Chapter 87: Gynaecology

Multiple Choice Question 1 of 6

Which of the following statements are false?

The Broad ligament contains blood vessels as well as the round and ovarian ligaments.
The ovarian artery arises from the anterior branch of internal iliac artery.
Gonadotrophin hormones, folliclestimulating hormones (FSH) and Luteinising hormones (LH) are produced by the pituitary.
Under the influence of FSH and LH, ovary undergoes cyclical changes leading to the development and release of mature oocyte.
The ovary produces hormones oestrogen and progesterone that prepare the endometrial lining for implantation.

Multiple Choice Question 2 of 6

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.
Thirty-year-old woman presenting with menorrhagia should be biopsied.
Younger women with polycystic ovarian syndrome (PCOS) should be biopsied.
Women taking tamoxifen should be biopsied.
Eighteen-year-old presenting with heavy irregular periods can be treated symptomatically without biopsy.

Multiple Choice Question 3 of 6

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

Ectopic pregnancy accounts for 9% of all maternal deaths in the United Kingdom.
Transvaginal ultrasound is the goldstandard diagnostic test.
In equivocal cases, measuring serum levels of β-hCG can help to establish the diagnosis.
It can mimic acute urinary tract infection in early pregnancy.
Smoking increases the risk of ectopic pregnancy.

Multiple Choice Question 4 of 6

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.
The principal disadvantage of salpingostomy is that some residual trophoblastic tissue can be left inside the tube.
An immediate laparotomy might be required if the woman has lost a great deal of blood.
Methotrexate, is toxic to trophoblastic tissue and hence does not carry any risks associated with residual trophoblastic tissue.
After treatment, the patient who still has one or both tubes should be warned that she is at increased risk of another ectopic pregnancy.

Multiple Choice Question 5 of 6

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.
In hospital, antibiotics should be given intravenously until 24 hours after clinical improvement.
Where the woman has an intrauterine contraceptive device in situ, removal is recommended along with administration of appropriate antibiotics.
It is recommended that tubo-ovarian abscesses be managed conservatively unless the patient fails to respond to intravenous antibiotics and systemic support.
All of the above.

Multiple Choice Question 6 of 6

Which of the following statements regarding ovarian cancer are false?

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