妇产科英文题

一、单选（只有1个正确答案，每个1分，共30分）

1. which of the following does the early pregnancy have in common?

A. morning sickness

B. breast enlargement

C. abdomen enlargement

D. amenorrhea (cease of mense)

E. urinary frequency

A 26-year-old woman with regular menstrual per iods complaints of 2 days’ vaginal bleeding in 6 weeks after her last menstrual period. The bleeding is dark in color , painless and began after intercourse. Home pregnancy test is positive.

Examination shows a small amount of dark blood in the vagina and at the cervical os. The cervix is closed and no tissue is visible. Bimanual examination reveals a slightly soft, normal size uterus and normal adnexa without masses or tenderness.

2. what is your procedure of diagnosis?

A. order a transvaginal ultrasound examination

B. order a transabdominal ultrasound examination

C. perform a culdocentesis

D. advise evacuation of the uterus by suction curettage

E. order a serum quantitative β-HCG

3. what is the likely diagnosis?

A. ectopic pregnancy

B. evitable abortion

C. threatened abortion

D. habitual abortion

E. dysfunctional uterine bleeding

4. if this woman want to keep the baby, your best management is

A. discussion of contraception

B. continual clinical observation of a few more days

C. evacuation

D. laparoscope

E. prescribe progesterone 20mg/day

5. Which of the following contraceptives improve the risk for development of pelvic inflammatory disease?

A.condoms without spermicide

B.oral contraceptive

C.intrauterine device

D.diaphragm

E.vasectomy.

6. Causes production of a grossly recognizable vaginal mucosa with punctate hemorrhage ( “strawberry spots”)

A.candida albicans

B.trichomonas vaginalis

C.Neisseria gonorrhoeae

D.Garderella vaginalis ( bacteria vaginosis)

E.Atrophic(senile) vaginitis

7. A 19-year-old patient presents to your office with primary amenorrhea. She has normal breast and public hair development, but the uterus and vagina are absent. Possible diagnosis include

A.XYY syndrome

B.Gonadal dysgenesis

C.Mullerian agenesis

D.Klinefelter syndrome

E.Turner syndrome

8. for each evaluation, select the most appropriate day of a normal 28-day menstrual cycle for a woman with 5 day menstrual cycles. You perform endometrial biopsy for evaluation of infertility at

A .Day 5

B. Day 10

C. Day 14

D Day 21

E Day 27

A woman, 48 years old , has the history of twice pregnancy and once delivery. In recent several years, the period of menstruation has turned to be irregular, and the quality varied from small to large. After two-month-cessation, there has been persistent vaginal bleeding in late half month, with large volume, and accompanying with weakness and dizziness. So the patient came here to see doctor. And then, the physical examination and bimanual examination were performed. The gynecologist found no particularly positive sign, the pale face and the uterine slightly enlarged and softened. Additionally, a series of investigation were also carried out for her. Red blood cell count was 2.0×1012,hemoglobin concentration is 60g/L.The pathological results of diagnostic curettage are : simple hyperplasia endometrium.

9.Which diagnosis is possible of the following?

A. Anovulatory functional bleeding, during perimenopause

B.Carcinoma of endometrium

C.Cervical cancer

D.Atrophic vaginitis

E.Myoma of uterus.

10. For the patient, all of the following the treatment you should perform, except what?

A. Prescribe the progestrone and testerone,

B. Hysterectomy and bilateral singo-oophorectomy

C. Correct the anemia

D. Anti-infection agent

E. blood transfusion

11. which of the following is false about endometriosis?

A. commonly occurs in women of reproductive age

B. the symptom may not palliate or disappear after pregnancy

C. the most common location is ovaries

D. adenomyoma is a kind of endometriosis

E. the endometrium of abnormal growths occur very rarely malignant change

12. Which of the followings about threatened urine rupture is correct?

A. often seen in uterine hypotonic dysfunction

B. present pathologic retraction ring

C. the fetal presentation could be engaged in the pelvic inlet

D.fetal heart tone is clear

E.has irregular uterine contraction

13. A nulligravida at 30 gestational week, was found shocked in bed with severe vaginal bleeding without abdominal pain, what is the most possible diagnosis of her?

A.marginal placenta previa

B. rupture of uterus

C. complete placenta previa

D. placenta abruption

E. cervical cancer

14. Under which of situation, there might be seen pathologic retraction ring?

A. Polyhydromnia

B. twin pregnancy

C. placenta previa

D. threatened rupture of uterus

E. placenta abruption

15. Which of the following diseases rarely leads to postpartum homarrhage?

A. twin pregnancy

B. polyhydramnio

C. premature rupture of membrane

D. placenta previa

E.severe pregnancy-induced hypertension