大学MOOC Obstetrics and Gynecology(Wenzhou Medical University)1458251165 最新慕课完整章节测试答案

Abnormal uterine bleeding

1、单选题：
‎In addition to history and physical examination, which of the following help to differentiate anatomical causes of abnormal uterine bleeding from dysfunctional uterine bleeding?   (        )‌
选项：
A: Endometrial biopsy
B: Basal body temperatrue chart 
C:  Daily FSH levels
D: Daily prolactin levels
答案: 【 Endometrial biopsy】

2、单选题：
‌Which of the following is the definition of dysfunctional uterine bleeding? (        )‏
选项：
A:  Any irregular bleeding
B:  irregular bleeding with pain
C:  irregular bleeding causing functional disability
D:  irregular bleeding in the absence of anatomic lesions
答案: 【  irregular bleeding in the absence of anatomic lesions】

3、单选题：
‎Which of the following is correct about both amenorrhea and dysfunctional uterine bleeding? (      )‎
选项：
A: Association with endometriosis
B: anovulation
C: Levels of testosterone
D: age of the patient
答案: 【 anovulation】

4、单选题：
‌A 31-year-old patient complains of increasingly prolonged and heavy bleeding periods. the hysteroscopy could aid to identify which of the following diagnosis? (           )​
选项：
A: submucous myoma
B: subserous myoma
C: endometrial tuberculosis
D: luteal phase defect
答案: 【 luteal phase defect】

5、单选题：
‌In addition to history and physical examination, which of the following help to differentiate anatomical causes of abnormal uterine bleeding from dysfunctional uterine bleeding? (         )‎
选项：
A: Endometrial biopsy
B: Basal body temperature chart
C: Daily FSH levels
D: Daily prolactin levels
答案: 【 Endometrial biopsy】

6、判断题：
‎The treatment of adolescent anovulatory DUB mainly includes hemostasis, regulation of cycle and ovulation induction.​
选项：
A: 正确
B: 错误
答案: 【 正确】

7、判断题：
‎Ovulatory menstrual disorders were luteal dysfunction.‍
选项：
A: 正确
B: 错误
答案: 【 正确】

8、判断题：
‍The treatment of anovulatory DUB during the menopausal transition period is based on the principles of hemostasis, regulation of cycle, reduction of menstrual volume and prevention of endometrial lesions.‍
选项：
A: 正确
B: 错误
答案: 【 正确】

Cervical disease and Neoplasia

1、单选题：
‌Colposcopically directed biopsy is the method for the diagnosis of (          ).‍
选项：
A:  cervical lesion
B: uterine lesion
C: rectum lesion
D: lesion of the ovary
E:  lesion of the fallopian tube
答案: 【  cervical lesion】

2、单选题：
‎Which of the following statements best describes the usual presentation of invasive cervical cancer? (        )​
选项：
A: Watery, blood-tinged vaginal discharge and postcoital spotting.
B: Significant hemorrhage.
C: Pelvic pain.
D: Renal failure from ureteral obstruction in the pelvis.
E: Evidence of distant metastases.
答案: 【 Watery, blood-tinged vaginal discharge and postcoital spotting.】

3、单选题：
‏A 31-year-old woman with three living children and a tubal ligation has a pap smear reported as high-grade squamous intraepithelial lesion (HSIL). There are no macroscopic lesions. The management should involve (     ).‏‏‏
选项：
A: Hysterectomy
B: Radiotherapy
C: Local chemotherapy  
D: Colposcopically detected cervical biopsies
E: Systemic chemotherapy
答案: 【 Hysterectomy】

4、单选题：
‌The first step of  cervical screening is (         ).​
选项：
A: pap smear 
B: colposcopy
C:  cervical biopsy
D: conization
E: D&C
答案: 【 pap smear 】

5、单选题：
‌Which of the following stages is the International Federation of gynecology and obstetrics ( FIGO) clinical staging for cervical carcinoma when the pelvic sidewall is not involved, but the lower one-third of the vagina is involved? (         ) ‍
选项：
A: Stage Ⅱ A.
B: Stage Ⅱ B.
C: Stage Ⅲ B. 
D: Stage Ⅳ.
E: Stage Ⅲ A.
答案: 【 Stage Ⅲ A.】

6、单选题：
‏The most common symptom of cervical cancer  (        )‎
选项：
A: lower abdominal pain 
B: watery vaginal discharge
C: menstrual disorder
D:  contact bleeding
答案: 【  contact bleeding】

7、单选题：
‍The most common tumors of female genital is (         )‎
选项：
A: ovarian tumor
B:  cervical cancer 
C:  tumor of fallopian tube
D: gestational trophoblastic neoplasia
答案: 【  cervical cancer 】

8、单选题：
‌A 52-year-old G3P2 with a history of fibroids comes to see you complaining of postmenopausal bleeding. Her LMP was 1 year ago. She does not have any medical problems and is not taking any medications. Her gynecologic history is significant for cryotherapy to the cervix 10 years ago for moderate dysplasia. All of the following are reasonable next steps in the evaluation of this patient except  (          )‎
选项：
A: Fractional D and C and hysteroscopy
B: Blood tests for TSH, LH,FSH,E,Blood Cell Count,HB 
C: Pelvic ultrasound
D: Offer endometrial biopsy 
E: Conization of the cervix
答案: 【 Conization of the cervix】

9、单选题：
​Which of the following HPV subtypes most likely is associated with cervical cancer?  (         )  ‍
选项：
A: 6 and 11
B:  16 and 18
C: 55 and 57  
D: 89 and 92  
E: 11 and 16
答案: 【  16 and 18】

10、单选题：
​The most common female malignant tumors are?  （        ）‏​‏
选项：
A: Cervical cancer,Endometrial carcinoma,Vulvar tumor
B: Endometrial carcinoma,ovarian tumor,Endometrial carcinoma,ovarian tumor
C: Cervical cancer,Endometrial carcinoma,ovarian tumor
D: Cervical cancer,Endometrial carcinoma,uterine sarcoma
E: Endometrial carcinoma,uterine sarcoma,ovarian tumor
答案: 【 Cervical cancer,Endometrial carcinoma,ovarian tumor】

11、单选题：
‌A 21-year-old woman returns to your office for evaluation of an abnormal Pap smear. The Pap smear showed a squamous abnormality suggestive of a high-grade squamous intraepithelial lesion (HGSIL). Colposcopy confirms the presence of a cervical lesion consistent with severe cervical dysplasia (CIN III). Which of the following human papilloma virus (HPV) types is most often associated with this type of lesion?   （       ）‏
选项：
A: HPV type 6
B: HPV type 11
C: HPV type 16
D: HPV type 42
E: HPV type 44
答案: 【 HPV type 16】

Endometrial carcinoma

1、单选题：
‌A 49-year-old woman experiences irregular vaginal bleeding of 3 months' duration.You perform an endometrial biopsy ,which obtains copious tissues with a velvety,lobulated texture.The pathologist report shows proliferation of glandular and stromal elements with dilated endometrial glands,consistent with simple hyperplasia . Cytologic atypia is absent.Which of the following is the best way to advise the patient? (       )​
选项：
A: She should be treated to estrogen and progestin hormone therapy.   
B: The tissue will progress to cancer in approximately 10% of cases.
C: The tissue may be weakly premalignant and progresses to cancer in approximately 1% of cases.
D: She requires a hysterectomy.
E: No further therapy is needed.
答案: 【 The tissue may be weakly premalignant and progresses to cancer in approximately 1% of cases.】

2、单选题：
‎The most common type of endometrial carcinoma is (        ).​
选项：
A: Adenocarcinoma 
B: serous carcinoma
C: clear cell carcinoma
D: adenosquamous carcinoma
E: adenocarcinoma with squamous differentiation
答案: 【 Adenocarcinoma 】

3、单选题：
‏Which is not a risk factor for endometrial carcinoma?  ​‏​
选项：
A: Obesity
B: History of breast cancer 
C: Grand multiparity  
D: Diabetes mellitus    
E: Chronic unopposed estrogen use
答案: 【 Grand multiparity  】

4、单选题：
‎The diagnosis of endometrial cancer is most reliably made by (        ).‍‎‍
选项：
A: pap smear
B: pelvic ultrasonography
C: hysteroscopy
D: endometrial biopsy or fractional dilation and curettage
E: MRI or CT
答案: 【 endometrial biopsy or fractional dilation and curettage】

5、单选题：
‎Which kind of treatment should be chosen for a endometrial carcinoma patient in late stage or a relapsed one?  （   ）‌
选项：
A: chemotherapy 
B: surgery
C: radiotherapy
D: progestogen treatment
答案: 【 chemotherapy 】

6、单选题：
‎A 63-years old women complaint of vaginal bleeding 3 weeks, but her LMP was around age 56. PE: heart, lungs, abdomen are all normal, no vaginal or cervical lesions, uterus size was 8-10weeks, no tenderness, and transvaginal-ultrasound showed endometrial thickness was 18mm. Which of the following is the most likely diagnosis?  （       ）‌
选项：
A: Cervical cancer  
B:  Leiomyoma of uterus 
C: Ovarian tumor
D: Endometrial carcinoma
E: Perimenopause
答案: 【 Endometrial carcinoma】

7、单选题：
‎ In the patient in question 1, Which of the following is the most appropriate next step in the evaluation?  (      )‏‎‏
选项：
A: Endometrial biopsy
B: Pap smear
C:  MRI
D:  CA125
答案: 【 Endometrial biopsy】

8、单选题：
‎A 62-year-old woman comes to the physician because of bleeding from the vagina. She states that her last menstrual period came 11 years ago and that she has had no bleeding since that time. She has hypertension and type 2 diabetes mellitus. Examination shows a mildly obese woman in no apparent distress. Pelvic examination is unremarkable. An endometrial biopsy is performed that shows grade I endometrial adenocarcinoma. Which of the following is the most appropriate next step in management?  (       )‌
选项：
A: Chemotherapy
B: Cone biopsy
C: Dilation and curettage
D: Hysteroscopy
E: Hysterectomy
答案: 【 Hysterectomy】

9、单选题：
​A 40-year-old woman comes to the physician for an annual examination. She has no complaints. She has menses every 28-30 days that last for 3 days. She has no intermenstrual bleeding. She has asthma, for which she uses an occasional inhaler. She had a tubal ligation 10 years ago. She has no known drug allergies. Examination is unremarkable, including a normal pelvic examination. One of her friends was recently diagnosed with endometrial cancer, and the patient wants to know when and if she needs to be screened for this. Which of the following is the most appropriate response?‏
选项：
A: Screening for endometrial cancer is not cost effective or warranted 
B: Screening is with endometrial biopsy and starts at age 40
C: Screening is with endometrial biopsy and starts at age 50
D:  Screening is with ultrasound and starts at age 40
E: Screening is with ultrasound and starts at age 50 
答案: 【  Screening is with ultrasound and starts at age 40】

10、单选题：
‍You see five postmenopausal patients in the clinic. Each patient has one of the conditions listed, and each patient wishes to begin hormone replacement therapy today. Which one of the following patients would you start on therapy at the time of this visit?  ‏
选项：
A: Mild essential hypertension 
B:  Liver disease with abnormal liver function tests
C:  Malignant melanoma  
D: Undiagnosed genital tract bleeding
E:  Treated stage III endometrial cancer
答案: 【  Treated stage III endometrial cancer】

11、单选题：
​Which of the following statements has approximately 20% to 30% to risk for malignant transformation? (      )‌
选项：
A: Cystic endometrial hyperplasia.
B: Adenomatous hyperlpasia.
C: Atypical adenomatous hyperplasia. 
D: Simple or complex endometrial hyperplasia.
E: None of all.
答案: 【 Atypical adenomatous hyperplasia. 】

GDM

1、单选题：
​Which of the following statement about gestation diabetes is false? (   )‍
选项：
A: It is associated with an increase incidence of congenital abnormality.
B: It is associated with an increase incidence of macrosomia and hydramnios.
C: Maternal hypoglycaemia can occur in the puerperium.
D: It is associated with a reduced insulin requirement in pregnancy.
E: Optimal management is generally associated with a good out.
答案: 【 It is associated with a reduced insulin requirement in pregnancy.】

2、单选题：
‎What is the normal value of OGTT? （      ）‍‎‍
选项：
A: 5.0-10.0-8.0 mmol/L 
B: 5.1-10.5-8.0 mmol/L
C: 5.1-10.0-8.5 mmol/L
D: 5.1-10.5-8.0 mmol/L
答案: 【