pregnancy, has vomiting from 8 to 9 times a
day. The general condition is severe. The loss of body weight reaches 3 kg in 1 week. The skin
and mucous membranes are pale, dry. Body temperature is 37.1°C. Pulse is 90-100 beats per
minute, blood pressure is 90/60 mm Hg, in urine: acetone + +. Management tactics:
| Treatment and observation in hospital
| Outpatient treatment and follow-up;
| Treatment in the intensive care unit;
| Treatment and observation in day hospital;
| In the treatment is not needed.
~ pregnant O., gestational age of 7-8 weeks. Complains of vomiting, reaching up to 20-25 times
a day. The General condition of women is severe. The loss of body weight reached 10 kg. The
pregnant woman does not retain either food or water. The skin and mucous membranes are pale,
dry. Blood pressure 80\50 mmHg. body Temperature 37.3 °C. Pulse up to 120 beats per minute.
In the analysis of urine: acetone ++++, protein-0.066 g\liter. Biochemical analysis of blood: total
protein-54 g\liter, bilirubin-25 mmol\liter. The main drug in the treatment of this complication of
pregnancy is:
| Metoclopramide
| Diphenhydramine
| Methionine
| Ascorbic acid
| Ampicillin
~ On reception in polyclinic came pregnant with pregnancy 7-8 weeks with complaints on
nausea and vomiting 4-5 times in day, apathy, lowering working capacity, lowering masses
bodies on 3 kg. Under inspection: state of satisfactory, marks dryness skin integuments, pulse 85
strikes in minute, systolic blood pressure 120 mm Hg., ketonuria-1+. Diagnosis:
| Vomiting of pregnant women, mild degree
| Vomiting of pregnant women, moderate
| Excessive vomiting during pregnancy
| Exacerbation of chronic cholecystitis
| Doubtful sign of pregnancy
~ On reception in polyclinic came pregnant with pregnancy 7-8 weeks with complaints on
nausea and vomiting 4-5 times in day, apathy, lowering working capacity, lowering masses
bodies on 3 kg. Under inspection: state of satisfactory, marks dryness skin integuments, pulse 85
strikes in minute, systolic blood pressure 120 mm Hg , ketonuria-1+. Tactics:
|weight control, in case of deterioration-ketonuria control
|does not need hospitalization
| urgent hospitalization, intensive care
| infusion, restorative therapy
| resolve the issue of termination of pregnancy
~ To the district obstetrician in the polyclinic a pregnant woman with an early pregnancy
complains of vomiting 20 or more times a day, does not hold food, is exhausted, progressively
loses weight, hypotension, pulse 120 beats per minute. There is a subfebrile temperature,
jaundice of the sclera, hyperbilirubinemia, diuresis is reduced, residual nitrogen is increased,
ketonuria +++. Diagnosis:
| Excessive vomiting during pregnancy
|Renal failure
| Vomiting of pregnant women, moderate severity
| Vomiting of pregnant women, mild degree
|Exacerbation of cholecystitis
~ Doctor's tactics for excessive vomiting of pregnant women:
| hospitalization, intensive struggle with hypovolemia, termination of pregnancy
|hospitalization, to begin therapy aimed at the regulation of nutrition, nervous system function
| urgent consultation of a nephrologist, hepatologist, to decide on the transfer to the hemodialysis
department
| refrain from termination of pregnancy, continue intensive therapy with the connection of
hypnotherapy, reflexology, hyperbaric oxygenation
|does not need treatment
~Pregnant with 8-9 weeks pregnancy has vomiting until 22 times in a day, loses weight,
hypotension, pulse 110 in min, diuresis reduced, residual nitrogen and creatinine raised, in urine
acetone - 4+. Tactics of the doctor:
| hospitalization, on the background of complex therapy - termination of pregnancy
|does not need treatment
| hospitalization, intensive infusion
| restorative therapy
| treatment in the day hospital
~Drug for prevention postpartum bleeding ... .
| oxytocin
|methylergometrine
| quinine
|ergotal
|prostenon
~In the early postpartum period bleeding has reached 1000 ml and continues . Your tactics:
| ligation of blood vessels, the seams on the B - Linch
| manual examination of the uterine cavity
| enter the contractile drugs
| infusion-transfusion therapy
| swab with ether in the rear of the vagina
~After the birth of a child weighing 4000,0 g , after 10 min. bleeding reached 400 ml, there are
no signs of placenta separation. Your tactics:
| manual separation and elimination of the afterbirth
|i/v infusion of oxytocin and FFP
|afterbirth separation by Krede-Lazarevich method
| prepare donors
| an examination of the cervix in the mirrors
~10 minutes after the birth of the child, the bleeding reached 400 ml. There are no signs of
placenta separation. Your tactics:
| manual separation and releasing of the afterbirth
| bladder catheterization
|dministration of oxytocini/v
| examination of the cervix in the mirrors
|placental separationby Crede-Lazarevich
~During the caesarean section hypotonic bleeding began. After birth, 1.0 ml of oxytocin
solution was injected into the thickness of the uterus, there is no effect, bleeding continues. Your
tactics:
| overlay suture B-Linch
| uterine massage on the fist
|supravaginaluterine amputation
|i/v oxytocin
|i/methylergometrine
~ Bleeding in the afterbirth period is due to ... .
| violation of the processes of separation and releasing of the afterbirth
| premature detachment of the normally located placenta
| long anhydrous period
| postponed pregnancy
| birth abnormalities
~ The risk group for hypotonic bleeding in the early postpartum period less include puerperal ... .
| with premature amniotic fluid outpouring
| with uterine fibroids
| with weakness of labor activity
| large fetus
| multiparous
~The cause of bleeding in the early postpartum period is ... .
| violation of the integrity of the placenta
| complete tight attachment of the placenta
| total placenta accretion
| endometritis
| puerperal ulcer
~When the afterbirth defect is detected, is carried out ... .
| manual examination of the uterine cavity
| bimanual compression
| inspection of the cervix in the mirrors
|aortocaval compression
| anesthesia
~After the independent birth of the afterbirth, its integrity is in doubt. The uterus is dense. Blood
loss-200,0 ml. Tactics:
| manual examination of the uterine cavity
| manual separation and release of the afterbirth
| curettage of the uterine cavity
| cold on the lower abdomen
| oxytocin administration
~After the birth of the fetus, the parturient for 30 minutes has no signs of the placental
separation, there is no bleeding from the genital tract. Presumptive diagnosis:
|total true placenta increment
| infringement of the afterbirth
|hypotonia of the uterus
| full placenta previa
| incomplete tight attachment of the placenta
~The best prevention of postpartum bleeding is:
| active maintenance of the third period
| administration of oxytocin i/v
|methylergometrinei/v
| rectal misoprostol administration
| external massage of the uterus
~The maximum dose of oxytocin used to stop bleeding ...
| 60
| 40
| 30
| 20
| 10
~ Dose of methylergometrine. administered to stop bleeding in the postpartum period ... mg
| 0.2
| 0.4
| 0.5
| 1.0
| 1,.Five
~Volume of infusion therapy (crystalloids) in postpartum bleeding more than 2000,0 ....
| 3000,0
| 2000,0
| 1000,0
| 4000,0
| 6000,0
~The volume of injection of FFP in postpartum bleeding is more than 2000,0....ml:
| 1000,0 and more
| 200,0
| 400,0
| 600,0
| 800.0
~ Criteria for infusion-transfusion therapy:
| Platelets <75x109 g/l
| Hemoglobin 90 x1012 g/l
| Prothrombin index <2.0
| Fibrinogen >2.0 g/l
| Hematocrit-28
~Volume of surgery for hypotonic bleeding and blood loss 1500ml:
| hysterectomy
| manual examination of the uterine cavity and uterine massage on the fist
|supravaginal amputation of the uterus
| ligation of internal iliac arteries
| suturing by Lositsky method.
~ Interventions for hypotonic bleeding and blood loss 500 ml:
| bimanual compression of the uterus
|supravaginal amputation of the uterus
| hysterectomy
| internal iliac artery ligation
| suturing by B-Linch
~In the early postpartum period, bleeding has reached 1000 ml and continues. Your tactics:
| amputation of the uterus with vascular ligation
| manual examination of the uterine cavity
| enter the contractile drugs
| infusion-transfusion therapy
| swab with ether in the rear of the vagina
~The state of the puerpera is relatively satisfactory. Blood pressure 100/70 mmHg, pulse 98
beats/ minute. The skin of the usual color, from the genital tract is moderate spotting, reached
500.0 ml and continues. The afterbirth is whole. Upon inspection of the birth canal – there's no
breaks. With external massage, the uterus becomes toned and after a while relaxes. Your
diagnosis:
| atonic bleeding
| blood clotting disorder
| uterine rupture
| trophoblastic disease
| DIC-syndrome
~There was an timely delivery of a full-term female fetus weighing 3200.0 g., 52 cm long. within
30 minutes, there is no separation of the placenta and bloody discharge from the genital tract.
Your diagnosis:
| Tight attachment of the placenta
| Physiological post-partum period
| Delay of the afterbirth in the uterus
| Infringement of the placenta
| Low placentation
~Multiparous with pelvic presentation fetus, in active phase I period childbirth contractions have
become through 7-8 minutes, on 20-25 seconds, weak forces. The estimated weight of the fetus
is 3200.0±200.0 g. The heartbeat of the fetus clear, rhythmic, 136 beats per 1 minute. Tactics of
the doctor:
| intravenous administration of oxytocin
| caesarean section
| dynamic observation
| change the position of the woman in labor
| regional anesthesia
~Parturient D., 28 years old, who gave birth to a fetus weighing 4300.0, when examining the
cervix on the mirrors, a bleeding rupture of the cervix of the 2nd degree was found. Tactics of
the doctor:
| apply for a cervical rupture sutures
| manual examination of the uterine cavity
| dynamic observation
| extirpation of the uterus without appendages
| Ultrasound of the uterine cavity
~In the afterbirth period for 30 minutes, the placenta did not separate. Bleeding from the genital
tract 250.0 ml and continues. Your tactics:
| manual separation of the placenta and the releasing of the afterbirth
| oxytocin administration
| pulling the umbilical cord
| introduction of saline
| surgical hemostasis
~There was an timely delivery of a full-term female fetus weighing 3200.0g, 52 cm lengh,
within 30 minutes there were no signs of placenta separation and bloody discharge from the
genital tract. Obstetric situation:
| placenta increment
| delay of the afterbirth in the uterus
| partial tight attachment of the placenta
| infringement of the placenta
| normal course of the postpartum period
~ There was an timelydelivery of a full-term fetus, weighing 4200,0. Independently separated
and released out afterbirth -whole. Next came bloody discharge from the genital tract.
Conservative methods of stopping bleeding are with effect. Total blood loss was 800.0. Blood
pressure is 90/50 mm Hg, pulse 100 per minute. Hemoglobin-90 g/l, red blood cells 2,8*10 12/l,
HT-30%. Diagnosis: Early postpartum period. Hemorrhagic shock ... .
| II degree. Hypotonic bleeding
| II degree
| III degree
| I degree
| II degree. Atonic bleeding
~Pregnant, 26 years old delivered by ambulance to the hospital with complaints of headache and
pain in the epigastric region, severe uterine tension. Pulse 89 beats per minute, blood pressure
90/60 mm Hg, swelling face, abdomen, legs. The size of the uterus corresponds to the full-term
pregnancy, the uterus is sharply tense, painful, the fetal heartbeat is deaf, up to 120 beats per
minute. Diagnosis:
| Pregnancy 38-39 weeks. Preeclampsia. Placental detachment. Hemorrhagic shock. Fetal
distress
| Pregnancy 38-39 weeks. Preeclampsia. Placental presentation. Hemorrhagic shock. Fetal
distress
| Pregnancy 38-39 weeks. Eclampsia. Placental detachment. Chronic intrauterine hypoxia of the
fetus.
| Pregnancy 38-39 weeks. Preeclampsia. Rupture of the uterus. Intrauterine fetal development
delay.
| Pregnancy 38-39 weeks. Preeclampsia. placental detachment. Intrauterine fetal development
delay.
~Multiparous, with a pregnancy 25-26 weeks, was admitted to the hospital with complaints of
spotting from the genital tract within an hour, which appeared after sleep.
From anamnesis: one birth and two medical abortions.
The uterus is not excitable, its uterine dimensions correspond to the specified period of
pregnancy. The fetus is in the pelvic presentation, the fetal heartbeat is clear, rhythmic, up to 140
beats per minute. Spottings from the genital tract is are scarce. Ultrasound data - the placenta
completely covers the inner throat of the cervix. Clinical management of pregnancy:
| Preservative therapy
| Emergency caesarean section
| The birth through the natural way
|Excitation with stimulation
|Scheduled caesarean section
~Multiparous, with a pregnancy period of 25-26 weeks, was admitted to the hospital with
complaints of spotting from the genital tract within an hour, which appeared after sleep.
From anamnesis: one birth and two medical abortions.
The uterus is not excitable, its uterine dimensions correspond to the specified period of
pregnancy. The fetus is in the pelvic presentation, the fetal heartbeat is clear, rhythmic, up to 140
beats per minute. Spottings from the genital tract are scarce.
Ultrasound data - the placenta completely covers the inner throat of the cervix. Diagnosis:
| Pregnancy 25-26 weeks. Total placenta previa. Threat of termination of pregnancy
| Pregnancy 25-26 weeks. Abruption of the placenta. The threat of termination of pregnancy
| Pregnancy 25-26 weeks. Incomplete placenta previa. The threat of termination of pregnancy
| Pregnancy 25-26 weeks. Placental presentation. Abortion is in progress
| Pregnancy 25-26 weeks. Cervical cancer. The threat of termination of pregnancy
~Pregnant delivered to the hospital with complaints of cramping abdominal pain, moderate
bleeding from the genital tract for two hours. Pregnancy proceeded with the phenomena of
gestosis. Objectively: General condition of moderate severity, pulse 90 beats per minute. Blood
pressure 130/90-140/90 mmHg, the uterus is enlarged to 35-36 weeks of pregnancy, painful to
the right of the navel, tense, fetal heartbeat 160-170 beats per minute, deaf. Vaginal examination:
the cervix is retained. From the genital tract is moderate spotting, the head of the fetus is slightly
pressed to the entrance to the pelvis. Diagnosis:
| Pregnancy 35-36 weeks. Preeclampsia. Placental detachment. Fetal distress
| Pregnancy 35-36 weeks. Preeclampsia. Placental presentation. Fetal infection of the fetus
| Pregnancy 35-36 weeks. Preeclampsia. Intrauterine fetal development delay. Uterine rupture
| Pregnancy 35-36 weeks. Intrauterine fetal development delay. Placental presentation
| Pregnancy 35-36 weeks. Uterine rupture. Chronic fetal intrauterine infection

~ In the antenatal clinic on the D-account pregnant, pregnancy 18-19 weeks. The diastolic blood
pressure periodically increases to 90 or more. Proteinuria – 0.9 g/l. When fatigue was worried
about the headache. What are your diagnosis and tactics of management under the Protocol
"Arterial Hypertension"?
| Chronic arterial hypertension. Drug therapy with alpha-adrenomimetics
| gestational hypertension. Drug therapy with adrenoblockers
| Chronic hypertension with the addition of non-severe preeclampsia, drug therapy with alpha-
adrenomimetics
|preeclampsia is not severe, drug therapy with alpha-adrenomimetics and magnesium sulfate
|severe preeclampsia, drug therapy with alpha-adrenomimetics and magnesium sulfate
~ Re-pregnant 26 years with a gestation period of 28 weeks went to the doctor of the antenatal
clinic complaining of weakness. There is no history of chronic diseases, injuries and operations.
The condition is satisfactory. Moderate swelling on the lower extremities. body temperature is
36.5°C, pulse 80 beats/minute, blood pressure 140/90 mm Hg, fetal heartbeat 145-148 beats/min,
clear, rhythmic. The uterus is not excitable. There are no pathological secretions from the genital
tract. In the general analysis of blood hemoglobin 123 g/l, in a single portion of urine are traces
of protein. What is the most reasonable tactic?
| outpatient monitoring of blood pressure and protein in urine
| hospitalize in the therapeutic department
| hospitalize in the hospital level 2
| hospitalize in the hospital level 3
| hospitalize in the research Institute of obstetrics and gynecology
~ A pregnant woman 30 years old at the reception of the district gynecologist suddenly had
complaints of abdominal pain and bleeding from the genital tract in a volume of about 250.0 ml
and continues. At the same time there was a general weakness, shortness of breath. State of
moderate severity, blood pressure 90/60 mm Hg, pulse 96 beats/minute. The uterus is hypertonic,
painful in the right tubal corner. The fetal heartbeat is not heard. Which of the following is the
most appropriate first action inthis situation?
|ambulance call
|fetal CTG
|pelvic ultrasound
| inspection on mirrors
| vaginal examination
~ 26 years old, pregnant at 22-23 weeks, went to a general practitioner with complaints of
headache, nausea, vomiting, pain in the right hypochondrium and decreased urination. At
objective examination pastiness of the lower extremities, blood pressure 150/90 mmHg on both
hands, pulse 96 beats per minute. Choose a hypotensive drug for this patient:
|methyldopa
|captopril
|hypochlorite
|carvedilol
|bisoprolol
~ Woman 25 years, pregnancy 12-13 weeks. Complaints of frequent painful urination, pain over
the pubis, frequent imperative urges. These complaints are within 2-3 days after hypothermia. At
examination of GBA without features, in GUA - leukocytes to 20-30 in line of sight, bacteria++
+. Which of these diagnoses is the most likely?
| Urinary tract infection
| Acute pyelonephritis
| Urolithiasis
| Asymptomatic bacteriuria
|Tubulointerstitialnephritis
~ K., 27 years old went to the clinic about the lack of menstruation for 2 months. With 20 years
consist on the dispensary account at the therapist about rheumatic heart disease. The last 6
months noted the appearance of shortness of breath when walking, exercise. This pregnancy is
the first according to a comprehensive survey corresponds to 6 weeks. The rheumatologist who
advised the pregnant woman gave the following conclusion rheumocarditis, active phase.
Combined heart disease with predominance of stenosis of the left atrio-ventricular orifice. Mitral
valve insufficiency II B degree. Tactics of obstetrician-gynecologist polyclinic:
|send for termination of pregnancy
|to be hospitalized to a therapeutic hospital
|to be hospitalized to a maternity hospital
| send to the perinatal center
| send to the Republican center of mother and child
~ The puerperal on the 3rdday of the postpartum period complains of headache, sleep disturbance,
appetite, abdominal pain. When examined, the pulse is 105 beats /minute, body temperature is
38.30 C. In the GBA leukocytes are 11, 0x109/l. The bottom of the uterus is 1 transverse finger
below the navel. On ultrasound-the uterus with not clear contours. Lochia are purulent. Your
diagnosis: Postpartum period.....
| Endometritis
| Pelvic peritonitis
|Metrotromboflebit
|Salpingoophoritis
|Parametritis
~The puerperal on the 3rd day of the postpartum period complains of headache, sleep
disturbance, appetite, abdominal pain. When examined, the pulse is 105 beats /minute, body
temperature is 38.30 C. In the GBA leukocytes are 11, 0x109/l. The bottom of the uterus is 1
transverse finger below the navel. The uterus is painful in the ribs. On ultrasound-the uterus
with fuzzy contours. Mammary glands are rough. Lochia are purulent. What stage of purulent-
septic infections is this situation according to the classification of Sazonov-Bartels: The
postpartum period ... stage.
|I
| II
| III
| IV
|V
~ On the 7thday after cesarean section, the puerperal complains of pain in the area of the
postoperative wound, deterioration of health, increase in body temperature to 39°C during the
last 2 days. On examination-there is a hyperemia of the skin postoperative wound, purulent
discharge. When palpation of the abdomen-sharp pain, tension of the abdominal muscles, a
positive symptom of Shchetkin-Blumberg. Percussion-the presence of exudate in the abdominal
cavity is determined. Tactics of the doctor:
| extirpation of the uterus with appendages
| infusion, antibacterial therapy
| drainage of the abdominal cavity
| diagnostic laparoscopy
| hysteroscopy
~ On the 7th day after cesarean section, the puerperal complains of pain in the area of the
postoperative wound, deterioration of health, increase in body temperature to 39°C during the
last 2 days. On examination-there is a hyperemia of the skin postoperative wound, purulent
discharge. When palpation of the abdomen-sharp pain, tension of the abdominal muscles, a
positive symptom of Shchetkin-Blumberg. Percussion-the presence of exudate in the abdominal
cavity is determined. Cause of postoperative peritonitis:
| failure of sutures on the uterus
| operation on the background of chorioamnionitis
| inflammatory diseases of the uterine appendages
| violation of suturing technique
| intestinal paresis
~ On the 7th day after cesarean section, the puerperal complains of pain in the area of the
postoperative wound, deterioration of health, increase in body temperature to 39°C during the
last 2 days. When palpation of the abdomen-sharp pain, tension of the abdominal muscles, a
positive symptom of Shchetkin-Blumberg. Percussion-the presence of exudate in the abdominal
cavity is determined. The diagnosis is ... stage of purulent-septic infections by Sazonov-Bartels.
| III
|I
| II
| IV
|V
~The early postpartum period was complicated by atonic bleeding in a 25-year-old woman.
Blood loss 2000,0 ml. AD 40|20 mm Hg, heart rate 140 beats/ minute, threadlike. Hemoglobin
50 g /l. Diagnosis: Early postpartum period. Atonic bleeding. ... degree of hemorrhagic shock.
| IV
|I
| II
| III
|0
~A 26-year-old puerperal was diagnosed with peritonitis in the early postoperative period.
Management tactics:
| conservative therapy for 48-hours
| conservative therapy for 18-24 hours
| immediate surgical treatment – laparotomy
| laparoscopic sanitation of the abdominal cavity
| dynamic observation
~On the 4th day after childbirth, which was complicated by a rupture of the labia, there were
complaints of pain, burning in the external labia, perineum.. On examination, hyperemia,
swelling of tissues, purulent discharge on the surface of the wound. The wound bleeds
easily.Your diagnosis:
| postpartum ulcer
| postpartum metroendometritis
| purulent vaginitis
|bartholin gland abscess
|paraurethral
~The puerperal on the 2nd day after an emergency caesarean section complains of severe pain
first in the lower abdomen, and then throughout the abdomen, nausea, vomiting, gas retention
and stool. The skin is pale with a grayish tinge, the features are pointed, the expression is
suffering, the lips and tongue are dry. Body temperature 38.5°C, pulse 120 beats | minute. The
abdomen is swollen, painful on palpation, there is muscle tension of the anterior abdominal wall,
the symptom ofShchetkin-Blumberg is positive. Peristalsis of the intestines is sharply weakened.
Leukocyte level 17, 5x109/l, ESR 39 mm/h. Your diagnosis: Postoperative period, 2nd day.
| Peritonitis
|Metroendometritis
|Parametritis
| Intestinal paresis
| Septic shock
~The puerperal 24 years, 4 day after childbirth. By the end of 3 day after birth, the body
temperature increased to 37.3°C, there was general malaise, headache, burning in the perineum
and vagina. The bottom of the uterus is 3 transverse fingers below the navel. The uterus is dense,
painless. The sutures on the wound surface of the perineum are covered with a purulent plaque,
the surrounding tissues are hyperemic, swollen, painful on palpation. Your diagnosis:
| Suppuration of the sutures of the perineum
| Postpartum metroendometritis
| Purulent vaginitis
| Postpartum ulcer
| Bartholin gland abscess
~Woman 32 years old. 2 weeks ago, a live full-term female fetus was born. The baby is
immediately attached to the breast. At this moment, complains of an increase in body
temperature to 38°C, chills. The general condition of the average degree due to intoxication. The
skin above the mammary glands is hot, dense, painful on palpation. Milk is released from the
nipples. Your diagnosis:
| Serous mastitis
| Infiltrative mastitis
| Purulent mastitis
|Lactostasis
|Phlegmonous mastitis
~The emergency room of the maternity ward receives a woman with complaints of cramping
pain in the lower abdomen, an increase in body temperature to 37.2°C. From anamnesis: 10 days
ago there was an timely delivery of a live full-term male fetus. The early postpartum period
proceeded without peculiarities. Discharged on the 3rd day without complications. In vaginal
examination, the vaginal mucosa is moistened with scanty brown secretions. The outer pharynx
passes the finger to the inner pharynx. The uterus is enlarged, painless on palpation. Your
diagnosis:
|Hematometer
| Pelvic peritonitis
| Endometritis
| Postpartum parametritis
| Perimeter
~The puerperal 9thday after childbirth complains of an increase in body temperature to 38°C,
pulling pains in the lower abdomen, from the genital tract blood-serous discharge with an
unpleasant smell. When vaginal examination vaginal mucosa moist,Blood-serous discharge. The
outer pharynx passes the finger to the inner pharynx. The uterus is enlarged, pasty, painful on
palpation. Your diagnosis: Postpartumperiod. ... .
| Endometritis
|Parametritis
| Spilled peritonitis
| Pelvic peritonitis
| Sepsis
~The firstborn 31 years by the end of 5thday after cesarean section due to the weakness of labor
and prenatal effusion of amniotic fluid appeared chills, body temperature 39°C, tachycardia,
vomiting, dry tongue. The abdomen is swollen, soft, painful in the lower parts. Intestinal
peristalsis is not listened to, percussion dulling in sloping places, the symptom of Shchetkin-
Blumberg is weakly positive. The uterus is dense, the bottom is at the level of the navel. Lochia
bloody, scanty. In the blood of leukocytes 19, 0x109g/l. Shift formula to the left. Your diagnosis:
Postpartum period. ... .
| Pelvic peritonitis
|Metroendometritis
| Peritonitis
|Parametritis
| Sepsis
~The puerperal 34 years, 6thclock after childbirth. During the last 3 days there is a subfebrile
temperature in the evenings, chills. On ultrasound there was a suspicion of placental tissue
residues, about which the woman was subjected to an instrumental revision of the uterine cavity.
After 30 minutes after surgery, chills appeared, the temperature increased to 39°C. Blood
pressure 80/50 mm Hg. Pulse 110 beats/minute.Your diagnosis:
| Bacterial-toxic shock
| Postpartum sepsis
| Postpartum metroendometritis
| Uterine perforation
| Postpartum peritonitis
~The 5thdays after cesarean section. The operation took place about the weakness of labor forces,
non effective birth stimulation. On the 5thday there was chills, fever up to 38.50 C. The puerperal
complains of general weakness, chills, pain in the abdomen. Objectively: body temperature 39.0 0
C, pulse 110 beats/ minute, blood pressure 110/80 mm Hg. Her tongue is dry, overlaid with a
white coating. The abdomen is swollen, painful on palpation, more in the lower parts, a positive
symptom of Shchetkin-Blumberg. The bottom of the uterus at the level of the navel, painful on
palpation, soft. Discharge from the genital tract are purulent in moderation with a putrid smell.
Your diagnosis: Postoperative period. ... .
| Peritonitis
| Bacterial-toxic shock
|Metroendometritis
|Parametritis
| Pelvic peritonitis
~Symptoms of intoxication, the presence of cracks on the nipples, swelling of the nipple, in the
upper-outer quadrant of the breast hyperemia of the skin is determined, with palpation painful
infiltration without areas of softening. Tactics of treatment:
| antibacterial therapy
| infiltration autopsy
| local treatment
| milk pumping
|physioprocedures
~The third day of the postpartum period. The body temperature is 38.2°C, the mother complains
of pain in the mammary glands. Pulse 86 beats/ minute, mammary glands significantly and
evenly roughened, sensitive to palpation. When pressed, milk droplets are released from the
nipples. The first event in this pathology:
| decanting
| to limit drinking
| immobilize breasts
| prescribe a laxative
| compress on mammary glands
~The puerperal 24 years, 4thday after childbirth. By the end of 3rddays after birth, the body
temperature increased to 37.3°C, there was general malaise, headache, burning in the perineum
and vagina. The bottom of the uterus is 3 transverse fingers below the navel. The uterus is dense,
painless. The sutures on the wound surface of the perineum are covered with a purulent plaque,
the surrounding tissues are hyperemic, swollen, painful on palpation. Your tactics:
| remove sutures, bandages with hypertensive solution
| antibacterial therapy
| observation in dynamics
| clean the wound
|open the abscess to drain
~ Tatiana, 30 years old, pregnant for the first time. Gestational pregnancy is 36 weeks. Blood
pressure 130/85 mmHg.during the first visit, the blood pressure was 100/70 mmHg.Thereare
swellingson the lower extremities; during pregnancy she gained 18 kg. Protein content in the
urine 0.15 g/l. The height of the bottom of the uterus is 34 cm. Preliminary diagnosis:
| Pregnancy-induced edema with proteinuria
| Mild preeclampsia
| Severe preeclampsia
| Pregnancy-induced hypertension
| Pregnancy-induced hypertension with proteinuria
~ Rita, 22 years old. Gestational pregnancy is 36 weeks. Complaints on a state of health has no.
There is moderate swelling of the lower extremities. Blood pressure 150/100 mmHg. The total
protein content in the urine is 0.1 g/l. Rita feels the movements of the fetus well. The height of
the bottom of the uterus is 34 cm. Preliminary diagnosis:
| Pregnancy-induced hypertension
| Pregnancy-induced edema with proteinuria
| Severe preeclampsia
| Mild preeclampsia
| Pregnancy-induced hypertension with proteinuria
~ Svetlana, 31 year. Gestational pregnancy is 31 weeks. Complaints on a state of health has no.
Blood pressure is 150/100 mmHg. The protein content in the urine is 0.5 g/l. The height of the
uterine bottom 29 cm. Preliminary diagnosis:
| Mild preeclampsia
| Pregnancy-induced edema with proteinuria
| Severe preeclampsia
| Pregnancy-induced hypertension
| Pregnancy-induced hypertension with proteinuria
~ Alena, 20 years old. Gestational pregnancy is 34 weeks. Alena complains of headache, nausea,
pain in the epigastric region. Blood pressure is 180/110 mmHg. The total protein content in the
urine is 1.0 g/l. Weakly feels the fetal movements. Preliminary diagnosis:
| Severe preeclampsia
| Pregnancy-induced edema with proteinuria
| Mild preeclampsia
| Pregnancy-induced hypertension
| Pregnancy-induced hypertension with proteinuria
~ Pregnancy 35 weeks. Mild preeclampsia. The estimated weight of the fetus is 2350 g. The
degree of maturity of the cervix according to Bishop is 7 points. Absence of diastolic blood flow
by Doppler is stated. Twice with an interval of 1 hour the human fetal condition is expressed by
CTG. On the background of treatment is necessary:
|perform emergency delivery by caesarean section
|amniotomy, labor excitation by intravenous oxytocin
| start the preparation of the cervix
| prolong pregnancy for 1 week in the interests of the fetus
| repeat the Doppler ultrasound, CTG dynamics
~ Re-pregnant entered the perinatal center with a gestation period of 37 weeks. Blood pressure
is150/90 mmHg. Art. proteinuria 2.64 g/ l, on the abdominal wall, on the hands and feet, on the
face there is swelling. By ultrasound fetometry is32 weeks of pregnaqncy. Your diagnosis:
| Severe preeclampsia. IUGR III degree.
| Mild preeclampsia. IUGR II degree.
| Mild preeclampsia. IUGR I-II degrees.
| Severe preeclampsia. IUGR II degree.
| Pregnancy-induced hypertension with proteinuria , IUGR II degree.
~ For preeclampsia/eclampsia correctionthe most effective, recognized and safe therapy method:
| magnesia therapy
| treatment with prostaglandins
| treatment with β blockers
|dopegit10 mg per day 2 times
| vasodilator with myotropic action, initial dose 0.25 mcg/kg/min
~ Gestational hypertension is:
| hypertension, which occurs after 20 weeks of pregnancy, blood pressure is normalized within 6
weeks of the postpartum period
| hypertension occurring in the first trimester of pregnancy
| multi-organ syndrome, manifested by increased blood pressure and proteinuria
| a condition where the diastolic pressure exceeds or is equal to 110 mmHg.only with a single
measurement.
| pre - existing hypertension complicating pregnancy and childbirth.
~ Loading dose for magnesia therapy:
| 5 gram dry matter or 20 ml of a 25% MgS04
| 320 ml saline 80 ml of 25% MgS04
| 2 grams of dry substance or 1 ml of 20% MgS04
| 250 ml of 25% MgS04
| 40 mg per 500 ml saline
~Pregnant with a gestation period of 32 weeks came to thepolyclinic to an obstetrician-
gynecologist. Complaints of headache, nausea, single vomiting. Blood pressure is 160/110
mmHg. Fetal heartbeat is rhythmic, 136 beats per minute. In urine-protein 0,66 g/l. Tactics of
management of the pregnant woman according to the order№ 239 HM RK:
| by ambulance to be hospitalized in a level III facility after stabilization on the place
| outpatient follow-up with an adequate assessment of the pregnant woman's condition and the
implementation of the doctor's recommendations
| to begin therapy with magnesium sulfate and antihypertensive treatment
| hospitalization in a level II facility after stabilization on the spot
| does not require treatment, only careful observation
~ K., 46 years old, was admitted to the gynecological department with complaints of spotting
from the genitals for 10 days. Last period was two months ago. On speculus: the cervix is clean,
the discharge is spotty. PV: the cervix is cylindrical, the pharynx is closed. Uterus of normal
size, mobile. Appendages are not defined. Choose the correct diagnosis:
|Dysfunctional uterine bleeding
|Hormone-producing ovarian tumor
|Endometrial cancer
|Uterine pregnancy, miscarriage
|Resistant ovarian syndrome
~A 45-year-old patient went to the clinic with complaints of moderate spotting from the genital
tract, which appeared after delaying the next menstruation for 1.5 months. During vaginal
examination: the cervix is not eroded, the symptom is "pupil" (2 plus); the uterus is not enlarged,
dense, mobile, painless; the appendages on both sides are not enlarged, painless; the arches are
deep. What is the most likely diagnosis?
|DUB of the perimenopausal period
|ectopic pregnancy
|submucosal uterine fibroids
|internal endometriosis of the uterine body
|uterine body cancer
~The patient, 40 years old, complains of constant muco-purulent whiteness and contact bloody
discharge from the genital tract. A history of two births and three medical abortions. During
vaginal examination: the cervix is eroded, hypertrophied, deformed due to postpartum ruptures,
the external pharynx is gaping, the uterus and appendages are free of pathological changes, and
the parameters are free. Extended colposcopy revealed a large transformation zone with a large
number of open and closed glands, a section of ectopia on the front lip, and leukoplakia at 12
o'clock.
Additional examination required:
|cytologic
|bacteriological
|histological
|immunological
|cervicoscopy
~When contacting the polyclinic to a gynecologist, patient R., 46, was first diagnosed with
premenopausal DUB. To clarify the diagnosis additional research methods:
|hysteroscopy with separate scraping
|hysterosalpingography
|ultrasound of the pelvic organs
|laparoscopy
|culdoscopy
~The main clinical manifestation of endometrial hyperplasia is:
|bleeding
|asymptomatic course
|soreness
|algodismenorrhea
|amenorrhea
~A 52-year-old patient complains of general weakness, hot flashes up to 10 times a day,
decreased performance, sleep disturbance, depression, fear, anxiety, irritability, and tearfulness.
The last menstruation was 10 months ago.
Diagnosis:
|Climacteric syndrome
|Menopausal period
|Perimenopausal period
|Post-castration syndrome
|Postmenopausal period
~A 28-year-old patient turned to the gynecologist of the polyclinic with complaints of spotting
from the genital tract during the last 2 years, which appeared after an infected abortion at the age
of 7-8 weeks.She did not seek medical help, and was not pregnant.
Diagnosis:
|Anovulatory dysfunctional bleeding of the reproductive period
|Ovulatory dysfunctional bleeding of the reproductive period
|Perimenopausal bleeding
|Bleeding from varicose veins of the vagina
|Postmenopausal period
~A 29-year-old patient complained of prolonged uterine bleeding after delaying her next
menstruation for 3 months. The test for HCG is negative. During bimanual examination and
examination with mirrors, no pathological changes were detected. Treatment and diagnostic
scraping of the uterine cavity was performed under the control of hysteroscopy. The result of
histological examination: simple endometrial hyperplasia.
Diagnosis:
|Dysfunctional uterine bleeding
|Impaired pregnancy
|Endometriosis
|Hysteromyoma
|Molar pregnancy
~The patient is 32 years old, is in the gynecological department with a diagnosis of " The type of
follicle persistence of uterine anovulatory bleeding". In the case of hyperestrogenism ... is
inhibited .
|follicle stimulating hormone
|progesterone
|inhibin
|chorionic gonadotropin
|luteinizing hormone
~A 32-year-old patient is in the gynecological department with a diagnosis of " The type of
follicle persistence of uterine anovulatory bleeding". Morphological characteristics of the
endometrium:
|hyperplasia
|secretion
|atrophy
|regeneration
|proliferation
~The patient, 14 years old, has copious menstruation with clots in 6-8 weeks, 8-10 days,
painless. Complains of weakness, dizziness. A history of nosebleeds from an early age.
Gynecological status: the external genitals are developed correctly, the hair is of the female type,
the hymen is intact. During recto-vaginal examination, the uterus is of normal size, painless, the
uterine appendages on both sides are not enlarged, the discharge from the genitals is bloody and
abundant. A diagnosis of Juvenile uterine bleeding, recurrent course. Karyotyping was
performed. Therapeutic tactics for karyotype 45 X:
|hormone replacement therapy with estrogens
|observation
|assign gonadotropins
|ovarian stimulation with clomiphene
|prescribe glucocorticoids
~Main symptoms of premature ovarian depletion syndrome:
|secondary amenorrhea
|lower abdominal pain
|primary amenorrhea
|hot flashes
|oligoamenorrhea
~The level of estrogenic saturation is determined ... .
|number of Insler
|progesterone test
|Tanner's number
|dexamethasone test
|oxytocin test
~The triad of clinical symptoms of polycystic ovary disease includes:
|opsomenorrea, obesity, hirsutism
|hyperpolymenorrea, anemia, obesity
|metrorrhagia, asthenia, hirsutism
|galactorrhea, oligomenorrhea, obesity
|hirsutism, nigroid acanthosis
~Tanner's number characterizes ... .
|the degree of development of the mammary glands
|height and weight index
|the degree of estrogen saturation
|u level of progesterone saturation
|degree of hair loss
~The Ferriman-Galway number characterizes:
|level of hyperandrogenism
|the level of estrogen saturation
|prolactin level
|the level of progesterone saturation
|height and weight index
~V., 25 years old, turned to the gynecologist with complaints about the lack of menstruation,
General weakness. A year ago, I gave birth to a child, in the postpartum period there was
massive bleeding, received intensive treatment, and performed hemotransfusion. After birth,
there was a meager amount of milk, and soon, despite medical measures, lactation completely
stopped. Objectively: the woman has a weight deficit, flabby mammary glands, hairiness in the
armpits and pubis is scanty. The external genitals are atrophic and depigmented. PV: the vagina
is narrow, the cervix is shortened, the body of the uterus is less than normal, the area of
appendages without features. Choose the correct diagnosis:
|Sheehan's syndrome
|Babinsky-Feilich syndrome
|Morris syndrome (testicular feminization)
|Shereshevsky-Turner syndrome
|Galactorrhea-amenorrhea syndrome
~Patient G., 28 years old, complains of rare menstruation and lack of pregnancy. From the
anamnesis: in the childhood suffered the mumps. Menarche with 13 years, until now not
established, irregular – through 30-45-65 days, duration 1-2 days, meager, painless. Married for
4 years, sex life is regular. Objectively-160 cm, body weight-70 kg, there is hair growth on the
chin, around the nipples, along the white line of the abdomen. In the area of the
appendages,dense formations of 5,0x3,5x3,5 and 4,5x2,0x2, 0 cm are palpated on both sides.
make a diagnosis:
|polycystic ovary syndrome
|yellow body cysts
|menstrual irregularity
|chronic salpingoophoritis
|dermoid ovarian cysts
~ L., 48 years old complains of hot flashes to the head up to 8-10 times a day, sweating. These
symptoms have been observed for the last year. Menstruation after 2-3 months, a meager 1 to 2
days. In anamnesis – operated on for calculous cholecystitis. Births-3, abortions-2.
Gynecological examination revealed no pathology. Your diagnosis:
|climacteric syndrome
|menopause
|premenstrual syndrome
|menstrual irregularity
|vegetative-vascular dystonia
~A 36-year-old patient went to a gynecologist with complaints of hot flashes, sweating, and
frequent urination. Symptoms appeared after surgery for fast-growing uterine fibroids and
endometriosis of both ovaries. During the examination, no somatic diseases were detected.
Mammary glands without pathology. On mirrors: the vaginal mucosa is clean.
PV: the stump of the vagina without pathology. There are no infiltrates in the pelvis. What is the
diagnosis?
|condition after uterine extirpation. Post-castration syndrome
|condition after uterine extirpation. Climacteric syndrome
|vegetative vascular dystonia
|condition after uterine amputation
|genital external endometriosis
~M, 21, complained about irregular periods and weight gain. From anamnesis: as a child, I often
had angina and SARS. Menstruation from 13 years, the cycle is irregular-after 22-38-42 days. At
the age of 16, she began to gain weight quickly, then noticed the growth of hair on her upper lip
and chin. Objectively: height 160 cm, weight-86 kg. AD 140/90 mm Hg. Adipose tissue is
mainly localized on the shoulder girdle, lower abdomen. Mammary glands are large, pendulous.
Small antennae, growth along the white line of the abdomen. Rectally: the uterus and
appendages are not clearly defined due to the over-developed subcutaneous fat of the abdominal
wall. Choose the correct diagnosis:
|Itsenko-Cushing's disease
|polycystic ovary syndrome
|adrenogenital syndrome
|metabolic syndrome
|premenstrual syndrome
~During ultrasound examination, a solid tumor of the right ovary was determined in a patient Of
33 years of age of the pelvic organs, in the daily urine of 17-KS-67 mg/day. What research
should be done to make a differential diagnosis between PCOS and a hormone-producing tumor:
|hormonal load test with dexamethasone
|with bromocriptine
|with human chorionic gonadotropin
|with clomiphene
|with progesterone
~A., 32 years old, referred to a gynecologist by a neuropathologist. The female researcher, after
suffering nervous stress, began to worry about fatigue, insomnia, anxiety, and tearfulness. All
symptoms appear 10-12 days before menstruation and disappear after the beginning of
menstruation. During gynecological examination, no pathology was found. Make a diagnosis:
|premenstrual syndrome, a neuropsychic form
|resistant ovarian syndrome
|premenstrual syndrome, edematous form
|premenstrual syndrome, crisis form
syndrome of exhaustion of ovaries
~The patient, 30 years old, went to the clinic with complaints about the absence of pregnancy for
7 years. Menstruation from 14 years, 5-7 days, after 35-45 days, moderate, painless. On
examination: the increased supply. During vaginal examination: the external genitals are
developed correctly, the hair is of the female type, the body of the uterus is reduced in size, in
the area of the uterus appendages on both sides, palpable formations of 3 x 4 x 4 cm, dense,
mobile, painless. The basal temperature is monophasic, karyopyknotic index of 60-70 percent.
Probable diagnosis:
|Polycystic ovarian disease
|Genital infantilism
|Tuberculosis of the genitals
|Dermoid ovarian cysts
|Infertility of unknown origin
~The patient is 26 years old, complains of breast swelling and soreness, puffiness of the face and
shins, bloating, irritability, sweating. Considers himself ill for 3 years. These symptoms appear
in the second phase of the menstrual cycle and stop after the next menstruation. Over the years,
the severity of clinical symptoms does not increase. Gynecological examination revealed no
pathological changes. The form of premenstrual syndrome is most likely:
|hydropic
|neuro-psychological
|crisis
|cephalgic
|atypical
~Patient M. 16 years old, went to the clinic to the gynecologist with complaints about the lack of
menstruation, the presence of acne on the face. On examination: the condition is satisfactory, the
body type is male, there is hypoplasia of the mammary glands. During gynecological
examination: signs of pseudogermaphroditism, hypertrophy of the clitoris. The diagnosis was
made: Adrenogenital syndrome, a typical form. It is advisable to start prescribing corrective
therapy ... .
|from the moment of diagnosis
|after restoring menstrual function
|from the moment of pregnancy planning
|after birth
|at the request of the patient
~The patient, 19 years old, turned to a gynecologist-endocrinologist, who made a diagnosis:
Adrenogenital syndrome. Treatment should be prescribed ... .
|from the moment of diagnosis
|after restoring menstrual function
|from the moment of pregnancy planning
|after birth
|at the request of the patient
~Patient M. 23 years old, went to the clinic with complaints of fever to 38.6 C for 3 days.
Somatically healthy. During vaginal examination, it was revealed: the external yawn is closed,
the uterus is slightly enlarged, softened, a soft, painful formation is determined on the right in the
area of the appendages, and there is pain when moving behind the cervix.
Preliminary diagnosis:
|Power
|Tubal pregnancy
|Ovarian apoplexy
|Chronic adnexitis
|Ovarian cyst
~The patient, 24 years old, with external gynecological examination: the external genitals are
developed correctly, the hair is of the female type, there is a painful ulcer on the labia minora,
covered with a grayish-yellow coating.
Preliminary diagnosis:
|Genital herpes
|Primary syphilis
|Carbuncle
|Kraurosis
|Boil
~The patient, 35 years old, complained of dull aching pain in the lower abdomen with irradiation
to the rectum and perineum. Pain increases during menstruation. Vaginally: posterior to the
uterus on both sides there is a formation of a tugoelastic consistency d=3 cm, soldered to the
uterus limits its mobility. The uterus is painful on palpation.
preliminary diagnosis:
|Ovarian endometriosis
|Piosalpinks
|Ovarian apoplexy
|Paraovarian ovarian cyst
|Power
~The patient, 35 years old, complained of dull aching pain in the lower abdomen with irradiation
to the rectum and perineum. Pain increases during menstruation. Vaginally: posterior to the
uterus on both sides there is a formation of a tugoelastic consistency d=3 cm, soldered to the
uterus limits its mobility. The uterus is painful on palpation. Management tactics:
|hormonetherapy
|removal of uterine appendages
|physiotherapy
|amputation of the uterus with appendages
|extirpation of the uterus with appendages
~Main symptoms of premature ovarian depletion syndrome:
|secondary amenorrhea
|lower abdominal pain
|primary amenorrhea
|hot flashes
|oligoamenorrhea
~Patient, 26 years old, menstruation from 17 years old, rare, scanty, painless. Variant of
menstrual dysfunction:
|hiphopmania
|menorrhagia
|metrorrhagia
|algodismenorrhea
|menometrorrhagia
~A 32-year-old woman turned to the gin.Department with complaints of heavy, long-term
irregular movements. Diagnostic articulation of the uterine cavity was performed. Histological
analysis of glandular-cystic hyperplasia of the endometrium. Which classification category does
this reason belong to according to the wedge."menstrual Irregularities" Protocol?
|AMC-M
|AMC-E
|AMC-R
|AMC-I
|AMC-L
~Female 48 years old. Worried about anemia. Constantly takes iron supplements. Monthly
regular, for 5 days, after 28 days with clots and abundant, there is no intermenstrual bleeding. On
ultrasound, the interstitial myomatous node on the front wall is 21 mm, on the back wall – a
submucous node with a diameter of 10 mm. in the dynamics of ultrasound for the last 2 years,
there is no active growth of myomas. Your tactics according to Protocol #9 of 2016 "uterine
fibroids"?
|Ulipristal-acetate 5 mg per day for 3 months. – 1 course
|Hysteroscopic resection of the myomatous node
|Navy with levonorgestrel
|Laparoscopic hysterectomy
|Conservative myomectomy
~Patient W 28 years old. Complaints of prolonged bleeding after mensis delay for 3 months.
From the history of primary infertility 4 years.gynecological examination without peculiarities.
Separate diagnostic scraping of the uterine cavity was performed under the control of
hysteroscopy . histological analysis of glandular-cystic endometrial hyperplasia. To regulate the
cycle, you must assign?
|Pure gestagens
|kok
|Pure estrogens
|Phytotherapy
|androgens
~A patient who Is 34 years old complains of bleeding within 3 days after the abortion. Gender
parity: B-3, P-2, A-1. Medical abortion 2 months ago. Mensis from 13 years old, regular, last
month2 weeks ago with post-menstrual spotting for 3 days. PV: b/o, spotting bloody, abundant.
OMT ultrasound: in the uterine cavity, a hyperechoic formation in the bottom area is determined,
with a size of 1.7 cm. in the CDC mode, it is clearly mapped. Further tactics?
|hysteroscopy with biopsy of the pathological area
|MRI
|Hormonal hemostasis
|Separate diagnostic scraping
|Follow-up and repeated ultrasound on day 5-7 of the cycle
~The main method of hemostasis in AMC-l of the reproductive period, Hb-88 g |l, erit.-2.9.
Hemodynamics is stable. Tactics of conducting on Klin."menstrual Irregularities" Protocol?
|Has ulipristal acetate
|Dicynonum, tranexamova acid
|Mirena Navy»
|Fractional curettage of the uterine cavity and cervical canal
|KOK
~A woman of 42 years old went to the doctor with complaints of heaviness in the lower
abdomen, heavy menstruation. History of primary infertility. PV: the uterus is enlarged to 9-10
weeks of pregnancy, with uneven contours, dense consistency, mobile, painless. Appendages are
not defined, the arches are deep, free. In the UAC Hb 98 g |l. Which of the additional survey
methods is most appropriate to carry out in the first place?
|Pelvic ultrasound
|hysterosonography
|hysteroscopy
|MRI of the pelvis
|Pelvic CT scan
~A 46-year-old patient went to the clinic with complaints of lower abdominal pain, frequent
urination, and heavy spotting during menstruation. She has been registered for uterine fibroids
for 3 years. 3 months ago, the uterine cavity was scraped. The result of histological examination
is glandular-cystic endometrial hyperplasia. On mirrors: the cervix is hypertrophied, eroded.
Spotting bloody, abundant. PV: the cervix is hypertrophied, of normal consistency. The uterus is
turned into a tumor up to 14-15 weeks old, lumpy, motionless, painless. The area of the
appendages without pathology. Diagnosis:
|Symptomatic uterine fibroids, cervical erosion
|Symptomatic uterine leiomyoma, cervicitis
|Cystoma of the ovary, leukoplakia of the cervix
|Cystic drift, erythroplakia of the cervix
|Sarcoma of the uterus, endocervicitis
~ K., 46 years old, went to the clinic with complaints of spotting from the genitals for 10 days.
My last period was two months ago. On mirrors: the cervix is clean, the discharge is spotty. PV:
the cervix is cylindrical, the pharynx is closed. Uterus of normal size, mobile. Appendages are
not defined.
Diagnosis:
|Dysfunctional uterine bleeding
|Hormone-producing ovarian tumor
|Endometrial cancer
|Uterine pregnancy, miscarriage
|Resistant ovarian syndrome
~ K., 46 years old, went to the clinic with complaints of spotting from the genitals for 10 days.
My last period was two months ago. On mirrors: the cervix is clean, the discharge is spotty. PV:
the cervix is cylindrical, the pharynx is closed. Uterus of normal size, mobile. Appendages are
not defined.
The diagnosis is: Dysfunctional uterine bleeding. Further treatment tactics:
|separate diagnostic scraping
|anti-inflammatory therapy
|symptomatic therapy
|physical therapy
|appointment of hormone therapy
~A 45-year-old patient went to the clinic with complaints of moderate spotting from the genital
tract, which appeared after the delay of the next menstruation for 1.5 months. During vaginal
examination: the cervix is not eroded, the symptom is "pupil" (2 plus); the uterus is not enlarged,
dense, mobile, painless; the appendages on both sides are not enlarged, painless; the arches are
deep.
Diagnosis:
|DMC of the perimenopausal period
|Ectopic pregnancy
|Submucosal uterine fibroids
|Internal endometriosis of the uterine body
|Uterine body cancer
~The patient is 28 years old, complains of pulling pains in the lower abdomen, increasing before
and during menstruation, and no pregnancies for 5 years. Considers himself sick for about 3
years. A history of one spontaneous miscarriage at 5-6 weeks gestation. At the age of 20, she
was operated on for a ruptured ovarian cyst and resected the right ovary. When vaginal study: the
right and posterior to the uterus palpable tumor formation size of 8 x 8 cm, fugolastic
consistency, sedentary, fused with the posterolateral surface of the uterus, moderately painful.
Diagnosis:
|Endometrioid cyst of the right ovary
|Hysteromyoma
|Abscess of the right ovary
|Dysgerminoma
|Adenomyosis
~The patient is 28 years old, complains of pulling pains in the lower abdomen, increasing before
and during menstruation, and no pregnancies for 5 years. Considers himself sick for about 3
years. A history of one spontaneous miscarriage at 5-6 weeks gestation. At the age of 20, she
was operated on for a ruptured ovarian cyst and resected the right ovary. When vaginal study: the
right and posterior to the uterus palpable tumor formation size of 8 x 8 cm, fugolastic
consistency, sedentary, fused with the posterolateral surface of the uterus, moderately painful.
The diagnosis was made: Endometrioid cyst of the right ovary. The best method of treatment:
|cystectomy, hormone therapy
|anti-inflammatory therapy, observation
|physiotherapy, resorption therapy
|vitamin therapy, puncture
|ovariectomy, observation
~In the clinic, patients with endometrioid ovarian cysts are referred for surgical treatment.
Optimal treatment tactics:
|resection of the right ovary followed by hormone therapy
|antibacterial therapy
|conservative myomectomy
|gonadotropin-releasing hormone agonists
|removal of the right uterine appendages
~A 46-year-old woman underwent separate diagnostic scraping of the cervical mucosa and the
walls of the uterine cavity for irregular menstruation that has the character of bleeding. In this
clinical situation, it is possible ... .
|cystic glandular hyperplasia of the endometrium
|polyps of the endometrium
|atypical hyperplasia
|atrophy of the endometrium
|cervical cancer
~The patient, 25 years old, 6 years ago suddenly stopped menstruating, there was no pregnancy.
The phenotype of the female. The concentration of FSH in the blood serum is 0.3 IU |ml (norm
2-20), prolactin-16 ng |ml (norm 2-25). The test with gestagens and estrogens is negative.
Diagnosis:
|Secondary hypogonadotropic amenorrhea
|Primary polycystic ovary syndrome
|Primary gonadotropic amenorrhea
|Sheehan's Syndrome
|Climacteric syndrome
~The patient, 18 years old, did not have any menstruation. Height 140 cm, undeveloped breast,
small uterus and hypoplasia of the external genitals, there is no sexual hair. LH-105 IU |ml (norm
2-15), FSH -120 IU |ml (norm 2-20), TTG-1.8 MK |ml (norm0, 1-4, 5). The diagnosis was made:
Primary gonadotropic amenorrhea. Gonadal dysgenesis. Shershevsky-Turner Syndrome?
The most likely cause of amenorrhea in this case:
|ovarian insufficiency
|pituitary-hypothalamic insufficiency
|pituitary adenoma
|hyperprolactinemia
|adrenal insufficiency
~Patient, 52 years old complains of General weakness, hot flashes up to 10 times a day,
decreased performance, sleep disturbance, depression, fear, anxiety, irritability, tearfulness. The
last menstruation was 10 months ago. In the clinic, the diagnosis is made: Climacteric syndrome.
Purpose... most effective.
|hormone replacement therapy
|therapeutic exercise
|homeopathic remedy
|diets and water treatments
|combined oral contraceptives
~The patient, 14 years old, has copious menstruation with clots in 6-8 weeks, 8-10 days,
painless. Complains of weakness, dizziness. A history of nosebleeds from an early age.
Gynecological status: the external genitals are developed correctly, the hair is of the female type,
the hymen is intact. During recto-vaginal examination, the uterus is of normal size, painless, the
uterine appendages on both sides are not enlarged, the discharge from the genitals is bloody and
abundant. A diagnosis of Juvenile uterine bleeding, recurrent course. In this case ... it is used as a
last resort.
|curettage of the uterine cavity
|hormonal hemostasis
|taking aminocaproic acid
|electrical stimulation of the cervix
|laparotomy, bilateral ovariectomy
~A 16-year-old girl developed bloody discharge from the genital tract, lasting for 8 days after
delaying menstruation for 3 months. The recto-abdominal examination revealed no pathology.
Diagnosis:
|Juvenile uterine bleeding
|Cervical cancer
|Polyp of the cervix
|Hormone-producing ovarian tumor
|Endometrial polyps
~A 49-year-old patient has been experiencing irregular menstruation with delays of up to 2-3
months over the past year. Three weeks ago, there was a spotting that continues to this day.
Diagnosis:
|DMK of the climacteric period
|Adenomyosis
|Endometrial cancer
|Submucous uterine fibroids
|Endometritis
~A 25-year-old patient complained of acute pain in the lower abdomen, pain when urinating,
profuse purulent whiteness, a temperature of 38.5°C, and a pulse of 98 beats per minute. During
vaginal examination, the uterus is dense, the appendages are enlarged and painful. Diagnosis:
|Acute inflammation of the uterine appendages
|Ectopic pregnancy
|Appendicitis
|Rupture of ovarian cyst
|Uterine pregnancy
~A 25-year-old patient complained of acute pain in the lower abdomen, pain when urinating,
profuse purulent whiteness, a temperature of 38.5°C, and a pulse of 98 beats per minute.
Diagnosed with Acute salpingoophoritis. Your tactics:
|antibacterial therapy
|surgical treatment
|dispensary monitoring
|UFOs
|acupuncture
~The most frequent localization of Trichomonas infestations:
|vagina
|uterus
|fallopian tube
|rectum
|urethra
~A 22-year-old woman is in the gynecology Department, complaining of lower abdominal pain,
t =38ºC. Gynecological examination: posterior to the uterus is determined by a fixed,
voluminous, painful, without clear contours of the formation, uneven consistency.
Medical tactics:
|emptying the purulent cavity and introducing an antibiotic into it
|the removal of both appendages
|pyrogenal therapy
|zinc electrophoresis using the abdominal-sacral technique
|amputation of the uterus with appendages
~A 27-year-old patient went to the clinic with complaints of abundant homogeneous creamy
gray discharge with an unpleasant "fish" smell, itching, burning in the vaginal area.Preliminary
diagnosis:
|Bacterial vaginosis
|Candida colpitis
|Trihomonadnyh obesity
|Gonorrheal vaginitis
|Chlamydial vaginitis
~A 27-year-old patient turned to a gynecologist with complaints of abundant homogeneous
creamy gray discharge with an unpleasant "fishy" smell, itching, burning in the vaginal area.
Management tactics:
|antibiotics and eubiotics
|physiotherapy
|douching with antiseptic solutions
|antifungal agent
|antiviral therapy
~Patient 30 years old, went to the gynecologist, complaining of itching, burning for 3 days in the
vagina, headache, t =38ºC for 3 days. On examination: there are vesicles in the vagina 2-3 cm in
size surrounded by a patch of hyperemia. Preliminary diagnosis:
|Genital herpes
|Syphilis
|Genital warts
|Genital tuberculosis
|Furunculosis
~Patient 30 years old, went to the gynecologist, complaining of itching, burning for 3 days in the
vagina, headache, t =38ºC for 3 days. On examination: there are vesicles in the vagina 2-3 cm in
size surrounded by a patch of hyperemia. Management tactics:
|antiviral therapy
|antibioticaugmentin
|physiotherapy
|douching with antiseptic solutions
|antifungal agent
~A woman, 25 years old, complains of purulent discharge from the genital tract during urination
for 5 days, the body temperature is normal. Sexual life is irregular, has no permanent partner. On
mirrors: the vagina and cervix are hyperemic, abundant purulent-mucous discharge in the form
of a"purulent ribbon". When bimanual examination: the uterus and appendages are not enlarged,
painless.
Method of research:
|cultural method
|Ultrasound of the pelvic organs
|bacterioscopic examination
|colposcopy
|bacteriological examination
~A woman, 25 years old, complains of purulent discharge from the genital tract during urination
for 5 days, the body temperature is normal. Sexual life is irregular, has no permanent partner. On
mirrors: the vagina and cervix are hyperemic, abundant purulent-mucous discharge in the form
of a"purulent ribbon". When bimanual examination: the uterus and appendages are not enlarged,
painless.
Preliminary diagnosis:
|Clamidiosis
|Trichomaniasis
|Gonorrhea
|Bacterial vaginosis
|Vaginal candidiasis
~Character of discharge in patients with bacterial vaginosis:
|creamy with a "fishy" smell
|curdled
|foamy
|pus-like cream-like
|serous-purulent
~ Pelvioperitonitis is:
|inflammation of the peritoneum of the pelvis
|inflammation of the parathyroid tissue
|inflammation of the pelvic fiber
|inflammation of the serous lining of the uterus
|inflammation of the uterine mucosa
~A 28-year-old patient fell ill on the second day of menstruation. The body temperature of 38.20
C, chills. In blood tests: acceleration of ESR, leukocytosis. Your diagnosis:
|Acute salpingitis
|Exacerbation of chronic endometritis
|Acute endometritis
|Subacute salpingitis
|Acute parametritis
~Atypical endometrial hyperplasia is morphologically most similar to:
|highly differentiated cancer
|endometrial polyp
|metroendometritis
|glandular cystic hyperplasia
|low-grade cancer
~The development of peritonitis may be due to
|inflammation of the abdominal organs
|violation of intestinal wall permeability
|violation of the integrity of the walls of hollow organs
|hysteromyoma
|acute violation of blood supply to internal organs
~Patient G., 25 years old, complains of pain in the area of the right labia majora, an increase in
body temperature to 39 C, pain when walking. Objectively: the labia majora on the right is
swollen, painful, hyperemic, and there is a softening area on palpation. Diagnosis:
|Abscess Bartholin gland
|Bartholinitis
|Cyst bartolinis gland
|Vulvovaginitis
|Suppuration of the cyst bartolinis gland
~Patient G., 25 years old, was diagnosed with an Abscess of the bartolien gland. Medical tactics:
|abscess opening, drainage, antibacterial therapy
|ointment swabs
|antibacterial therapy
|physiotherapy
|removing the cyst bartolinis gland
~Patient B., complains of copious whiteness, burning sensation, itching in the area of the
external genitals. Gynecological status: external genitals are swollen and hyperemic. On the
mirrors: the mucous membrane of the cervix and vagina are hyperemic, the discharge is pus-like.
Diagnosis:
|Vulvovaginitis
|Vulvitis
|Endocervicitis
|Bacterial vaginosis
|Colpitis
~Patient B., complains of copious whiteness, burning sensation, itching in the area of the
external genitals. On the mirrors: the mucous membrane of the cervix and vagina are hyperemic,
the discharge is pus-like. Diagnosed with Vulvovaginitis. Additional research methods to
confirm the diagnosis:
|bacterioscopic and bacteriological examination of the separated vagina
|Ultrasound of the pelvic organs, vagina
|colpocytology
|smear on oncocytology
|General analysis of blood, urine
~Patient B., complains of copious foamy discharge from the genitals with an unpleasant smell,
burning sensation, itching in the area of the external genitals. On the mirrors: the mucous
membrane of the cervix and vagina are hyperemic, the discharge is abundant, frothy. Diagnosis:
|Trichomonas colpitis
|Bacterial vaginosis
|Endocervicitis
|Vulvitis
|Vulvovaginitis
~An 11-year-old girl with juvenile bleeding was taken to the gynecological Department. The
condition is satisfactory, HB-90g\l. Hemostasis begins with ... .
|symptomatic treatment
|curettage of the uterine cavity
|treatment with estrogens
the treatment with Progestogens
|physiotherapy treatment
~A 15-year-old patient was discharged from a gynecological hospital with a diagnosis of
Juvenile uterine bleeding, relapse. In order to stop bleeding, novinet's hormonal hemostasis was
used according to the scheme. Further tactics:
|continue treatment with novinet, follow-up
|cyclic vitamin therapy
|physical therapy, dispensary observation
|dispensary observation
|continue symptomatic treatment
~A 15-year-old girl who turned to a gynecologist for lack of menstruation was found to have no
uterus during an ultrasound examination.
Diagnosis: ... uteri.
|Aplasia
|Atresia
|Agenesis
|Hypoplasia
|Giatreia
~The girl is 7 years old. Complaints of irregular vaginal bleeding. Secondary sexual
characteristics are only slightly developed. The external and internal genitals have pronounced
signs of estrogenic influence. Bone age, height, body weight-correspond to the calendar age.
This symptom complex corresponds to ... .
|hormone-producing ovarian tumor (ovarian PPS)
|ovarian follicular cyst
|premature puberty (PPS of cerebral Genesis)
|dysgenesia of gonads
|testicular feminization
~Girl 6 years old, complains of pain and itching in the area of the external genitals, burning
sensation after urination. Objectively: the girl's condition does not suffer. The external genitals
are swollen, hyperemic with traces of scratching, the hymen is intact, and there are pus-like
secretions in the vestibule of the vagina. Rectal examination revealed no pathology. Preliminary
diagnosis:
|Non-specific vulvovaginitis
|Vulvitis
|Vaginitis
|Bacterial vaginosis
|Helminthic or parasitic infestation
~In a 6-year-old girl, complaints of pain and itching in the area of the external genitals, a burning
sensation after urination, a diagnosis was Made: Nonspecific vulvovaginitis. Complications of
this pathology:
|synechia
|keloid scars
|condylomas
|polyps
|atresia of the vagina
~The girl is 6 years old and has a preliminary diagnosis: Vulvovaginitis.
Additional examination to confirm the diagnosis:
|vaginoscopy
|hysteroscopy
|colposcopy
|UZI
|bacteriological examination
~A 6-year-old girl has a preliminary diagnosis: Allergic vulvovaginitis. Management tactics:
|immunomodulators, desensitizing, baths
|antibiotics, baths
|hormones, baths
|vitamins, baths
|hormones, baths
~The girl is 7 years old. She complained of irregular vaginal bleeding. Examined, and then
diagnosed with a hormone-producing ovarian tumor. Management tactics:
|surgical treatment
|hormonetherapy
|chemotherapy
|symptomatic therapy
|radiation therapy
~Girl 16 years, turned in connection with the termination of monthly after following a diet lost
weight for 1 month at 15 kg. Menarche from 14 years, were regular, after 25 days, 4 days, in
moderation. Height 168 cm, body weight-47 kg. Secondary sexual characteristics are expressed
satisfactorily. The mammary glands are well developed, there is no discharge from the nipples.
The external genitals are formed according to the female type. The hymen is intact. Rectally-the
uterus is less than normal, in the correct position, mobile. Appendages are not defined.
Diagnosis: Hypothalamic-pituitary functional amenorrhea. Tactics of treatment:
|physiotherapy+weight recovery
|hormones in continuous mode
|cyclic vitamin therapy
|hormone replacement therapy
|cyclic hormone therapy

~The girl, 18 years old, complained of pain in the lower abdomen, an increase in body
temperature to 37.5 C, purulent discharge from the genital tract, pain when urinating. Sex
formula Ma3ah3r3me3. Sexual life from 17 years, outside of marriage. She became acutely ill on
the 7th day of the menstrual cycle.
The most probable diagnosis:
|gonorrhea
|adnexitis
|endometritis
|metroendometritis
|salpingoophoritis
~The girl, 18 years old, complained of pain in the lower abdomen, an increase in body
temperature to 37.5 C, purulent discharge from the genital tract, pain when urinating. Sex
formula Ma3ah3r3me3. Sexual life from 17 years, outside of marriage. She became acutely ill on
the 7th day of the menstrual cycle.
The most probable method of examination:
|bacterioscopic
|histological
|bacteriological
|culture
|cytologic
~The girl, 18 years old, complained of pain in the lower abdomen, an increase in body
temperature to 37.5 C, purulent discharge from the genital tract, pain when urinating. Sex
formula Ma3ah3r3me3. Sexual life from 17 years, outside of marriage. She became acutely ill on
the 7th day of the menstrual cycle.
The most probable diagnosis:
|fresh acute ascending gonorrhea
|fresh acute gonorrhea of the genitourinary organs
|chronic gonorrhea of the genitourinary organs
|subacute ascending gonorrhea
|torpid gonorrhea
~The girl, 18 years old, complained of pain in the lower abdomen, an increase in body
temperature to 37.5 C, purulent discharge from the genital tract, pain when urinating. Sex
formula Ma3ah3r3me3. Sexual life from 17 years, outside of marriage. She became acutely ill on
the 7th day of the menstrual cycle.
THE most reliable criteria for healing:
|absence of gonococci in smears taken during 3 menstrual cycles
|absence of complaints and the absence of gonococci in smears
|absence of gonococci in control smears
|absence of gonococci in smears taken once after menstruation
|absence of gonococci in smears taken during 2 menstrual cycles
~Patient N., 30 years old, went to the gynecologist for a preventive examination. No complaints.
Somatically healthy. On mirrors: the vaginal mucosa is pink, there are whitish areas on the
cervix in the form of plaques, with clear contours. Mucous discharge, moderate. Extended
colposcopy: revealed 3 whitish areas in the form of plaques, size 0, 5x0, 5 cm, located on the
front and back lips of the cervix, which when treated with Lugol solution gave a negative
reaction to iodine.
The most likely pathology of the cervix:
|Leukoplakia
|Erythroplakia
|Erosion
|Cervical cancer
|Dysplasia
~A., 34 years old, complains of irregular periods, infertility, and the presence of milk-colored
discharge from the nipples. Weight gain over the past two years. A history of 2 pregnancies,
including 1 urgent birth without complications, 2 years ago – honey.abortion. No monthly
payments for 7 months. When viewed: height 160 cm, weight 70 kg. from the nipples of the
mammary glands with light pressure, milk is released. PV: the cervix is cylindrical, the pharynx
is closed. The uterus is of normal size, the appendages are not defined.
Diagnosis:
|Secondary infertility, galactorrhea, obesity Ist
|Menstrual irregularity
|Secondary infertility, obesity
|Amenorrhea, secondary infertility
|Hypothyroidism, obesity
~A 27-year-old patient with primary infertility went to the clinic to get a referral for surgical
treatment for submucosal uterine fibroids. Optimal volume of operation:
|conservative myomectomy
|dependace of the uterus.
|amputation of the uterus without appendages.
|hysterectomy.
|twisting the leg of the myomatous node.
~A 43-year-old patient, an obstetrician-gynecologist at the polyclinic, was sent to the
gynecological Department for routine surgery with a diagnosis of Submucous uterine fibroids.
The choice of the operation volume is influenced by:
|condition of the cervix
|size of myomatous node
|presence of iron deficiency anemia
|localization of myomatous node
|size of the uterus body
~A 24-year-old patient was admitted to the gynecological Department for examination for
primary infertility. From anamnesis: married 3 years. Menstruation is regular, scanty, painful.
Basal temperature is two-phase. During vaginal examination: the uterus is in the correct position,
not enlarged, limited mobility; appendages on both sides are thickened, sensitive to palpation;
arches are deep. Research methods needed to clarify the diagnosis and Genesis of infertility:
|laparoscopy
|metrosalpingografiya
|transvaginal echography
|hysteroscopy
|culdoscopy
~Delivery woman, 22 years old on the 17th day of the postpartum period, in satisfactory
condition with the child; only breast-feeds.
Optimal method of contraception:
|lactation amenorrhea method
|rhythmic method
|barrier method
|intrauterine contraception
|combined oral contraception