25 - hormone therapy in gynaecology mcqs - 1

1q: HRT is helpful in all of the following except ?

 

1. vaginal atrophy
2. flushing
3. osteoporosis
4. coronary heart disease

 

answer: d . coronary heart disease .

 

2q: estrogen replacement for post-menopausal symptoms cause an increase in ?

 

1. LDL
2. Cholesterol
3. VLDL
4. Triglycerides

 

Answer: d . triglycerides . estrogen replacement causes an increase in HDL and triglycerides and decreases LDL levels .

 

3q: estrogen administration in a post menopausal woman increases the ?

 

1. gonadotropin secretion
2. LDL – cholesterol
3. Bone mass
4. Muscle mass

 

Answer: c . bone mass .

 

4q: all of the following appear to decrease hot flushes in menopausal women except ?

 

1. androgens
2. raloxifene
3. isoflavones
4. tibolone

 

answer: b . raloxifene .

 

5q: absolute contraindication of hormone replacement therapy is ?

 

1. thrombosis
2. fibrocystic disease
3. fibroadenoma
4. hemorrhage

 

answer: a . thrombosis .

 

6q: GnRH analogues may be given in all of the following except ?

 

1. prostate carcinoma
2. endometrial carcinoma
3. fibromyoma of uterus
4. precocious puberty

 

answer: b . endometrial carcinoma .

 

here is a list of all the conditions in which GnRH analogues are used :

 

1. adenomyosis
2. irritable bowel syndrome
3. carcinoma breast
4. DUB
5. endometriosis
6. fibromyoma uterus
7. hirsutism
8. infertility
9. precocious puberty

24 - absolute contraindications of oral contraceptive pills

1. carcinoma of breast and genitals
2. congenital hyperlipidemia
3. porphyria
4. cardiac abnormalities
5. moderate to severe hypertension
6. previous or present history of thromboembolism
7. undiagnosed abnormal uterine bleeding
8. impending major surgery to avoid post operative thromboembolism
9. liver diseases , hepatoma or history of jaundice during past pregnancy