i figured this would save you and me some time... i'll use another post for answers. try to do the whole block, then check answers and see your %. don't be bashful, tell us how you are doing (in %).



Question 41 A 35 year old female has chronic salpingitis resulting in fibrous adhesions of the fimbriated end of the fallopian tube. She now presents with a ruptured tubal ectopic pregnancy. This is most consistent with a previous history of:
A Unilateral salpingo-oopherectomy
B Adenomyosis
C Gonorrhea
D Molar pregnancy
E Human papillomavirus infection
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 42 A 46 year old female has irregular menometrorrhagia for the last two months. Pelvic examination reveals a normal-sized uterus and a normal-appearing cervix. A Pap smear reveals no abnormal cells. An endometrial biopsy is performed and shows a fragment of a polypoid mass covered by columnar cells and containing cystically dilated endometrial glands. Which of the following lesions best accounts for these findings:
A Adenomatous hyperplasia
B Endometritis
C Adenocarcinoma
D Endometrial polyp
E Adenomyosis
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 43 A 30-year-old short, infertile female, who has never undergone menarche, has small, elongated ovaries containing no follicles or corpora albicantia. She has a broad, shield-like chest, poor breast development, and short fourth metacarpals. She has a loud pansystolic heart murmur. Pulses are stronger in her upper extremities than her lower extremities. The most likely diagnosis is:
A Sheehan's syndrome (postpartum pituitary necrosis)
B Prolonged contraceptive use
C Polycystic ovaries (Stein-Leventhal syndrome)
D Pituitary adenoma secreting prolactin
E Monosomy X (Turner's syndrome)
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 44 A 61 year old female has had increasing nausea and vomiting for several months accompanied by a 10 kg weight loss. An upper endoscopy reveals a 3 x 5 cm mass located on the lesser curvature of the stomach. Which of the following ovarian neoplasms is most likely to be present:
A Krukenberg tumor
B Endometrioid carcinoma
C Serous cystadenocarcinoma
D Clear cell carcinoma
E Mucinous cystadenocarcinoma
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 45 A 29 year old female describes mild discomfort with sexual intercourse for the past month. A pelvic examination reveals no vaginal discharge, and the cervix appears normal. However, there is a small, slightly tender 2 cm mass in the lateral wall of the vagina. The excised mass is cystic, fluid-filled, and lined by a cuboidal epithelium. This lesion most likely represents a(an):
A Metastatic adenocarcinoma
B Complication of gonorrhea
C Persistent embryologic remnant
D Result of diethylstilbesterol exposure
E Complication of oral contraceptive use
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 46 A 27 year old woman has noted intermenstrual spotting in the past month. She has a history of vaginal yeast infections in the past, but does not currently have a vaginal discharge. She is nulliparous and is currently taking oral contraceptives. A pelvic examination reveals a 1 cm polypoid mass protruding from the endocervical canal. The uterus is normal in size and no adnexal masses are palpable. A biopsy of the mass reveals microglandular endocervical hyperplasia. A Pap smear shows no evidence for dysplasia. Which of the following risk factors is most likely to have led to development of the endocervical mass:
A Oral contraceptive use
B Candidiasis
C Douching
D Human papillomavirus infection
E Spontaneous abortion
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 47 A 31 year old female banking executive is hampered by episodes of pelvic pain that always seem to occur when there is an important committee meeting. Following an extensive workup, she is taken to surgery at which time are found groups of reddish blue to brownish 1 to 5 mm nodules scattered on the surface of the uterus, fallopian tubes, and bladder serosa. The most likely diagnosis is:
A Pelvic inflammatory disease from Neisseria gonorrheae
B Asherman's syndrome
C Choriocarcinoma with metastases
D Serous cystadenocarcinoma
E Endometriosis
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Questions 48 and 49: Click on the checkbox first, then the lettered item: (48) Poorly developed "streak" ovaries are present in a short 35-year-old female. Her karyotype is probably:
(49) A 29 year old female is in the 16th week of her pregnancy when an ultrasound examination reveals that a small for gestational age fetus is present along with a partial hydatidiform mole. The fetal karyotype is probably:
A 46, XX
B 46, XY
C 45, X
D 47, XXY
E 69, XXY
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Questions 50 and 51: Click on the checkbox first, then the lettered item: (50) A 64 year old female undergoes hysterectomy for a 7 cm myometrial mass. This neoplasm has a soft, reddish tan cut surface. It is composed of spindle cells microscopically. The most likely diagnosis is:
(51) A surgeon obtains tissue samples from the vagina of a 5 year old girl to determine if there is recurrent tumor following surgery and chemotherapy of a 3 cm vaginal mass lesion that presented with bleeding several months before. The child is normally developed. What neoplasm will most likely be found in the tissue samples:
A Leiomyosarcoma
B Adenosarcoma
C Malignant mixed mullerian tumor
D Malignant teratoma
E Sarcoma botryoides
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Questions 52 and 53: Click on the checkbox first, then the lettered item: (52) Several foci of endometrial glands and stroma are seen on biopsies of lesions ranging in size from 0.1 to 0.5 cm seen laparoscopically on the uterine serosa of a 30 year old woman with a history of dyspareunia for several years, but no vaginal bleeding. The uterus and adnexae are normal in size:
(53) An enlarged, nodular uterus is felt on bimanual examination of a 40-year-old who has had metrorrhagia for the past six months. The cervix appears normal:
A Adenomyosis
B Endometriosis
C Endocervical polyp
D Leiomyomata
E Endometritis
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Questions 54 and 55: Click on the checkbox first, then the lettered item: (54) The % of liveborns resulting from pregnancies complicated by choriocarcinoma:
(55) The % of women with recognized pregnancies who will have a spontaneous abortion:
A None
B 5%
C 15%
D 75%
E greater than 95%
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Questions 56 and 57: Click on the checkbox first, then the lettered item: (54) A 3-year-old child has a bulky, polypoid mass protruding from the vagina.
(55) A 53-year-old female has a bulky, polypoid uterine mass protruding from the vagina.
A Malignant teratoma
B Clear cell carcinoma
C Sarcoma botryoides
D Malignant mixed mesodermal tumor
E Endometrial carcinoma
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 58 and 59: Click on the checkbox first, then the lettered item: (58) A 40-year-old female had a thyroidectomy for follicular carcinoma. Despite not taking thyroid hormone replacement medication, she did not become hypothyroid.
(59) Rupture of this lesion can produce a condition known as pseudomyxoma peritonei.
A Choriocarcinoma
B Brenner tumor
C Mucinous cystadenoma
D Serous cystadenocarcinoma
E Struma ovarii
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 60 Four liters of soft tan grape-like tissue are evacuated via D & C from a 31 year old female in the second trimester of pregnancy. She had been noted to be large for dates. No fetus was present grossly or by ultrasound. Cytogenetic analysis of this tissue is most likely to show:
A 47, XXY
B 69, XXY
C 46, XX
D 47, XY, +18
E 23 X
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 61 A 46 year old female has had irregular menses for several months. Pelvic examination is normal, and an abdominal ultrasound reveals no mass lesions. The uterus appears normal in size. An endometrial biopsy is performed and demonstrates a proliferative pattern. The most likely diagnosis is:
A Anovulatory cycles
B Asherman's syndrome
C Adenomyosis
D Ectopic pregnancy
E Gonorrheal infection
NEXT QUESTION - - INDEX OF QUESTIONS - - EXAM MENU
Question 62 Postmenopausal bleeding has been present for a couple of months, and a 59 year old female sees her physician. He refers her to a gynecologist, who performs an endometrial biopsy that reveals atypical adenomatous hyperplasia. This lesion most likely results from:
A Unopposed estrogenic stimulation
B Human papillomavirus infection
C Long term oral contraceptive use
D Chronic endometritis
E Pelvic inflammatory disease
FIRST QUESTION - - INDEX OF QUESTIONS - - EXAM MENU