1. To the methods of functional diagnostics does not belong:
A. measuring basal temperature.
B. symtom “pupillus”.
C. symptom of “fern”.
D. exfoliative vaginal cytology
E. colposcopy.
ANSWER: E.
2. What does belong to methods of functional diagnostics:
A. measuring basal temperature.
B. symtom “pupillus”.
C. symptom of “fern”.
D. exfoliative vaginal cytology.
E. all above.
ANSWER: E.
3. What is not an indication for administration the hysterosalpingography?
A. tube infertility.
B. infertility of endocrine genesis.
C. infertility of uterine genesis.
D. inflammatory diseases of uterus and tubes.
E. a method is obligatory at the inspection of all patients with infertility.
ANSWER: D.
4. When is not used the uterine sounding?
A. for determination of permeability of cervical canal.
B. for determination straight of cervical canal.
C. for determination of length of uterine cavity.
D. for the exposure of tumors in the uterine cavity.
E. for the exposure of tumors of ovaries.
ANSWER: E.
5. The uterus is supported by:
A. the uterosacral ligaments .
B. the cardinal ligaments .
C. the round ligaments .
D. the broad ligaments.
E. all above
ANSWER: E.
6. The examination of gynecological patient begins from?
A. from the life history taking.
B. from the illness history taking.
C. from an external inspection.
D. from gynecological examination.
E. from getting a passport data.
ANSWER: E.
7. What quantity of blood is lost by a woman during normal menstruation?
A. less than 50 ml.
B. 50-100 ml.
C. 50-150 ml.
D. 150-200 ml.
E. 200-250 ml.
ANSWER: C
8. The two main anatomic divisions of the uterus are:
A. corpus and fundus.
B. cornu and fundus.
C. corpus and cervix.
D. cervix and isthmus .
E. cervix and fundus .
ANSWER: C
9. Which of the following doesn’t supply the uterus?
A. uterine artery.
B. ovarian artery.
C. vaginal artery.
D. all above.
E. nothing above.
ANSWER: C
10.Before puberty, the ratio of the length of the body of the uterus to the length of the
cervix is approximately:
A. 1:1.
B. 2:1.
C. 3:1.
D. 4:1.
E. nothing above.
ANSWER: A
11.What part of the ovary comes to contain the developing follicles?
A. medulla.
B. cortex.
C. inner par .
D. membrane.
E. nothing above.
ANSWER: B
12.The fallopian tubes consist of:
A. isthmus.
B. ampulla.
C. infundibulum.
D. all above.
E. ampulla and infundibulum
ANSWER: D
13.The wall of the uterus consists of:
A. serous membrane and myometrium.
B. endometrium and myometrium .
C. endometrium and perimetrium .
D. perimetrium, myometrium, endometrium.
E. perimetrium and myometrium
ANSWER: D
14.What is the narrowest part of uterine tube?
A. isthmus.
B. ampulla.
C. infundibulum.
D. all above.
E. ampulla and infundibulum
ANSWER: A
15.Duration of proliferation phase in uterine cycle is:
A. from 1 to 5 day .
B. from 5 to 14 day.
C. from 14 to 28day .
D. from 10 to 14 day.
E. from 15 to 20 day
ANSWER: B
16.Duration of secretion phase in uterine cycle is:
A. from 1 to 5 day .
B. from 5 to 14 day.
C. from 14 to 28day .
D. from 10 to 14 day.
E. from 15 to 20 day
ANSWER: C
17.The blood supply of the fallopian tubes is from:
A. the ovarian arteries
B. the uterine arteries
C. the ovarian and uterine arteries
D. the tubal arteries
E. the rectum arteries
ANSWER: C
18.Which one of the following are external genital organ:
A. major labia
B. minior labia
C. bartholin glands
D. clitoris
E. all answers are correct
ANSWER: E
19.Which method of gynacological examination does belong to basic?
A. inspection of external genitalia.
B. taking of smear on a flora.
C. taking of smear on oncocytology.
D. ultrasonic examination.
E. biopsy.
ANSWER: A
20.Which process represents the IIb type of smear at oncocytological examination?
A. the unchanged epithelium.
B. proliferation.
C. metaplasia.
D. inflammatory process.
E. malignisation.
ANSWER: C
21.The change of basal temperature is based on?
A. on influence of progesteron on hypothalamus.
B. on influence of estrogens on hypothalamus.
C. on influence of estrogens on a hypophysis.
D. on influence of progesteron on a hypophysis.
E. on influence of progesteron on an uterus.
ANSWER: A
22.What is the cariopicnotic index?
A. correlation of cells with picnotic nuclears to the eozinofil cells.
B. correlation of cells with picnotic nuclears to the intermediate cells.
C. correlation of cells with picnotic nuclears to the superficial cells.
D. correlation of cells with picnotic nuclears to all cells in a smear.
E. correlation of cells with picnotic nuclears to the basal cells.
ANSWER: D
23.What is an indications for conducting of ultrasonography?
A. suspicion on the cancer of uterine cervix.
B. chronic colpitis.
C. uterine myoma.
D. pregnancy of early terms.
E. all transferred.
ANSWER: C
24.What appearance of the first menstruation in 14 years can testify about?
A. about the presence of inflammatory disease of uterus.
B. about the presence of inflammatory disease of adnexa.
C. about the presence of abnormal position of uterus.
D. about the presence of of genius infantilism.
E. about normal development of organism of girl.
ANSWER: E
25.Which method does belongs to endoscopic?
A. colposcopy.
B. hysterosalpingography.
C. culdocentesis.
D. ultrasonic examination.
E. cytologycal.
ANSWER: A
26.Which process represents the I type of smear of oncocytological examination?
A. the unchanged epithelium.
B. proliferation.
C. metaplasia.
D. inflammatory process.
E. Malignisation
ANSWER: A
27.Pap smear test detected moderate dysplasia on a background of unchanged
epithelium. Which is the type of smear?
A. IIa.
B. IIb.
C. *IIIa.
D. IIIb.
E. IIIс.
ANSWER: C
28.The Shiller’s test is based on:
A. on power of iodine to unite with glycogen.
B. on discoloration of the pathologically changed areas.
C. on the short term edema of tissue.
D. on coloring by the iodine of areas of displasia.
E. on coloring by the iodine of areas of inflammation.
ANSWER: A
29.What is contraindication for conducting of the diagnostic curettage of uterine
cavity?
A. presence of bleeding from an uterus.
B. suspicion on the polyps of mucus membrane of uterus.
C. suspicion on the cancer of endometrium.
D. presence of polyps of cervical canal.
E. presence of endometritis.
ANSWER: E
30.How to start a survey of gynecological patients?
A. from the life history taking.
B. from the disease history taking.
C. from allergic anamnesis.
D. from professional anamnesis.
E. complaints of patient.
ANSWER: E
31.Which localization of pain is typical for the inflammatory diseases of adnexa?
A. in lower part of abdomen above a pubis.
B. in a right hypogastric area.
C. in lateral quadrants of lower part of abdomen.
D. in epigastrium.
E. in sacrum and lumbal region.
ANSWER: C
32.Which question during questioning of a patient is the first about the menstrual
function?
A. When menarhe came?
B. When did menstruation become regular?
C. When the last menstruation begun?
D. How many days the menstruation proceeds?
E. How many blood is lost during menstruation?
ANSWER: A
33.Which smear is obligatory at routine gynecological examination?
A. on hormonal cytology.
B. on microflora.
C. on the degree of cleanness.
D. on a “hormonal mirror”.
E. on oncocytology.
ANSWER: E
34.Which process represents the IIIa type of smear at oncocytological examination?
A. the unchanged epithelium.
B. mild or moderate dysplasia.
C. cancer.
D. inflammatory process.
E. suspicion on malignisation.
ANSWER: B
35.What a diphasic basal temperature testifies about?
A. about the presence of normal menstrual cycle.
B. about the presence of ovulation.
C. about the presence of lutein phase.
D. about the presence of diphasic menstrual cycle.
E. all above.
ANSWER: E
36.Which possibilities does hysteroscopy have?
A. it is possible to examine mucus of the uterus.
B. it is possible to expose the pathological changes of endometrium.
C. it is possible to delete the polyps of endometrium.
D. it is possible to delete a intraepithelial contraceptive.
E. all above.
ANSWER: E
37.For diagnosis which disease a biopsy used?
A. cancer of uterine cervix.
B. cancer of uterus.
C. uterine myoma.
D. cancer of ovaries.
E. all above.
ANSWER: A
38.What appearance of the first menstruation in 16 years can testify about?
A. about the presence of inflammatory disease of uterus.
B. about the presence of inflammatory disease of adnexa.
C. about the presence of abnormal position of uterus.
D. about the presence of genital infantilism.
E. about normal development of organism of girl.
ANSWER: D
39.Which localization of pain is typical for the diseases of uterus?
A. in lower part of abdomen above a pubis.
B. in a right hypogastric area.
C. in the left hypogastric area.
D. in epigastrium.
E. in sacrum and lumbal region.
ANSWER: A
40.Excretions from a vagina “cheese-like” arise up at:
A. vaginal candidosis.
B. genital trichomoniasis.
C. malignant tumors.
D. erosions of uterine cervix.
E. non-specific colpitis.
ANSWER: A.
41.Symptoms of Stein-Leventhal syndrome:
A. obesity
B. irregular or no menstruation
C. acne
D. excess hair growth
E. All of the above
ANSWER: E
42.What is used for extended colposcopy?
A. a 3% solution of boric acid.
B. a 3% solution of vinegar acid.
C. a 3% solution of NaCl.
D. a 10% solution of chloride of sodium.
E. a 10% Lugol solution.
ANSWER:B
43.What process represents the V type of smear at oncocytological examination?
A. the unchanged epithelium.
B. mild or moderate dysplasia.
C. cancer.
D. inflammatory process.
E. suspicion on malignisation.
ANSWER: C
44.Haw many degrees of uterus displacement?
A. 1 .
B. 3.
C. 2.
D. 4.
E. 5.
ANSWER: B
45.Normal position of uterus is:
A. anteflexio, retroposition .
B. retroflexio, retroposition.
C. anteversio, anteflexio .
D. anteflexio, retroversio.
E. retrodeviation.
ANSWER: C
46.What is uterine retrodeviation?
A. combination of anteflexioand retroposition .
B. combination of retroflexion and retroversion.
C. combination of anteversio and anteflexio .
D. combination of anteflexio andretroversio.
E. nothing above
ANSWER:B
47.Hypomenstrual syndrome includes:
A. Oligomenorrhea, opsomenorrhea, hypo menorrhea
B. Opsomenorrhea, polimenorrhea
C. Proyomenorrhea, hypomenorrhea
D. Oligomenorrhea, hypermenorrhea
E. All of the above
ANSWER: A
48.Indicate factor which doesn't lead to menstrual dysfunction:
A. Chronic intoxication
B. Sexual infantilism
C. Long-term chronic infection
D. Abnormal development of genital organs
E. none of the above
ANSWER: E
49.Amenorrhea - is:
A. Absence of menstruation during 1year
B. Absence of menstruation for 6 months
C. Duration of menstruation more than 7 days
D. Duration of menstruation less than 2 days
E. none of the above
ANSWER: B
50.Which types of dysfunctional uterine bleeding are presented below?
A. Ovulatory
B. Anovulatory
C. Cyclic
D. Acyclic
E. All of the above
ANSWER: E
51.Characteristic of anovulatory uterine bleeding:
A. Monophasic basal temperature below 37 degrees
B. Absence of s "fern" and "pupil" symptoms in the middle of the menstrual cycle
C. Absence of secretory transformation of the endometrium
D. All of the above
E. None of the above
ANSWER: D
52.Which of the following diseases displays abnormal rhythm of menstruation?
A. Spaniamenorrhea
B. Opsomenorrhea
C. Tahimenorhea
D. All of the above
E. None of the above
ANSWER: D
53.Indicate changes which are presented during the follicular persistence:
A. Absence of ovulation
B. Absence of the corpus luteum and progesterone production
C. Absence of endometrial secretory transformation
D. None of the above
E. all the above
ANSWER: E
54.Tests of functional diagnostics include:
A. investigation of cervical mucous layer
B. changes of basal temperature
C. colpocytology
D. all answers are correct
E. all are incorrect
ANSWER: D
55.What is not used for diagnosis of disorders of the menstrual cycle?
A. Tests of functional diagnostics
B. Investigation of the hormone levels in the blood
C. X-ray of sella turcica
D. Determining the level of TTH
E. Use all of the above
ANSWER: E
56.Spaniomenorrhoea - is:
A. Shortening of the menstrual cycle less than 21 days
B. Absence of menstruation for 6 months
C. Painful menstruation
D. Excess loss of blood during menstruation
E. None of the above
ANSWER: E
57.What is characteristic for uterine form of amenorrhea?
A. Decresed basal temperature in the second phase of the cycle
B. Normal basal body temperature chart
C. Raising the temperature in the I phase of the cycle
D. Monophasic basal body temperature chart
E. None of the above
ANSWER: B
58.The complication of false amenorrhea:
A. Hypotrophy of the mammary glands
B. Hematocolpos
C. Anovulation
D. opsomenorrhoea
E. All listed
ANSWER: B
59.Proyomenorrhea is:
A. Shortening of the menstrual cycle less than 21 days
B. Increased of the menstrual cycle to 3 - 6 months (2 - 4 times per year)
C. Length of menstrual cycle 6 - 8 weeks
D. Decreased of the duration of menstruation up to 2 days
E. None of the above
ANSWER: A
60.For the clinical manifestations of dysmenorrhoea are not typical:
A. Headache
B. Nausea
C. Excessive blood loss
D. Abdominal pain
E. Irritability
ANSWER: C
61.Which of the following is the cause of ovarian form of amenorrhea?
A. congenital gonades’ dysgenesia
B. the Shereshevsky-Terner’s syndrome
C. the Shtein-Levental syndrome
D. All of the above
E. None of the above
ANSWER: D
62.the Shereshevsky-Terner’s syndrome is the result of:
A. a complex of genetic defects, connected with chromosomes anomaly
B. Presence of double uterus
C. Absence of ovaries
D. Vaginal atresia
E. Polycystic ovarian syndrome
ANSWER: A
63.Hypomenorhea - is:
A. reduced amount of blood, less than 50 ml
B. an excessive amount of blood, more than 100-150 ml
C. The absence of menstruation for 6 months
D. Duration of menstruation more than 12 days
E. None of the above
ANSWER: A
64.Stein - Leventhal syndrome is characterized by:
A. Ovarian amenorrhea
B. Uterine amenorrhea
C. Hypothalamic amenorrhea
D. Cryptomenorrhea
E. None of the above
ANSWER: A
65.Gestagens possess the following action:
A. decrease amount of cholesterole in the blood
B. determine development of primary and secondary sex characters
C. increase uterine contractility
D. all answers are correct
E. all are wrong
ANSWER: E
66.Tests of functional diagnostics allow to detect:
A. two-phase nature of menstrual cycle
B. level of estrogen saturation of an organism
C. presence of ovulation
D. full value of luteinising cycle
E. all are correct
ANSWER: E
67.Treatment of juvenile uterine bleeding provides all of the above, except:
A. stopping Haemorrhage
B. Normalization of menstrual function
C. Stimulation of Ovulation with clomifene
D. Antianaemia therapy
E. All of above
ANSWER: C
68.Which of the following is not recommended for the treatment of juvenile
bleeding?
A. Hormone
B. Hemostatic agents
C. vitamins
D. Antianaemia drugs
E. All of the above are indicated
ANSWER: E
69.In premature sexual maturation secondary sexual signs and menarche appeared:
A. In 9 years
B. In 11 years
C. In 13 years
D. None of these cases
E. In all these cases
ANSWER: A
70.Estrogen possess the following action:
A. promotes peristalsis in uterus and tube
B. promotes processes of ossification
C. stimulates activity of cellular immunity
D. all answers are correct
E. all are wrong
ANSWER: D
71.Treatment of juvenile bleeding can not start from:
A. Fractional curettage of the endometrial cavity
B. Hormone
C. Hemostatic agents
D. All methods are used
E. None of the above
ANSWER: A
72.In the children's gynaecology do not use:
A. Hysteroscopy
B. Test of functional diagnostic
C. Ultrasound sonography
D. Bakterioscopy
E. All of the above
ANSWER: A
73.The young woman 20 years old, whose delivered a year ago, Shihan' syndrome
was the diagnosis of the doctor. What you need for confirmation of the diagnosis?
A. Research level of gonadotropic hormones, pituitary tomography
B. Hysteroscopy
C. Culdoscopy
D. Laparoscopy
E. All of the above
ANSWER: A
74.15 years old female patient was admitted to the gynaecology department,
complaining of spotting that began 10 days ago. The first menstrual period was 3
months ago, after it was delayed for 2 - 5 months. Sexual life does not live
through the rectum is defined by a reduced body of the uterus, the relations
between the body and neck of 1:1. Extras are not determined. Coagulogram
normal, complete blood count - a slight decrease in haemoglobin level. What is
the most likely diagnosis?
A. threatened miscarriage
B. Juvenile bleeding
C. Idiopathic thrombocytopenic purpura
D. All above
E. Notning above
ANSWER: B
75.26 years old woman 6 months ago have delivered. A child is on breast feeding.
Came to the survey because of absence of menses, they do not appear after birth
once. When bimanual examination the uterus is not enlarged, dense, andexa are
not determined. What is the most likely diagnosis?
A. Psevdoamenorrhea
B. Lactated amenorrhea
C. Sheehan's syndrome
D. Chiari - Frommelya syndrome
E. 3 - 5 weeks of Pregnancy
ANSWER: B
76.What kind of endometriosis belongs to internal?
A. endometriosis of uterine cervix
B. endometriosis of vagine
C. endometriosis of uterus
D. All above
E. Nothing above
ANSWER: C
77.Which of medicines should not be used for treatment of endometriosis?
A. danasol
B. sinestrol
C. dufaston
D. zoladex
E. danogen
ANSWER: B
78.Lately menstruations at patient gained character hyperpolimenorrhea. She
complains on brown excretions and a few days after, menstruations are painful. In
history – 3 artificial abortions. Bimanual examination: the uterus is insignificaly
enlarged. A hysterosalpingography – infiltration of contrast inside the uterine
wall. Previous diagnosis?
A. endometriosis of uterus body
B. cancer of uterus body
C. myoma
D. endometriosis of uterus cervix
E. horiocarcinima
ANSWER: A
79.How is the state named, when less than 2 days proceed to menstruation?
A. spaniomenorrhea
B. hypomenorrhea
C. proyomenorrhea
D. oligomenorrhea
E. opsomenorrhea
ANSWER: D
80.What menorrhagia is?
A. bleeding unconnected with a menstrual cycle
B. more than 150ml blood during menstruation
C. duration of menstruation over 12 days
D. duration of menstruation 5-10 days
E. duration of menstruation 7-12 days
ANSWER: C
81.What changes develop in the organism of patients after removing of ovaries?
A. hirsutism.
B. prolaps uterus
C. inflammatory diseases
D. obesity
E. osteoporosis
ANSWER: E
82.What is the highest level of menstrual regulation?
A. brain cortex
B. hypothalamus
C. ovaries
D. uterus
E. all above
ANSWER: A
83.To hypothalamic amenorrhea does not belong:
A. psychogenic amenorrhea
B. amenorrhea at a syndrome Shikhane
C. amenorrhea at false pregnancy
D. amenorrhea at adipozogenital dystrophy
E. amenorrhea at a syndrome Kiary-Frommel
ANSWER: B
84.How the acyclic, not connected with menstrual cycle uterine bleeding are named?
A. polymenorrhea
B. bradimenorrhea
C. menorrhagia
D. metrorrhagia
E. Metropatia
ANSWER: D
85.Physiology amenorrhea is caused by such states of organism, exept for:
A. lactation
B. pregnancy
C. menopause
D. puberty age
E. endocrine disease
ANSWER: E
86.Ovarian amenorrhea is at:
A. Itsenco-Kushing syndrome
B. false pregnancy
C. Shtein-Levental syndrome
D. syndrome Shikhane
E. all above
ANSWER: C
87.Which from transferred syndromes does not belong to neuroendocrine?
A. Shershevscy-Terner
B. Shtain-Levental syndrome
C. climacteric
D. postovarioectomy
E. all above
ANSWER: A
88.At what age climacteric period start “in time”?
A. in 40-45 years
B. in 42-44 years
C. in 49-50 years
D. In 55-57 years
E. when menstruations are halted, age not important
ANSWER: C
89.Name the sequence of levels of adjusting of menstrual function
A. brain cortex-hypothalamus-hypophysis-ovaries-uterus
B. hypothalamus-hypophysis-ovaries-uterus
C. hypophysis-ovaries-uterus
D. hypothalamus-hypophysis -uterus -ovaries
E. brain cortex-hypothalamus-hypophysis –uterus –ovaries
ANSWER: A
90.Diagnostics of virile syndrome must include:
A. determination of 17-ketosteroids level
B. curettage of walls
C. colposcopy
D. culdocentesis
E. biopsy
ANSWER: A
91.Pathogenesis of this disease is connected with necrosis of pituitary gland:
A. Shershevscy-Terner syndrome
B. Shikhane's syndrome
C. adrenogenital syndrome
D. Shtain-Levental syndrome
E. nothing above
ANSWER: B
92.In climacteric age the medical treatment of dysfunctional uterine bleeding begin
with:
A. setting of estrogens
B. diagnostic curettage of uterine cavity
C. colposcopy
D. setting of androgens
E. setting of gestagens
ANSWER: B
93.Where are prostaglandins synthesized?
A. in hypophysis
B. in ovaries
C. in adrenal glands
D. in a pancreas
E. in all tissues of organism
ANSWER: E
94.What symptome is leading in the clinical manifestation of pathological
climacteric period?
A. neurovegetative
B. endocrine
C. cerebral
D. asteno-neurotic
E. atrphy
ANSWER: A
95.The postcastrative syndrome develops after:
A. the carried of endocrine diseases
B. removing of ovaries
C. removing of uterus
D. introduction of large doses of hormons
E. violation of pituitary function
ANSWER: B
96.Which hormone provides lactation process:
A. estrogen
B. cortizol
C. insulin
D. prolactin
E. all are correct
ANSWER: D
97.What is spaniomenorrhea?
A. menstruations come in 6-8 weeks
B. menstruations come 1 time per 4-6 monthes
C. menstruations are absent
D. quantity of menstrual blood less than 50ml
E. duration of menstruation 1-2 days
ANSWER: B
98.What changes of multilayer squamosus epithelium is common for true erosion?
A. Proliferation
B. desquamation
C. Ectopia
D. Metaplasia
E. Reganeration
ANSWER: D
99.True erosion is diagnosed with:
A. Colposkopy
B. Bimanual assessment
C. ultrasonography
D. Smear bacterioskopy
E. CTG
ANSWER: A
100. Healing of true erosion is going with:
A. connective tissue
B. single-layered cylindricum epithelium
C. multilayer pavement epithelium
D. Growth of secretory glands
E. all are wrong
ANSWER: B