Ovarian Pathology

1. The percentage of ovarian cysts found to be of non-ovarian origin is

A. 5%
B. 7%
C. 10%
D. 12%
E. 15%

2. Symptoms of ovarian malignancy include all except

A. Persistent abdominal distension
B. Appetite change decreased satiety
C. Pelvic Pain
D. Abdominal pain
E. Increased urinary urgency and/or frequency

3. 26years old parous woman with complex ovarian mass in the right ovary. The investigations that should be done for her include all, except

A. LDH
B. Alpha fetoprotein
C. hCG
D. Ca-125
E. Transvaginal ultrasound

4. 28yr old underwent laparoscopic surgery for a dermoid cyst of 6-7cms and intra-operatively had spillage of contents. The percentage of women who develop chemical peritonitis is less than

A. 0.2
B. 0.4
C. 0.6
D. 0.8

5. All are IOTA Group ultrasound ‘rules’ to classify masses as malignant (M-rules) except

A. Irregular solid tumour
B. At least four papillary structures
C. Presence of acoustic shadowing
D. Irregular multilocular solid tumour with largest diameter ≥100 mm
E. Very strong blood flow

6. The most consistent feature of ovarian torsion on ultrasound is

A. Appear as a solid mass with hypo- and hyperechoic areas
B. Borders of the ovary less well deﬁned
C. ‘Whirlpool’ that is visible both in grey scale and on colour Doppler
D. Unilateral ovarian enlargement and oedema with peripherally arranged follicles
E. Coiling of the ovarian vessels may be seen in early or subacute cases

7. The use of assisted reproductive techniques increases the risk of ovarian torsion by

A. 5 folds
B. 7 folds
C. 9 folds
D. 11 folds

8. Woman has presented with acute pain abdomen at 26 weeks of pregnancy and she was suspected to have ovarian torsion and all other obstetric causes has been ruled out. The investigation of choice is

A. CRP and WBC counts
B. Ultrasound abdomen
C. Doppler studies
D. MRI
E. CT

9. The prevalence of early menopause is

A. 1:10000
B. 1:1000
C. 1:100
D. 1:10

10. The factors that influence early menopause are all true except

A. Smoking
B. Age at menarche
C. Lower socioeconomic class
D. Lower cognitive scores
E. Low BMI

11. The value of FSH levels above which menopause is diagnosed is

A. 25
B. 30
C. 35
D. 40

12. POI is diagnosed in women less than 40 yrs with all except

A. Menstrual disturbance
B. Raised gonadotrophins
C. Low E2
D. Undetected levels of AMH

13. 34 year old with irregular periods once in 4-5 months with symptoms of hot flushes, mood disturbances, sleeplessness, loss of libido is enquiring about the chances of conception. What is the chance of her conception?

A. She is very unlikely to conceive
B. Chance of conception is upto 5%
C. Chance of conception is upto 8%
D. Oocyte donation is the only option

14. Sister of a woman with POI is considering donating her Oocyte to the woman with POI. What is the implication?

A. On conception of cycle the number of oocytes obtained will not be comparable with altruistic donor
B. Cycle cancelation is 5 times higher
C. Pregnancy rates are not similar to altruistic donor
D. Miscarriage rtes are not similar to altruistic donor

15. The cut-off value of the aortic root above which pregnancy should be avoided

A. 1.5cm/m2
B. 2.0 cm/m2
C. 2.5 cm/m2
D. 3 cm/m2

16. The net loss of bone after menopause is approximately

A. 1-2% per year
B. 2-3% per year
C. 3-4 % per year
D. More than 5% per year