Chapter 87: Gynaecology

Multiple Choice Question 1 of 6

1. Question

Which of the following statements are false?

The Broad ligament contains blood vessels as well as the round and ovarian ligaments.

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The ovarian artery arises from the anterior branch of internal iliac artery.

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Gonadotrophin hormones, folliclestimulating hormones (FSH) and Luteinising hormones (LH) are produced by the pituitary.

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Under the influence of FSH and LH, ovary undergoes cyclical changes leading to the development and release of mature oocyte.

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The ovary produces hormones oestrogen and progesterone that prepare the endometrial lining for implantation.

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Multiple Choice Question 2 of 6

2. Question

Which of the following statements are false regarding performing endometrial biopsy?

All women more than 40 years old with excessively heavy or irregular or frequent bleeding should be biopsied.

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Thirty-year-old woman presenting with menorrhagia should be biopsied.

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Younger women with polycystic ovarian syndrome (PCOS) should be biopsied.

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Women taking tamoxifen should be biopsied.

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Eighteen-year-old presenting with heavy irregular periods can be treated symptomatically without biopsy.

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Multiple Choice Question 3 of 6

3. Question

Regarding ectopic pregnancy, which of the following statements are false?

Ectopic pregnancy accounts for 9% of all maternal deaths in the United Kingdom.

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Transvaginal ultrasound is the goldstandard diagnostic test.

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In equivocal cases, measuring serum levels of β-hCG can help to establish the diagnosis.

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It can mimic acute urinary tract infection in early pregnancy.

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Smoking increases the risk of ectopic pregnancy.

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Multiple Choice Question 4 of 6

4. Question

Regarding management of ectopic pregnancy, which of the following statements are false?

Salpingectomy is preferred if a woman has had a previous ectopic pregnancy or tubal surgery in the same tube.

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The principal disadvantage of salpingostomy is that some residual trophoblastic tissue can be left inside the tube.

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An immediate laparotomy might be required if the woman has lost a great deal of blood.

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Methotrexate, is toxic to trophoblastic tissue and hence does not carry any risks associated with residual trophoblastic tissue.

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After treatment, the patient who still has one or both tubes should be warned that she is at increased risk of another ectopic pregnancy.

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Multiple Choice Question 5 of 6

5. Question

Regarding management of acute pelvic inflammatory disease (PID), which of the following statements are true?

Data supporting azithromycin monotherapy for PID is limited at present.

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In hospital, antibiotics should be given intravenously until 24 hours after clinical improvement.

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Where the woman has an intrauterine contraceptive device in situ, removal is recommended along with administration of appropriate antibiotics.

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It is recommended that tubo-ovarian abscesses be managed conservatively unless the patient fails to respond to intravenous antibiotics and systemic support.

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All of the above.

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Multiple Choice Question 6 of 6

6. Question

Which of the following statements regarding ovarian cancer are false?

Ovarian cancer is the sixth most common malignancy among women worldwide.

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Approximately two thirds of women present in an advanced stage.

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Can present with persistent non-specific abdominal symptoms.

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The peak age of incidence is 60 to 70 years.

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Overall five-year survival rate is above 60%.

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