GYNE FINALS RECALLS A.

Granulosa
SECTION C and D B. Theca
C. Leydig
1. Secondary amenorrhea, pituitary D. Sertoli
Ans: sheehans
12. Presence of ovaries will cause regression
2. absence of menses regardless of presence of mesonephric ducts and development of
of secondary sexual characteristics by age of paramesonehric ducts into:
16 A. Female genital tract
a. primary amenorrhea B. Male genital tract
b. secondary amenorrhea C. Promordial follicle
c. precocious puberty 13. 23 y/o nulligravid diagnosed with
d. pituitary microadenoma, 2yrs married wants
to get pregnant. What will be the first line of
3. onset of female breast treatment
a. menarche A transphenoidal....
b. telarche B bromocriptine
c. adrenarche C.
d. rubarche D.

7. The outflow tract obstruction that leads to
primary amenorrhea is/are
A. Perforated hymen
B. Transverse septum in vagina
C. Hydro/pyosalphinx
D. Cervicitis
8. The singer, Ms. Caren Carpenters, once had
an extreme weight loss and distorted
implaceablr attitude towards eating. This
psychiatric condition associated with
amenorrhea is known as:
A. anorexia nervosa
B. Bulimia
C. both
D. neither
9. What is the most probable cause of
secondary amenorrhea if estradiol level is
normal and pelvic ultrasound is normal?
A. PCO
B. Hyperandrogenism
C. POF
D. Hypothalamuc disorder
10. Secondary to necrosis of pituitary...
-sheehans
11. Most common cause of GnRH-
independent precocious puberty is
19. Although therapy for PCOS is directed at
at woman's specifci complaint, which of the ff
should be the mainstay of treatmenents
A. Lifestyle change including weight
reduction and fitness
B. Metformin
C. OCP
D. Finasteride
23.other name of PCOS- stein leventhal
syndrome
25. Tumor associated with excrssive estrogen
production. Which may cause pseduo
preccious puberty, post menoposal bleeding ,
(meron pang:isa)
A. G....... cell - theca cell
B. Sertoli ledig cell
C. Gonadoblastoma
D. Immature teratoma
27. Testosterone (>200 ng/ml), temporal
balding, clitoral hypertrophy, voice
deepening, breast atrophy
A. Dysgerminoma
B. Sertoli Leydig cell
C. Granulosa - theca cell
D. Endodermal sinus tumor
30. Most common primitive germ cell tumor, C. Leiomyosarcoma
which account to 20-30% ovarian tumor D. Malignant mixed mullerian tumor
during pregnancy. Counter part of testicular Groove sign - lymphogranuloma venereum
seminoma.
A. Endoderml sinus tumor 48. Benign Ovaries.....no subcapsular cyst-
B. Dysgerminoma-ans Stromal Hypethecosis
C. Immature teratoma
D. 53. High risk except
Ans .CIN 1
33. The minimal invasive surgery for
dysgerminoma 58. Pathophysiology of osteoporosis are the ff
A. Oopherocystectomy except:
B. Oopherectomy A. Low calcium intake
C. TAHBSO B. High estrogen level (ans)
D. TAHBSO with BND C. Aging
D. Hereditary
34. 42yo male; seminalysis revealed low
sperm motility 60. Which of the following tumors least likely
A. Kartageners synd esp w/ absent sperm cila to become malignant?
B. Chem & rad exposure A. Mucinous
C. Cryptorchidism B. Brenner
D. Pituitary tumor C. Serous
D. Endometrioid
36. Most common cause of infertility
A. Ovarian dysfunction B. Tubal factor C. D. 62. Histologic criteria for diagnosis of
Uterine factor borderline malignant ...
A. Atypicality
38. Risk for endometrial ca = unopposed B. Epithelial pleomorphism
estrogen C. No stromal invasion
D. All of the above
39. Endometrial thickness of 4mm or less on
ultrasound in an asymptomatic 64. The CA125 is considered elevated
postmenopausal woman. a 15-20
A. Maybe a normal finding b 20-25
B. Risk of endometrial ca is increased c 25-30
C. Currettage can be performed d 30-35
D. Indication of further investigation e >35 (Results of the CA 125 test are
measured in units per milliliter (U/mL). The
40. 45y/0 nulligravid underwent endometrial normal value is less than 35 U/mL)
curretage d/t AUB. result adenomatous
atypical hyperplasia. What is the mngt? 66. Figo staging for ovarian cancer. Showing
A. TAHBSO distant metastatic ovary and tubes
B. observe A. IC
C. High dose progestin B. IIa
D. C. IIIb
D. IIIc
45. Endometrial adenocarcinoma and
rhabdomyosarcoma of the uterus? 67. True of CA125?
A. Endometrial stromal sarcoma A. Specificity is better for high values in post
B. Endolympathic stromal menopausal women** (not sure)
B. Specific for epithelial ovarian neoplasm c. knee chest
C. For follow up/ evaluation in post op d. frog leg
D. A and C
86. Px sought consult d/t vaginal discharge,
68. criteria for conservative surgery for you ask the px the ff questions EXCEPT
invasive ovarian Ca except: a. Color of discharge?
a.satge 1a c.well differentiated b. Is discharge foul smelling?
b.multi d.biopsy negative for metastasis c. Is it related to a specific type of food
(answer)
71. Associated w/ acute PID d. Does it cause itchyness
A. ectopic pregnancy
B. abnormal vaginal bleeding 89. 3-alphadiol-G measurement
C. PCOS A. Skin
D. 60 y/o B. Hair
C. Wedge resection
75. Which of the ff is considered as a D. All of the above
minimum criteria in the diagnosis of PID
A. Hypogastric pain 90. 20 years old woman check up
B. Rebound tenderness complaining of appearance of mustache.
C. Cervical wiggling tenderness Blood assay revealed, testosterone of 1mg,
D. All DHEAS of 8mg, DHEA of 0.6mg, and
androsteronedione of 1mg. Increased hair
76. Most accurate method for diagnosis PID is growth is attributed to the increased
thru production of androgen in the
a. positive fever, high ESR, adnexal A. ovary
tenderness B. adrenals
b. direct visualization of infected upper c. skin
genital organs d. ---
c. increased ESR
d. positive free peritoneal fluid by ultrasound 93. A 53 y/o patient 4 years menopause
noticed temporal balding and deepening of
77. Case regarding PID. Reasons for the voice pelvic exam unremarkable with
hospitalization of PID px EXCEPT testosterone levels 3mg and dhea 24mg what
a. Abscess is your diagnosis?
B. Mass A.idiopathic hirsutisim
C. Fever B. Pcos
D. Aota C. LOHD
D. Hilus tumor
79 The specimen of this procedure is E. Sertoli leydig tumor
collected by swabbing endocervix and
ectocervix. 95. Not complete. Testosterone level >3ng/ml
A. Papsmear (answer) with bilateral enlargement of ovaries.
B. Colposcopy Ans. Stromal hyperthecosis
C. Cervical biopsy
D. Cyotheraphy 96.) reffering to case 95 what would be the
diagnosis if she would be taller by age of 8
84. The best position to obtain vaginal and later have a rapid decline of growth
specimen in a 2 year old child. Choices: a.) cushing syndrome
a. Dorsal b.) idiopathic hirsutism
b. Lithotomy c.) LOHD
d) --- 9 Most probable cause of secondary
amenorrhea with normal E2 and normal
97. Therapy for LOHD to bring back ovulation pelvic UTZ
A. Suppress testosterone production of the A. PCO
ovaries B. Hyperandrogenism
B. Suppress adrostenedione and normalize C. POF
hydroxyprogesterone levels D.
C. Correct hirsutism 10
D. All the above
11 Most common cause of Gnrh-independent
tumor:
100. Treatment of choice for bacterial
A. Granulosa cell tumor
vaginosis
B. Theca cell tumor
Answer: Metronidazole 500 mg BID for 7
days C. Leydig cell tumor
D. Sertoli cell tumor
SECTION A 12 Paramesonephric will form -- Female
genital tract
GYNE 13 23 y/o nulligravid is diagnosed with
1 Secondary amenorrhea due to necrosis of pituitary microadenoma. She is married for
pituitary cells 2 years and is desirous of pregnancy. First
A. sheehan's synd line of treatment is:
B. simmon's dse A) Transphenoidal resection of
C. asherman's synd microadenoma
D. celiac dse B) Bromocriptine - ans
2 C) Cergolide
3 Pertains to the onset of female breast D) Periodic Progestin Withdrawal
development 14 Ultrasound diagnosis of polycystic ovaries
A. Menarche is made on the basis of which of the ff?
B. Thelarche A. Finding of enlarged ovaries (>10cm3)
C. Pubarche and produce 10 or more peripherally
D. Adrenarche crowded cystic structures (2-8mm)
4 B. Enlarged ovary >3cm w/ multiple cystic
5 In compartment 1, as to anatomical structures in ovarian cortex
category of the etiology of amenorrhea, C. A multiloculated ovary each locule
the anatomical structure to examine is the measuring >10cm
A. ovaries D. NOTA
B. Uterus 15
C. Pituitary gland 16 Alternative to Clomiphene: Letrozole
D. Hypothalamus 17
6 A 26yo with secondary amenorrhea, low 18 Tx fof metabolic syndrome in PCOS is best
estrogen? (E2 <20-30pg/ml, increased fsh, achieved:
dx? A. Diet + metformin
A PLO B. Bariatric surgery
B increased androgen C. OCP
C premature ovarian failure D. Insulin
D hypothalamic disorder 19 Although therapy for women with PCOS
7 should be directed at a specific complaint,
8 which of the ff should be the mainstay of
 treatment? 34 Mixed germ cell malignancy,m/c
A. Improvement with lifestyle variables, combination?
including weight reduction and fitness --> dysgerminoma and endodermal sinus
B. Metformin tumor
C. OCP 35
D. Finasteride 36
20 37 Increased risk for endometrial ca
21 38
22 Ovarian testosterone converted to 39
estrogen thru 40
A. Methylation 41 CASE: Adenomatous Atypical Hyperplasia.
B. Aromatization What is the risk of the above patient to
C. 5a reductase action develop endometrial carcinoma?
D. Halogenation A. 1%
23 B.3%
24 C.8%
25 D. 29%
26 Non epithelial ovarian neoplasm that 42 According to 1988 FIGO staging of
resembles fetal testis and mimic tumors of endometrial CA is based on:
the adrenal glands: a. clinical findings
a. Granulosa-theca cell tumor b. intraoperative findings
b. Sertoli-leydig cell tumor c. surgicopathologic findings
c. Gonadoblastoma d. histopathologic findings
d. Immature Teratoma Like · Reply · May 13 at 8:04pm
27 43
28 True of Dysgerminoma 44
A. Peak age over 45yo 45
B. CA125 increase 50% of case 46 Precludes to PID
C. More of solid rather than cystic Use of iud
D. Causes increase in AFP Ectopic pregnancy
29 A cystic benign tumor can undegro Sorry limot ko na ibang choices
malignant transformation, and estimated 47
to occur in <2% of these tumors, the 48
malignant transformation usually occur at 49
what part of dermoid element 50
A. Endodermal layer
B. Mesodermal layer
C. Ectodermal layer SECTION B
D. Squamous epithelium of the (tumor)?
30 52. 40 y/o G4P4 (4004) underwent
31 hysterectomy for myoma uteri.
32 Recommendation for her to undergo pap test is
33 Minimal surgery for ovarian every:
dysgerminoma. a) 1 year
A. Oophorectomy b) 3 years
B. Oophorocystectomy c) 5 years
C. TAHBSO d) no need for testing
55. A 25 year old G1P1 (1001) came back for 74. The result of culture and sensitivity of
follow up. She underwent a cytology exam, a specimen coming from the endocervix is
week before her test revealed ASCUS. What associates with
diagnostics??? A. Broad ligament
A. HPV DNA testing B. Ovary
B. Repeat Pap Smear C. Parietal perutoneum
C. Colposcopy D. Fallopian tube
D. AOTA
80. A 45 yo, nulligravid obese hypertensive
61. Consist of epithelial cells resembling those complaining of menstrual bleeding consuming 5
of endometrium baby pads per day
A. Mucinous A. Pap test
B. Serous B. Colposcopy
C. Endometrioid (ans) C. Endometrial biopsy
D. Clear cell D. Cryotherapy

64. Elevated Ca 125 levels 83. Matching type: Treatment for small CIN I.
A. Freezing
B. a. pap
C. 25-30 b. colposcopy
D. 31-35 c. cervical biopsy
E. >35 d. endometrial biopsy
e. cryo
66. tumor stage wherein malignancy spread to
uterine wall *FAV. Patient with abnormal uterine bleeding.
She uses OCP for 3mos/3yrs
68. Indications for conservative treatment of *FAV On colposcopy, shows punctuation
epithelial ovarian ca except
A. Stage 1A 84. Best position in obtaining vaginal swabbing
B. Multiparity to a 2yo patient
C. Well differentiated
D. Negative for cytology 86. Px consulted because of vaginal discharge.
The following should be asked except
70. PID prevention A. What is the color?
A. Safe sex B. Is it foul smelling?
B. Tx partner C. Is it aasociated to certain food?
C. Universall screening D. Does it itch?
D. All
87. Clinical significance of Breast Self-Exam
73. Acute PID is assoc. w/ the ff. sequelae - identify cancer in young women who are not
except typically candidates for mammography
A. ectopic pregnancy
B. chronic pelvic pain *Minimun criteria to dx PID
C. ---- A. Hypogastric pain
D. Infertility B. Cervical tenderness
96. The patient will be taller than her playmates A. Uterus
of same age of 8 but eventually wii be short B. Ovary
stature after puberty C. Pituitary
A. Cushing syndrome D. Hypothalamus
B. Early onset of PCOS
C. LODH *Risk factor in developing CIN except
D. A. Early inset of intercourse
B. Multiple sexual partners
98. This vaginal cancer is common among C. Smoking
women who were exposed to Diethysilbesterol D. Herpes simplex virus
in uter
A. Sarcoma botryoides *Consist of cells that resemble the transitional
B. Yolk sac tumors epithelium of the bladder and walthard of the
C. DES tumors ovary
D. Clear cell CA A. Serous
B. Mucinous
*Other name for PCOS C. Brenner (ans)
B. Stein leventhal syndrome D.

*Ultrasound diagnosis of PCOS *Examination 4-5y/o

Enlarged ovaries (>10cm) 10 or more A. Frog leg position
peripherally oriented cystic structures (2-8mm) B. Frog leg on mothers lap
surrounding dense stroma C. Knee chest position
D. Lithotomy
*Arises from walthard nest of the ovary
A. serous
B. Mucinous
C. Endometriod
D. Brenner

*Onset of female breast devt

A. Menarche
B. Thelarche
C. Adrenarche

*Absence of menses regarless of presence of

secondary characteristics by age 16
A. Primary amenorrhea
B. Secondary amenorrhea

*Outflow tract obstruction leading to primary

amenorrhea
A. Perforated hymen
B. Tranverse vaginal septum
C. Hydro/pylosalphinx
D. Cervicitis

*Compartment 1 affected