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06.11.2020. Тест. Дошкольное образование, 6 класс
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6 year – 2 module- 2019-2020 yy. OBSTETRICS AND GYNECOLOGY

Список вопросов теста

Вопрос 1

At patient on the 5th day of postpartum period suddenly there was an increasing of the temperature. The body temperature is 38,5oС, mammaryglandsarenormal, lactationissatisfied. Signsofperotonealirritationareabcent. Inpelvicexaminationpurulentexcretionsfromtheuterusarepresent, uterusissoftinpainfullinpalpation. Theuterusisincreased, soft, painfulinpalpation.Whatisthemostprobablediagnosis?

Варианты ответов
  • Endometritis
  • Peritonitis
  • Pelvioperitonitis
  • Mastitis
  • Lochiometra
Вопрос 2
  1. Postpartum patient 25 years, V day of puerperal  period.  Labor I,  delivered  by the operation  of cesarean  section,  indication – clinically contracted pelvis. At the examination  a tongue is dry,  fever – body temperature is 38,5oC,  Ps – 120,  BP – 100/50  mm Hg.  Breathing is speed-up,  superficial.  Abdomen  is acutely painful, bloating.  Shchotcin’ symptom is positive.  Vomiting.  Gases are not depart.  Excretion  from  vagina are purulent  with  an unpleasant  smell. What diagnosis is most credible?
Варианты ответов
  • Septicemia
  • Puerperal  thrombophlebitis
  • Septic  shock
  • The puerperal peritonitis
  • Puerperal  pelvioperitonitis
Вопрос 3

Postpartum patient C. on 4th day after labor complains about the rise of body temperature, general weakness, pains in lower part of abdomen. Preterm rupture of amniotic fluid was happaned. 72 hours without amniotic fluid. Uterus is on 4 cm below umbilicus, soft. On ultrasound the signs of endometritis are found. What is the reason of complication?

Варианты ответов
  • a) The protracted amniotic fluid less period.
  • b) Premature labor
  • c) Hypotonic uterine contractions
  • d) Epiziotomy
Вопрос 4

In the woman of the first day after labor  the rise of temperature up to 39oС was registered. The rupture of  the fetal membranes has taken place 36 hours prior to labor. The investigation of the bacterial flora of cervix of the uterus revealed – hemolytic streptococcus of agroup A. The uterine body is soft, tender. Discharges are bloody, with a  pus. Establish the most probable postnatal complication

Варианты ответов
  • a) Thrombophlebitis of veins of the pelvis
  • b) Metroendometritisis
  • c) Infected hematoma
  • d) Infective contamination of the urinary system
  • e) Endometritisis
Вопрос 5

Which is the following drug is not a 1st line treatment for an anovulatory abnormal uterine bleeding in a 13 year old

Варианты ответов
  • A. Progesterone
  • B. Estroge + progesterone
  • C. Tranexamic acid
  • D. Mefenamic Acid
Вопрос 6

Which of the following treatment for menorrhagia is not supported by evidence

Варианты ответов
  • A. Tranexamic acid
  • B. Ethamsylate
  • C. Combined OCP
  • D. Progesterone
Вопрос 7

In cystic glandular hyperplasia what is seen

Варианты ответов
  • A. Hypomenorrhea
  • B. Normal menstrual bleeding
  • C. Amnorrhea and bleeding
  • D. None
Вопрос 8

Cystoglandular hyperplasia seen in

Варианты ответов
  • A. Menorrhagia
  • B. Polymenorrhea
  • C. Oligimenorrhea
  • D. Metropathica hemorrhagica
Вопрос 9

Persistent anovulation not treated leads to all except

Варианты ответов
  • A. Hirsutism
  • B. Ovarian CA
  • C. Endometrial cancer
  • D. Inc risk of CVS diseases
Вопрос 10

Which is the following is an example of estrogen withdrwawl bleeding

Варианты ответов
  • A. Mestrual cycle
  • B. Anovulatory DUB
  • C. Midcycle bleeding
  • D. Progeserone only contraceptive
Вопрос 11

A 45 years old lady presented with recurrent uterine bleeding. On TVS thickness of endometrium was found to be 8 mm. What should be the next step in yhe management of this patient

Варианты ответов
  • A. Histopathology
  • B. Hysterectomy
  • C. Progesterone
  • D. OCP
Вопрос 12

Treatment for 32 years old multipara with DUB

Варианты ответов
  • A. Danazol
  • B. Endometrial ablation
  • C. Progesterone
  • D. Prostaglandins
  • E. Hysterectomy
Вопрос 13

Initial evaluation in adolescent abnormal uterine bleeding except

Варианты ответов
  • A. Platelete count
  • B. Hemogram
  • C. USG
  • D. D and C
Вопрос 14

The mc histological finding of endometrium in DUB is

Варианты ответов
  • A. Hyperplastic
  • B. Hypertrophic
  • C. Cystic glandular hyperplasia
  • D. Dysplastic
Вопрос 15

The progesterone with greatest hemostatic effect used in DUB is

Варианты ответов
  • A. Medroxyprogesterone
  • B. Norethisterone
  • C. Hydroxyprogesterone
  • D. Dydrogesterone
Вопрос 16

Which of the following is not a feaure of DUB

Варианты ответов
  • A. Menorrhagia
  • B. Uterine size of 8-10 weeks
  • C. Tender uterus
  • D. Proliferative endometrium
Вопрос 17

Characteristic of anovulatory uterine bleeding:

Варианты ответов
  • Monophasic basal temperature below 37 degrees
  • Absence of s "fern" and "pupil" symptoms in the middle of the menstrual cycle
  • Absence of secretory transformation of the endometrium
  • All of the above
  • E. None of the above
Вопрос 18

In climacteric age the medical treatment of dysfunctional uterine bleeding begin with:

Варианты ответов
  • setting of estrogens
  • diagnostic curettage of uterine cavity
  • colposcopy
  • setting of androgens
  • setting of gestagens
Вопрос 19

What is spaniomenorrhea?

Варианты ответов
  • menstruations come in 6-8 weeks
  • menstruations come 1 time per 4-6 monthes
  • menstruations are absent
  • quantity of menstrual blood less than 50ml
Вопрос 20

Which method of gynacological examination does belong to basic?

Варианты ответов
  • inspection of external genitalia
  • taking of smear on a flora.
  • taking of smear on oncocytology
  • ultrasonic examination.
Вопрос 21

How to start a survey of gynecological patients?

Варианты ответов
  • from the life history taking.
  • from the disease history taking.
  • from allergic anamnesis
  • from professional anamnesis.
  • complaints of patient.
Вопрос 22

A lady approaches a physian for contraceptive advice. On examination, there were two symmetrical ulcers on vulva, which were well defined with firm base. Which of the following is the most likely cause

Варианты ответов
  • a) Chancre
  • b) Syphilis
  • c) Herpes
  • d) Malignancy
Вопрос 23

A 25- year-old female with history of multiple contacts presenting with growth of vulva, the probable diagnosis is:

Варианты ответов
  • a) Condyloma accuminata
  • b) Verucca plana
  • c) Verruca vulgaris
  • d) Condyloma lata
Вопрос 24

Nongonococcal uretritis is caused by:

Варианты ответов
  • a) Chlamidia
  • b) LGV
  • c) Syphilis
  • d) Gardnerella vaginalis
Вопрос 25

Tell drug of choice for Chlamidia in pregnancy:

Варианты ответов
  • a) Doxycycline
  • b) Tetracycline
  • c) Erithromycin
  • d) Penicillin
Вопрос 26

Salpingitis is best confirmed by:

Варианты ответов
  • a) Hysteroscopy and laparoscopy
  • b) X-ray
  • c) Hysterosalpingography
  • d) Sonosalpingography
Вопрос 27

The most sensitive method for detecting cervical chlamidia trachomatis infection is:

Варианты ответов
  • a) Direct fluorescent antibody test
  • b) Enzyme immunoassay
  • c) Polymerase chain reaction
  • d) Culture on irradiated McConkey cells
Вопрос 28

The most common cause of tubal block is:

Варианты ответов
  • a) Gonorrhoea infection
  • b) Chlamadia
  • c) Tuberculosis
  • d) Herpes
Вопрос 29

To hypothalamic amenorrhea does not belong:

Варианты ответов
  • a) psychogenic amenorrhea
  • b) amenorrhea at a syndrome Shikhane
  • c) amenorrhea at false pregnancy
  • d) amenorrhea at adipozogenital dystrophy
Вопрос 30

A 25 years old female with a single child seeks contraceptive advice. She gives H/O clear mucoid vaginal discharge. The cervix appears inflamed on speculum examination. Her husband is working abroad and comes home once in  2 months. Which of the best contraceptive advice

Варианты ответов
  • a) OCP
  • b) IUCD
  • c) Condom
  • d) DMPA
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