19 Questions
What is the most common etiology of genital ulcers in Canada?
- Chlamydia 4%
- Lymphogranuloma venereum 7%
- Chancroid 0%
- Herpes Simplex 76%
- Primary syphilis 9%
Topics:
gynecology
Which types of human papillomavirus are classically associated with genital warts?
- 6 and 16 2%
- 11 and 16 15%
- 6 and 18 3%
- 16 and 18 16%
- 6 and 11 62%
Topics:
gynecology
What is the definitive diagnostic test for Pelvic Inflammatory Disease?
- Ultrasound 10%
- Cervical swab 17%
- Gram stain 5%
- Abdominal X-Ray 5%
- Laparoscopy 61%
Topics:
gynecology
What two organisms are the most common cause of Pelvic Inflammatory Disease?
- Treponema pallidum and Neisseria gonorrheae 2%
- Neisseria gonorrheae and E.Coli 2%
- Treponema pallidum and Chlamydia trachomatis 1%
- Chlamydia trachomatis and Neisseria gonorrheae 87%
- Chlamydia trachomatis and E.Coli 5%
Topics:
gynecology
What other bacteria is most often associated with Chlamydia trachomatis?
- E. Coli 1%
- Candida albicans 5%
- Treponema pallidum 3%
- Neisseria gonorrheae 74%
- Trichomonas vaginalis 13%
Topics:
gynecology
A 32 year old describes three successive spontaneous abortions, that each occurred before the end of the first trimester. Past medical and family history is unremarkable. The patient does not smoke or drink alcohol. All of the following are appropriate initial investigations except:
- hystersalpingogram 0%
- genetic testing 20%
- anti-phospholipid antibody 20%
- pelvic CT scan 60%
Topics:
A 42-year old woman presents with a 3 week history of watery, vaginal discharge that appears with some blood. She also describes postcoital bleeding. Her last menstrual period was 2 weeks ago. On past medical history, the patient was treated for a chlamydia and gonorrhea infection at the age of 28. She describes multiple sexual partners at that time. She has not had a Pap Smear in 10 years, as she has been with the same partner for that length of time.
The most likely diagnosis is:
- cervical cancer 50%
- pelvic inflammatory disease 50%
- chlamydia infection 0%
- endometrial cancer 0%
Topics:
A 28-year old, G1P0 presents with painless vaginal bleeding. She is currently at 38 weeks gestation. As part of the investigations she is sent for ultrasound, which reveals placenta previa. How will this patient most likely be managed:
- prepare for Cesarean section 50%
- hospital admission and observation 50%
- administration of tocolytics to delay delivery 0%
- send the patient home and ask them to return with the onset of contractions 0%
Topics:
Mrs. Jackson, a 28 year-old, G1P0, pregnant woman, is seen to discuss the results of her routine lab tests.
She is currently at 23 weeks gestation, and is feeling well. The urinalysis demonstrates the following: negative for glucose and protein, positive for white blood cells and bacteria.
The best treatment for this patient is to:
- put her on prophylactic antibiotics for the duration of her entire pregnancy 4%
- do nothing as she is asymptomatic 7%
- schedule a follow-up visit in 2 weeks, and retest for bacteriuria at that time 13%
- prescribe antibiotics 75%
Topics:
obstetrics,
family medicine
Mrs. Johnson is seen by her family doctor. She tells him that she and her husband wish to get pregnant. The doctor makes a few recommendations, one of which is to take folic acid
supplements. He advises her to do so, to prevent which one of the following:
- neural tube defect 100%
- spontaneous abortion 0%
- premature labor 0%
- chromosomal abnormality 0%
Topics:
By Daniel Kozan
You have a 28 year old G2P1 who presents 7 weeks since her last menstrual period concerned that she may be pregnant. A serum B-hCG confirms that she is pregnant, although you note that it is much higher than expected for 7 weeks gestation. Which of the following would not give you a higher than expected B-hCG?
- multiple gestation 7%
- molar pregnancy 16%
- trisomy 21 22%
- ectopic pregnancy 53%
Topics:
obstetrics
By Tamara Kuzma
A 37 year-old G3P3 patient of yours who last delivered 2 years ago, comes to discuss the distress she has been experiencing due to the fact that she has los of urine when she jogs and coughs. She has been unnerved by this experience starting a short time after her last vaginal delivery. After assessing this patient, you diagnose her with mild stress urinary incontinence.
The first best step in her treatment is which of the following:
- Recommend Kegel exercises 100%
- Fit her with a pessary 0%
- Prescribe a course of Ditropan 0%
- Presribe HRT 0%
Topics:
By Tamara Kuzma
Mrs. Smith, 52 years old, comes to see you with the complaint of bloody discharge from her right nipple. On physical exam, you confirm the presence of the discharge, and you also note that there is no palpable breast mass.
What is the most likely diagnosis?
- Intraductal papilloma 50%
- Breast cancer 0%
- Paget's disease of the breast 50%
- Inflammatory breast carcinoma 0%
- Fibroadenoma 0%
Topics:
breast
By Tamara Kuzma
Sarah, 18 years old, comes to visit you in your office to discuss the fact that she still has never had a single period. Upon physical and laboratory examinations, you note that she has normal breast and pubic hair development, but she has the absence of a uterus and a vagina.
Which of the following is a possible diagnosis?
- Turner syndrome 0%
- XYY syndrome 0%
- Gonadal dysgenesis 0%
- Klinefelter syndrome 50%
- Mullerian agenesis 50%
Topics:
By Tamara Kuzma
You have just diagnosed Mrs. Treit with carcinoma of the breast. Her husband and she would like to know her treatment options.
Which of the following is the most important prognostic factor in treating breast cancer?
- Axillary metastases 58%
- Age at diagnosis 12%
- Tumor progesterone receptors 0%
- Tumor estrogen receptors 16%
- Tumor size 12%
By Tamara Kuzma
A 21 year-old woman presents to your office complaining of malodorous vaginal discharge. Upon physical examination, you note that the discharge is watery and gray-coloured. You make a wet-mount preparation, and under the microscope you see classic Clue cells. You also mix some of the discharge with a KOH solution with a resultant fishy odour.
What is the most likely diagnosis?
- Gonorrhea 5%
- Yeast vaginitis 3%
- Trichomoniasis 12%
- Chlamydia 4%
- Bacterial vaginosis 74%
Topics:
gynecology
By Tamara Kuzma
Mrs. Jones, a 65 year-old woman, presents with vaginal bleeding, which she describes as spotting and which has been occurring daily for a one month period. Her last menses was at the age of 51. She denies abdominal pain, fever or weight loss, and the rest of her history is unremarkable. Physical examination is normal.
Which of the following is the most likely diagnosis?
- Uterine leiomyoma 5%
- Endometrial carcinoma 29%
- Atrophic vaginitis 59%
- Endometriosis 5%
Topics:
gynecology