Beruflich Dokumente
Kultur Dokumente
19. CM
Causes of the secondary dysmenorrhea are:
a) [x] endometriosis
b) [ ] functional disorders
c) [x] uterine fibromioma
d) [x] cervico-isthmus spikes
e) [x] inflammatory processes of genitalia
--------------------------------------------------------------------22. CM
The clinical picture of dysmenorrhea manifest through:
a) [x] pain syndrome
b) [x] psycho-emotional disorder
c) [x] vegetative disorders
d) [x] vascular-vegetative disorders;
e) [x] metabolic-endocrine disorders.
--------------------------------------------------------------------23. CM
Enumerate the vegetative disorders that take place in dysmenorrhea:
a) [x] hyperhydrosis
b) [x] sickness
c) [x] tachycardia
d) [x] diarrhea;
e) [x] abdominal meteorism
--------------------------------------------------------------------24. CM
Enumerate the psycho-emotional disorders that take place in dysmenorrhea:
a) [x] irritability
b) [ ] coetaneous itchiness;
c) [x] depression
d) [x] somnolence;
e) [ ] polyuria
--------------------------------------------------------------------25. CM
Enumerate the vascular disorders that take place in dysmenorrhea:
a) [x] vertigo
b) [ ] sickness
c) [x] collapse
d) [x] extrasystole
e) [x] tachycardia
--------------------------------------------------------------------26. CM
Enumerate the principle of treatment in dysmenorrhea :
a) [x] antioxidant
b) [x] inhibitors of prostaglandin synthesis
c) [x] spasmolitic
d) [x] oral contraceptive;
e) [ ] antibiotics;
---------------------------------------------------------------------
--------------------------------------------------------------------30. CM
Early pubertal development can be of type:
a) [x] izosexual
b) [x] heterosexual;
c) [x] mix;
d) [ ] complete;
e) [ ] incomplete;
--------------------------------------------------------------------31. CM
Say the possible forms of hermaphroditism:
a) [x] pure
b) [x] pseudo;
c) [ ] typical
d) [ ] atypical
e) [ ] all above
--------------------------------------------------------------------32. CM
Constitutional, girls with true early pubertal development are characterized
through:
a) [ ] high size
b) [x] low size
c) [ ] long extremity;
d) [x] short extremity;
e) [x] high body
--------------------------------------------------------------------34. CM
The clinical picture of early puberty, izosexual type having a central genesis with
organic character, is characterized by:
a) [x] presence of pathologic reflex
b) [x] excessively emotional liability
c) [x] changes on the bottom of the eye;
d) [x] intracranial hypertension;
e) [ ] hirsutism
--------------------------------------------------------------------35. CM
Early puberty (ovarian type, izosexual) is determined by:
a) [ ] intracranial tumor
b) [x] hormonal active ovarian tumor;
c) [x] ovarian follicular cyst;
d) [ ] thyroid gland tumor;
e) [ ] all above mentioned;
--------------------------------------------------------------------36. CM
Through family planning is understand:
a) [x] prevention of unwanted pregnancy
b) [x] birth planning;
c) [ ] interruption the unwanted pregnancy
d) [x] contraception;
e) [x] demography;
37. CM
Select the basic principle of family planning:
a) [x] permanent attention to the demographic process;
b) [x] propagation of contemporary methods of contraception
c) [x] population prophylaxis;
d) [x] the assurance with contraceptives, and medical instruction looking their utilization;
e) [ ] the implementation of new technologies for break of undesirable pregnancy
--------------------------------------------------------------------38. CM
Select the requirements according to the methods of contraception:
a) [ ] contraceptive effectiveness: Pearl index 10%
b) [x] the absence of the secondary effects upon the woman and its partner;
c) [x] don't train consequences for an eventual pregnancy;
d) [x] simplicity in utilization;
e) [x] accessibility, reduced cost
--------------------------------------------------------------------40. CM
Enumerate the factors of which depends the choice of the contraceptive method?
a) [x] age
b) [x] peculiarities of the sexual life
c) [ ] numbers of abortion;
d) [x] presence of the gynecologic or somatic pathology,
e) [x] attitude of the partners regarding the type of contraception
--------------------------------------------------------------------41. CM
Select the method of an ideal contraception:
a) [x] independent of the doctor, safe and Effectively;
b) [ ] in dependence of the sexual act;
c) [x] simple utilization and soft reversibility
d) [x] accessible for all religion, culture, politics
e) [x] protection against sexual transmissible diseases;
--------------------------------------------------------------------42. CM
Select the methods for natural family planning:
a) [x] method of the calendar
b) [x] method of the basal temperature;
c) [x] cervical;
d) [x] coition interrupted ;
e) [ ] spermicidal
--------------------------------------------------------------------43. CM
The action mechanism of the intrauterine device is based on the following
moments, with exception:
a) [ ] ova- and spermatotoxic action of the Cu 2* ion
b) [x] abortive action;
c) [x] modification of motility
d) [ ] aseptic inflammation;
e) [ ] immobilization action on the spermatozoa by Cu 2* ions
44. CM
The intrauterine device can be introduced:
a) [ ] during menses
b) [x] immediately after menses
c) [x] after medical abortion
d) [x] in necessity at any day if it is excluded the pregnancy
e) [ ] at the middle of the menstrual cycle;
--------------------------------------------------------------------45. CM
Enumerate which are the causes of pain after the intrauterine device is
introduced:
a) [x] uterine contraction orientated to expel the starlet
b) [x] uterine perforation;
c) [x] partial expel of the starlet;
d) [x] localized infection
e) [ ] small size of the starlet;
--------------------------------------------------------------------46. CM
Select the contraindication for the intrauterine device application:
a) [x] pregnancy
b) [x] acute inflammatory process;
c) [x] the erosion of the cervix;
d) [x] endocarditis
e) [ ] fertile age;
--------------------------------------------------------------------48. CM
Select the methods for masculine contraception:
a) [ ] coition interrupted;
b) [x] condom
c) [x] vasectomy;
d) [ ] starlet
e) [ ] tubectomy
--------------------------------------------------------------------50. CM The cysts can be:
a) [x] follicular
b) [x] of the yellow body
c) [x] paraovarian
d) [x] echinococcal;
e) [ ] cillioepithelial
--------------------------------------------------------------------54. CM
Serous and mucinous cystoma:
a) [x] epithelial tumors
b) [ ] do not transform to malignant
c) [ ] a characteristic is the slow growth
d) [x] frequently are unilaterally
e) [ ] accompanied by ascites;
--------------------------------------------------------------------5
--------------------------------------------------------------------64. CM
After provenance the cysts can be:
a) [x] retention
b) [x] embryonic
c) [ ] metastasis;
d) [x] inflammatory
e) [x] parasitical;
--------------------------------------------------------------------65. CM
Androgenic hormone are synthesized in the following places, with exception:
a) [ ] suprarenal
b) [ ] ovaries
c) [ ] placenta
d) [x] thyroid
e) [x] skin
--------------------------------------------------------------------66. CM
Enumerate the androgenic effect on the women organism:
a) [x] anabolic effect
b) [ ] inhibition of the libido
c) [ ] hypertrophy of the mammary glands
d) [x] anovulation
e) [ ] falling of the hair;
--------------------------------------------------------------------68. CM
To the suprarenal virilization refers:
a) [x] adrenogenital syndrome;
b) [ ] Shtein-Leventali syndrome;
c) [x] androsteroma
d) [x] corticosteroma
e) [ ] Chiarri-Fromeli syndrome;
--------------------------------------------------------------------69. CM
To the ovarian virilization refers the following, with the exception:
a) [x] adrenogenital syndrome
b) [ ] Shtein-Leventali syndrome;
c) [x] Chiarri-Fromeli syndrome;
d) [ ] androblastoma
e) [x] Cushing syndrome;
--------------------------------------------------------------------70. CM
According to the time of appearing of the adrenogenital syndrome we can
distinguish:
a) [x] congenital adrenogenital syndrome;
b) [x] adrenogenital syndrome in the fertile period;
c) [ ] adrenogenital syndrome in the pre-climax;
d) [ ] adrenogenital syndrome in the post-climax;
e) [x] adrenogenital syndrome in the pre-puberty
--------------------------------------------------------------------7
71. CM
Which are the clinical manifestations in the congenital adrenogenital syndrome?
a) [x] pseudohermaphrodism;
b) [x] aplasia of the vagina;
c) [x] uterus, ovaries, fallopian tubes - normal
d) [x] urethral canal opened in the vagina;
e) [ ] marked osteoporosis;
--------------------------------------------------------------------72. CM
what is the clinical manifestation of the pre puberty adrenogenital syndrome?
a) [x] premature sexual maturation
b) [x] early closure of the ossification points
c) [ ] hypertrophy of the mammary glands
d) [x] hypertrophy of the clitoris
e) [ ] baldness;
--------------------------------------------------------------------73. CM
The clinical signs of the adrenogenital syndrome in the reproductive period are:
a) [x] masculine secondary sexual signs
b) [ ] hypertrophy of the mammary glands
c) [x] hypertrophy of the body muscles;
d) [x] hypertrophy of the clitoris;
e) [ ] baldness;
--------------------------------------------------------------------77. CM
The clinical picture in the Cushing disease the following:
a) [ ] polymenorrhea;
b) [x] spikes
c) [x] hirsutism;
d) [ ] habitually abortions;
e) [x] osteoporosis;
--------------------------------------------------------------------78. CS uterine tubes and uterus are formed from:
a) [ ] mezonephral duct (Wolf);
b) [x] paramezonephral duct (Muller);
c) [ ] sinovaginal bulbs;
d) [ ] metanephrotic caniculi
e) [ ] pronephros;
--------------------------------------------------------------------85. CM In patients with Rokitansky-Kuster-Hauser syndrome is determined:
a) [x] feminine genotype
b) [x] feminine secondary sexual signs well developed
c) [ ] 45XO cariotype
d) [ ] ovaries with shoelace form of conjunctive tissue
e) [x] absence of the uterus and vagina
--------------------------------------------------------------------8
--------------------------------------------------------------------93. CM
The diagnosis of uterine factor of sterility includes:
a) [x] endometrial biopsy;
b) [x] hysteroscopy;
c) [ ] functional test;
d) [x] laparoscopy;
e) [ ] insemination of the vaginal content.
--------------------------------------------------------------------94. CM
Enumerate the causes of fallopian tube sterility:
a) [x] peritubular spikes;
b) [x] intratubular spikes;
c) [ ] endocrine-metabolic disorders;
d) [x] obliteration of the fimbrial portion;
e) [x] hydrosalpinx.
--------------------------------------------------------------------96. CM
Select the complications of conception process on a background of sexual
transmissible diseases (ST
D):
a) [x] spontaneous abortion
b) [x] pregnancy stopped in evolution;
c) [ ] hypertrophy of the fetus;
d) [ ] late severe gestosis;
e) [x] polyhydramnios;
--------------------------------------------------------------------97. CM Factors that increase the incidence of sexual transmissible diseases (ST
D) in Republic of Moldova are:
a) [x] Open borders;
b) [x] high migration of the population;
c) [x] Unemployment
d) [ ] screening programs, prevention and treatment
e) [x] insufficient sexual education
--------------------------------------------------------------------98. CM Which infections have specific etiology?
a) [ ] with Escherichia coli;
b) [x] with Chlamydia trachomatis;
c) [x] with Mycoplasma hominis;
d) [x] with Trichomonus vaginalis;
e) [ ] with Bacillus piocianicus
--------------------------------------------------------------------10
107. CM At the acute abdomen cases, caused by the acute inflammatory diseases are
referred :
a) [x] pelvioperitonitis
b) [x] parametritis;
c) [ ] ectopic pregnancy
d) [ ] ovary apoplexy
e) [ ] ischemia of the myoma nodule
--------------------------------------------------------------------109. CM There are the following tubal pregnancy:
a) [x] in evolution
b) [ ] eminence of pregnancy interruption
c) [x] interrupted
d) [ ] stagnant
e) [ ] abdominal;
--------------------------------------------------------------------116. CM Conservative treatment of the tubal pregnancy consists in administration of:
a) [x] Methotrexat
b) [x] Miphepriston (RU-486)
c) [ ] estrogen-gestagene drugs
d) [ ] androgens
e) [ ] misoprostol (PG)
--------------------------------------------------------------------117. CM treatment of the tubal pregnancy can be:
a) [x] surgical
b) [x] micro surgical
c) [x] conservative
d) [ ] combined;
e) [ ] radiotherapy
--------------------------------------------------------------------119. CM It can be distinguished the following types of ovarian apoplexy:
a) [x] anemic
b) [ ] acute;
c) [x] dolor;
d) [ ] chronic
e) [x] mixed;
--------------------------------------------------------------------121. CM What are the terms that describe menopause?
a) [x] spontaneous disappearing of menses caused by ovarian exhausting
b) [ ] period of changes of the menstrual cycle caused by the ovarian exhausting
c) [ ] immediate period after the last menstrual cycle;
d) [x] period that starts after 12 months after the last menstrual cycle;
e) [ ] none of definitions is correct
12
-------------------------------------------------122. CM
What drugs are used in prophylaxis and treatment of osteoporosis in women
with menopause:
a) [x] caltrate-600
b) [x] calcitonin;
c) [x] calcitrol;
d) [ ] small doses of corticosteroides
e) [ ] selective modulators of the estrogenic receptors
--------------------------------------------------------------------123. CM
Management of osteoporosis in women with post-menopause doesn't include:
a) [x] supplementation of folic acid
b) [x] supplementation of iron;
c) [ ] supplementation of calcium;
d) [ ] supplementation of vitamin D;
e) [x] hypoproteic diet
--------------------------------------------------------------------124. CM Enumerate the medical factors of risk in osteoporosis in women with postmenopause:
a) [x] heparin prescription
b) [x] corticosteroides prescription
c) [x] parathyroid prescription;
d) [ ] estrogen substitution in hormonal mono therapy
e) [ ] combined hormonal therapy of substitution
--------------------------------------------------------------------125. CM Enumerate the general factors of risk in osteoporosis in women with postmenopause:
a) [ ] familial background of uterine myoma
b) [x] immobility for a long time;
c) [ ] regular physical exercises
d) [x] pour alimentation in calcium
e) [x] excess of smoking and/or alcohol
--------------------------------------------------------------------127. CM What is the volume of obligatory exams before starting the hormonal therapy of
substitution in women with post-menopause:
a) [x] general clinical exam
b) [x] gynecologic exam;
c) [x] clinical exam of the mammary glands;
d) [ ] mammography;
e) [x] cytological sample Papanicolaou;
--------------------------------------------------------------------13
128. CM What drugs from enumerated are not used in hormonal therapy of substitution
in women with post-menopause:
a) [ ] Kliogest ;
b) [x] Klion D ;
c) [ ] Ovestin ;
d) [ ] Climen ;
e) [x] Femoden ;
--------------------------------------------------------------------136. CM Specific effects of estrogen consist of:
a) [x] maturation and maintaining the genital tract and mammary glands
b) [x] regeneration and endometrial proliferation
c) [ ] development of yellow body
d) [ ] endometrial secretor changes
e) [ ] pregnancy maintaining
--------------------------------------------------------------------137. CM Specific effects of progesterone consist of:
a) [x] hyperthermal action upon the thermoregulatory center
b) [ ] regeneration and endometrial proliferation
c) [ ] somatic maturation;
d) [x] endometrial secretor changes
e) [x] pregnancy maintaining
--------------------------------------------------------------------139. CM Trigger organs of the estrogenic hormones refer the following:
a) [x] uterus, vagina;
b) [x] mammary gland
c) [x] pilose follicle;
d) [x] skin, bonny tissue
e) [ ] clitoris
--------------------------------------------------------------------140. CM Endometrial is formed from the following layers:
a) [x] basal;
b) [x] functional;
c) [ ] muscular;
d) [ ] intermediary;
e) [ ] peritoneal
--------------------------------------------------------------------146. CM
Blood supply of the mammary gland is made by:
a) [ ] external thoracic
b) [x] interne thoracic
c) [x] lateral thoracic
d) [ ] common thoracic
e) [ ] medial thoracic
--------------------------------------------------------------------14
--------------------------------------------------------------------15
161. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 40 years old
accuses polymenorrhea, proiomenorrhea and sterility, and the functional diagnosis tests show
T basal monophasic, sign of pupil and fern 3+, 4+, acidophilic and cariopicnotic indexes 6070%:
a) [x] persistence of the yellow body
b) [x] long persistence of the follicle;
c) [ ] shortening of the follicular phase or luteinic
d) [ ] increasing of luteinic phase;
e) [ ] intermenstrual hemorrhage
--------------------------------------------------------------------162. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 16 years old
accuses abundant and prolonged menses, and the functional diagnosis tests show sign of pupil
*** during the whole cycle:
a) [x] persistence of the follicle
b) [x] follicular atresia
c) [ ] shortening of the follicular phase or luteinic;
d) [ ] increasing of luteinic phase
e) [ ] intermenstrual hemorrhage
--------------------------------------------------------------------163. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 30 years old
accuses proiomenorrhea, polyhypermenorrhea, and the functional diagnosis tests show T basal
biphasic and shortening of the follicular phase 7-9 days:
a) [ ] long and temporary persistence of the follicle
b) [ ] follicular atresia;
c) [x] shortening of the follicular phase;
d) [ ] increasing of luteinic phase
e) [x] decrease of the menstrual cycle with 18-21 days;
--------------------------------------------------------------------164. CM Enumerate which are the nonspecific and specific haemostatic actions of estrogens:
a) [x] endometrial proliferation and stimulation;
b) [x] ]brisk changes of hormonal estrogenic titer and maintaining it;
c) [x] decrease the capillary fragility;
d) [x] equilibration and increasing the vascular tonus;
e) [ ] effect of endometrial secretor transformation
--------------------------------------------------------------------165. CM
Syndrome of polycystic ovaries is characterized through:
a) [ ] hyperestrogenemia
b) [x] hyperandrogenemia
c) [x] disorders of follicular genesis
d) [ ] excessive production of progesterone;
e) [ ] excessive production of cortisone
-------------------------------------------------------------------16
166. CM
Synonymies of the Stein-Leventhal syndrome are:
a) [x] primary polycystic ovaries
b) [x] disease of polycystic ovaries , sclerocystic
c) [ ] atretic ovaries
d) [ ] ovarian dermoid cyst;
e) [ ] liver disease
--------------------------------------------------------------------169. CM
Diagnostic of syndrome of polycystic ovaries is put on the base of:
a) [x] vaginal-abdominal tact
b) [x] laparoscopy
c) [ ] metrosalpingography
d) [x] testing of the sexual hormones
e) [ ] sounding of the uterine cavity
--------------------------------------------------------------------170. CM Select the echographic arguments for ovarian tumor malignancy:
a) [x] dimension over 10 cm
b) [x] bilateralism
c) [x] intracystic vegetation
d) [x] heterogeneity
e) [ ] dimension less than 5 cm
--------------------------------------------------------------------171. CM
Syndrome of polycystic ovaries is characterized through::
a) [x] 17-cetosteroid in big quantities eliminated with urine
b) [x] increased plasmatic androgens
c) [ ] progesterone over 0, 5 ng/ml;
d) [x] increased plasmatic c% of LH
e) [ ] hyperthyroidism;
--------------------------------------------------------------------172. CM
For the syndrome of polycystic ovaries at the endometrial biopsy is specific:
a) [ ] endometrial decidualisation
b) [x] glandular hyperplazia in placentas with opsomenorrhea
c) [x] absence of endometrial secretor phase
d) [ ] there are no pathological changes
e) [x] endometrial atrophy when is present amenorrhea
--------------------------------------------------------------------174. CM
The surgical treatment of the syndrome of polycystic ovaries consists in:
a) [ ] ovaryectomy;
b) [x] cuneiform resection of the ovaries;
c) [ ] hysterectomy with ovaryectomy,
d) [x] partial ovarian decortication
e) [x] ovarian diathermopuncture:
17
--------------------------------------------------------------------175. CM
what refers to the physiologic barriers of genital organs?
a) [x] small and big labia connected compactly
b) [x] acid PH of the vaginal content;
c) [x] proteolytic and bactericide activities of the cervical glare
d) [x] hymen;
e) [x] desquamation of the endometrial functional layer during menstruation
--------------------------------------------------------------------177. CM
Enumerate the clinical picture of acute vulvitis:
a) [x] pain, vulvae Itching
b) [x] edema of the external genital organs;
c) [ ] temperature;
d) [x] hyperemia of vulva
e) [ ] hyperpolymenorrhea
--------------------------------------------------------------------178. CM
Colposcopy changes in case of chronic colpitis:
a) [x] punctiform hemorrhages;
b) [x] mucous edema;
c) [ ] atypical vascularization;
d) [x] mucous hyperemia
e) [ ] all the enumerated signs
--------------------------------------------------------------------179. CM
Enumerate the methods that provoke the inflammatory process:
a) [x] piquant foods
b) [x] the remaking of the cervix and the cervical canal with AgNo3 0,5%
c) [ ] diathermy of the lumbar region;
d) [x] i/m 500 mln CM of gonovaccine
e) [ ] i/m 20 thousand UN of synestroli 2%
--------------------------------------------------------------------180. CM
Enumerate the characteristic signs for chronic cervicitis
a) [x] indurations of the cervix
b) [x] hyperemia at the region of the external orifice;
c) [x] serous-purulent secretions;
d) [x] contact hemorrhage;
e) [ ] formation of pseudoerosion
--------------------------------------------------------------------181. CM
Enumerate the specific signs for acute endometritis:
a) [x] pains in the inferior part of the abdomen
b) [x] temperature;
c) [ ] cyanosis of the region of the external orifice of the cervix;
d) [x] leukocytosis with left deviation of the leukocyte formula
e) [x] serous-purulent secretions;
--------------------------------------------------------------------18
182. CM
Appreciate which are the characteristic accuses for veridical erosion:
a) [ ] temperature;
b) [ ] caseous secretions
c) [x] serous secretions;
d) [x] serous- hemorrhagic secretions;
e) [x] contact hemorrhage
--------------------------------------------------------------------183. CM
Enumerate the characteristic accuses for chronic salpingoophoritis in acute
stage:
a) [x] permanent hypogastric and sacral pains
b) [x] sterility;
c) [ ] vulvar itching
d) [x] temperature;
e) [x] purulent leucorrhea
--------------------------------------------------------------------184. CM
Enumerate the characteristic accuses for chronic anexitis:
a) [ ] acute pains in hypogastria and sacrum
b) [x] chronic pains in hypogastria and sacrum
c) [x] disorders of the menstrual cycle
d) [x] sterility;
e) [ ] febrile temperature
--------------------------------------------------------------------187. CM Enumerate the clinical manifestations of the uterine myoma:
a) [x] menorrhages
b) [x] metrorrhages
c) [ ] dyspareunia
d) [x] pains
e) [x] functional disorders of the adjacent organs
--------------------------------------------------------------------188. CM Enumerate the complications that can appear in the case of uterine myoma:
a) [x] appearing of myomatous nodules
b) [ ] ascites
c) [x] suppuration of the nodules
d) [x] necrosis of the nodule
e) [x] torsion of the myomatous nodule
--------------------------------------------------------------------189. CM Which complimentary products are used for diagnosis of uterine myoma:
a) [x] hysterometry
b) [ ] culdocentezis
c) [ ] colpocytologic sample
d) [ ] cystoscopy
e) [x] USG
--------------------------------------------------------------------19
20
----------------------------------------------------------------199. CM
What is specific for the total prolapsed uterus?
a) [x] cystocel
b) [x] rectocel
c) [ ] cervix exteriorized through the genital aperture
d) [x] uterus exteriorized through the genital aperture, difficulties in urination
e) [ ] constipation
--------------------------------------------------------------------200. CM
Enumerate the causes of prolapsed uterus:
a) [x] atrophy of the ligament apparatus and muscles of perineal region
b) [x] inborn hypoplazia of the muscles of perineal region;
c) [x] cachexy;
d) [ ] rupture of the cervix I degree;
e) [ ] rupture of the cervix II-III degree
--------------------------------------------------------------------202. CM
Which from the following antecedents favors appearing the prolapsed uterus?
a) [x] delivery of an macrocosm fetus;
b) [x] perinea rupture III degree
c) [x] difficult physical work from childhood
d) [x] pluriparity;
e) [x] frequent delivery
--------------------------------------------------------------------203. CM Enumerate the possible causes of obstetrical traumatism (of the genital organs):
a) [x] incorrect management of the delivery;
b) [x] delivery of an macrocosm fetus
c) [x] distocia of the cervix during delivery;
d) [ ] disorder of the menstrual cycle;
e) [ ] disorder of circulation
--------------------------------------------------------------------209. CM
Appoint the affirmations that characterize premenstrual syndrome:
a) [ ] frequently increases along the age;
b) [x] frequency of the disease doesn't depend on the age
c) [x] 20-55% incidence;
d) [x] represents a complex of pathologic symptoms;
e) [ ] clinical signs approximately last all the menstrual cycle
--------------------------------------------------------------------210. CM
The hormonal disorders in pathogenesis of the premenstrual syndrome leads to:
a) [x] hyposecretion of the progesterone
b) [x] hypersecretion of FSH and ACTH
c) [x] hypersecretion of estrogen;
d) [x] hypersecretion of bradichinine
e) [ ] hyposecretion of adrenaline
21
--------------------------------------------------------------------211. CM
Clinical picture of adenomiosis includes:
a) [x] progressive algodysmenorrhea
b) [x] hyperpolymenorrhea
c) [ ] coetaneous edema
d) [x] dyspareunia
e) [x] postmenstrual brown secretions "chocolate"
--------------------------------------------------------------------213. CM
The postcastration syndrome develops due to:
a) [x] total ovaryectomy
b) [x] subtotal ovaryectomy
c) [x] massive radiation;
d) [x] severe infection;
e) [ ] massive hemorrhages during delivery
--------------------------------------------------------------------214. CM
Indicate the most active fraction of the androgens:
a) [x] testosterone
b) [ ] androsterone
c) [x] androstendione
d) [ ] dehydroepiandrosterone
e) [ ] levonorgestrel
--------------------------------------------------------------------216. CM Enumerate the indications for conservative treatment of uterine myoma:
a) [ ] myoma dimensions more than 12 weeks of pregnancy
b) [x] myoma dimensions less than 9 weeks of pregnancy
c) [ ] rapid speed of growth of the nodule
d) [x] slow speed of growth of the nodule
e) [ ] association of the uterine myoma with the ovarian pathologies
--------------------------------------------------------------------217. CM What drugs in our days are considered first line in conservative treatment of uterine
myoma:
a) [ ] estrogens
b) [x] gestagens
c) [x] immunosuppressive
d) [ ] androgens
e) [ ] anticoagulant
--------------------------------------------------------------------220. CM What is the aim of administration of the estrogenic component from the substitution
hormonal drugs in women postmenopausal:
a) [x] to prevent cardiovascular accidents
b) [x] to prevent osteoporosis;
c) [x] to control the heat sensations and nocturnal sweating;
d) [ ] to control symptoms of vaginal atrophy;
e) [ ] with the aim of anticancer protection of mammary glands and endometrial
22
--------------------------------------------------------------------225. CM Enumerate the structures that don't take part in the endometrial functional layer:
a) [ ] compact
b) [ ] spongiest
c) [x] basal;
d) [x] stroma
e) [x] glands with continuum epithelial proliferation
--------------------------------------------------------------------230. CM Neural-hormonal regulation of the menstrual cycle take place through the following
mechanism, with exception:
a) [ ] feed-back
b) [ ] neurogen;
c) [x] Biorhythm;
d) [x] enzymatic
e) [x] metabolic;
--------------------------------------------------------------------231. CM Neurogen regulation of the menstrual function is stronger than the feed-back and
includes the following structures, with the exception:
a) [ ] hypothalamus
b) [ ] epiphyses
c) [ ] meduloadrenal
d) [x] pancreas
e) [x] liver
--------------------------------------------------------------------236. CM In the anatomic pedicle component of the ovarian tumor doesn't enter:
a) [ ] ovarian suspensor ligament;
b) [x] round ligament;
c) [ ] own ovarian ligament;
d) [x] omentum;
e) [ ] a part of wide ligament
--------------------------------------------------------------------239. CM Appoint the relevant symptoms for differential diagnostic of appendicitis and
interrupted tubal pregnancy:
a) [x] menstrual retention
b) [x] temperature;
c) [ ] hypogastria pains
d) [x] presence of pregnancy signs;
e) [x] leukocytosis ;
--------------------------------------------------------------------241. CM
Vagina takes part from:
a) [ ] external genital organs
b) [x] internal genital organs;
c) [ ] pair organ;
d) [x] impair organ;
e) [ ] organ with hormonal secretion
23
--------------------------------------------------------------------242. CM
Uterus is an organ:
a) [x] cavity
b) [x] muscular
c) [x] impair;
d) [ ] pair
e) [x] mobile
--------------------------------------------------------------------243. CM
Endometrial functional layer have the following zones:
a) [x] compact
b) [x] spongiest;
c) [ ] zone of transition;
d) [ ] basal
e) [ ] parabasal
--------------------------------------------------------------------244. CM
From the histological point of view in the ovarian structure we can distinguish:
a) [x] germinating epithelial
b) [x] cortical zone;
c) [x] medullar zone;
d) [ ] pavimentous epithelium
e) [ ] cubic epithelium
--------------------------------------------------------------------245. CM
Enumerate the muscular layers of the perineum:
a) [x] external;
b) [x] medium;
c) [x] internal;
d) [ ] transversal;
e) [ ] oblique
--------------------------------------------------------------------246. CM
Uterine blood supply take place through:
a) [x] uterine arteries
b) [x] ovarian arteries
c) [ ] vesicle arteries
d) [ ] rectal arteries
e) [ ] funicular arteries
--------------------------------------------------------------------247. CM
Celioepithelial cystoma:
a) [ ] doesn't associates with ascitis;
b) [ ] are unicameral or multicameral with celioepithelial tissue;
c) [ ] don't become malignant;
d) [x] frequent associates with ascites 70% bilateral;
e) [x] are formation of conjunctive tissue
--------------------------------------------------------------------24
248. CM
Name the anatomic pedicle components of cystoma:
a) [ ] round ligament
b) [x] ligamentum proprium ovaricum;
c) [x] ligamentum infundibilo- pelvicum
d) [x] mezoovary;
e) [ ] uterine tube
--------------------------------------------------------------------249. CM
Component of the surgical pedicle of the ovarian cystoma can be:
a) [x] intestinal loop
b) [x] omentum;
c) [ ] kidneys;
d) [x] appendix;
e) [ ] liver
--------------------------------------------------------------------251. CM Determine the causes of uterine dysfunctional anovulatory hemorrhages:
a) [x] temporary and prolonged persistence of the follicle
b) [x] follicular atresia;
c) [ ] shortening follicular or luteinic phase
d) [ ] increasing of the luteinic phase;
e) [ ] inter-menstrual hemorrhage
--------------------------------------------------------------------252. CM Enumerate which are the haemostatic measures in juvenile uterine hemorrhage with
easy form of anemia:
a) [x] hormonal hemostasis
b) [ ] surgical hemostasis (curettage);
c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.);
d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);
e) [x] administration of the antianemic drugs and vitamin therapy
--------------------------------------------------------------------253. CM Enumerate which are the haemostatic measures in juvenile uterine hemorrhage with
severe form of anemia:
a) [x] hormonal hemostasis;
b) [x] surgical hemostasis (curettage);
c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.);
d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);
e) [ ] administration of the antibacterial drugs
--------------------------------------------------------------------254. Enumerate which are the haemostatic measures in uterine hemorrhage from the
perimenopausal period:
a) [ ] hormonal hemostasis
b) [x] surgical hemostasis (curettage)
c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.)
d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);
e) [x] administration of the antianemic drugs and vitamin therapy
25
--------------------------------------------------------------------255. CM Which from the following hormonal drugs are used as haemostatic in case of uterine
hemorrhage
From the reproductive period:
a) [ ] estrogens
b) [x] combined oral contraceptive
c) [ ] androgens;
d) [x] progesterone and its derivations
e) [x] nor-steroids;
--------------------------------------------------------------------256. CM Which are the causes of juvenile hemorrhages:
a) [x] hypothalamic-hypophysis immaturity;
b) [x] toxic-infectious unfavorable action ;
c) [x] hypo-vitaminosis;
d) [ ] uterine myoma;
e) [x] psycho-emotive traumas
--------------------------------------------------------------------258. CM Appoint the correct affirmations for the feminine testicle syndrome (Morris):
a) [ ] 46XY cariotype
b) [ ] 45XO cariotype
c) [x] external genital organ feminine type
d) [ ] external genital organ masculine type
e) [x] feminine gonads
--------------------------------------------------------------------259. CS Characteristic cariotype for Turner syndrome is:
a) [ ] 46XY
b) [ ] 46XX
c) [x] 45XO
d) [ ] 47YXX
e) [ ] 47XXX
--------------------------------------------------------------------261. CM Which from the following pathologies are Mullerian anomalies:
a) [x] bicorn uterus
b) [ ] feminine testicle syndrome (Morris)
c) [x] didelfius uterus
d) [x] Rokitansky-Kuster-Hauser syndrome
e) [ ] inferior third aplasia of vagina
--------------------------------------------------------------------262. CM Which from the following pathologies are chromosomal anomalies:
a) [x] Turner syndrome
b) [ ] feminine testicle syndrome (Morris)
c) [ ] didelfius uterus
d) [ ] Rokitansky-Kuster-Hauser syndrome
e) [x] Klinefelter syndrome
26
--------------------------------------------------------------------263. CM
Mammary gland is under the hormonal action of:
a) [x] ovaries;
b) [x] adrenal glands
c) [x] hypophysis;
d) [x] thyroid gland
e) [ ] hypothalamus
--------------------------------------------------------------------265. CM
At the specific effects of progesterone on mammary gland doesn't refer:
a) [ ] alveolar tissue proliferation of mammary gland
b) [x] lactofore ducts proliferation of mammary gland
c) [x] adipose tissue proliferation;
d) [x] proliferation of conjunctive fibrous lax tissue
e) [x] proliferation tissue
--------------------------------------------------------------------266. CM Which changes of mammary glands skin is characteristic for tumor processes:
a) [x] the sign elevated appearance of skin
b) [x] umbilicus sign;
c) [x] platform sign;
d) [x] "orange bark" sign;
e) [ ] "cherry stone" sign
--------------------------------------------------------------------268. CM
In case of mastopathy, morphologic we can distinguish the following changes:
a) [x] atrophic
b) [x] dystrophic
c) [x] proliferation
d) [ ] necrotic;
e) [ ] suppuration
--------------------------------------------------------------------269. CM
Usually, mastopathy is associated with:
a) [ ] adrenal gland tumor
b) [ ] tumor of hypophysis
c) [x] uterine myoma
d) [x] dysmenorrhea
e) [x] ovarian dysfunction
--------------------------------------------------------------------270. CM
What method from the following is efficient for the mastopathy prophylaxis:
a) [x] hormonal contraception
b) [ ] contraception with intrauterine devices;
c) [ ] systematic vitamin therapy;
d) [x] long nursing;
e) [ ] condom therapy
---------------------------------------------------------------------
27
--------------------------------------------------------------------272. CM
Appreciate in which day of the menstrual cycle is made the hormonal
investigation in a patient with endocrine sterility:
a) [ ] 2 day
b) [x] 7 day;
c) [x] 14 day
d) [ ] 17 day;
e) [x] 21 day.
--------------------------------------------------------------------274. CM
In case of sterility determined by the de hyperanteflexion or retroflexion of the
uterus, the management is:
a) [ ] anti-inflammatory treatment
b) [x] gynecologic massage;
c) [ ] hormonal therapy;
d) [x] surgical correction
e) [ ] resultative therapy
--------------------------------------------------------------------276. CM
Enumerate the investigations that are recommended in hyperprolactinemia:
a) [ ] evaluation the level of estrogens
b) [x] cranium radiography
c) [ ] probe with estrogen
d) [x] probe with bromcriptine;
e) [x] tomography of sella turcica
--------------------------------------------------------------------277. CM
Mechanism of action of gestagens contraceptive pastilles includes:
a) [x] condensation and concentration of cervical glare;
b) [x] inhibition of spermatozoids enzymes;
c) [x] slowing the ovule movement through the uterine tubes
d) [ ] disorders of endometrial secretion process;
e) [x] inducing the endometrial atrophy
--------------------------------------------------------------------278. CM
Which is the non-contraceptive effects of hormonal contraceptives:
a) [x] decrease the risk of some tumor development of the reproductive system
b) [x] decrease the incidence of endometriosis
c) [x] decrease the incidence of sterility
d) [ ] prophylaxis of inflammatory affections
e) [x] can suppress the next menstruation
--------------------------------------------------------------------279. CM
Before prescribing OCC to a patient we should evaluate the health by:
a) [x] anamnesis
b) [x] general exam
c) [x] gynecologic exam
d) [x] laboratory exam;
e) [ ] internist consultation
28
--------------------------------------------------------------------280. CM Select the symptoms that serve as reason for emergency in case of COC
a) [x] headache
b) [x] retrosternal pain;
c) [ ] amenorrhea
d) [x] dyspnea
e) [x] acute visual disturbances
--------------------------------------------------------------------281. CM Sterilization can be applied as a contraceptive method in women:
a) [x] over 35 years, that have at least 3 children and don't want any more
b) [x] with health problems and in case of pregnancy contraindications
c) [x] with multiple abortion
d) [ ] with chronic colecistitis
e) [ ] with adverse reactions after hormonal contraception
--------------------------------------------------------------------284. CM Clinical signs of hymeneal atresia are:
a) [x] amenorrhea
b) [ ] hymeneal membrane of normal color
c) [x] cyclic pains, monthly in the hypogastric region
d) [x] hymeneal membrane of gray color
e) [x] cyclic pain in the lumbar region
--------------------------------------------------------------------285. CS Causes of genital prolapse:
a) [ ] insufficiency of sustaining methods
b) [ ] trauma of sustaining muscles
c) [ ] increased physical effort
d) [ ] genital infantilism
e) [x] obesity
--------------------------------------------------------------------291. CM During the treatment of estrogen-gestagens takes place:
a) [x] improve of general state
b) [x] decrease of hirsutism
c) [x] appearance of menstrual reaction
d) [ ] decrease in weight
e) [ ] mastodinia
--------------------------------------------------------------------292. CS High level of gonadotropin (after releasing-hormone test) is characteristic for the
restraint in sexual development
a) [ ] peripheral
b) [x] central;
c) [ ] mixt;
d) [ ] all mentioned above
e) [ ] none of the following
--------------------------------------------------------------------29
299. CM In which pathologies of genital organs are indicated the physical methods:
a) [x] subacute salpingoophoritis
b) [ ] purulent parametritis
c) [ ] pelvioperitonitis;
d) [x] chronic anexitis
e) [x] tubal infertility
--------------------------------------------------------------------301. CM Endometriosis is :
a) [ ] a inflammatory process
b) [ ] a viral pathology
c) [x] can be genital and extragenital
d) [x] usually evolves without complications
e) [ ] is a tumor process
--------------------------------------------------------------------304. CM Physiological menopause is caused by the following factors, except:
a) [ ] decrease the level of progesterone
b) [x] excessive production of gonadotropin
c) [x] increase the production of steroid hormones
d) [ ] aging of hypothalamic centers
e) [x] aging of genital organs
--------------------------------------------------------------------305. CM Remedies used in the conservatory treatment of the polycystic ovarian syndrome
are:
a) [x] Clomifen
b) [x] Chorionic gonadotropin
c) [ ] Metradine;
d) [x] Verospiron;
e) [x] Norcolut
--------------------------------------------------------------------307. CM At suprarenal virilism refers the following except:
a) [ ] adrenogenital syndrome
b) [x] Shtein-Leventali syndrome
c) [ ] hyperplazia of the suprarenal cortical layer
d) [ ] corticosteroma
e) [x] Chiarri-Fromeli syndrome
--------------------------------------------------------------------308. CM After the appearance of adrenogenital syndrome we distinguish the following forms,
except:
a) [ ] inborn adrenogenital syndrome
b) [ ] adrenogenital syndrome during reproductive period
c) [x] preclimacteric adrenogenital syndrome
d) [x] postclimacteric adrenogenital syndrome
e) [ ] prepubertal adrenogenital syndrome
--------------------------------------------------------------------31
309. CM The clinical signs of the prepubertary adrenogenital syndrome includes the
following, except:
a) [ ] premature sexual maturation
b) [ ] premature ossification region closure
c) [x] mammary gland hypertrophy
d) [ ] clitoris hypertrophy
e) [x] alopecia
--------------------------------------------------------------------310. CM The treatment in case of Itsenko-Cushing disease doesn't include:
a) [x] substitutional hormonal therapy
b) [x] surgical therapy
c) [ ] radiotherapy
d) [x] symptomatic treatment
e) [x] inhibitory hormonal therapy
--------------------------------------------------------------------311. CM Clinical signs of androsteroma includes the following:
a) [x] adisonism;
b) [x] virilism;
c) [x] infertility;
d) [x] amenorrhea;
e) [ ] arterial hypotension
--------------------------------------------------------------------318. CM The development of hyperplastic processes of the endometrium usually associate with:
a) [x] ovary tecomatosis
b) [ ] endometrium in the secretion stage
c) [ ] ovarian follicular cyst
d) [x] uterine myoma
e) [x] mammary gland adenofibroma
--------------------------------------------------------------------319. CS Yhe usage of hormonal hemostasis in hyperplastic endometrial processes are indicated in
case of:
a) [x] when after the curettage of uterine cavity in hemostatic purpose, and 6 months didn't pass
b) [ ] purulent discharges from the genital pathways
c) [ ] inflammatory purulent annex tumor
d) [ ] suspicion of submucous uterine myoma
e) [ ] climacteric period
--------------------------------------------------------------------320. CM The cancer of the uterine body more frequently is localized in the following regions of the
uterus:
a) [ ] inferior segment of the uterus
b) [x] uterine fund
c) [x] uterine angles
d) [ ] region of the cervix
e) [ ] posterior wall of the uterus
32
--------------------------------------------------------------------321. CM Name the contraindications for the associated chemotherapy indication. (distant
intracavitary gamma-therapy)
a) [x] generalized process of the tumoral process
b) [ ] uterine tumors spread locally in the T1-2 No Mo limits
c) [x] invasion of the neighbor organs (urinary bladder, rectum)
d) [x] presence of intracavitary anomalies
e) [x] decompensated anomalies of the CV, pulmonary and endocrine system
--------------------------------------------------------------------330. CM Plastic microsurgical interventions on the fallopian tubes are done in case of:
a) [ ] tubal-ovarian tumor
b) [x] tubal occlusion in different portions
c) [ ] infertility for more than 10 years
d) [x] ectopic pregnancy
e) [ ] age more than 35
--------------------------------------------------------------------331. CM In the treatment of adenomiosis are used:
a) [ ] estrogens
b) [x] androgens
c) [x] gestagens
d) [x] Danazol
e) [x] synthetic antigonadotropins
--------------------------------------------------------------------332. CS Lahm-Schiller test assumes
a) [ ] paint the cervix with acetic acid
b) [x] paint the cervix with Lugol solution
c) [ ] paint the cervix with fluorescine
d) [ ] paint the cervix with methilen blue
e) [ ] paint the cervix with iodine 5% solution
--------------------------------------------------------------------333. CM Follicular phase of the menstrual cycle is characterized through:
a) [x] basal temperature lower than 37 degrees
b) [x] increase and development of the ovarian follicles
c) [ ] basal temperature over 37 degrees
d) [x] endometrial vessels increase
e) [x] estrogenic secretion by the ovary
--------------------------------------------------------------------335. CM Specify what ovarian tumors met more often:
a) [ ] teratoma
b) [x] serous tumors
c) [x] mucinous tumors
d) [ ] fibroma
e) [ ] tecoma
--------------------------------------------------------------------33
--------------------------------------------------------------------35
36
366. CM What hormonal drugs are not used in juvenile uterine hemorrhage hemostasis.
a) [ ] estrogens
b) [ ] natural estrogens
c) [x] androgens;
d) [x] progesterone and its derivatives
e) [x] nonsteroids
--------------------------------------------------------------------368.
CM To the causes of acute abdomen, determined by trophic disturbances refers:
a) [x] torsion of the subserous myomatous peduncle
b) [x] torsion of the ovarian cyst peduncle
c) [x] necrosis of the myomatous nodule;
d) [ ] ovarian apoplexy
e) [ ] stopped uterine pregnancy
--------------------------------------------------------------------369. CM Which from the named doesn't represent forms of tubal pregnancy :
a) [ ] in evolution
b) [x] imminence of pregnancy interruption
c) [ ] interrupted;
d) [x] stopped ;
e) [x] abdominal
--------------------------------------------------------------------371. CM What methods do not refer to the tubal pregnancy treatment:
a) [ ] tubal removal through laparoscopy or laparotomy
b) [x] curettage of the uterine cavity
c) [x] antibiotic administration
d) [x] administration of estrogen-gestagen drugs
e) [x] uterine cavity aspiration
--------------------------------------------------------------------372. CM Diagnosis of ovarian apoplexy is based on the following:
a) [x] clinical signs include intraabdominal hemorrhage
b) [x] anamnesis (link with the menstrual cycle)
c) [ ] fever
d) [x] positive punction of the posterior fornix
e) [x] disturbance of ovarian integrity during laparoscopy
--------------------------------------------------------------------374. CM Indication of oral contraceptives in dysmenorrhea leads to:
a) [x] decrease in myometrial contractility
b) [x] delay in endometrial proliferation
c) [ ] stimulation of prostaglandin synthetase
d) [x] decrease the quantity of estrogens
e) [x] anovulation induction
--------------------------------------------------------------------37
398. CM What doesn't refer to the neuroendocrine disorders that lead to virilization in SteinLeventhal syndrome:
a) [ ] ovarian hyperandrogeny
b) [x] suprarenal hyperandrogeny
c) [x] hypoestrogenemia
d) [x] hyperestrogenemia
e) [x] multiple births
---------------------------------------------------------------------
40