Gynecology 6th Long Exam 8.

The speed of propagation of sound through a

medium is determined by:
1. Ultrasound involves the generation and a. The density of that medium
transmission of _____ frequency sound waves b. The volume of that medium
and echoes through interfaces between tissues of c. The area of that medium
____ densities. d. A & B
a. Low/same e. A & C
b. Low/different
c. High/same 9. In pelvic ultrasound, the echogenecity is generally
d. High/different compared with that of the:
e. Middle/varying a. Urinary bladder and ovary
b. Urinary bladder and myometrium
2. Gynecologic ultrasound includes the evaluation c. Cervix and ovary
and measurement of the: d. Cervix and myometrium
a. Uterus e. NOTA
b. Ovaries
c. Pouch of Morrison 10. Myomas and adenomyosis co-exist in ____% of
d. A & B women.
e. AOTA a. <50
b. 50
3. On transvaginal ultrasonography (TVS), patient c. >50
preparation requires a ______ urinary bladder d. A & B
prior to US; the sinologist is to the right of the e. B & C
patient and the probe used is
a. Empty/ 3.5 to 5 MHz 11. US appearance of the endometrium reliably
b. Empty/ 5 to 7 MHz reflects the ___ of the patient.
c. Full/ 3.5 to 5 MHz a. Age
d. Full/ 5 to 7 MHz b. Marital status
e. NOTA c. Hormonal status
d. Economic status
4. On transvaginal ultrasound, the hyperechoic e. NOTA
endometriumseen in the secretory phase of the
menstrual cycle refers to what layer/s of the 12. To differentiate between ovarian and uterine pelvic
endometrial lining? mass, a leiomyomata would have
a. Functional layer a. Posterior shadowing
b. Basal layer b. Posterior enhancement
c. Decidual layer c. Enhanced through transmission
d. Syncitial layer d. A & B
e. NOTA e. B & C

5. A 13 year old girl was referred for ultrasound of an 13. The sonographic description of a pelvic mass with
abdominal mass that reaches the umbilicus. What (+) venetian blind sign, and posterior shadowing
ultrasound should be requested for this patient? is most likely
a. Transvaginal a. Adenomyoma
b. Transrectal b. Leiomyomata
c. Transperineal c. Adenomyosis
d. Pelvic d. Endometrioma
e. AOTA e. NOTA

6. The ff are indicated for pelvic ultrasound EXCEPT 14. A post menopausal uterus has a fundus: cervix
a. Painful mass ratio of
b. Precocious puberty a. 1:1
c. Follow up of a hemorrhagic cyst b. 1:2
d. Further evaluation of a pelvic \\1 c. 2:2
qabnormality noted on d. 2:1
computed tomography e. NOTA
e. NOTA (?)
15. The most common examples of complex adnexal
7. Ultrasound scoring systems makes use of masses on ultrasound are the ff EXCEPT:
morphologic characteristics that help to a. Dermoid cyst
differentiate benign from malignant conditions of b. Abscess
ovarian masses. The ff are morphologic c. Ovarian hyperstimulation syndrome
parameters that are used in such scoring system d. Ectopic pregnancy
EXCEPT: e. Cystadenoma
a. Size
b. Thickness of septa 16. Violence against women includes:
c. Internal borders a. Arbitrary deprivation limited to public life
d. Ultrasound echopattern b. Includes threats of physical, sexual or
e. NOTA psychologic harm
c. Includes threats of coercion
 d. B&C
e. AOTA
17. Violence against women and their children refers
to any act or a series of acts committed by any
person against a woman who
a. Is his wife or former wife
b. The person has a dating relationship
with
c. The person has had a sexual
relationship with
d. The person has a common child with
e. AOTA
18. Economic abuse against women and children
include:
a. Act that attempt to make a woman
financially dependent
b. Giving financial support
c. Allowing the victim to engage in any
legitimate profession
d. A & C
e. AOTA
19. Forms of violence against women include
a. Rape incest and Sexual abuse
b. Domestic violence
c. Violence resulting from political
repression
d. Limited access to reproductive health
care
e. AOTA
20. Rape incest and sexual abuse are acts
a. Of carnal knowledge between
descendants or ascendants of any
degree
b. Limited to legitimate parties
c. That include relationships between half-
blooded siblings
d. A & C
e. AOTA
21. When examining a patient, physical findings that
would raise a red flag of that violence has
occurred include
a. Multiple injuries in various stages of
healing
b. A bathing suit pattern of injuries
c. Bilateral injuries or injuries to multiple
areas
d. Injuries on the face and neck
e. AOTA
22. Sexual harassment
a. Is limited to the work place
b. Requires any sexual favor from the
other regardless of whether the
demand request is accepted by the
object of the said act
c. Is committed only by persons that have
authority influence or moral ascendancy
over the other
d. B & C
e. AOTA
23. Sex trafficking and prostitution
a. Is limited to trafficking across national
borders
b. Utilizes only force as a form of coercion
c. Is done with or without the consent of
the victim
d. A&B
e. AOTA
24. According to the RA 9262 Anti Violence against
Women and Their Children Act of 2004, any
healthcare provider who suspects abuse or has
been informed by the victim of violence shall
a. Document any of the victims physical,
emotional or psychological injuries
b. Record any of the victims suspicions,
observation and circumstances of the
examination or visit
c. Automatically provide the victim free of
charge medical certificate concerning
the examination or visit
d. A & B (?)
e. AOTA
25. Double burden is what form of VAW?
a. Limited access to reproductive health
care
b. Violence as a result of political
repression
c. Sexual discrimination and
exploitation
d. Sex trafficking and prostitution
e. Sexual harassment
26. Rape as a form of torture is what form of VAW?
a. Limited access to reproductive health
care
b. Violence as a result of political
repression
c. Sexual discrimination and exploitation
d. Sex trafficking and prostitution
e. Sexual harassment
27. When screening a woman who is suspected to be
a victim of violence, one must
a. Use the patients language or
vocabulary to gather information and to
convey an understanding of her world
b. Use open ended questions initially then
follow-up questions for clarification
c. Gather behavioral descriptions of what
happened
d. A & B
e. AOTA
28. When a patient has admitted to you that she has
been a victim of violence, you may respond to her
by saying
a. This is not your fault
b. No one deserves to be treated this way
c. Do you want to talk about it?
d. I am concerned about your safety and
that of your children.
e. AOTA
29. Manifestation of the feudal system during the
Spanish colonization are
a. Labor of peasant women/girls used
as a payment to the landlord
b. Sex ads in media
c. Women were considered as healers
d. B & C
e. AOTA
30. Fatal outcomes of VAW include and procedure emphasizing both
a. Suicide benefits and risks
b. Homicide b. Patient comprehension has been
c. Maternal mortality established, as well as her competence
d. HIV/AIDS to make logical decisions
e. AOTA c. Circumstances that may contribute to
the non-voluntariness of the consent
31. Principles of ethics include have been eliminated
a. Beneficence d. A&B
b. Non maleficence e. AOTA
c. Autonomy
d. Justice 38. The second most common gynecological
e. AOTA malignancy
a. Cervix
32. It has been proposed that we consider b. Uterus
amendments in our abortion law in: c. Ovary
a. Pregnancies resulting from rape or d. Fallopian tube
incest e. NOTA
b. Pregnancies that threaten the life and
health of the mother 39. Which among the ff malignancies have the highest
c. Pregnancies that will result in the birth of mortality rate?
a very handicapped child a. Ovary
d. NOTA b. Cervix
e. AOTA c. Endometrium
d. Myometrium
33. Compared to other countries, abortion law of the e. NOTA
Philippines
a. Is (almost) without any exception 40. Reasons for the late diagnosis of ovarian cancer
b. Is relatively the same as that of Spain are
c. Changes in attitude towards crime and a. Patients are usually asymptomatic in the
punishment have occurred early stages
d. A & B (?) b. There are clear cut risk factors in its
e. AOTA development
c. Physical findings may be negative
34. Assisted reproductive technology includes d. A & B
a. In Vitro Fertilization and Embryo e. A & C
Transfer
b. Intrauterine insemination of washed 41. Possible risk factors in the development of ovarian
sperms cancer include
c. Gamete intrafallopian transfer a. Multiparity
d. Tubal embryo transfer b. Increased age
e. AOTA c. Late onset of menarche and early
menopause
35. Issues surrounding cryopreservation of embryos d. A & C
include e. AOTA
a. How long can they stay cryopreserved?
b. What will be their disposition in case of 42. Internal examination of an ovarian malignancy
death, divorce or separation of the would be
couple? a. Cystic
c. Can they be donated? b. Solid
d. Can they be used as materials for c. Fixed
research? d. B & C
e. AOTA e. AOTA

36. When performing a tubal ligation, issues that may
be ethical concerns include
a. Obtaining both informed consent from
both the husband and the patient
b. Performing a tubal ligation on a mentally
ill patient
c. Performing a tubal ligation on a patient
who is multigravid and not married
d. NOTA
e. AOTA
37. When a patient refuses to undergo treatment
proposed by the physician informed consent must
be obtained by
a. Providing a complete, clear and honest
presentation of the treatment method
43. A 27 year old G2P1 (0110) came in due to an
enlarging abdomen. On internal examination, you
palpate an adnexal mass on her left, fixed with a
solid consistency measuring approximately 9 cm
in diameter. Which factors will you consider doing
a conservative type of surgery?
a. Presence of fluid in transvaginal
ultrasound
b. The patient is desirous of pregnancy
considering her OB score
c. The patient has previous abdominal
operations including appendectomy and
a hysterotomy was performed on her
previous pregnancy
d. A & C
e. AOTA
44. Surgical procedure on the previous patient would
be
a. Oophorocystectomy
b. Bilateral oophorectomy
c. Left oophorectomy
d. Total abdominal hysterectomy with
bilateral salpingoophorectomy
e. Total abdominal hysterectomy with left
salpingoophorectomy

45. The ff are epithelial tumors of the ovary EXCEPT

a. Brenner tumor
b. Clear cell tumor
c. Choriocarcinoma
d. A & C
e. AOTA

46. The largest group of ovarian tumors

a. Germ cell
b. Sex cord
c. Epithelial
d. A & B
e. NOTA

47. Spread of ovarian cancer is through

a. Extension to neighboring structure by
implantation on peritoneal surfaces
b. Regional lymphatic pathways
c. Blood stream
d. B & C
e. AOTA

48. True of tumor markers

a. Specific for ovarian tumors
b. Serve to monitor progress of patient
undergoing treatment
c. Not utilized in detecting any recurrence
d. A & B
e. AOTA

49. Final diagnosis of ovarian tumors are made

through
a. History and physical examination
b. Histopathologic examination
c. Transvaginal ultrasound
d. B & C
e. AOTA

50. True of cancer of the fallopian tube

a. Primary cancer is extremely rare
b. Secondary cancer is common because
of its proximity to the uterus and ovaries
c. Prognosis once detected is relatively
good
d. A & B
e. AOTA