chapter 2 anatomy of the female reproductive system
blood vessels and pelvis of the female reproductive system随堂测验
1、where does the uterine artery originate: a、abdominal aorta b、the anterior trunk of internal iliac artery c、external iliac artery d、renal artery
internal and external genitalia随堂测验
1、uterine ligaments that fix the uterus include: a、pelvic funnel ligament b、round ligament c、main ligament d、broad ligament and sacral ligament
chapter 3 physiology of female reproductive system
menstruation and endometrium随堂测验
1、the endometrial proliferation period is of the menstrual cycle a、d5-14 b、d15-28 c、d8-12 d、d21-28
ovarian function and periodic changes随堂测验
1、the effects of estrogen are: a、reduces uterine muscle excitability and reduces sensitivity to oxytocin b、the cervix is closed the secretion of cervical mucus is reduced and the traits become thick c、suppresses the amplitude of rhythmic contractions d、endometrial glands and interstitial hyperplasia and repair
weekly test of anatomy and physiology of the female reproductive system
1、where does the uterine artery originate: a、the anterior trunk of the internal iliac artery b、external iliac artery c、abdominal aorta d、renal artery
2、the role of estrogen is: a、suppresses the amplitude of rhythmic contractions b、the cervix is closed the secretion of cervical mucus is reduced and the traits become thick c、endometrial glands and interstitial hyperplasia and repair d、reduces uterine muscle excitability and reduces sensitivity to oxytocin
3、the endometrial proliferation period is the menstrual cycle: a、d15-28 b、d5-14 c、d8-12 d、d21-28
4、necessary conditions for fertilized egg implantation are: a、pregnant women secrete a sufficient amount of progesterone b、transparent band disappears c、blastocyst and endometrium develop synchronously and function coordinately d、blastocyst trophoblast differentiates into syncytiotrophoblast
5、placenta functions include: a、defense function b、immune function c、substance exchange function d、synthesis function
chapter 4 physiology of pregnancy
fertilized ovum, embryo and fetus随堂测验
1、necessary conditions for implantation of fertilized eggs: a、transparent band disappears b、blastocyst trophoblast differentiates into syncytiotrophoblast c、blastocyst and endometrium develop synchronously and function coordinately d、pregnant women secrete a sufficient amount of progesterone
fetal appendages and pregnant mother随堂测验
1、the functions of the placenta include: a、substance exchange function b、defense function c、synthesis function d、immune function
chapter 5 pregnancy diagnosis
diagnosis of early pregnancy随堂测验
1、which of the following can accurately diagnose early pregnancy: a、frequent micturition b、enlarged uterus and purple-blue congestive cervix c、find out echo of gestational sac in uterus by b-ultrasonography d、u-hcg( )
diagnosis of mid-late pregnancy随堂测验
1、the normal range of fetal heart rate during full-term pregnancy is: a、100-130bmp b、110-160bmp c、120-160bmp d、130-170bmp
fetal attitude随堂测验
1、relationship between the longitudinal axis of fetal and the longitudinal axis of mother is called: a、fetal presentation b、fetal presentation c、fetal attitude d、fetal lie
chapter 6 fetal surveillance and healthcare
fetal surveillance随堂测验
1、female, 25 years old, lmp：april 25, 2018, edc is: a、february 1, 2019 b、january 2, 2019 c、march 2, 2019 d、january 25, 2019
intrauterine fetal condition随堂测验
1、hormones in the urine of pregnant women that are closely related to the function of the fetal placenta are: a、ketone b、progesterone c、testosterone d、estriol
weekly test of pregnancy diagnosis, physiology, and fetal healthcare
1、which of the following can accurately diagnose early pregnancy: a、ultrasound shows pregnancy sac echo in the uterus b、frequent urination c、uterine enlargement and cervical congestion shows purple-blue d、urine pregnancy test( )
2、the normal range of fetal heart rate during full-term pregnancy is: a、110 to 160 times/min b、100 to 130 times/min c、120 to 160 times/min d、130 to 170 times/min
3、relationship between the longitudinal axis of the fetal and the longitudinal axis of the mother is called: a、fetal presentation b、fetal presentation c、fetal attitude d、fetal lie
4、fertilization egg implantation requires: a、simultaneous development and functional coordination of the blastocyst and endometrium b、zonal pellucida disappears c、blastocyst and trophocyte differentiate into syncytiotrophoblast d、pregnant women endocrine sufficient amount of progesterone
5、the function of the placenta includes: a、substance exchange function b、synthetic function c、defense function d、immune function
chapter 7 normal labor
labor mechanism of occiput presentation随堂测验
1、engagement refers to： a、occipital bone enters pelvic inlet plane b、parietal bone enters pelvic inlet plane c、biparietal diameter enters pelvic inlet plane d、biparietal diameter enters the plane of ischial spine
normal labor stage随堂测验
1、the time to start protecting perineum in primipara with occipital presentation is: a、by the time of complete dilatation of uterine orifice b、by the time that fetal head can be seen c、by the time of crowning of head d、by the time posterior labial commissure get tense during the head visible on vulval gapping
factors affecting labor随堂测验
1、the main force during labor is ： a、uterine contraction b、contraction of abdominal muscles c、contraction of diaphragm d、contraction of elevator muscle of anus
chapter 8 normal puerperium
introduction of puerperal infection随堂测验
1、the patient, 25 years old, 10 days after delivery, lower abdominal pain with fever for 3 days. body examination t 39℃, p 98 times/min, r 26 times/min. purulent bloody lochia, has a bad smell. blood routine: wbc: 13 x 109/l, n:0.88. the most likely diagnosis is: a、late puerperal hemorrhage b、puerperal heat stroke c、acute cystitis d、puerperal infection
chapter 9 ectopic pregnancy
cesarean scar pregnancy随堂测验
1、the following statement about the cesarean section scar pregnancy is wrong: a、embryo implantation in the scar of cesarean section incision in the lower uterus belongs to ectopic pregnancy b、early exogenous type can cause uterine rupture or hemorrhage, endogenous type has no risk of major bleeding c、the main method of diagnosis is b-ultrasound d、for early pregnancy, if there is no abdominal pain, vaginal bleeding is not much, and the pregnancy mass is not ruptured, drug treatment can be selected
cause and pathology of tubal pregnancy随堂测验
1、the main distinguishing points of fallopian tube pregnancy and appendicitis are： a、menopause b、right lower abdominal pain c、leukopenia d、blood hcg test
diagnosis and treatment of tubal pregnancy随堂测验
1、the following statement about ectopic pregnancy is wrong： a、ectopic pregnancy means that the fertilized egg is implanted outside the uterus b、the most common implantation site of ectopic pregnancy is the fallopian tube c、fallopian tube pregnancy is most common in the ampulla d、the most common cause of tubal pregnancy is tubal inflammation
chapter 9 ectopic pregnancy
1、the following statement about the pregnancy at the cesarean scar site is wrong a、embryo implantation in the scar of cesarean section incision in the lower uterus belongs to ectopic pregnancy b、the main method of diagnosis is b-ultrasound c、early exogenous type can cause uterine rupture or hemorrhage, endogenous type has no risk d、for early pregnancy, if there is no abdominal pain, vaginal bleeding is not much, and the pregnancy mass is not ruptured, drug treatment can be selected
2、the main points of identification of tubal pregnancy and appendicitis are a、leukopenia b、serum hcg c、menopause d、right lower abdominal pain
3、the following statements about ectopic pregnancy are wrong a、the most common cause of tubal pregnancy is inflammation of the fallopian tubes b、tubal pregnancy abortion is the most common result of fallopian tube ampulla pregnancy c、a tubal pregnancy is most common in the ampulla d、ectopic pregnancy means that the fertilized egg is implanted outside the uterus
4、fetal head engagement refers to a、biparietal diameter enters the pelvic entrance plane b、biparietal diameter reaches the plane of ischial spine c、occipital bone enters the pelvic entrance plane d、parietal bone enters the pelvic entrance plane
5、the main productive force in childbirth is a、uterine contractility b、diaphragm contractility c、levator ani muscle contractility d、abdominal muscle contractility
1、what is the basic pathological change of hypertensive disorders complicating pregnancy? a、dic b、spasm of systemic small arteries c、high blood concentration d、severe retention of water and sodium
1、primipara, 29 years old, 37 weeks gestation. headache for 1 week, a projectile vomiting this morning, 1 hour ago suddenly convulsed and was hospitalized with coma.physical examination: bp 180/120mmhg.urine protein ( ).the most likely diagnosis for this patient is: a、eclampsia b、cerebral hemorrhage c、hysteria d、epilepsy
1、new pregnant, 24 years old.gestation 38 weeks, conscious headache, unclear 4 days, the following conditions is less related with the disease severity: a、blood pressure level b、edema degree c、fundus examination d、subjective symptoms
1、female, 27 years old.38 weeks gestation, accompanied by headache, dizziness, blurred vision 1 day.physical examination: bp180/110mmhg, urinary protein ( ), edema ( ), fetal heart 140 times/min.the endocervical canal did not disappear.nst is nonreactive.the most correct treatment: a、intravenous drip of magnesium sulfate and continue to pregnancy b、antihypertensiion and diuresis c、active treatment for one week then termination pregnancy d、cesarean section was performed at the same time as treatment
1、risk factors for preeclampsia do not include: a、age>40 b、diabetes c、history of preclampsia d、placenta previa
hellp syndrome随堂测验
1、which of the following is false about hellp syndrome : a、hemolysis b、elevated liver enzyme c、decreased platelet d、often coexisting with idiopathic thrombocytopenic purpura
chapter 11 late pregnancy hemorrhage
clinical manifestations, diagnosis and influence of placenta previa随堂测验
1、the characteristics of vaginal bleeding in placenta previa are： a、painful vaginal bleeding b、vaginal bleeding stops during contractions c、the amount of vaginal bleeding is not directly proportional to the degree of anemia d、painless vaginal bleeding
clinical manifestations, examination and complications of placental abruption随堂测验
1、which of the clinical manifestation of degree iii placental abruption is correct: a、soft abdomen b、palpation of fetal position is clear c、normal auscultation of fetal heart d、the degree of shock is not proportional to the amount of vaginal bleeding
weekly test of hypertensive disorders complicating pregnancy and late pregnancy hemorrhage
1、basic pathological changes of hypertensive disorder complicating pregnancy: a、severe water and sodium retention b、systemic arteriole spasm c、dic d、high concentration of blood
2、the most common causes of premature birth are: a、severe preeclampsia b、infection of the lower genital tract c、the incompetence of cervical internal opening d、premature rupture of fetal membranes
3、the vaginal bleeding during placenta previa is characterized by a、painful vaginal bleeding b、vaginal bleeding volume is not proportional to the degree of anemia c、vaginal bleeding stops during contractions d、painless vaginal bleeding
4、the clinical manifestation of degree iii placental abruption is correct: a、normal fetal heart when auscultation b、the degree of shock is not proportional to vaginal bleeding volume c、palpation of fetal position is clear d、soft abdomen
5、risk factors for preeclampsia do not include: a、history of preeclampsia b、age of pregnant women ≥40 c、diabetes mellitus d、placenta praevia
chapter 12 fetal macrosomia and twin pregnancy
twin pregnancy随堂测验
1、which of the following is not a specific complication of twins? a、ttts b、prom c、trap d、siugr
classification of twin pregnancy随堂测验
1、the following description of twin pregnancy is correct: a、twin transfusion syndrome may occur in dichorionic twins b、two gestational sacs can be seen under ultrasound in the early stage of monochorionic twin pregnancy c、t sign under ultrasound indicates dichorionic twins d、placental vascular traffic branch exists in monochorionic twins
twin reverse arterial perfusion syndrome随堂测验
1、which is incorrect about twin to twin transfusion syndrome: a、it is caused by the presence of vascular traffic branches on the surface of the placenta, resulting in an unbalanced blood exchange between the twins b、due to excessive blood volume, the receiving fetus has increased amniotic fluid and subsequent heart failure c、ultrasound doppler indicates that the lack of umbilical artery blood flow or reflux at the end of systole is stage iii of ttts, and the venous catheter reflux and pulsation of umbilical vein blood flow is stage iv of ttts d、fetoscope laser treatment will cause premature rupture of membranes in about 30% of treated cases
twin to twin transfusion syndrome随堂测验
1、which is correct statements about twin complications: a、ttts is characterized by missing, residual or non-functioning heart in one of the twins b、donor of ttts will have congestive heart failure, ascites, pleural effusion, amniotic fluid, skin edema, etc c、trap is a serious complication of twin dichorionic twins d、fetal reduction by radiofrequency ablation can treat twin reverse arterial perfusion syndrome and severe twin to twin transfusion syndrome
chapter 13 fetal distress
clinical manifestation and management of fetal distress随堂测验
1、which of the following is not a clinical manifestation of acute fetal distress ： a、acidosis b、abnormal fetal movement c、amniotic fluid meconium contamination d、pathological constriction ring
definition and etiology of fetal distress随堂测验
1、which of the following is not a cause of fetal distress: a、abnormality of umbilical cord b、placenta previa c、maternal severe blood circulation disorder d、anaphylaxis
weekly test of twin pregnancy and fetal distress
1、the following description of twin pregnancy is correct: a、two gestational sacs can be seen under ultrasound in the early pregnancy of single chorionic twins b、a twin from a fertilized egg is a single chorionic twin c、twin transfusion syndrome may occur in twin chorionic twins d、single chorionic twins have placental vascular transport branches
2、the following statement about twin transfusion syndrome is incorrect a、due to excessive blood volume, the blood-bearing children may have increased amniotic fluid and heart failure b、the main treatment method of stage iii is to perform fetal mirror laser treatment c、it is caused by the imbalance of blood exchange between twins due to the presence of vascular communicating branches on the surface of placenta d、doppler ultrasound showed that the absence or reflux of umbilical artery at the end of systole was the iii stage of twin transfusion syndrome, while the reflux of venous catheter and the pulsation of umbilical vein were the iv stage of twin transfusion syndrome
3、the correct statement about twin comorbidities is: a、trap is a serious complication of twin chorionic twins b、ttts is characterized by the absence, residual or non-function of the heart in one of the twins c、radiofrequency ablation reduction can treat twin reverse artery perfusion syndrome and severe twin transfusion syndrome d、in trap, the fetus supplies blood to another fetus through an artery vein anastomotic branch on the surface of placenta in a reverse contradictory way
4、which of the following is not a clinical manifestation of acute fetal distress a、amniotic fluid meconium contamination b、abnormal fetal heart rate at birth c、acidosis d、pathological constriction ring
5、which of the following is not a cause of premature rupture of membranes a、dic b、reproductive tract infections c、nutritional factors d、increased amniotic pressure
chapter 14 labor force abnormalities
key points for diagnosis of abnormal labor随堂测验
1、the diagnosis of prolonged latent phase is: a、from regular contractions to 75px of cervical dilation>8h b、from regular contractions to 75px of cervical dilation>16h c、from regular contractions to fully cervical dilation>8h d、from regular contractions to fully cervical dilation>16
uterine inertia随堂测验
1、primipara,delivery of full-term live baby assisted with vacuum extractor and episiotomy ,intact placenta and embryonic membrane the amount of vaginal bleeding is 500ml within 4 hours after delivery physical examination:bp 90/60 mmhg, p 100bpm,fundus of uterus is 3 transverse fingers above umbilicus with clear outline,a small amount of active bleeding in the vaginal orifice which is coagulable the most likely cause of bleeding is a、uterine atony b、injury of soft birth canal c、residue placenta d、coagulation disorders
2、what are the characteristics of uterine contractility a、rhythmicity b、symmetry c、polarity d、retraction
uterine overcontraction (incoordinated)随堂测验
1、which of the following is not consistent with threatened uterine rupture? a、found the hematuresis b、pathological retraction ring was found c、tenderness in the lower uterine segment d、the descending fetal presentation rose up, the cervical orifice retracted
uterine overcontraction (coordinated)随堂测验
1、when threatened uterine rupture happens, what should be done immediately? a、inhalation of oxygen b、fluid infusion c、cesarean section d、inhibit contractions, immediate cesarean sectio
2、which of the following is not consistent with the symptoms of threatened uterine rupture: a、hematuresis b、pathologic retraction ring c、obvious tenderness in the lower uterine segment d、the descending fetal presentation rises and the cervix retracts
chapter 15 birth canal abnormalities
birth canal abnormalities随堂测验
1、the transverse diameter of outlet is less than 200px, which diameter line should be further measured： a、sacroiliac internal diameter b、anterior sagittal diameter of the pelvic outlet c、posterior sagittal diameter of outlet d、intertuberal diameter
bony birth canal abnormalities i随堂测验
1、which of the following is correct in the diagnosis of contracted pelvis： a、the fetal head is below the anterior surface of the symphysis pubis. this is negative cross pubis sign. this is the sign of . contracted pelvic inlet. b、contracted pelvic inlet is the cause of persistent occiput transverse position c、transverse of outlet posterior sagittal diameter of outlet < 375px. patient can try natural delivery. d、if the height is less than 150cm, and the fetal position is abnormal, the dangling abdomen in the late pregnancy, the pelvic abnormal should be paid attention to.
bony birth canal abnormalities ii随堂测验
1、the patient is a 28-year-old female. 38 weeks of pregnancy, regular contractions at 9 am and was admitted to hospital. middle labor force, 35 seconds, interval of 3 ~ 4 minutesthe cervical relaxation was one finger at 19 o‘clock, fetal presentation s-1.5, given oxytocin 2.5 units to strengthen the contractions to moderate intensity, 40 seconds, interval of 2 ~ 3 minutes, the maternal general condition is good, 3 hours after cervical orifice open 4cm, fetal presentation s-1, how to deal with： a、artificial rupture of the membrane after vaginal examination excluded abnormal bone birth canal b、cesarean section c、increase the infusion of oxytocin d、pethidine (demerol) 100mg intramuscular injection for rest
soft birth canal abnormalities随堂测验
1、abnormal soft birth canal include: a、abnormalities in the vagina, cervix and uterus b、pelvic tumors c、urinary and fecal retention d、all the above
weekly test of labor force abnormalities and birth canal abnormalities
1、the transverse diameter of the pelvic outlet is less than 8cm, which diameter line should be further measured？ a、internal conjugate b、anterior sagittal diameter of the pelvic outlet c、posterior sagittal diameter of the pelvic outlet d、intertuberal diameter
2、which of the following is correct in the diagnosis of bony birth canal stenosis？ a、transverse outlet posterior sagittal diameter less than 375px can be try natural delivery b、if the height is less than 150cm, the dangling abdomen in the late pregnancy, and the fetal position is abnormal, the abnormal pelvis should be paid attention to c、contracted pelvic inlet is the cause of persistent occipital transverse position d、fetal head below the plane of the symphysis pubis is negative for the cross pubis sign, indicating pelvic inlet stenosis
3、primary parturient, after fetal head aspirator and episiotomy, delivered full-term live baby, placental membrane was intact. vaginal bleeding was about 500ml 4 hours postpartum. check: bp 90/60mmhg, pulse 100 times/min, 3 uterine fundus is 3 horizontal fingers above umbilicus, clear boundary, a small amount of active vaginal bleeding, can be solidified. the most likely causes of bleeding are: a、soft birth canal injury b、the placenta residue c、coagulation disorders d、uterine inertia
4、in case of threatened uterine rupture, what should be done immediately? a、fluid infusion b、inhibit contractions, immediate cesarean section c、cesarean section d、oxygen uptake
5、25 years old, 39 weeks of gestation, paroxysmal abdominal pain for 20 hours, contract every 10-12 minutes, lasting 30 seconds, the cervical orifice open 2cm. the processing principle is: a、intravenous infusion of ergometrine b、artificial rupture c、intramuscular injection of pethidine d、i.v. oxytocin
1、which pelvic type is most prone to persistent occiput posterior position and persistent occiput transverse position a、transversely contracted pelvis and funnel shaped pelvis b、simple flat pelvis and transversely contracted pelvis c、funnel shaped pelvis and simple flat pelvis d、simple flat pelvis and generally contracted pelvis
breech presentation i随堂测验
1、which factor is not related to the breech presentation remains before delivery: a、uterine malformation b、small intrauterine space c、placenta previa d、small myoma
2、a 26-year-old woman with 38 weeks’ pregnancy, complaints of lumps under ribs. abdominal examination: the uterus is longitudinally elliptical, the fetal presentation of the fetus is soft and irregular, and the fetal heart is on the left side of the umbilicus. in this case, the diagnosis should be: a、occiput presentation b、breech presentation c、face presentation d、shoulder presentation
breech presentation ii随堂测验
1、a 37-week gestation patient was lying in a pool of blood when she woke up in the morning and was admitted to the emergency department. her blood pressure was 12.0 / 8.0 kpa (90/60 mmhg), and her pulse was 120 beats / min. the uterine is 925px in height, breech presentation and the fetal presentation is high. the fetal heart sounds are 160 times per minute. which treatment is the most appropriate : a、artificial membrane rupture b、expectation therapy c、cesarean section at the same time of blood transfusion d、traction of breech presentation
chapter 17 abnormal puerperium
postpartum hemorrhage随堂测验
1、which of the following is not the cause of postpartum hemorrhage： a、uterine inertia b、placental factors c、soft birth canal laceration d、multiple pregnancy
chapter 18 cervical carcinoma
introduction, pathogenic factors and histological characteristics of cin随堂测验
1、the most common pathological type of cervical cancer is a、adenocarcinoma b、squamous cell carcinoma c、adenosquamous carcinoma d、signet ring cell carcinoma
grading, clinical manifestation, diagnosis and treatment of cin随堂测验
1、which of the following is not a common diagnosis method for cervical cancer a、colposcopy b、cervical cytology screening c、cervical cytology biopsy d、hysteroscopy
histogenesis, pathology, metastasis, clinical manifestations, diagnosis, management, follow-up and prevention of cervical carcinoma随堂测验
1、which virus is closely related to the onset of cervical lesions a、hpv b、hiv c、hbv d、hav
weekly test of cervical carcinoma
1、which of the following does pelvic inflammatory disease not include a、an abscess around the appendix b、salpingitis c、pelvic peritonitis d、fallopian tube ovarian abscess
2、what is the minimum diagnostic criteria for pelvic inflammatory disease? a、uterine tenderness b、vaginal purulent leucorrhea c、bilateral adnexal tenderness d、cervical lifting pain
3、the most common pathological types of cervical cancer are: a、signet ring cell carcinoma b、adenosquamous carcinoma c、adenocarcinoma d、squamous cell carcinoma
4、which of the following is not a common diagnostic method for cervical cancer: a、hysteroscope b、cervical tissue biopsy c、cervical cytology screening d、colposcopy
5、which virus is closely related to the onset of cervical lesions? a、hpv b、hiv c、hev d、hbv
chapter 19 uterine tumor
introduction of uterine myoma随堂测验
1、the clinical manifestations of uterine fibroids are most related to which of the following factors: a、the size of the uterus b、the number of myomas c、the growth site of myomas d、duration of illness
diagnosis of uterine myoma随堂测验
1、the common pathological type of uterine fibroids degeneration does not include which of the following options: a、cystic degeneration b、lipoid degeneration c、hyaline degeneration d、red degeneration
treatment of uterine myoma随堂测验
1、which of the following is not the indication of uterine fibroids surgery: a、identification of myoma as the only cause of infertility or recurrent abortion b、anemia caused by menorrhagia, invalid drug treatment c、asymptomatic subserous myoma, 3cm in diameter d、a 7cm myoma accompanied by severe abdominal pain
chapter 20 endometriosis and adenomyosis
introduction of endometriosis随堂测验
1、the “gold standard” for diagnosis of endometriosis is： a、progressive dysmenorrhea b、ultrasound shows ovarian cyst c、infertility d、laparoscopy
treatment of endometriosis随堂测验
1、regarding the treatment of endometriosis, which of the following statements is correct： a、the goal of endometriosis treatment is to relieve dysmenorrhea symptoms until menopause. b、for young patients with fertility requirements, assisted pregnancy should be actively performed, and endometriosis lesions do not need to be treated. c、patients under 45 years of age with moderate to severe endometriosis, obvious symptoms and no fertility requirements should undergo total hysterectomy. d、laparoscopic diagnosis, surgical treatment, and adjuvant medical treatment are the gold standard treatments for endometriosis.
adenomyosis随堂测验
1、characteristics of adenomyosis do not include： a、adenomyoma located, with local pseudo-capsule formation，completely excised through operation b、main symptom is progressive dysmenorrhea c、often manifested heavy menstruation、prolonged menstruation， etc d、gynecological examination shows uniformly enlarged uterus or locally prominent, solid and tender
weekly test of uterine myoma and endometriosis
1、the clinical manifestations of uterine fibroids are most related to which of the following factors： a、time limit for illness b、the number of uterine fibroids c、the growth site of uterine fibroids d、uterus size
2、the common pathological types of uterine fibroids degeneration do not include which of the following options： a、cystic degeneration b、red degeneration c、fatty degeneration d、hyaline degeneration
3、which of the following is not an indication for uterine fibroids surgery? a、menorrhagia caused anemia, and medical treatment was ineffective. b、it can be determined that uterine fibroids are the only cause of infertility or repeated abortions. c、the size of the subserosal fibroids is about 3cm without clinical symptoms. d、uterine fibroids are about 7cm in size with obvious abdominal pain.
4、the gold standard for diagnosis of endometriosis is: a、infertility b、ultrasound shows ovarian cyst c、laparoscopy d、progressive dysmenorrhea
5、regarding the treatment of endometriosis, which of the following statements is correct： a、for young patients with fertility requirements, assisted pregnancy should be actively performed, and endometriosis lesions do not need to be treated. b、laparoscopic diagnosis, surgical treatment, and adjuvant medical treatment are the gold standard treatments for endometriosis c、patients under 45 years of age with moderate to severe endometriosis, obvious symptoms and no fertility requirements should undergo total hysterectomy. d、the goal of endometriosis treatment is to relieve dysmenorrhea symptoms until menopause.
chapter 21 injurious diseases of female reproductive organs
pelvic organ prolapse随堂测验
1、which of the following statements of pelvic organ prolapse is wrong? a、the cervix protrudes from the vaginal orifice while the uterus is still in the vagina, diagnosed stage ⅰ b、early clinical manifestation is the tissue prolapse of vaginal orifice c、according to pop-q, the distal indication point of prolapse is 0, diagnosed stage ii d、evaluate the patient's condition before treatment and choose non-surgical treatment as the first choice
chapter 22 ovarian tumor
diagnosis and differential diagnosis of ovarian tumors随堂测验
1、among the following tumor markers, the wrong one is: a、krukenberg tumor-- - cea b、mature teratoma --- ca19-9 c、serous adenocarcinoma --- cea d、yolk sac tumor --- afp
ovarian germ cell tumor—mature teratoma随堂测验
1、which one is wrong about the description of mature teratoma: a、about 10-20% of ovarian tumors b、it can occur at any age, mostly 40-50 years old c、most of them are unilateral, most of them are single ocular, the cavity is full of grease and hair, sometimes teeth or bone can be seen d、"scolex" epithelium is prone to malignant change
surgical treatment of ovarian tumors随堂测验
1、what's wrong with the following description of ovarian cancer? a、the principle of the first treatment is mainly surgery, supplemented by chemotherapy, radiotherapy and other comprehensive treatment b、if ovarian metastasis is confined to pelvic cavity, hysterectomy and double appendectomy are feasible c、feasible tumor cell reduction for advanced epithelial ovarian tumor d、for patients with stage iii or iv who can not achieve satisfactory operation after evaluation, after obtaining definite histologic diagnosis, they can first receive 2-3 courses of neoadjuvant chemotherapy before surgery, which is called comprehensive staged operation
histological classification of ovarian tumors随堂测验
1、which of the following is not a classification of epithelial ovarian tumors? a、serous tumors b、clear cell tumor c、steroid cell tumor d、squamous cell tumor
clinical manifestations and complications of ovarian tumors随堂测验
1、what's wrong with the following description of torsion of the ovarian pedicle? a、sudden pain in one side of the lower abdomen after the change of body position, often accompanied by nausea, vomiting and even shock b、once confirmed, operate as soon as possible. c、tumors with short pedicle, large size, good mobility and one side of the center of gravity tend to occur d、it is a common gynecological acute abdomen. about 10% of ovarian tumors may have torsion of the pedicle
ovarian sex cord stromal tumor随堂测验
1、which of the following is wrong about the comparison between granulosa cell stromal tumor and sertoli cell stromal tumor? a、granulosa cell stromal cell tumor is mainly the increase of estrogen level, while sertoli cell stromal cell tumor is mainly the increase of androgen level b、granulosa cell stromal cell tumors are more likely to occur before and after amenorrhea, and sertoli cell stromal cell tumors are less than 40 years old c、granulosa cell stromal cell tumor will show the decrease of skin collagen, and sertoli cell stromal cell tumor will show masculine signs d、granulosa cell stromal cell tumor patients with endometrial hyperplasia, sertoli cell stromal cell tumor patients without menstruation
epithelial ovarian tumors随堂测验
1、which of the following descriptions of epithelial ovarian tumors does not conform to the characteristics of serous tumors? a、about 25% of benign ovarian tumors b、mostly unilateral, cystic, smooth surface c、there is often papillary growth in the capsule d、cystic fluid is usually clear liquid
weekly test of injurious diseases of female reproductive organs and ovarian tumors
1、the following statement about pelvic organ prolapse is wrong: a、the cervix of the uterus is out of the vagina, and the body of the uterus is still in the vagina, i degree b、evaluate the patient's condition before treatment and choose the non-surgical treatment as the first choice c、the early clinical manifestation is the tissue prolapse of vagina mouth d、according to pop-q index method, the distal indication point of prolapse is 0, which is ii degree
2、the following statements about the symptoms of stress urinary incontinence are correct: a、urine overflow after the operation b、involuntary urination when coughing and sneezing c、involuntary urination when going to the toilet d、there's been an overflow
3、which of the following descriptions of epithelial ovarian tumors does not conform to the characteristics of serous tumors? a、there is often papillary growth in the capsule b、cystic fluid is usually clear liquid c、mostly unilateral, cystic, smooth surface d、about 25% of benign ovarian tumors
4、which of the following is the wrong comparison between granulosa cell stromal tumor and sertoli cell stromal tumor： a、granulosa cell stromal cell tumor will show the decrease of skin collagen, and sertoli cell stromal cell tumor will show masculine signs b、granulosa cell stromal cell tumor is mainly the increase of estrogen level, while sertoli cell stromal cell tumor is mainly the increase of androgen level c、granulosa cell stromal cell tumor patients with endometrial hyperplasia, sertoli cell stromal cell tumor patients without menstruation d、granulosa cell stromal cell tumors are more likely to occur before and after amenorrhea, and sertoli cell stromal cell tumors are less than 40 years old
5、which is wrong about the stage of the primary fallopian tube tumor? a、stage 3: one or both fallopian tube carcinoma with extrapelvic metastasis and / or regional lymph node metastasis, liver parenchyma metastasis is stage 3 b、stage 4: tumor invading one or both fallopian tubes with distant metastasis c、stage 2: one or both fallopian tube cancers with pelvic spread d、stage 1: cancer is confined to the fallopian tube
chapter 24 trophoblastic neoplasia
trophoblastic neoplasia随堂测验
1、the following statement about trophoblastic neoplasm is wrong: a、choriocarcinoma can secondary to full-term pregnancy or ectopic pregnancy b、the main difference between choriocarcinoma and invisive hydatidiform mole is the pathological examination of no villi structure c、the preferred treatment for choriocarcinoma is surgery d、common metastatic sites of choriocarcinoma are lung, vagina, pelvis, liver and brain
hydatidiform mole随堂测验
1、which of the following statement about the hydatidiform mole is wrong: a、once the diagnosis of hydatidiform mole is established, curettage should be done in time b、trophoblastic inclusions can be seen in partial hydatidiform molescopy c、after emptying hydatidiform mole, the serum hcg gradually decreased to normal, no longer than 9 weeks d、follow-up of hydatidiform mole for at least 1 year
weekly test of endometrial carcinoma and trophoblastic neoplasia
1、which of the following statement about gestational trophoblastic neoplasm is wrong: a、choriocarcinoma can secondary to full-term pregnancy or ectopic pregnancy b、common metastatic sites of choriocarcinoma are lung, vagina, pelvis, liver, brain c、the preferred treatment for choriocarcinoma is surgery d、choriocarcinoma and invisive hydatidiform mole are mainly distinguished based on pathological examination of no villi structure
2、which of the following statement about trophoblastic neoplasm in the placenta is wrong: a、most serum hcg assays are positive or slightly elevated b、surgery is the preferred treatment c、originated from intermediate trophoblast cells, clinically rare, and most do not occur metastasis d、no villus structure under the microscope, the marker for enhanced immunohistochemical staining is hpl
3、which of the following is not a high-risk factor for endometrial cancer: a、obesity b、unmarried c、sexual disorder d、diabetes
4、the common and valuable methods for early diagnosis of endometrial cancer are: a、colposcopy b、laparoscopy c、diagnostic curettage d、vaginal exfoliated cell test
5、55 years old, female, the pathological return of diagnostic curettage: endometrial cancer (highly differentiated), imaging examination tips: 25px in the uterine cavity, no cancerous infiltration of the cervical canal, which treatment plan should be preferred: a、progestin therapy b、operation treatment c、radiation therapy d、chemotherapy
chapter 23 endometrial carcinoma
introduction of endometrial carcinoma随堂测验
1、which of the following is not a high risk factor of endometrial cancer? a、obesity b、unmarried and unborn c、diabetes d、disordered sexual life
clinical manifestation, diagnosis and figo staging of endometrial carcinoma随堂测验
1、the commonly used and valuable method for early diagnosis of endometrial cancer is: a、colposcopy b、diagnostic curettage c、examination of exfoliated vaginal cells d、laparoscoy
treatment and prognosis of endometrial carcinoma随堂测验
1、55 years old female, pathological results of diagnostic curettage: endometrial cancer (highly differentiated), imaging examination results: 1cm mass in uterine cavity, no cancerous infiltration of the cervical canal. which treatment plan should be preferred? a、surgical treatment b、radiotherapy c、chemotherapy d、progesterone therapy
final examination
final examination
1、where does the uterine artery comes from: a、external iliac artery b、renal artery c、abdominal aorta d、anterior trunk of internal iliac artery
2、the effect of estrogen include: a、closing the cervix, reducing the secretion of cervical mucus and thickening the properties; b、reducing the excitability of uterine muscles and the sensitivity to oxytocin; c、hyperplasia and repair of endometrial glands and stroma; d、inhibiting the amplitude of rhythmic contraction
3、the proliferative phase of endometrium is menstrual cycle: a、d8 -12 b、d21- 28 c、d15 -28 d、d5-14
4、the triad of primary salpingocarcinoma refers to? a、pelvic mass, peritoneal effusion, overflow hydrosalpinx b、overflow hydrosalpinx, abnormal vaginal drainage and bleeding, abdominal pain c、abnormal vaginal drainage and bleeding, abdominal pain, pelvic mass d、abnormal vaginal drainage and bleeding, abdominal pain, peritoneal effusion
5、which of the following can accurately diagnose early pregnancy: a、frequent urination b、urine pregnancy test ( ). c、ultrasonography shows echo of gestational sac in uterus d、uterine enlargement and cervical congestion colored violet blue
6、the relationship between the longitudinal axis of the fetal body and the longitudinal axis of the maternal body is: a、fetal mode b、fetal presentation c、fetal posture d、fetal orientation
7、the most important labor force is: a、levator ani contraction force. b、uterine contraction force. c、abdominal contraction force. d、diaphragm contraction force
8、patient, female, 25 years old, 10 days postnatal, lower abdominal pain with fever for 3 days, physical examination: t 39 ° c, p 98 / min, r 26 times / min. purulent lochia with stench. blood routine test: wbc: 13x109 / l, n: 0.88. the most likely dianosis is: a、puerperal infection b、puerperal heatstroke c、late postpartum hemorrhage d、acute cystitis
9、which of he following statements about cesarean scar pregnancy is wrong? a、the embryo is implanted in the scar of cesarean section in the lower part of the uterus, which belongs to ectopic pregnancy; b、the main method of diagnosis is b-ultrasound; c、in the early stage of exogenetic type, uterine rupture or massive bleeding can occur, while there is no risk of massive bleeding in endogenetic type; d、for early pregnancy, if there is no abdominal pain and massive vaginal bleeding, and pregnancy mass is not broken, medication treatment can be selected;
10、as for hellp syndrome, which of the following is wrong: a、elevated liver enzyme b、hemolysis occurs c、often coexists with idiopathic thrombocytopenic purpura d、thrombocytopenia
11、the most common cause of preterm birth is: a、relaxation of the cervix b、severe preeclampsia c、lower genital tract infection d、premature rupture of membranes
12、the characteristics of vaginal bleeding in placenta previa are: a、vaginal bleeding stops during uterine contraction; b、painful vaginal bleeding; c、the amount of vaginal bleeding is not directly proportional to the degree of anemia; d、painless vaginal bleeding
13、which of the following description of twin pregnancy is correct: a、dichorionic twins may have twin to twin transfusion syndrome b、two gestational sacs can be seen under ultrasound in the early stage of monochorionic twins pregnancy c、t sign can be seen under ultrasound, indicating dichorionic twins d、placental vascular branches exist in monochorionic twins
14、which of the following is not the cause of fetal distress. a、severe maternal circulatory disorder b、abnormal umbilical cord c、allergic reaction d、placenta previa
15、which of the following statements about screening and diagnosis of gestational diabetes is correct. a、areas lacking of medical resources. first check 75g ogtt at 24-28 weeks of gestation. b、qualified medical institutions should perform fpg at 24-28 weeks of gestation. c、at 24-28 weeks of gestation. if fpg ≥ 5.1mmol/l, gdm can be diagnosed. d、if 4.4 ≤ fpg ≤ 5.1mmol/l, 75g ogtt should not be performed temporarily
16、which of the following types of the pelvis has an ischial interspinous diameter ≥ 10cm a、anthropoid type b、female type c、all small pelvis d、male type
17、which types of the pelvis are prone to persistent occipital posterior and occipital transverse position: a、flat pelvis and anthropoid type b、male type and flat pelvis c、flat pelvis and generally contracted pelvis d、anthropoid type and male type
18、which of the following is not the cause of uterine rupture a、twin or multiple pregnancy b、scarred uterus c、obstructive dystocia d、improper use of uterine contraction drugs
19、which of the following is not the cause of postpartum hemorrhage a、placental factor b、uterine atony (about 90%) c、laceration of soft birth canal d、multiple pregnancy
20、which does not belong to the lowest diagnostic standard of pelvic inflammatory pain disease? a、cervical lifting pain b、double attachment tenderness c、vaginal purulent leucorrhea d、uterine tenderness
21、the most common pathological type of cervical cancer is: a、adenosquamous carcinoma b、squamous carcinoma c、adenocarcinoma d、signet ring cell carcinoma
22、which does not belong to the common pathological types of hysteromyoma degeneration: a、cystic degeneration b、hyaline degeneration c、lipoid degeneration d、red degeneration
23、the characteristics of uterine adenomyosis do not include: a、menstrual changes such as increased menstrual volume and prolonged menstrual period b、the main symptoms are progressive aggravation of dysmenorrhea c、the lesion of adenomyoma is limited and local pseudocapsule is formed, which can be completely resected by operation d、the physical examination shows that the uterus is evenly enlarged or has local swelling, hard and tenderness
24、the patient, female, underwent a transvaginal hysterectomy due to "hysteromyoma". indwelling catheterization was performed after an operation and was removed 24 hours later. the patient claimed vaginal discharge. which of the following statement is wrong: a、re-operation 3 months later b、methylene blue test could be performed for further diagnosis c、the possible diagnosis was urinary fistula d、immediate surgical repair should be performed
25、which of the following is not a classification of epithelial ovarian tumors? a、clear cell tumor b、squamous cell tumor c、serous tumor d、steroid cell tumor
26、the commonly used and effective methods for early diagnosis of endometrial cancer are: a、flushing cell examination of uterine cavity b、diagnostic curettage c、colposcopy d、vaginal exfoliated cell examination
27、which of the following statement about hydatidiform mole is wrong: a、the serum hcg gradually drops to normal after the removal of hydatidiform mole and evacuation. the longest time is no more than 9 weeks. b、in partial hydatidiform mole, the trophoblast inclusion body can be seen under microscope. c、the follow-up of hydatidiform mole is at least 1 year after complete curettage of the uterine cavity. d、once the diagnosis of hydatidiform mole is established, should perform complete curettage of the uterine cavity in time
28、female, 28 years old. not pregnant for 5 years after marriage, sparse menstruation, obese and hairy. gynecological examination: no abnormality is found in the uterus, bilateral ovaries are slightly larger. one -way basal body temperature. the most likely diagnosis of this patient is ： a、genital tuberculosis b、premature ovarian failure c、polycystic ovarian syndrome d、endometriosis
29、which of the following iuds insertion time is correct: a、half year after cesarean section b、iud containing progesterone is placed within 3-7 days after menstruation c、artificial abortion is placed after menstruation recovery d、it can be placed at any time during lactation
30、the role of estrogen is: a、suppresses the amplitude of rhythmic contractions b、the cervix is closed the secretion of cervical mucus is reduced and the traits become thick c、endometrial glands and interstitial hyperplasia and repair d、reduces uterine muscle excitability and reduces sensitivity to oxytocin