GYNECOLOGY 2nd EXAM RECALL

CONGENITAL ABNORMALITIES
1. Organogenesis begins in the
a. 3rd embryonic week
b. 5th embryonic week
c. 10th embryonic week
d. 15th embryonic week

Organogenesis begins in the 3rd embryonic week and

is essentially complete in the 10th week (5-12th week
in terms of gestational pregnancy)

2. What is 1 to 1.5 cm long and 0.5 cm wide ;

enlargement of which is caused by androgen
stimulation?
a. Vagina
b. Clitoris
c. Penile urethra
3. Which of the following statements is true regarding
congenital Adrenal hyperplasia?
It may cause salt-wasting adrenal crisis
Congenital adrenal hyperplasia
It may cause salt-wasting adrenal crisis
It is autosomal recessive (NOT autosomal dominant)
Short stature ( NOT tall)
4. Which of the following is true regarding CAH
a. It is caused by deficiency of 11-hydroxylase
b. Autosomal recessive gene coded on
chromosome 8
c. Elevated 17-hydroxyprogesterone
5. Hymen represents the junction of the
o ANSWER: SINOVAGINAL BULBS AND
UROGENITAL SINUS
6. Female, 16 y.o with Rokitansky-Kuster-Hauser
syndrome may present with the following except:
a. Normal vagina and uterus
b. Normal ovaries
c. 46 xy karyotype
7. 50% of patient with Rokitansky-Kuster-Hause have:
a. Urologic abnormalities
8. Transverse Vaginal septum
o Failure of junction between mullerian duct
and the sinovaginal bulb at the mullerian
tubercle

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9.

Main treatment for labial agglutination

a. Estrogen ointment

PELVIC SUPPORT
10. Why prolapsed more common in female than male
a. 3 openings?
b. Hormones
c. Multiparity
d. ALL
11. The following are risk factors for pelvic relatxation
a. Multiparity
b. Carrying heavy loads
c. Menopause
d. All of the above

Multiparity
Squating
Carrying heavy loads
Chronic cough
Menopause
Obesity

12. Abnormality of this structure leads to tipped uterus

a. Round ligament
13. Descent of the uterus is due to the following except
a. Round ligament
b. Uterosacral ligament
c. Cardinal ligament
d. Pelvic diaphragm
14. Open introitus : essential for diagnosis
a. Long perineum (should be short)
b. Labia majora and minora cover the introitus
c. Middle third of vagina exposed
d. Cervix shown on straining
15. Cystocoele except
a. Complete bladder emptying
b. Feeling of falling out
c. Reducible mass bulging into the anterior
vaginal wall
d. Increase bulging during straining
16. Women, 75 years old...post hysterectomy
a. Cystocoele
b. Rectocoele
c. Enterocoele
d. Ovary prolapsed
17. Falling out ; difficult evacuation of feces
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a. Rectocoele
18. Uterine prolapse
a. Expectant
b. Surgery
c. Pessary
d. All of the above
19. Reproductive age with uterine prolapse
a. Vaginal hysterectomy
b. Abdominal hysterectomy
c. Ligamentopexy
d. ___

ENDOMETRIOSIS AND ADENOMYOSIS

20. Endometriosis
a. Presence and growth of the glands and
stroma of the lining of the uterus in an
aberrant or heterotropic location
21. Which is true regarding endometriosis
Many large endometriomas
asymptomatic patients
Cyclic hormones causes growth, continuous
hormones reverses the growth pattern
(memorize this statement, minsan
nakakalito! )
22. Etiology of endometriosis except:
a. Metaplasia
b. Retrograde menstruation
c. Immunologic
d. Infection
23. Cardinal histologic features of endometriosis except
a. Ectopic endometrial glands
b. Ectopic endometrial stroma
c. Hemorrhage into the adjacent tissue
d. Hemorrhage into the distant tissue
24.
25.
26.
27.

Danazol Hypoestrogenic, hyperandrogenic

GnRH agonist medical menopause
OCP pseudopregnancy
Progestin Hypogonadotropic, hypogonadal

28. Adenomyosis
Derived from aberrant glands of the basalis
layer of the endometrium; associated with
disruption of the barrier between the
endometrium and myometrium as an
initiating step
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29. Risk factor of adenomyosis

Increased parity (NOTE: NULLIPARITY IS
NOT A RISK FACTOR)
History of uterine surgery
Trauma
30. Pelvic examination of adenomyosis EXCEPT:
a. Usually more than 14-16 weeks size
( NOTE: this is unusual)

PEDIATRIC AND ADOLESCENT

GYNECOLOGY
31. Most common cause of vulvar symptoms in the
prepubertal age group
o Vulvovaginitis
32. Which is not usually done for patient in complete
gynaecologic exam
a. History
b. Inspection and visulaization of cervix
c. Culture of vagina
d. Rectovaginal exam
33. Lithotomy position for
a. 6 mos.
b. 1-2 yrs
c. 2-3 yrs
d. 4-5 yrs.
Young children may be examined in the frog
leg position, and children as young as 2 to 3
years of age may be examined in lithotomy
with use of stirrups. Lithotomy is generally
used for girls 4 to 5 years of age and older.
34. Which is not helpful in examining pedia ( HARM
THAN GOOD)
a. Restraint
o

35. A tell-tale somewhat translucent vertical midline line

is visible on physical exam at the site agglutination
a. Labial Adhesion
36. Universal management for vulvovaginitis
a. Good perineal hygiene
37. Most common foreign body tissue paper
38. Most common cause of vaginal bleeding in child
a. Foreign body
b. Infection
c. Trauma
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39. Most common cause of vaginal bleeding in

prepubertal
a. Foreign body
b. Infection
c. Trauma
40. Labial agglutination main cause ---decrease
circulating estrogen

43. Cramping, cyclic, no bleeding

a. Imperforate hymen
44. What etiologic agent, for suspected sexual abuse
a. Neisseria gonorrhoea
b. Enterobius
c. Trachomatis chlamydia

41. Main treatment of labial agglutination

a. Externally applied estrogen
42. Malignant-like lesion
a. Lichen Sclerosus

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