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.

common?

which of the following does the early pregnancy have in

A. B. C. D. E.

morning sickness

breast enlargement

abdomen enlargement

amenorrhea (cease of mense)

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. A. B. C. D. E. 3. A. B.

what is your procedure of diagnosis?

order a transvaginal ultrasound examination

order a transabdominal ultrasound examination

perform a culdocentesis

advise evacuation of the uterus by suction curettage

order a serum quantitative 3 -HCG

what is the likely diagnosis?

ectopic pregnancy

evitable abortion

C. D. E. 4. A. B. C. D. E. 5.

threatened abortion

habitual abortion

dysfunctional uterine bleeding

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

discussion of contraception

continual clinical observation of a few more days

evacuation

laparoscope

prescribe progesterone 20mg/day

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. B. C.

candida albicans

trichomonas vaginalis

Neisseria gonorrhoeae

D. E. 7.

Garderella vaginalis ( bacteria vaginosis)

Atrophic(senile) vaginitis

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. B. C. D. E. 8.

XYY syndrome

Gonadal dysgenesis

Mullerian agenesis

Klinefelter syndrome

Turner syndrome

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 2.0X 1012,hemoglobin concentration is 60g/L.The pathological results of diagnostic curettage are : simple hyperplasia endometrium.

9. A. B. C. D. E. 10.

Which diagnosis is possible of the following?

Anovulatory functional bleeding, during perimenopause

Carcinoma of endometrium

Cervical cancer

Atrophic vaginitis

Myoma of uterus.

For the patient, all of the following the treatment you should

perform, except what?

A. B. C. D. E. 11. A. B. C. D. E.

Prescribe the progestrone and testerone,

Hysterectomy and bilateral singo-oophorectomy

Correct the anemia

Anti-infection agent

blood transfusion

which of the following is false about endometriosis?

commonly occurs in women of reproductive age

the symptom may not palliate or disappear after pregnancy

the most common location is ovaries

adenomyoma is a kind of endometriosis

the endometrium of abnormal growths occur very rarely

malignant change

12.

correct?

Which of the followings about threatened urine rupture is

A. B. C. D. E. 13.

often seen in uterine hypotonic dysfunction

present pathologic retraction ring

the fetal presentation could be engaged in the pelvic inlet

fetal heart tone is clear

has irregular uterine contraction

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. B. C. D. E. 14.

marginal placenta previa

rupture of uterus

complete placenta previa

placenta abruption

cervical cancer

Under which of situation, there might be seen pathologic

retraction ring?

A. B. C. D. E. 15.

Polyhydromnia

twin pregnancy

placenta previa

threatened rupture of uterus

placenta abruption

Which of the following diseases rarely leads to postpartum

homarrhage?

A. B. C. D. E. 16.

twin pregnancy

polyhydramnio

premature rupture of membrane

placenta previa

severe pregnancy-induced hypertension

Which of the followings is not the complication of severe

placenta abruption?

A. B. C. D. E. 17.

rupture?

acute renal failure

coagulation dysfunction

postpartum hemorrhage

hypertension

DIC

Which of the followings is not the factor leading to uterine

A. B. C. D. E. 18.

obstruction of fetal presentation

the previous scar of uterine wall

injudicious use of oxytocin

breech presentation

transverse lie

Which of the following choice is the effective management for

carcinoma in situ of uterine cervix?

A. B.

total hysterectomy

radical hysterectomy

C. D. E. 19.

radiotherapy

chemotherapy

subtotal hysterectomy

which of the following change would be seen mostly in myoma

of uterus combined with pregnancy?

A. B. C. D. E. 20.

hyaline degeneration

cystic degeneration

red degeneration

sarcomatous change

calificated degeneration

The clinical symptom of uterine myoma is most greatly

associated with which character of it?

A. B. C. D. E. 21.

the tumor size

the number

the situation

the age of patient

whether childbearing or not

Which treatment could be chosen to endometrial carcinoma

patient of late stage or relapse most commonly?

A. B. C. D.

chemotherapy

surgery

radiotherapy

progestogen treatment

E. 22.

others

A woman who has endometrial carcinoma most often presents

with which of the following symptoms?

A. B. C. D. E. 23. A. B. C. D. E. 24. A. B. C. D. E. 25. A.

hemoptysis

weight loss

postmenopausal bleeding

vaginal discharge

infection

Which of following management fits for choriocarcinoma best?

hysterectomy

Chinese medicine

immunotherapy

chemotherapy

radiation therapy

How to differentiate invasive mole with CC?

seen villous pattern, is CC

with lung metastasis, is CC

followed by mole, is CC

followed by normal labor or abortion, is CC

none of them

Which is the most possible reason resulted in urinary fistula?

obstetrical injury

B. C. D. E. 26.

trauma caused by gynecological operation

because of radiotherapy

bladder disease

none of them

With cervix and corpus of uterus emerging out of vaginal os

totally, it belongs to which degree of uterine prolapse?

A. B. C. D. E. 27. A. B.

ovulation

I minor degree

I heavy degree

II minor degree

II heavy degree

III degree

About ovary, which of the following is false?

only one ovarian follicle maturate during every menses cycle

corpus luteum secretes estrogen and progesterone after

C. D.

if ovum isn ' t fertilized, corpus luteum regresses to corlpuisans.

the amount of ovarian follicles in ovary is determined by

newborn phase in human

E.

the endocrine regulation of ovulation is emergence of peak of

blood LH/FSH before ovulation.

28.

if menstrual period is 32 days, during menstrual cycle the time

of ovulation occurs at about

A. B.

ninth day

fourteenth day

C. D. E. 29.

sixteenth day

eighteenth day

twenty-second day

which of the following isn ' t

true about the change of hormone in normal menstrual cycle?

A. B. C.

estrogen has two peaks during menstrual cycle

the amount of progesterone begins to increase after ovulation

large quantities of progesterone inhibit hypothalamus to secrete

FSH-RH and LH-RH

D. E. 30.

therapy?

large quantities of progesterone inhibit LH-RH

the peak ' s emergence of LH/FSH is befor^adtkon

which of the ovarian tumors is the most sensitive to radiation

A. B. C. D. E.

二、

teratoma

serous cystadenocarcinoma

dysgeminoma

mucinous csytadenocarcinoma

Brenner tumor

填空(每个0.5分，共10分)

1. 2.

oral drugs of artificial aboriton are (

未找到目录项。

The common ) and ( ).

三、 名词解释(每个 4分，共20分)

1. 2. 3. 4. 5.

四、

Perimenopause

prolapse of uterus

GTD

squamo-columnar junction

in labor

简答题（每个 5分，共20分）

1.

What are estrogen and progesterone physiological functions to

uterus、fallopian tube and breast?

2. 3. 4.

Describe placental functions.

How to diagnose early heart failure during pregnancy?

Please distinguish squamous epithelization from squamous

mataplasia of cervical epithelium.

五、 病案讨论（每个 10分，共20

1.

A 36-year-old woman G1 has had an unremarkable antepartum

course since her first prenatal visit at 8 weeks. At the start of her thirty-second weeks, she complains of swollen hands and feet and \" putty eyes ” , which have been getting worse during 2 weeks. She feels headache 2 days ago. Her blood pressure is 150/110 mmHg whose usual blood pressure of 120/70mmHg. Her dipstick urinary protein is 2+. She reports daily fetal movements have not changed.

Questions:

A. B. C.

What is your initial diagnosis?

What do your procedures of management include?

When will you terminate the pregnancy?

2. A 39-year-old woman, gravida 2,para 1,complains of severe

menstruation bleeding and prolonged duration for about 1year,in late 2 months, along with dizziness and fatigue. Pelvic examination demonstrates a hard , diffusely enlarged as 12 gestational week uterus, but without other abnormal findings. And laboratory investigation shows HB is 60g/L.

Questions:

A. Please write down the most probable diagnosis of this patient. B. What else diseases should to be distinguished with your diagnosis? C. What kind of other investigations should be done to help you

make the definite diagnosis.

D. How to treat?