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Gyne 1st Long Exam 2009 (35-50 samplex) c.

Is lined by pseudostratified
columnar epithelium
1. Which of the following statements is true of d. A and B
Cul-de-Sac? e. All of the above
a. Located anterior to the rectum
separating the uterus from the 7. Parts of the vulva EXCEPT
large intestines a. Clitoris
b. The parietal peritoneum of the Cul- b. Perineum
de-Sac covers the lower part of the c. Labia majora
anterior vaginal wall d. Paraurethral glands
c. Bounded laterally by the peritoneal e. None of the above
folds covering the round ligaments
d. A deep pouch formed by the 8. Which of the following female genital
most caudal extent of the structures are INCORRECT matched with its
visceral peritoneum male homologue?
a. Bartholins gland Cowpers gland
2. True of the blood supply of the uterus b. Labia majora Scrotum
a. The uterine arteries originate c. Labia minora Penile urethra
directly from the aorta d. Skenes gland Corpora
b. The ovarian arteries are branches cavernosa
of the hypogastric arteries e. None of the above
c. The uterine artery arises from
the anterior branch of the 9. Which of the following structures DOES NOT
hypogastric artery derive at least partial blood supply from the
d. None of the above uterine artery?
e. All of the above a. Oviduct
b. Ovary
3. The uterus c. Cervix
a. Is separated from the bladder d. All of the above
anteriorly by the vesicouterine e. None of the above
pouch
b. Has an endometrial cavity which is 10. Which of the following statement/s about the
lined by squamous epithelium that ovarian vessels is/are true?
undergoes cyclic changes a. The left ovarian artery originates
c. Has a muscular layer called from the descending aorta
myometrium which consists of b. The right ovarian vein drains into
interlacing skeletal muscle fibers the inferior vena cava
d. Is separated from the rectum c. The left ovarian vein drains into the
anteriorly by the rectouterine left renal vein
pouch d. A and C
e. A and B e. All of the above

4. Which of the following statements are true? 11. The following provide support for the vagina
a. The uterosacral ligament is also a. Infundibulopelvic ligament
referred to as the Mackenrodt b. Pelvic diaphragm
ligament c. Cardinal ligament
b. The round ligament extends from d. A and C
the lateral portion of the uterus e. All of the above
below and anterior to the origin of
the oviduct terminating in the upper 12. The perineum
portion of the labium majus a. Is supported by the pelvic and
c. The broad ligament is made up of urogenital diaphragms
two winglike structures that covers b. Is supplied by the internal pudendal
the anterior part of the uterus artery
d. All of the above c. Is divided by an imaginary line from
e. A and C the pubic symphysis to the coccyx
to form the anterior and posterior
5. The narrowest portion/s of the fallopian tube triangle
is/are? d. A and B
a. Ampulla e. All of the above
b. Infundibulum
c. Isthmus 13. The vagina
d. A and B a. Is composed of an inner
e. None of the above longitudinal and outer circular
arrangement of smooth muscles
6. The fallopian tubes b. Is lined by nonkeratinized stratified
a. And the ovaries are collectively squamous epithelium
referred to as the adnexa c. Has an abundant vascular supply
b. Is supplied by the ovarian and d. B and C
uterine arteries e. All of the above
d. Cystic
14. Which of the following statement/s is/are
true? 22. This is usually lined by stratified squamous
a. Sensory nerve fibers from the epithelium which is usually a result from birth
upper part of the vagina are in trauma or gynecologic surgery.
pudendal nerve a. Nabothian cyst
b. Sensory nerve fibers from the b. Hidradenoma
uterus are in T11 T12 c. Inclusion cyst
c. Sensory nerve fibers from the d. Gartner duct cyst
lower part of the vagina are in S2
S4 23. A 28 y/o nulligravid came in to the OPD with
d. A and B complains of menstrual cramps on the 1st day
e. All of the above of her period for 2 years. An ultrasound was
done and revealed an adnexal mass on the
15. Muscles of the levator ani right approximately 12 x 8 x 8 cm.
a. Coccygeus Exploratory laparatomy was done and
b. Pubococcygeus revealed a cystic mass with chocolate like
c. Deep transverse perineal fluid. Your diagnosis then will be
d. A and B a. Dermoid cyst
e. All of the above b. Corpus luteum cyst
c. Endometrial cyst
16. The cyst primarily of mesonephric origin d. Theca lutein cyst
found laterally in the vagina
a. Nabothian cyst 24. If a vulvo-vaginal hematoma continues to
b. Gartners duct cyst enlarge despite conservative measures, the
c. Dysontogenetic cyst treatment is
d. Bartholins cyst a. Evacuation of clots and colpoclesis
b. Evacuation of clots and
17. The most common cystic structure of the insertion of vaginal pack
vagina is the c. Evacuation of clots by
a. Nabothian cyst marsupialization
b. Hydatid cyst of Morgagni d. Evacuation of clots and ligation of
c. Inclusion cyst bleeders
d. Hydatid cyst of Morgagni
25. Contact dermatitis of the vulva is treated by
18. All of the following are histologic subtypes of a. Hot sitz bath
endocervical polyp EXCEPT b. Anti-fungal cream
a. Adenomatous c. Oral antibiotics
b. Cystic d. Withdrawal of the offending
c. Solid substance
d. Inflammatory
26. Symptoms of hematometra include the
19. The optimal management of endometrial following EXCEPT
polyp is a. Primary amenorrhea
a. Medical management b. Cystic lower abdominal pain
b. Fractional dilatation and curettage c. Dysuria
c. Hysteroscopy dilatation and d. None of the above
curettage
d. All of the above 27. A 48 y/o multiparous patient complains of
hypogastric pain. Pelvic ultrasound shows a 7
20. A 45 y/o G3P3 (2103) consulted at your clinic cm large myoma uteri. Treatment is:
with complains of prolonged and profuse a. Myomectomy
menses for almost 6 months. The patient b. Hysterectomy
eventually underwent Total Abdominal c. GnRH agonist
Hysterectomy with Bilateral d. Dilatation and curettage
Salpingoophorectomy. On cut section, the
tumor has a glistening, pearl white 28. A theca lutein cyst may be found together
appearance w/ the smooth muscles arranged with which of the following conditions
in a trabeculated or whorled configuration. a. Pregnancy in a diabetic patient
Your diagnosis is: b. Pelvic endometriosis
a. Adenomyosis c. Pelvic inflammatory disease
b. Leiomyoma d. Trophoblastic disease
c. Endometriosis
d. Dermoid cyst 29. This is not a component of Meigs Syndrome
a. Thecoma
21. The mildest form of degeneration of a myoma b. Ascites
is c. Fibroma
a. Myxomatous d. Pleural effusion
b. Calcific
c. Hyaline
30. The diagnosis of cervical stenosis is
established by
a. Pelvic ultrasound
b. Hysteroscopy
c. Inability to pass a 1 to 2 mm
cervical dilator
d. Amenorrhea in an adolescent

31. Cervical polyps are often secondary to


a. Cervical cancer
b. Use of IUD*
c. Chronic irritation
d. Douching

32. The most frequent cystic structures in normal


ovaries are
a. Theca lutein cyst
b. Serous cystadenoma
c. Follicular cyst
d. Dermoid cyst

33. True of the uterine fibroid


a. May remain asymptomatic
throughout life
b. May undergo torsion and rupture
c. Symptoms may be explained by
size and location
d. Has a true capsule

34. Histologic components of endometrial polyp


a. Columnar epithelium
b. Central vascular channel
c. Endometrial stroma
d. A and B
e. All of the above

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