Monday, January 21, 2008

18 - gynaecology mcqs - 121 to 130

Question 121 :
Intrauterine pregnancy rate after linear salpingostomy is approximately
a) 35%
b) 45%
c) 60% * * Right
d) 75%
e) 90%

Question 122 :
All of the following are necessary for the treatment of ectopic pregnancy with MTX EXCEPT
a) Unruptured
b) No pain * * Right
c) Hemodynamically stable
d) Normal blood count & liver enzymes

Question 123 :
Which of the following side effects is least common with cisplatin
a) Thrombocytopenia
b) Hypomagnesimia
c) Cardiac toxicity * * Right
d) Neuropathy
e) High frequency hearing loss

Question 124 :
Perforation tends to occur earliest when an ectopic pregnancy is located in which portion of fallopian tube ?
a) Isthmic * * Right
b) Interstitial
c) Ampullary
d) Infundibular
e) No difference

Question 125 :
The rate of disappearance of hCG is most rapid in which condition
a) Induced abortion
b) Spontaneous abortion c) Complete removal of ectopic pregnancy by resection d) Complete removal of ectopic pregnancy by linear salpingostomy
e) No difference * * Right

Question 126 :
Which is the least frequent site of an ectopic pregnancy
a) Fallopian tube
b) Cervix
c) Ovary
d) Abdominal cavity
e) Between the leaves of broad ligament * * Right

Question 127 :
What treatment is recommended for a complete tubal abortion when the fallopian tube appears undamaged, there is no further bleeding, and product of gestation have been expelled
a) Non operative treatment
b) Evacuation of production of gestation and blood clots from pouch of Douglas and peritoneal cavity * * Right
c) Removal of the abortion and clots and incision in tube for exploration
d) Removal of abortion and clots and salpingectomy
e) Removal of abortion and clots and salpingo oophorectomy

Question 128 :
Which is not an indication for chemotherapeutic treatment of postmolar trophoblastic disease
a) Abnormal hCG regression curve
b) Presence of metastasis
c) Uterine infection * * Right
d) Uterine haemorrhage
e) Tissue diagnosis of choriocarcinoma

Question 129 :
Incidence of all of the following conditions are increased in tamoxifen users EXCEPT
a) Cervial dysplasia * * Right
b) Endometrial polyps
c) Endometrial hyperplasia
d) Uterine fibroids
e) Endometrial adenocarcinoma

Question 130 :
Women with postmenopausal bleeding need endometrial sampling if endometrial on gynae USG is thicker than
a) 1mm
b) 2mm
c) 5mm * * Right
d) 8mm
e) 10mm

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