10.2011 gynecology

A 30 years old male, diagnosed as non obstructive azospermia, small testicle, lack of facial and pubic hair and gynecomastia. Most probable hormonal status :

True regarding the difference between water and fat soluble contrast media for performing HisteroSlapingoGraphy:

Which of the following is correct regarding intrauterine device?

A couple is diagnosed with unexplained infertility, what is not correct:

Which of the following is correct regarding progesterone-only oral contraceptives?

Which of the follow cause primary amenorrhea?

Which of the following stataments concerning usage of combined oral contraceptives and cancer is true?

31 year old G2P1, 39 weeks complains on abdominal pain, her uterine contraction recorder every 3-4 min, her cervix changed only 1 to 2 cm in diameter in over 3 hours. Which of the following management of the patient?

Which can result amenorrhea?

Which of the following tissues is not routinely resected during radical hysterectomy for sqamous cell carcinoma of the uterine cervix?

Which of the following placental implantation most like predisposed to inverted uterine in 3rd stage of labor?

Which of the follow characterizes syndrome known as “female athletic Triad”:

Which of the following is unique in ovarian endodermal sinus tumor?

In which of following will differentiation to female Phenotype occur?

A laparoscopy is done to an 18 years old female with peritonitis, it shows rupture and bleeding of a 10 cm cyst that encompasses the entire left ovary. Dysgerminoma is diagnosed on frozen section biopsy. Correct treatment:

A 33-year-old woman at 29 weeks’ gestation is noted to have blood pressures of 150/90 and 2-1- proteinuria. Platelet count and liver function tests were normal. Which of the following is the best management for this patient?

A 25 years old female is being evaluated for infertility. She has regular menses every 28days. Which of the following is positively confirms ovulation?

A healthy 19-year-oid G1 PO at 29 weeks’ gestation presents to the labor and delivery area complaining of intermittent abdominal pain. She denies leakage of fluid or bleeding per vagina. Her antenatal history has been unremarkable. She has been eating and drinking normally. On examination, her blood pres sure is 110/70, heart rate 90 bpm, and temperature 99°F. The fetal heart rate tracing reveals a baseline heart rate of 120 bpm and a reactive pattern. Uterine contractions are occurring every 3 to 5 min. On pelvic examination, her cervix is 3 cm dilated, 90% effaced, and the fetal vertex is presenting at -1 station. Which of the following is most likely to be contraindication for tocolytic?

Which one of this ovarian tumors doesn’t produce hirsutism?

Women with 50 y/o menopausic with ovaric insufficiency in treatment with ovum donation, which of the following precautions for the implantation of the fetus is correct?

You are monitoring patient contraction puttern, during 20 min she has 6 equally contraction. Base line uteine tone is 10 mmHg and peak intensity of each contraction reaches 50 mmHg. Which following number of Montevideo units define this activity?

A 38 y/o patient who since the last 2 years has been bleeding for more than 9 days in every period. She has periods every 32 days and no bleeding between periods. What is the best nexst step to do?

What is the most common side effect of intrapartum epidural Anastasia?

Which of the follows doesn’t produce hirsutism?

Forceps application when fetal head (left occipital antero-posterior) has reached the pelvic floor is at partum classier at what type delivery?

A 49 y/o with myomatosis and vaginal bleeding between the periods and in the periods, with periods every 5-6 weeks that lasts from 6 to 10 days. Which the next management to do?

The best pregnancy management of a 40 years old nullipara, prior myomectomy during which the endometrial cavity was anterior:

A 23 y/o woman with abdominal pain that intensifies during periods. She on birth control pills, because of the pain she goes to laparoscopy where they find where they see lesions of endometriosis and they treat it with laser. What is the next step of the treatment in this patient?

Most common pathogen associated with intra uterine growth restriction:

A 24 y/o patient with no children presents with vaginal bleeding. She has a pregnancy by β-HCG of 3500 mUI/ml with normal vital signs, with an Ecography that doesn’t show a gestational sac but shows a mass of 3.2 cm in the right adnexal. Which of the following is the best treatment for this patient?

A couple, diagnosed as primary infertility 2 year old, in sperm count – sever OligoTeratoAsthenoSpermia. Most appropriate next diagnostic test:

In the pelvic inflammatory disease you need to diagnose and treat early to prevent which of the following?