Question A B C D

A 25 years old patient has and dysmenorrhoea. On vaginal Ovarian Cervical cancer examination nodes are palpable in the Douglas puch. What is the most probable diagnosis? The role of cervical CIN always develps into There is a verified causal Transformation of low High grade CIN can intraepithelial neoplasia (CIN) cdervical cancer, although link between CIN, high risk grade CIN into cervical be safely treated by in the development of cervical needs varying length of HPV infection and cervical cancer is a high chance HPV vaccine. cancer. One answer is right. time. cancer. event, too. Anovulatory cycle can be suspected in the early follicular Elevated E2 Elevated P4 Elevated LH/FSH None phase by: Anovulatory cycle can be Elevated E2 Elevated P4 Elevated hCG None suspected in the luteal phase by: Which of the following contraceptive methods has the condom spermicides oral contraceptive pill IUD best Pearl index? A sterile Hyperperistalsis of the Which of the folloing statements The IUD produces inflammatory fallopian tubes accelerates The IUD causes a bacterial is the best explanation for the menorrhagia, and the reaction of the the transport of the ovum, that interferes mechanism of action of the embryo is aborted in the to the thereby preventing in implantation IUD? heavy menstrual flow IUD prevents fertilisation implantation Which is absolute contraindication for the use of migraine with aura diabetes mellitus mild hepatic cirrhosis smoking combined oral contraceptive pills? Which of the following allows Assay of the serum beta Basal temperature for the earliest determination of Pelvic examination Ultrasonography subunit of beta HCG curves probable pregnancy?

Regarding diagnosis of Endometriosis which of the Patient age Laparoscopy Bi-manual examination Speculum exam following is most appropiate? Which of the following is true HPV types 16 and 18 HPV types 6 and 11 Has only 4 strains 6, 11, 16 regarding Human Papilloma Transmitted by air droplets may lead to cervical may lead to cervical and 18 Virus (HPV) cancer cancer which one is not an absolute confirmed venous suspicion of contraindication for hormonal uncontrolled myoma of the thromboembolism endometrial cancer replacement therapy? benign epithelial tumors of the endometrioid dermoid cyst mucinosus cystadenoma serosus cystademona ovaries, except: cystadenoma Which is the most commonly large loop excision of used excision technic for CIN transformation zone cryotherapy cold coagulation cone biopsy treatment? (LLETZ) which of is not a common cause intrauterine contraceptive arteriovenosus malformation myoma of the uterus endocervical polyps of abnormal uterine bleeding? device which one is not a typical risk previous pelvic factor for endometrial late menopausa anorexia nervosa irradiation carcinoma? clinical presentations of thr carcinoma are the abnormal offensive ascites bleeding on contact following, except: which one of the following is not cyclical lower abdominal dysmenorrhoea contact bleeding a symptom for endometriosis? pain which one of the following is not mucinosus dermoid cyst endometrioid carcinoma mature teratoma a benign ovarian tumor cystadenoma which one is not a suitable hormonal danazol progesterone/dienogest GnRH agonist treatement for endometriosis? replacementntherapy Which is not a risk factor for colorectal cancer in the cervical cancer in the diabetes PCOS endometrial cancer? family history family history Which one is not a spermicide Benzalkonium Borax-glicerin Nonoxynol None anticoncipient? Which of the following is protective against ovarian vasectomy oral contraceptives barrier methods IUD cancer? Which of the following could Systemic associate with genital Behcet syndrome Sarcoidosis All of the above erythematosis ulceration? Struma ovarii are Regarding dermoid cysts, the Complications include The malignancy rate is low dermoid tumours following statement is NOT 50 per cent are bilateral. torsion, chemical (around 2 per cent). predominantly made true: peritonitis and rupture. of thyroid tissue. Which of the following tumor markers is used for monitoring CEA CA-125 CA 19-9 beta-HCG epithelial ovarian malignancies? Result of over-vigorous Occurs after abortion or , uterine curettage after childbirth, main clinical developing typically Definition of Asherman's Clinical manifestation of spontaneous abortion or symptom is after cesarean syndrome. Only one aswer is hypothalamic amenorrhea childbith. Typical symptoms hypermenorrhea (heavy section due to correct are intrauterine synechiae menstrual bleeding, obstruction of the and amenorrhea HMB) cervical os The symptoms are Advanced cervical Frequent bleeding or bloody Symptoms of advanced cervical The symproms are mild or generally extragenital by cancer typically vaginal discharge after cancer. One answer is correct. even hidden as a rule. nature (weakness, muscle progresses towards intercourse. pain, erythrocytosis). the . Phases of endometrial cycle Follicular phase Proliferative phase Secretory phase Menstruation Endometriosis is a recognized dyspareunia. infertility. pain in laparotomy scars. all of the above. cause of: One of the following drugs can NOT be recommended for GnRh analogues oral contraceptives phytoestrogens progestogens treating endometriosis Surgery: Treatment of endometriosis. Analgesics (NSAID) GnRH agonists Oral estradiol 17β laparoscopy or One answer is faulty The long lasting endogene The long lasting In connection of endometriosis, Pregnancies decrease the Main symptoms are oestrogene effect can breastfeeding increase the it is true, except: incidence. pain and infertility increase the incidence. incidence Stage 2: Exceeds the Stage 4: Invasion of Stage 3: Local or regional FIGO staging of carcinoma of Stage 1. Confined to uterine endometrial basal bladder+bowel, spread in the vicinity of the uterus. One answer is wrong body membrane by maximum 5 optional distant the uterus mm metastases Atypical endometrial , given for Raloxifen given to treat Risk factors for due to incresed adjuvant treatment of breast postmenopausal Diabetes mellitus cancer. One answer is false of prolonged unopposed cancer osteoporosis action Exclusion of pelvic infection Diagnostic procedures for (vaginal, cervical sampling FSH, LH and estradiol 17β Pelvic ultrasound (US) Diagnostic . One aswer is for identification of assay examination laparoscopy wrong pathogenic agent) Risk factor for endometrial family history of early multiparity obesity cancer is: cervical cancer. The chance of developing of Epidemiology of epithelial It is the second most Its lifetime risk in the Affects typicaly women ovarian cancer ovarian cancer. One answer is common gynaecological general population is 1.4%. 35 years of age and over. isincreased by high wrong. malignancy. risk oncogene HPV infection. Hormonal activity Factors affecting clinical of the tumour Size of remnant tumour Histological type of the prognosis of ovarian epithelial Clical stage of disease (estrogen producing mass post-surgery tumour cancer. One answer is wrong activity is a bad prognostic sign) The characteristics of the ideal irreversible contraceptive contraceptive method are, no side effects or risk protect against STD's easy to use effect except Checkup of urinary Bonney test Valsalva (Q-tip) test Urodinamic examination TOT tape incontinence contains, except Most common complications of Pelvic inflammatory Abnormal bleeding Extrauterine pregnancy All of the above IUD may be? disease The most appropiate time to During menstruation or At time coinciding with Anytime 2 weeks post partum insert an IUD is: within two days of it ovulation The oral contraceptive pills increase the risk of 3-6 6-10 15 30 theromboembolism by ____ fold. Phases of ovarian cycle Follicular phase Secretory phase Ovulation Luteal phase Treatment options for LNG- containing Oral combined dysmenorrhea. One answer is NSAID intrauterine system (LNG- Copper coated IUD contraceptive pill false IUS) By FSH assay (low Assessment of ovarian follicular By estrogen + progesterone By anti-Mullerian hormone By measuring LH level at levels indicate reserve. One answer is right assay early in the cycle assay mid-cycle decreased reserve Major side effect of paclitaxol, a primary chemotherapeutic Severe decrease of Prolonged blood Anemia (low RBC count) Loss of total body hair agent for epithelial ovarian platelet count clotting time cancer Which of the following biochemical markers is not used AMH (anti-Mullerian oestradiol androstendion FSH for the examination of the hormon) ovarian reserve? All the following are associated with Hypoestrogenism Hypothyroidism Pituitary adenoma Anorexia nervosa hyperprolactinaemia/amenorrh oea EXCEPT Upshot of missing oestrogene in Working of gastrointestinal The base metabolism Atherosclerosis The osteoporosis is menopause: system doesnt change. becomes slow. decreasing. short-term upshot. Regarding the place where the They are 7-8 cm from each The ureter is situated more It is in the mid-sagittal None of the above ureter and the uterine artery is other here. caudally plane of the body is true the closest to each other: is Epidural in labour is a Forceps delivery is Pelvic organ prolapse is Regarding the pathophysiology more common in nulliparous risk factor for the a risk factor for the never seen in nulliparous of pelvic organ prolapse: women than in multiparous subsequent development development of women. women. of prolapse. prolapse. The presence of a uterus and fallopian tubes in an otherwise Lack of Müllerian inhibiting Increased level of Lack of testosterone 46, XX karyotype phenotypically normal male is factor due to Effective in Metronidazole Clindamycin Both None First treatment choice of fluconasole metronidasole penicillin cephalosporine bacterial vaginosis would be: Adequate treatment of Bartholin's cyst in generative Excision Marsupialisation Both None age Characteristic of borderline No metastasis formation May recur Not invasive A,B,C tumours Peritoneal carcinosis from endometrial cancer requires Radiotherapy Chemotherapy Both None adjuvant treatment with For successful Evaluation of the smears is Sampling is to be be made Cervical smear is only Cervical cancer screening by evaluation smears done exclusively on fully from the transformation taken in case of strong cytological smear. One answer is should always matured squamous epithelial zone. Intracervical sample colposcopic suspicion of right. contain red and cells. should always be taken, too. premalignant lesion. white blood cells. Which agent is used in cervical Cisplatin Cyclophosphamid Leukovorin Docetaxel cancer Most common symptom of vaginal bleeding obesity fever cervical cancer: Choice of radiation Average distance of therapy can only be effective (high) Methods of cervical cancer Teletherapy (external Brachytherapy (internal, or teletherapy or energy radiation by radiation therapy. One answer irradiation). intracavital irradiation). brachytherapy, the two brachytherapy is is wrong. are not combined, as a targeted approx. 0.5 rule. cm from the source. Survival in Survival finally depends advanced stages The survival chances mostly on the choice of treatment depends on the Factors affecting survival of depend on the clinical stage Best survival is expected for method (surgery gives properly chosen cervical cancer patients. One and lymph node status (0, in situ cancer better, radiation results in combination of answer is false extension, para-aortic inferior outcomes, as a surgery, ascent rule) radiotherapy (and chemotherapy) What can be used for distension of abdominal cavity during Saline Glycin NO CO2 lapraroscopy What is the basic method on the hystology cytology CT MRI diagnose of cervical cancer? Non-cyclical intermittent lower abdominal pain may raise the Endometriosis Torquation of ovarian cyst Ovulation suspicion of LH, FSH, ostrogen, Labratory test in case of progesterone, prolactine, 17- LH, TSH, insulin resistency testosterone, parathormon TSH, FT3, FT4 irregular cycles OH-progesterone, TSH Which one is correct in case of Caused by condyloma acuminatum Caused by Chlamydia Caused by HPV 6,11 types Caused by N. gonorrhoea Treponema infection Pallidum Possible route of administration of gestogene only hormonal Oral Intramuscular Subcutaneous A,B,C contraceptives can be Ca and vitamin D BMD decrease starts at the supplementation is Characteristics of osteoporosis speeds up in the menopause None age of 50 indicated only in osteopenia Menorrhagia is Polymenorrhoea is defined Oligomenorrhoea is defined Hypermenorrhoea is defined as menses at Definitions: as prolonged increased as menses occurring at less defined as excessive intervals of more menstrual flow than 21-day interval regular menstrual loss. than 35 days Treatment of dysmenorrhoea OAC Terbutalin Diazepam A and B blood loss greater than the abscence of pain during sexual Definition of Dysmenorrhoea: painful menstruation 80ml/period menstruation intercourse blood loss greater than the abscence of pain during sexual Definition of dyspareunia: painful menstruation 80ml/period menstruation intercourse What percentage of couples will conceive within 1 year of 65 75 85 95 regular unprotected intercourse? Doesn’t make change in the Progesteron only pill POP- true Such effective like Doesn’t cause quantity or quality of Triphase drug. description: combined OAC . mother’s breastfeeding Best treatment for surgical medical both none endometriosis Drugs used to treat GnRH analogues Dienogest LNG-IUS A,B,C endometriosis include Medications used for treatment GnRH analogues Danazole Dienogest Metformin of endometriosis, except: Which cannot be used for the Combined oral contraceptive Estriol vaginal GnRH depot injection Danazol treatment of endometriosis? pill cream Pelvic pain caused by decreased by the use of decreases during endometriosis is increases in the menopause None minipill menstrual period characteristically Symptom of endometriosis: Dysmenorrhoa Pelvic pain A,B None Hormonal contraception is Poorly controlled Epilepsy Hypertension Myoma absolutely contraindicared in? Diabestes Symptoms in endometriosis Urinary Dysmenorrhoea Low abdominal pain Infertility patient, except incontinence Endometriosis is characterized dysmenorrhoea dyspareunia infertility all of the above by What is the "gold standard" Bimanual procedures in diagnosis of LSC HSc UH examination endometriosis Endometriosis may appear… scar appendix both neither Typical symptom of diarrhea sterility headache all endometriosis Treatment of endomteriosis can COC Gn-Rh agonists Surgery Antibiotics therapy be…, except Risk factor for endometrial Grand multiparity Prolonged lactation Obesity Combined pill use cancer Risk factors for endometrial cc. diabetes mellitus obesity nulliparous mediterran diet Risk factors for endometrial Low serum Diabetes Nulliparous Late menopause cancer, except: oestrogen levels Not suitable for Suitable for prevention of Suitable for preventing 6 prevention of Effects of HPV (6,11,16,18) Suitable for risk reduction of primary HPV infection and and 11 type HPV cervical cancer, but vaccination. One answer is breast and ovarian cancer in minimizing the risk of infection and decreases the risk of correct. BRCA1 positivity. cervical cancer caused by development of cervical developing estrogen type 16 ans 18 HPV. cancer. receptor positive endometrial cancer. Associated diseases in insulin resistance hypertension obesity A,B,C endometrial cancer Five-year survival for women with endometrial cancer by I.: 88%. II.: 86%. III.: 55%. IV.: 16% clinical stages. One answer is wrong. Factors lowering survival Histological type: chances of women with Regional spread of the endometrioid Advanced age (>70 years). Overweight, obesity. endometrial cancer. One answer tumour. has is wrong. worst prognosis. Normal thickness of the endometrium by ultrasound in 10mms 8mms 6mms less, than 4 mms postmenopausal patient Advantages of endoscopy, cheaper faster recovery minnimal invasivity less blood loss except Size of a matured dominant 3-5 mm 8-10 mm 18-21 mm >40 mm follicule Adjuvant treatment of well differentiated pT1N0M0 endometrial cancer with brachytherapy teletherapy both None superficial myometrial invasion requires Gene that is needed for the SRY DAX1 Both None development of a male gonad Preservation of fertility can be Cervix Corpus Ovary A,B,C an issue in the following a webbed neck, shield chest, Individuals with karyotype 45,X lymphoedema of extremities a high incidence of high-arched palate, and low- A, B, C together are likel to have at birth diabetes mellitus set ears HPV vaccination is most After the start of sexual During reproductive Before menarche None effective activity years Macular Charcteristic of genital herpes Strawberry cervix Foamy discharge Painful eruptions exanthemas Effective in genital herpes Clindamycin Amantadine Rivaroxaban Acyclovir Signs of vaginal candidiasis, fishy discharge itching burn yeast discharge except: Risk factors for vaginal diabetes stress pregnancy all candidiasis What percentage of acetic acid 2-3% 0,03 0,08 0,4 is used during colposcopy The incidence of haematoma The recovery from a Vaginal hysterectomy can Abdominal hysterectomy is formation is greater With regard to abdominal and vaginal hysterectomy is only be performed if there is indicated if there is a after abdominal vaginal hysterectomy. slower compared to uterovaginal prolapse suspicion of malignancy. hysterectomy than abdominal hysterectomy. after a vaginal hysterectomy. Screening is effective: cervix carcinoma endometrium carcinoma ovarium carcinoma carcinoma Emergency contraception in Escapelle Cerazette Divina Mercilon Hungary: Indication of , abnormal uterine recurrent pregnancy infertility pregnancy except bleeding loss Where does the spermium meet uterine cavity cervix ovary the oocyte? Treatment optiopns for LNG-containing hypermenorrhea (heavy Tranexcamic acid or Hysterectomy later Ovulation induction intrauterine system menstrual bleeeding, HMB). endometrial ablation in the fertile age (LNG-IUS) One answer is wrong where is the transformation at the fundus of the uterus in the ovaries in the cervix in the vagina zone? Where do germ cells originate Genital ridge Hindgut Pronephros None from? combinated oral Hormonal contraception: condom vasectomy femal barrier contraception Hormonal contraceptive Progesteron only pills MIRENA-IUS Depo-Provera inj. Coitus interruptus methods, except Name of gestogen-IUD: Mirena Pregna Cerazette Continuin Types of HPV vaccines Bivalent Trivalent Quadrivalent A,C Presentation of pelvic organ Urge incontinence. . - . prolapse. One is false. predisposing factors for vaginal pregnancy antibiotic therapy immunosupression candidiasis, except: In the background of Endometrial hyperplasia Endometrial Submucosal fibroid All of the above hypermenorrhea Hypermenorrhea can be treated Gestagen IUS Oestrogen gel OAC by, except monotherapy to confirm intrauterine to diagnose intrauterine The aim of hysteroscopy both None pregnancy pathology Indications of hysteroscopy: sterility habitual abortion bleeding disorders all Complications of hysteroscopy: TUR-syndrome uterus perforation infection all Hysteroscopic interventions fibroid resection septum resection tubal patency test A,B,C Operative hysteroscopy can be bicornuate uterus subserous fibroid septate uterus all of the above used for treating Stage I means disease confined to the organ of origin in the Cervix Corpus Ovary A,B,C following cancer Five-year survival rate (%) for stage I. cervical cancer. One 40-50. 25-30. 10 to 20. 80-85. answer is right. Ideal OAC: cheap reversible simple all Characteristic of stage III vulval Rectal spread Urethral spread Inguinal spread Distant metastasis cancer Stage III means disease spread to the omentum in the following Cervix Corpus Ovary B,C cancer Part of the adult uterine wall. Perimetrium Endometrium A,B,C Standard assisted Indications for intracytoplasmic Primary treatment choice for Routine treatment of Exceptional treatment reproduction sperm injection (ICSI). Which severe male subfertility infertility due to ovulatoty method for vas deferens technique for answer is correct? (hypo-azoospermia) disorder obstruction or agenesia erectile dysfunction The copper IUD is Copper coated IUD is the efficient in Clinical effects of the There is no gynaecologic The LNG-releasing IUD most efficient reversible alleviating intrauterine contraceptive contraindication of inserting is a highly efficient and contraceptive method. Its menstrual related device (IUD). One answer is a copper IUD in the fertile also significantly reduces failure rate is ˂1 in 100 lower abdominal right age menstrual blood loss woman years dycomfort an also reduces blood loss Colposcopic sign of invasive Atypical vessels Acetowhite area Punctuation Ectopy lesion Treatment of returning CINIII conisation hysterectomy follow up nothing IUD can cause bleeding disorder pelvic inflammatory disease pelvical abscess all of them Consequence of IUD: infection pelvic pain extrauterine pregnancy all Inreased chance for IUD pelvic inflammatory disease cervical cancer endometriosis PCOD wearing patient Stage IVa means bladder or rectum involvement in the Cervix Corpus Ovary A,B following cancer Causes of delayed puberty anorexia nervosa gonadal dysgenesis chronic disease all of the above include: Which of the following is NOT true in relation to the causes of Trichomoniasis Candidiasis Chlamydia infection Bacterial vaginosis vulvovaginitis Laboratory: raised (sometimes Endometrial thickening by Lower abdominal pain, Painful cervix and reduced) white cell Diagnostic signs of PID. One ultrasound indicating the fever, dyspareunia, negative by vaginal count, high CRP answer is faulty primary site of inflammation pregnancy test examination and erythrocyte sedimantation rate (ESR) Concentration of acetic acid 1% 5% 10% 15% used in colposcopy Route of administration of Oral or vaginal or combined hormonal Oral Vaginal Oral or vaginal subcutaneous contraceptives implant Route of administration of combined hormonal Transdermal Vaginal Oral or vaginal A,B,C contraceptives COC is contraindicated, in case Leiden homozygote status irregular bleeding ovarian cyst dysmenorrhoea of Can be a side-effect of the Amenorrhoea Thrombosis A,B,C combined pill The major cause of oral development of contraceptive failure that results incorrect use malabsorption autoimmune disease antibodies in unwanted pregnancy is The combined oral predisposes to pelvic predisposes to breast and both neither contraceptive inflammatory disease ovarian cysts Combined oral contraceptive smoking patient older than epilepsy thromboembolic disease ovarian cyst pill is contraindicated in 25 Oral combined anticoncipient ostrogen progesteron none of them both of them pill contains The most effective treatment modality in locally advanced Surgery Radiation therapy Both Chemotherapy early stage cervical cancer To aid diagnosis of PID (Pelvic Inflammatory disease) which of White-Blood cell count Pelvic Ultrasound Bi-manual examination Culdocentesis the following is most accurate? Abnormal cervical mahagony colored by Lugol white by acetic acid solution Both None becomes solution Symptom of chronic pelvic Lower abdominal pain Pyrexia A,B,C inflammatory disease: less postoperative Advantages of laparoscopy small incision lower trauma all complication Advantages of laparoscopy fewer adhaesions shorter hospital stay lower costs all Indications of laparoscopy, extrauterine infertility malignant ovarial cancer fibroid except: gravidity Contraindication of peritoneal tuberculosis severe heart failure 3rd trimester pregnancy all laparoscopy: Difficulties of laparoscopy 2D view limited palpation limited movements all Complications of laparoscopy: vessel injury bowel injury bladder injury all Belongs to laparoscopical ovarial cyst PCOS all ovarial operations: During laparoscopy we can Cytectomy Myomectomy Hysterectomy All perform By using acetic Colposcopy is a secondary The role of colposcopy in the Colposcopy is a first line It is suitable for the acid, colposcopy screening method, it may diagnosis of cervical cancer. diagnostic method of detection of intracervical became suitable for raise suspicion not suitable One answer is right. cervical cancer. cancer. setting final however for final diagnosis. diagnosis. Minimum depth of invasion which warrants 1mm 5mm 10mm 15mm lymphadenectomy in cervical cancer Minimum depth of invasion which warrants 1mm 5mm 10mm 15mm lymphadenectomy in vulval cancer Most coomon cervical cancer adenocarcinoma planocellular adenosquamosus clear-cell carcinoma histological type: Not true for reduce the amount of not useable for can be used during reduce the risk of PID containing IUDs menstrual bleeding nulliparous patients lactation High risk HPV 16,18,6 16,18,31 45,6,11 6,11,31 High risk HPV infection 6,11 16,18 31 33 High-risk HPV: HPV-6 HPV-11 HPV-16 HPV-42 Complex It has the highest malignant simplex endometrial Simplex endometrial Complex endometrial endometrial potential hyperplasia hyperplasia with atypia hyperplasia hyperplasia with atypia At the age of 17 secunder amenorrhoea is the diagnosis if 1 month 3 months 6 months 12 months the menstrual bleeding is missing for: Secondary sexual characteristics Genital organ Gonad Body hair None include: Combines pills' main Suppression of ovulation Suppression of transport Suppresses implantation None mechanism of action: Part of the routine in fertility FSH, LH, PRL, E2 Semen analysis Laparoscopy HPV screening examination, except measurment Differentialdiagnosis of appendicitis adnexitis abortus incompletus all extrauterine pregnancy previous extrauterine Risk of extrauterine pregnancy endometriosis IUD all gravidity Surgical treatment for ectopic Salpingectomy Oophorectomy Hysterectomy Drilling pregnancy Characteristic of cervical cancer Haematogenous spread Lymphatic spread Direct spread B,C The most common histological squamous glandular small cell None type of cervical cancer It may be necessary to employ in the treatment of embolisation of blood trasnfusion vaginal tamponade A,B,C haemorrhage from cervical hypogastric artery cancer Radiotherapy of cervical cancer brachytherapy teletherapy both None involves Early menarche and late Risk factor for cervical cancer Smoking Barrier contraception Higher education menopause Can be used to screen for Lugol-test Colposcopy HPV typing A,B,C cervical cancer Stage IIIc2 endometrial cancer refers to involvement of the Cervix Omentum Pelvic nodes Para-aortic nodes following structure Which patient can receive Patient after early Postmenopausal Patient with progesteron estrogen hormone replacement menopause (below 40 years Patient without a uterus patient with positive breast cancer therapy without gestagen? of age) osteoporosis Cause of deep dyspareunia Endometriosis Chronic PID Both None At what age is the 30 40 50 60 developmental age for OP? Which contraceptive method Combined oral contraceptive Calculating the safe Intravaginal Condom has the lowest Pearl index? pill period spermicide gel Which operative technique can Transvaginal Hysteroscopy Laparoscopy Marsupialisation not be used to treat myomas? hysterectomy What are the treatment external field surgical tumor reduction modalities available for the irradiataion combined with chemothertapy combined irradiation combined with multidrug multimodality treatment of multidrug chemothertapy with immunotherapy combined with local chemothertapy ovarian cancer? irradiation What tumor markers can be used in the monitoring of CA125+He4 CEA CA19-9 AFP epithelial ovarian cancer? What are the therapeutical possibilities on treatment of operation kemotherapy radiotherapy all cervical cancer? Which are the most relevant HPV 33/35 HPV 16/18 HPV 6/11 HPV 45/52 oncogenic HPV types? What are the therapeutical possibilities on treatment of operation kemotherapy radiotherapy all endometrialcancer? Which cells are taking part in Theca cells Granulosa cells Both None of them the ovarian steroidgenesis? What are the therapeutical possibileties on treatment of operation kemotherapy radiotherapy all overian cancer? What histological types belong to the epithelial ovarian cancer serous mucinous endometrioid all of them group? Which is the most effective among the listed contraceptive Diary Nonoxynol Condom Abstinence methods? Which is the most effective among the listed contraceptive Combined pill IUD Depo injection Vasectomy methods? What is the most common cevical endometrial ovarial vulva genital tumor? Which are the most frequent malignant ovarian tumours of germ cell sex cord stromal epithelial metastatic the adult age? Which drug is recommended in the treatment of bacteral erythromycin clindamycin penicillin clotrimazole vaginosis? The combined pill protects Gonorrhoea Ovarian cancer Ovarian cyst B,C against Which is the minimally invasive hysteroscopy laparotomy biopsy cone biopsy technique? True for upper genital tract never need systemic can be caused by chlamydia often results in tubal often causeb by infections, except: antibiotic treatement infection damage ascending infection which one is not correst for the colour of the pH <4.5 causing itching offensive smell vaginal candidiasis? discharge is white In which case of menstrual hypermenorrhoea disturbance levonorgestrel IUS endometrial hyperplasia without organic is not recommended? cause Which is the most common Dysmenorrhoea Nausea Haematuria symptom of endometriosis? Which is the most common symptom of endometrial pain postmenopausal bleeding ileus night sweats cancer? which disease is not a common cause of abnormal uterine diabetes mellitus migraine prolactin disorders hypothyroidism bleeding? In which tumour's surgical treatment is the triple incision Cervix Corpus Ovary Vulva technique used? Anovulatory cycles predispose Cervix Corpus Ovary None to cancer of The uterine fibroids typically in the reproductive years in prepuberty in adolescens in premenopausa found From which embryonal structure does the ovary Wolfian duct Müllerian duct Genital ridge None develop? May elevate slightly in Only incase of ovarian Only incase of extensive extensive endometriosis CA 125 may elevate ? None of the above carcinoma endometriosis and at higher levels in ovarian carcinoma Which medication may inhibit metformin aspirin vitamin D folic acid the ovulation? Which medical treatment can be effective in exrauterine doxorubicin methotrexate carboplatin bleomycin pregnancy? Which HPV infection does not 11 16 18 31 cause cervical cancer? Which is IUS? Copper-IUD Copper-Gold IUD gestogen-IUD Plastic IUD Which sign/symptom is typical thick and crudy discharge ithing fishy malodorous smell pH<4.5 in bacterial vaginosis? Which is the possible treatment amoxicillin labetalol tetraciclin fluconazole of vaginal candidiasis? Which operation is impossible Myomectomy Hysterectomy Lymphadenectomy None by laparoscopy? Which type of fibroid can cause subserosal intramural submucosal intraligamental severe menorrhagia? Most important non- contraceptive benefits of Decreasing intensity of Decreased incidency of Protection agains Antiandrogenic effect combined oral contraceptives, dysmenorrhoea ovarian cysts cervical cancer except: Consequences of bacterial preterm labor ovarial cancer endometritis vaginosis, except: which one is not a common chromosomal abnormalities maternal age above 25 uterine septum hypothyroidism cause of miscarriage? which one is not an absolute suspicion of endometrial acute active liver contraindication for hormonal migraine suspicion of breast cancer cancer disease replacement therapy? Which is NOT an absolute diabetes ischaemic heart disease venous thrombosis focal migraine contraindication for COC? Which is NOT an essential part inspection of external Bimanual digital Speculum examination Rectal ecamination of pelvic examination? genitalia examination Which does not belong to the decreases the long-term risk decreases the amount of decreases the risk of positive health benefits of oral decreases menstrual pain of ovarian cancer menstrual bleeding cervical cancer contraceptives? Which of the following is not typical in itching thick and crudy discharge erythema high pH vulvovaginal candidiasis? Which is not the symptom of amenorrhoea vaginal bleeding pelvic pain fever extrauterine gravidity? which one of the following is not hot flushes maniac depression vaginal dryness mood swings the symptom of the menopause? Which of the the following clinical and amenorrhoea/oligomenorrho polycystic ovaries by features is not a criteria for the obesity laboratory signs of ea ultrasound diagnosis of PCOS? hyperandrogenism Which has the highest mortality Cervix Endometrium Ovary Vulva among gynaecological cancers Which gynaecological cancer has an established primary Cervix Endometrium Ovary A,B,C perventive method? What is the most easiest genital cevical endometrial ovarial vulva tumor on the diagnostic side? Which is the gold standard of cyclophosphamid+doxorubi cyclophosphamid+cysplat gemcytabine+ the first-line chemotherapy of paclitaxel+carboplatin cin (AC) in (CP) carboplatin ovarian cancer? Which is part of the Amsel presence of Clue cells vaginal pH <4.5 thick and crudy discharge itching criteria? Which is a predisposing factor hypertension nulliparity oral contraceptive pills diabetes to epithelial ovarian cancer? What STD types can be Trichomonas Chlamydia trachomatis b. Neisseria gonorrhoeae c. HPV prevented through vaccination? vaginalis With which ligament runs the Suspensory ligament of uterosacral ligament Ovarian ligament round ligament ovarian artery? ovary the result can be interpreted if the measurement of serum serum progesterone should serum progesterone which answer is not correct for menstrual period progesterone on the 21st day be above 10 nmol/L on the measurement is the most determining the ovulaton? occurs 14 days after of the cicle is usefull 21st say of cicle helpful test the serum progesteron test Which method is suitable for colposcopy amnioscopy hysteroscopy colonoscopy cervical cancer screening? The least severe cervical ASCUS LSIL HSIL CIS cytology result: blood loss greater than the abscence of pain during sexual Definition of menorrhagia: painful menstruation 80ml/period menstruation intercourse Cystic enlargement of A vulval cyst, filled by Purulent cysts of the What is Bartholin's cyst. One Bartholin's gland due to Early form of vulvar purulent secretion close hair follicles of answer is right occlusion of the long duct intraepithelial neoplasia to the urethral meatus labia majora by infection Cervical intraepithelial Central neoplasia, a precancerous intraepithelial What is CIN? One answer is Colposcopically identified Cytologically identified lesion of the epithelium, necrosis (early correct cervical neoplasia of the cervix does not extend beyond the necrotizing form of basal membrane cervical cancer) Regarding sexually transmitted diseases in adults which of the In every case multiple Human Papillomavirus Chlamydia following is the most common bacterial strains and viruses Herpes Simplex Virus (HPV) Trachomatis causative agent of play an important role Mucopurulent Cervicitis? The major cause of oral- A high frequency of Incorrect use of oral Development of contraceptive failure that results Diarrhoea intercourse contraceptives antibodies in an unplanned pregnancy is Which is the most common complication of chlamydia fever abnormal uterine bleednig infertility itching infection? Most frequent cause of female tubal occlusion sexual disfunction endometriosis infertility: What is the definition of lack of menstruation more lack of menstruation less lack of menstruation none menopause? than 1 year than 1 year What is the therapy for hormone replacement psychical threatment both none menopause? therapy What is the main complaint in hot flushes genital atrophy swetting all menopause? What is the therapy for fibroid? medication operative both none A number showing A number showing the A number showing the the distribution of A number showing the What is Pearl-index? efficiency of contraceptive incidence of unwanted different incidence of fibroids methods pregnancies contraceptive methods Which structure develops from Ovary Fallopian tube Vagina None the Mullerian duct? What is the most common cause Staphylococcus Escherichia coli Streptococcus agalactiae Mycoplasma hominis of Acute Cystitis ? aureus Which is the most common abnormal uterine dysmenorrhoea vertigo vaginal discharge symptom of endometriosis? bleeding What is the threatment for operative GnRh analogue gestogen all endometriosis? What is the definition of decrease of bone density decrease of bone density decrease of bone density none osteopenia? more than -2,5 SD less then -2,5 SD What is the defenition of decrease of bone density decrease of bone density decrease of bone density none osteoporosis? more than -2,5 SD less then -2,5 SD What is the main complication fracture immbalance both none due to osteoporosis? What is in the background of decreased blast activity increased clast activity both none osteoporosis? What is the cause of absence of physical genetical fedding all osteoporosis? activity What is teh therapy for antiresorptiv drugs Ca Vit.D all osteoporosis? What is characteristic for the multifollicular ovaries absence of ovaries polycystic ovaries streak ovaries ovaries in Turner's syndrome? Which is the most effective prevention, early fiber rich diet and giving method for the primaryary barrier type contracetion use HPV vaccination detection and up smoking prevention of cancer of the treatment of genital uterine cervix? tract infections

Which is the most effective method of the secundary cytological screening speculum cytological screening alone colposcopy prevention of cancer of the assisted with HPV typing examination uterine cervix? With a help of what can we get case history laboratory examinatio both none the diagnose of menopause? What is the origin of the lower Müllerian duct Cloaca Wolfian duct None third of vagina? Which estrogen do most of the ethinyl estradiol estradiol estradiol valerate estriol oral contraceptive pills contain? What kind of disease the fibroid benign malignant both none is What kinf of distending fluid is used during operative NaCl Glycine H2O Cristalloids hysteroscopy? Which of the following gynaecological disease Polycystic Hirsutism Endometriosis Adnexal torsion frequently associates with Haematometra? What kind of position could be subserosus submucosus intramuralis all to the fibroid? Which type of is associated with white discharge Candida Trichomonas Bacterial vaginosis Herpes genitalis with burning and itching? What kind of contraceptiv barrier hormonal count all methods do you know? During therapy, how often we every year 2 years 3 years never controll the DEXa exam? What kind of medicated therapy gestagen GnRh analogue both none do we have to treat the fibroid What kind of vakcination do bivalent quadrivalent both none you know against HPV? Which type of urinary Motor neuron incontinence is best treated by Stress-incontinence Urge incontinence Oveflow incontinence disease surgery? What consequences could be infertility malignant transformation both none happened to the fibroid? Which may be the localization of lower genital tract infection Endocervix Endometrium Vulva Vagina due to Chlamydia trachomatis? In case of high risk HPV infection, tumor localization Endometrium Fallopian tubes Cervix Myometrium may play an important part where? What kind of side effects can ectopic pregnancies imflammation abnormal bleeding all IUD have? What kind of diagnostic methods do we have to detect TVS CT MRI all the fibroid? What kind of operativ techniques do we have to treat LSC abdominal hysterectomy vaginal hysterectomy all fibroid? Screening of which gynaecological cancer employs Cervix Endometrium Ovary None the ROMA-score? What kind of a doctor was pulmonologist obstetrician surgeon pathologist Janos Veres? What could be the complaint pain infertility both none due to endometriosis? What are the types of primaer secundaer both none osteoporosis? What could be the complaints bleeding pain both none due to the fibroid? Which is the diagnostic method for the diagnosis of osteodensitometry ultrasound physical none osteoporosis? What kind of examination do we mammography TVS Pap smear all make during menopause? Side-effects of the minipill Ovarian cyst Vaginal dryness Amenorrhoea A,C include Selective Method of fibroid removal Enucleation TCRE Hysterotomy embilisation Can be used in operative TCRM Enucleatio A,B None treatment of fibroids No acceptable treatment for myomectomy no treatment vaginal myomectomy abdominal myomectomy uterin fibrooids during SC Can be used in conservative Ulipristal GnRH analogues Tranexamic acid A,B,C treatment of fibroids Types of uterine fibroids, except submucosus myometrial subserosal ectopic offensive, fishy signs of bacterial vaginosis itching white discharge pH <4.5 smell The support of the uterus is the integrity of the the cardinal ligaments the round ligaments all of the above provided by: perineal body Which one is correct for uterine No chance for malignant Does not cause Most frequent in fertile ages Ultrasound can not detect fibroids transformation bleeding disorders Types of fibroids Subcortical Intramural Submucinous A,B,C Complex Not the surgery the first step in simplex endometrial Endometrial polyp Submucosal fibroid endometrial the management of hyperplasia hyperplasia with atypia Which vessel is not a branch of Superior gluteal artery Median sacral artery Uterine artery Umbilical artery the hypogastric artery? Which vessel is not a parietal branch of the hypogastric Superior gluteal artery Inferior gluteal artery Internal pudendal artery Uterine artery artery? Not only gestogene containing Minipill Depo injection Norplant None hormonal contraceptive: Which one is not characteristic Increased FSH/LH Hyperandrogenism Oligo-/amenorrhoea Insulin resistance of PCOS? ratio Non-pathological colposcopic Acetowhite area Ectopy Punctuation Mosaic pattern finding Which will not causa Adenohypophysis hyperprolactinaemia and Antipsychotic drug Hyperthyroidism Pregnancy microadenoma amenorrhoea? The IUD's main mechanism of Suppression of ovulation Suppression of transport Suppresses implantation None action: OAT (oligo- Mayer-Rokitansky-Küster- Which will not cause infertility? Classical Turner's syndrome Meigs' syndrome astheno- Hauser syndrome teratozoospermia) Which can not cause Hyperprolactinaemi Hypothyroidism Hyperparathyroidism PCOS amenorrhoea? a Which is not the used treatment GNRH IUD OAC NSAID in endometriosis ? Indications for neoadjuvant Locally advance cervical Advanced stage ovarian Both None chemotherapy cancer cancer The avarage blood loss resulting 10-20 ml 30-60 ml 80-140 ml 150 - 200 ml from menstruation is: Symptoms of acute pelvic pain collapsus bleeding disorders all gynecological disorders: Part of the basic gynaecological Breast exam Endocrine studies Urodynamic studies Office hysteroscopy examination: Not part of the basic Breast exam Bimanual exam PAP smear HPV typing gynaecological examination: Common complication of Thrombosis duodenal ulcer bone metastasis pneumonia gynaecological cancers IUDs increase the frequency of Relative to intrauterine Not in absolute numbers Both None ectopic pregnancy pregnancies, yes Aim of gynaecological Restore anatomy Restore function Establish diagnosis A,B,C operations Gene that is needed for the SRY DAX1 Both None development of a female gonad Contraindications of OAC, myopia varicositas smoking AMI except: Types of OAC: one-phase drugs two-phase drugs Progestreon only pill all Effect of OAC, except: inhibits spermium motility inhibits of ovulation reduces FSH-level reduces LH-level Consequences of OAC, except deep vein thrombosis pulmonal embolia AMI ovarian cancer Oncogenic HPV types 6,11 16,18 All None Distension medium used for Physiological saline 1,5% Glycine CO2 None operative hysteroscopy It is not routinely used in the Radiotherapy Chemotherapy Both None treatment of ovarian cancer can be a risk factor of ectopic chromosomal chlamydia infection tubal surgery pregnancy, except: abnormality Marker in the prognostics of CA-125 HE-4 none of them both of them ovarian malignancies Risk factor in ovarian cancer Multiparity COC Obesity Tubal ligation Ovulatory cycle can be confirmed in the luteal phase Elevated E2 Elevated P4 Elevated hCG None by: Ovarian subcortical girland Signs of PCOD Raromenorrhoea Hirsutism A,B,C structure Hormone Treatment modality for PCOD Drilling Cyst aspiration GnRH analogues replacement therapy In case of PCOS, first line laparoscopic treatment for anovulatory Clomifene-citrate Metformin Gonadotropins ovarian drilling infertility is: Risk of ovarian cancer is increased Genetic factors are Genetic risk factors of ovarian BRCA1 and BRCA2 in hereditary non- Leiden-mutation. responsible for 10-15% of cancer. One answer is false. syndrome. polypous colorectal the risk. cancer (Lynch syndrome). Drug used for chemotherapy of Taxol Carboplatin Both None ovarian cancer Common palliative treatment Lymphatic massage blood transfusion paracentesis urostoma measure in ovarian cancer IIIA: No extension IA1: Confined to the cervix, IIA1: Involvement of the into the pelvic diagnosed only by upper two-thirds of the Based on Stages of cervical IIA: with parametrial sidewall but microscopy with invasion of vagina, without cancer by FIGO-2009 true: invasion involvement of the < 3 mm in depth and lateral parametrial invasion, > 4 upper two- thirds of spread < 7 mm cm in greatest dimension the vagina. Early menarche and late Risk factor for ovarian cancer Smoking Barrier contraception Higher education menopause Complications of ovarian cancer bowel obstruction cachexia hydrothorax A,B,C include Can be used to screen for CA19-9 CA-125 HE4 B,C ovarian cancer Typical symptom of ovarian Abdominal bloating Weight-gain Metrorrhagia Amenorrhoea cancer For evaluation of tubal patency, Hysterosalpingography Blood test Hystero-Contrast- Laparoscopy except Sonography Most important in the diagnosis leukocyte count pelvic ultrasound vaginal examination culdocentesis of PID Physical signs (headache, Diagnostic criteria for PMS, Depression breast tenderness, Increased libido Testiness except: abdominal bloating) In the polycystic ovary Clomiphene may Oligomenorrhoea is syndrome (PCOS) the following Obesity is common. LH levels are low. restore ovulation typical. statement is NOT true: and regular periods. Polycystic ovary by ultrasound exam, Diagnostic criteria of polycystic Clinical and/or laboratory Low oestradiol levels (<20 after exclusion of ovarian syndrome. One answer Oligo- or anovulation. signs of pmol/L). other causes (e.g.: is false. hyperandrogenism. androgen secreting ovarial tumour). Symptoms of polycystic ovary Polymenorrhoa Discharge Acne Weight-loss disease Most effective method of Pap- Pap-test with HPV testing Pap-test colposcopy cervical cancer screening: test+colposcopy Pathologic signs of colposcopy pathologic patterns of vessel ulceration all of them Per os therapy in case of Canesten Klion Augmentin Diflucan recurrent caginal candidasis Rare gynaecological symptom: Weight-loss Urinary incontinence Menstrual disorder Infertility Which is the first to exlude in Hypophysis tumour Hypothyreosis Premature ovarian failure Pregnancy case of secondary amenorrhoea? Definition of sterility, when no 6 month 12 month 24 month 36 month conception happens in: Emergency hormonal Estradiol 17β + natural levonorgestrel (LNG) 1.5 LNG 1.5 mg alone, once Desogestrel 0.75 mg contraception. One answer is progesterone. Orally taken mg + progesterone 200 mg orally within 72 hours of + 1mg estradiol right within 2 hours of after intercourse within 6 intercourse. 17β, taken once unprotected intercourse. hours, 1x. within 36 hours of intercourse Morning after pill can be made oestradiol levonrgestrel 17ß-oestradiol oestradiol-valerate of Absence of systolic Parameters of normal bladder Capacity between 400-600 Residual urine <500 mL. No leakage on coughing. detrusor function by cystomerty. mL. contractions. The tumour invades In connection with the In general there is oestrogen It can happen based on It can appear near the very early into the carcinoma of endometrium sensitive receptor in the complex atypical menopause. lymphatic vessels of Type I true, except: tumor endometrial hyperplasia the uterus OAC during lactation: Mirena Escapelle Cerazette Tri-Regol POP contains ostrogen progesteron none of them both of them Causes of vaginal discharge in a Chlamydia foreign body Candida none virgin girl, except: Which microorganism causes strawberry pattern of the Klebsiella Gardnerella Trichomonas None cervix? Bloating is charateristic Ovarian cancer Endometrial cancer Cervical cancer None symptom of: is Ovarian cancer Endometrial cancer Cervical cancer None characteristic symptom of: Postmenopausal bleeding is Ovarian cancer Endometrial cancer Cervical cancer None characteristic symptom of: Cannot be removed Endometrial polyp Submucosal fibroid Subserosal fibroid IUD transcervically Effective in trichomoniasis Meronem Metronidazole Medroxiprogesterone None Component for thrombosis-risk gestogen oestrogen both none Histological type of endometrial Endometrioid Adenoacanthoma Serous papillary Adenosquamous cancer with the worst prognosis Secondary amenorrhoea is All of the above is In Turner’s syndrome: The karyotype is 45,X0 tall stature is common usual true Symptoms of TUR-syndrome, hyponatraemia hypernatraemia pulmonal oedema coma except: One of the most common indiaction for surgical Habitual Abortion/Recurrent Dysmenorrhea Menometorrhagia Dyspareunia intervention in case of Uterus pregnancy loss Bicornis may be? In true hermaphoridtes the testis ovary ovotestis ABC gonad may develop into: Dilated renal pelvis in cervical Occurs frequently in early Suggest distant metastasis Means stage III Suggest operability cancer stage disease Beyond the cervix but not Involves lower 1/3 Stage I cervical cancer Carcinoma in situ Confined to cervix the pelvic wall of vagina What is the most important mesure the number of white criteria of diagnosis in pelvic Pelvic ultrasound bimanual examination culdocentesis blood cells inflammatory disease? Large hemoperitoneum Contraindication of laparoscopy Ovarial cyst Lost IUD with hypovolemic shock Which is the most common presenting symptom in patients postmenopausal bleeding prurius vulvae hot-flushes none of them wit endometrial cancer? The most important prognostic the number of estrogen the number of tumor size lymph node status factor in endometrial cancer receptors progesterone receptors Medicated intra uterine device dienogest metformin levonorgestrel drospirenon contains Assisted reproductive Risk factor for ectopic pregnancy Multiparity Chron disease Diabetes mellitus techniques Average length of the menstrual 25 days 28 days 32 days 35 days cycle Menstruation, proliferative secretory stage, ovulation, menstruation, ovulation, menstruation, The order of the cycle stage, ovulation, secretory proliferative stage, proliferative stage, ovulation, secretory stage menstruation secretory stage stae, preoliferative stage Clinical presentation of PCOD Average age 15-30 years Average age 45-60 years Hirsutism A and C The most common symptoms of abdominal flatulence and constipation and spotting weight loss ovarian cancer pain frequent urination During secretory Progesteron level is the highest During menstruation During ovulation During proliferative stage stage Reason for acute pelvic pain Ectopic pregnancy Ruptured ovarian cyst Acute PID All of the above might be Gold standard in evaluation of Sonography Hysterosalpingography Hysteroscopy Laparoscopy uterine cavity Safe to use during breastfeeding Intrauterine system (IUS) progesteron only pill (POP) COC A and B Causes of amenorrhea Pregnancy Turner syndrome Cushing disease All of the above Symptoms of the endometriosis Pelvic pain Dysmenorrhea Infertility All of the above Intrauterine sac should be visible with transvaginal ultrasound when > 500 mIU/ml > 1500 mIU/ml > 15000 mIU/ml > 150000 mIU/ml b-hCG is Hormonal contraceptive method Transdermal patch Intrauterine system COC All of the above Growth involving one or Growth limited to the Positive retroperitoneal Stage II ovarial carcinoma both ovaries with pelvic Distant metastasis ovaries nodes extension Vessels of arterial supply to the Uterine artery Internal pudendal artery Internal iliac artery Ovarial artery internal genitalia, except: Unbalanced relative Stopping progesterone Stopping menstrual Upshots of menopause, except: Stopping ovaulations. progesterone synthesis. bleedings. preponderance Never associated with N. Can result pelvic True for Chlamydia infection Very rare STD Always symptomatic gonorrhea pain Consequences of untreated PID Infertility Ectopic pregnancy Chronic pelvic pain All of the above normal amount and abnormal uterine cyclical uterine bleeding, menstrual bleeding is term of bleeding, What is methorrhagia? bleeding which does not which is a very heavy prolonged and loose characterised by hold the cycle cramps Which is responsible for ovulation LH surge FSH surge High progesteron level Low oestrogen level What are the typical symptoms of each answer is dysmenorrhoea hypermenorrhoea sterility internal endometriosis correct The menstrual cycle The menstrual cycle is The menstrual cycle is The menstrual cycle is Definition of polymenorrhea is longer than 35 shorter than 21 days longer than 21 days shorter than 35 days days Any bleeding more Any bleeding after 45 years Any bleeding after 50 years Any bleeding more then a Postmenopausal bleeding than 3 years after of age of age year after menopause menopause Onset of puberty after age Onset of puberty before age Onset of puberty after age Onset of puberty Precocious puberty eight eight twelve before age twelve Combined (estrogen + progestin) HRT Advantages of menopausal Main benefit is the rapid, Estrogens have far-ranging HRT halts bone loss in may be given to all hormone replacement therapy efficient control of hot beneficial effects beyond postmenopausal women postmenopausal (MHT). One answer is false flashes and sweating hot flashes women without risk of any side effects. Select that symptom which does obesity increased hair growth hyperbilirubinaemia not fit to the PCO syndrome The decrease of the amount of in case of among oral contraceptive menstrual bleeding is not in premenopause in LNG-IUS users Asherman's users characteristic syndrome Clinically apparent phases of Menstrual (bleeding) and Estrogen phase, LH Follicular, ovulatory and Proliferatory and the menstrual cycle. Only one intermenstrual (bleed-free) surge and luteal phases secretory phases answer is correct phases progesterone phase All the following are major regulators of menstrual cycle, estradiol luteinizing hormone progresterone hCG except: The medical treatment of the estrogen GnRH analog ulipristal acetate B and C uterine fibroid covers On the evaluation of the fibroid estrogen gestogen both none has effect on Possible degeneration of the calcification hyalinization cystic degeneration all of the above utrine fibroids Causes of heavy menstrual Coagulation disorders (e.g. bleeding (HMB). One answer is Submucous fibroids Ovarian cancer Endometrial polyps von Willebrand's disease false The behavior of the uterine in 60-80% there are no growing in the third rather growing continuous growing fibroids during pregnancy significant growing trimester Signs and symptoms of the abnormal gynecologic asymptomatic lower abdominal pain all of the above utrine fibroids hemorrhage The uterine fibroid can be bimanual examination ultrasonography MRI. all of the above diagnosed Treatment of the uterine surgical intervention radio frequency ablation medication all of the above fibroids Fibroids can situate in or near the wall of uterus like the subserosus intramuralis submucosus subvesicalis following, except: in the majority there are The behavior of the uterine rather growing rather shrinking no significant volume variable behavior fibroids during puerperium change a malignant monoclonal a benign multiclonal The utrine fibroids a benign monoclonal tumor a multiclonal tumor tumor tumor Uterine fibroids locations are subserosal submucosal intramural all of the above clessidied as follows Hematoxylin-eosin stained Gram stained sample from Culture, PCR, nucleic Neiseria gonorrhea diagnostic smears from the vaginal the cervical canal: Gram acid amplification Only B and C are tests. One onswer is correct vault: microscopic search neg. Intracellular diplococci (NAAT), or nucleic acid correct for chain-forming cocci by microscope hybridization tests Penicillin is the first In connection with STD line antibiotic in Herpes genitalis often Syphilis has five stage in Ulcus molle caused by (sexually transmitted diseases) treatment of caused by HSV1. severity. Haemophylus ducreyi. true: Chlamydia trachomatis. is a potent cause of multiple effectively inhibits None of the above Bromocryptine: is an analogue of prolactin. pregnancy. lactation after delivery. is true. Tools / instruments for Cystocsopy with cold light Colposcop with gynaecologic examination. One Cusco's speculum Flexible hysteroscope source photo camera answer does not fit into the list Causes of Ovulation disorders Tubal-peritoneal infertility Unexplained infertility ABC What develops from the Upper genital tract Lower genital tract Ureters None paramesonephric ducts? Insulin resistance, Clinical symptoms of PCOS. Increased hair growth, Hypermenorrhea increased LH to FSH Overweight, obesity One answer is incorrect. hyperandrogenism ratio The Pearl-index defines the 100 women 1 year 1 woman-year None number of pregnancies for Where does the ovarian artery Arteria uterina Arteria hypogastrica Arteria iliaca communis Aorta originate from? The following factors on Multiple cysts around the A single loculated cyst of 7 Solid elements and Calcification and ultrasound of ovaries are periphery of the ovary with cm diameter. septae. fats. suspicious of malignancy: a dense stroma. IIIa: Microscopic peritoneal metastasis beyond Ia: Both ovaries or fallopian IIb: The tumour has the pelvis 2 cm in Based on the stages of ovarian tubes are affected by the extended to another organ in IIIc: Distant metastasis greatest dimension, cancer by FIGO, true: tumour, the ovary capsule is the pelvis with or without intact metastasis to the retro-peritoneal lymph nodes One of the indirect symptoms of Bloating and abdominal Spotting Weight loss Urinary frequency Ovarian cancer maybe? pain Tumour markers of ovarian Granulosa cell tumour: Ca Mucinous epithelial ovarian Granulosa cell cancer types. One answer is Choriocarcinoma: β-hCG. 125. tumour: Ca 19-9. tumour: inhibin. false. Causes of postmenopausal Elevated parathyroid Impaired intestinal Low estrogen blood levels Obesity osteoporosis hormone (PTH) levels calcium absorption can be the cause of postmenopausal bleeding, endometrial hyperplasia migraine endometrial cancer cervical polyps except: The following condition is NOT Lichen sclerosus. Nephrotic syndrome. Atrophy. Diabetes. a cause of : Primary management of stress Surgery: Tension free Drug treatment: Drug: antidopaminergic Surgery: incontinence. One answer is vaginal tape (TVT) anticholinergic medication. oral preparation. colposuspension. correct. placement under the urethra. Involuntary urine loss Loss of urine due to Urine leakage due Definition of stress incontinence. Involuntary urine loss due to triggered by intra-abdominal increased bladder to increased bladder Only one answer is good psychic stress pressure increase in the detrusor activity detrusor activity absence of detrusor activity Which of the the following drugs is not used for the erythromycin penicillin rifampicin doxycyclin treatment of syphilis? Patient requested artificial 18th gestational abortion can be performed upto 2nd gestational week 4th gestational week 12th gestational week week which gestational week? Upto which gestational week If indicated at can artificial abortion be Upto 20th gestational Upto 8th gestational week. Upto 12th gestational week. anytime, regardless performed upon a gravida's week. of gestational week. request in Hungary? Significance of the transformation zone SCJ always visible by Primarily cervical Only in situ carcinoma is (squamocolumnar junction, Cervical cancer mostly colposccopy since it is adenocarcinoma developing exceptionally in SCJ) in the development of develops in this area. always located in the develops in the area the area of SCJ. cervical cancer. One answer is ectocervix. of SCJ. correct. Chlamydia t. Chlamydia t. infection, ...can cause damage of the Chlamydia t. infection, Chlamydia t. infection, infection, Gonorrhoea, Genital Fallopian tubes Gonorrhoea, HPV infection Gonorrhoea Gonorrhoea, herpesvirus infection Candida albicans Adventages of chorion villus genetic terminations in CVS can be performed erlier the results of CVS are sampling (CVS) over the first terimerter after A, B, C together in pregnancy usually available faster amniocentesis include that CVS are safer Short stature, neck Clinical presentation of Streak gonads by webbing, Turner's syndrome Lack of ovarial estrogen 45X0 or 45X0 / 46XX laparoscopy, missing germ amenorrhea or (phenotype!). One answer is production (mosaic) karyotype tissue delayed puberty, good infertility Urodynamic stress incontinence: Urine leakage Infrequent urine Common symptoms associated Detrusor overactivity: due to urethral sphincter Urine retention with voiding: drug with urinary incontinence. One Overactive bladder with insufficiency resulting from overflow. induced urinary answer is wrong. urgency. intra-abdominal pressure incontinence. increase. What is the essence of anti- suprafascial positioning of approximation of closure of cystocele None incontinence operations? the bladder neck disengaged levator fibres Physical examination of the Measurement of bladder Measurement of Clinical verification of urine Pad test. cystocele (bimanual wall relaxation by voluntary urine leakage in incontinence. palpation) electrocysograph. retention time. Symptom of adenomyosis Menorrhagia Pelvic pain Amenorrhoea Vaginal discharge Symptom of acute pelvic Lower abdominal pain Pyrexia Menstrual disorder A,B,C inflammatory disease: free blood in Acute laparoscopy indicated: ovarial cyst Abortus imminens endometriosis Douglas Low risk HPV 16,18,6 16,18,31 45,6,11 6,11,44 In the background of Pregnancy OAC Anorexia All of the above amenorhhea blood loss greater than the abscence of pain during sexual Definition of amenorroea: painful menstruation 80ml/period menstruation intercourse