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TitleGyne 2 Exam Recall
TagsVagina Uterus Mammal Female Reproductive System Reproductive System Female Mammals
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GYNECOLOGY 2nd EXAM RECALL

CONGENITAL ABNORMALITIES

1. Organogenesis begins in the
a. 3rd embryonic week
b. 5th embryonic week
c. 10th embryonic week
d. 15th embryonic week

• Organogenesis begins in the 3rd embryonic week and
is essentially complete in the 10th week (5-12th week
in terms of gestational pregnancy)

2. What is 1 to 1.5 cm long and 0.5 cm wide ;
enlargement of which is caused by androgen
stimulation?

a. Vagina
b. Clitoris
c. Penile urethra

3. Which of the following statements is true regarding
congenital Adrenal hyperplasia?
 It may cause salt-wasting adrenal crisis

Congenital adrenal hyperplasia
 It may cause salt-wasting adrenal crisis
 It is autosomal recessive (NOT autosomal dominant)
 Short stature ( NOT tall)

4. Which of the following is true regarding CAH
a. It is caused by deficiency of 11-hydroxylase
b. Autosomal recessive gene coded on

chromosome 8
c. Elevated 17-hydroxyprogesterone

5. Hymen represents the junction of the
o ANSWER: SINOVAGINAL BULBS AND

UROGENITAL SINUS

6. Female, 16 y.o with Rokitansky-Kuster-Hauser
syndrome may present with the following except:

a. Normal vagina and uterus
b. Normal ovaries
c. 46 xy karyotype

7. 50% of patient with Rokitansky-Kuster-Hause have:
a. Urologic abnormalities

8. Transverse Vaginal septum
o Failure of junction between mullerian duct

and the sinovaginal bulb at the mullerian
tubercle

9. Main treatment for labial agglutination
a. Estrogen ointment

PELVIC SUPPORT
10. Why prolapsed more common in female than male

a. 3 openings?
b. Hormones
c. Multiparity
d. ALL

11. The following are risk factors for pelvic relatxation
a. Multiparity
b. Carrying heavy loads
c. Menopause
d. All of the above

 Multiparity
 Squating
 Carrying heavy loads
 Chronic cough
 Menopause
 Obesity

12. Abnormality of this structure leads to tipped uterus
a. Round ligament

13. Descent of the uterus is due to the following except
a. Round ligament
b. Uterosacral ligament
c. Cardinal ligament
d. Pelvic diaphragm

14. Open introitus : essential for diagnosis
a. Long perineum (should be short)
b. Labia majora and minora cover the introitus
c. Middle third of vagina exposed
d. Cervix shown on straining

15. Cystocoele except
a. Complete bladder emptying
b. Feeling of falling out
c. Reducible mass bulging into the anterior

vaginal wall
d. Increase bulging during straining

16. Women, 75 years old...post hysterectomy
a. Cystocoele
b. Rectocoele
c. Enterocoele
d. Ovary prolapsed

17. Falling out ; difficult evacuation of feces

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a. Rectocoele

18. Uterine prolapse
a. Expectant
b. Surgery
c. Pessary
d. All of the above

19. Reproductive age with uterine prolapse
a. Vaginal hysterectomy
b. Abdominal hysterectomy
c. Ligamentopexy
d. ___

ENDOMETRIOSIS AND ADENOMYOSIS
20. Endometriosis

a. Presence and growth of the glands and
stroma of the lining of the uterus in an
aberrant or heterotropic location

21. Which is true regarding endometriosis
 Many large endometriomas –

asymptomatic patients
 Cyclic hormones causes growth, continuous

hormones reverses the growth pattern
(memorize this statement, minsan
nakakalito! )

22. Etiology of endometriosis except:
a. Metaplasia
b. Retrograde menstruation
c. Immunologic
d. Infection

23. Cardinal histologic features of endometriosis except
a. Ectopic endometrial glands
b. Ectopic endometrial stroma
c. Hemorrhage into the adjacent tissue
d. Hemorrhage into the distant tissue

24. Danazol – Hypoestrogenic, hyperandrogenic
25. GnRH agonist – medical menopause
26. OCP – pseudopregnancy
27. Progestin –Hypogonadotropic, hypogonadal

28. Adenomyosis

 Derived from aberrant glands of the basalis
layer of the endometrium; associated with
disruption of the barrier between the
endometrium and myometrium as an
initiating step

29. Risk factor of adenomyosis
 Increased parity (NOTE: NULLIPARITY IS

NOT A RISK FACTOR)
 History of uterine surgery
 Trauma

30. Pelvic examination of adenomyosis EXCEPT:
a. Usually more than 14-16 weeks size

( NOTE: this is unusual)

PEDIATRIC AND ADOLESCENT
GYNECOLOGY

31. Most common cause of vulvar symptoms in the
prepubertal age group

o Vulvovaginitis

32. Which is not usually done for patient in complete
gynaecologic exam

a. History
b. Inspection and visulaization of cervix
c. Culture of vagina
d. Rectovaginal exam

33. Lithotomy position for
a. 6 mos.
b. 1-2 yrs
c. 2-3 yrs
d. 4-5 yrs.

o Young children may be examined in the frog
leg position, and children as young as 2 to 3
years of age may be examined in lithotomy
with use of stirrups. Lithotomy is generally
used for girls 4 to 5 years of age and older.

34. Which is not helpful in examining pedia ( HARM
THAN GOOD)

a. Restraint

35. A “tell-tale” somewhat translucent vertical midline line
is visible on physical exam at the site agglutination

a. Labial Adhesion

36. Universal management for vulvovaginitis
a. Good perineal hygiene

37. Most common foreign body – tissue paper

38. Most common cause of vaginal bleeding in child

a. Foreign body
b. Infection
c. Trauma

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