Gyne 6th Long Exam ANS

Gynecology 6th Long Exam 1.

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Ultrasound involves the generation and transmission of _____ frequency sound waves and echoes through interfaces between tissues of ____ densities. a. Low/same b. Low/different c. High/same d. High/different e. Middle/varying Gynecologic ultrasound includes the evaluation and measurement of the: a. Uterus b. Ovaries c. Pouch of Morrison d. A & B e. AOTA On transvaginal ultrasonography (TVS), patient preparation requires a ______ urinary bladder prior to US; the sinologist is to the right of the patient and the probe used is a. Empty/ 3.5 to 5 MHz b. Empty/ 5 to 7 MHz c. Full/ 3.5 to 5 MHz d. Full/ 5 to 7 MHz e. NOTA On transvaginal ultrasound, the hyperechoic endometriumseen in the secretory phase of the menstrual cycle refers to what layer/s of the endometrial lining? a. Functional layer b. Basal layer c. Decidual layer d. Syncitial layer e. NOTA

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The speed of propagation of sound through a medium is determined by: a. The density of that medium b. The volume of that medium c. The area of that medium d. A & B e. A & C

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In pelvic ultrasound, the echogenecity is generally compared with that of the: a. Urinary bladder and ovary b. Urinary bladder and myometrium c. Cervix and ovary d. Cervix and myometrium e. NOTA

10. Myomas and adenomyosis co-exist in ____% of women. a. 50 d. A & B e. B & C 11. US appearance of the endometrium reliably reflects the ___ of the patient. a. Age b. Marital status c. Hormonal status d. Economic status e. NOTA 12. To differentiate between ovarian and uterine pelvic mass, a leiomyomata would have a. Posterior shadowing b. Posterior enhancement c. Enhanced through transmission d. A & B e. B & C

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A 13 year old girl was referred for ultrasound of an abdominal mass that reaches the umbilicus. What ultrasound should be requested for this patient? a. Transvaginal b. Transrectal c. Transperineal d. Pelvic e. AOTA

13. The sonographic description of a pelvic mass with (+) “venetian blind” sign, and posterior shadowing is most likely a. Adenomyoma b. Leiomyomata c. Adenomyosis d. Endometrioma e. NOTA

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The ff are indicated for pelvic ultrasound EXCEPT a. Painful mass b. Precocious puberty c. Follow up of a hemorrhagic cyst d. Further evaluation of a pelvic \\1 qabnormality noted on computed tomography e. NOTA (?)

14. A post menopausal uterus has a fundus: cervix ratio of a. 1:1 b. 1:2 c. 2:2 d. 2:1 e. NOTA

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Ultrasound scoring systems makes use of morphologic characteristics that help to differentiate benign from malignant conditions of ovarian masses. The ff are morphologic parameters that are used in such scoring system EXCEPT: a. Size b. Thickness of septa c. Internal borders d. Ultrasound echopattern e. NOTA

15. The most common examples of complex adnexal masses on ultrasound are the ff EXCEPT: a. Dermoid cyst b. Abscess c. Ovarian hyperstimulation syndrome d. Ectopic pregnancy e. Cystadenoma 16. Violence against women includes: a. Arbitrary deprivation limited to public life b. Includes threats of physical, sexual or psychologic harm c. Includes threats of coercion

d. e.

B&C 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 halfblooded 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. d. e.

Is done with or without the consent of the victim A&B 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 victim’s physical, emotional or psychological injuries b. Record any of the victim’s 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 patient’s 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 a. Suicide b. Homicide c. Maternal mortality d. HIV/AIDS e. AOTA 31. Principles of ethics include a. Beneficence b. Non maleficence c. Autonomy d. Justice e. AOTA 32. It has been proposed that we consider amendments in our abortion law in: a. Pregnancies resulting from rape or incest b. Pregnancies that threaten the life and health of the mother c. Pregnancies that will result in the birth of a very handicapped child d. NOTA e. AOTA 33. Compared to other countries, abortion law of the Philippines a. Is (almost) without any exception b. Is relatively the same as that of Spain c. Changes in attitude towards crime and punishment have occurred d. A & B (?) e. AOTA 34. Assisted reproductive technology includes a. In Vitro Fertilization and Embryo Transfer b. Intrauterine insemination of washed sperms c. Gamete intrafallopian transfer d. Tubal embryo transfer e. AOTA 35. Issues surrounding cryopreservation of embryos include a. How long can they stay cryopreserved? b. What will be their disposition in case of death, divorce or separation of the couple? c. Can they be donated? d. Can they be used as materials for research? 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

b. c. d. e.

and procedure emphasizing both benefits and risks Patient comprehension has been established, as well as her competence to make logical decisions Circumstances that may contribute to the non-voluntariness of the consent have been eliminated A&B AOTA

38. The second most common gynecological malignancy a. Cervix b. Uterus c. Ovary d. Fallopian tube e. NOTA 39. Which among the ff malignancies have the highest mortality rate? a. Ovary b. Cervix c. Endometrium d. Myometrium e. NOTA 40. Reasons for the late diagnosis of ovarian cancer are a. Patients are usually asymptomatic in the early stages b. There are clear cut risk factors in its development c. Physical findings may be negative d. A & B e. A & C 41. Possible risk factors in the development of ovarian cancer include a. Multiparity b. Increased age c. Late onset of menarche and early menopause d. A & C e. AOTA 42. Internal examination of an ovarian malignancy would be a. Cystic b. Solid c. Fixed d. B & C e. AOTA 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