Q1_A 24-year-old woman is complaining of failure to conceive over the last 16 months despite regular intercostal She has infrequent menstruation occurring once every 6 to 8 weeks, with increased facial hair and acne. On ultrasound, her ovaries had multiple small follicles each is 2-5 mm in diameter on the surface. Body mass index 37 kg/m2 Which of the following is the most likely diagnosis?
A. Polycystic ovarian syndrome
B. Adrenocortical tumor
C. Hypothyroidism
D- Premature ovarian failure
Q2- A 25-year-old woman complains of velvety, hyper-pigmented plaques on her neck and axillae She fails to conceive over the last 2 years despite regular intercourse. Her menses are irregular and occurring once every 6 to 8 weeks. She starts recently to experience increased facial hairs. What is the appropriate term of her skin hyperpigmentation?
A. Acanthosis nigricans
B. Melanoma
C- Linea nigra
D. Stria
Q3- A 25-year woman complains of velvety, Hyperpigmentation plaques on herneck and under arm. She fails to conceive over the last 2 years despite regular intercourse. Her menses are infrequent and occurring once every 6 to 8 weeks. She notices recently increased facial hair. Her husband is healthy with a normal seminal analysis. Which of the following is the most likely diagnosis?
A. Diabetes mellitus
B. Internal malignancy
C. Polycystic ovarian syndrome
D Systemic lupus erythematous
Q4- 20 Female with hair loss for 6 months, extensive facial and back acne. BMI IS 33 KG/M2, thinning hair at the forehead with a receding hairline, the thyroid is non-enlarged, abdomen is obese with no masses. urine pregnancy test is negative, serum prolactin, thyroid function test are normal, which additional test is indicted in this patient
A- oral glucose tolerance test
B-BRACA MUTATION TESTING
C- diagnostic laporoscopy
D- iron studies
Q5- A 20-year-old woman presented to the Maternal Health Clinic with severe facial acne and irregular menstrual bleeding. Examination shows fine hair growth on the chin, upper back. breasts and lower abdomen. A pregnancy test is returned negative. She returns to the clinic on the 5th day of her menstrual cycle and has a serum sample drawn for analysis (see lab results). Test Result Normal Values Follicle-stimulating hormone 10 5-20 IU/L Luteinizing hormone 28 5-22 U/L Prolactin 890 < 870 pmol/L Testosterone 3.2 0.7-2.8 mol/L Which additional laboratory values should be obtained
A. Thyroid stimulating hormone and free T3 and T4
B. Progesterone and thyroid stimulating hormone
C. Dehydroepiandrosterone and androstenolone
D. Glucose tolerance and lipid profile
Q6- she complain of infertility, obese , irregular menses with acne and hirsutism and ultrasound show multiple small cyst on the peripheries of the ovaries whats diagnosis
A-Stein leventhal syndrome
B) gynecomastia
C-)Kallmann syndromes
Q7- Patient with polycystic ovary syndrome Regarding investigations what you expect
A- High TSH > Hypothyroidism
B-FSH to LH ratio 1:3
C. Low testosterone
D. Decrease androgen activity
Q8-A30-year-old woman presents to the Maternal Health Clinic with the inability to conceive despite trying for the past 18 months. Patient menstrual cycles were regular until 2 years ago, and since then she has had irregular vaginal bleeding there is hair covering the upper lipand chin. peivic examination confirms bilaterally enlarged ovaries DHEA and 17-OH progesterone values are normal Body mass index 30 kg/m2 Which of the following laboratory values is most likely finding
A. Normal testosterone levels
B. Decreased free androgen index
C. Increased thyroid hormones
D. Follicie Stimulating Hormone to Leutenizing Hormone ratio of 1:3
Q9- she complain of infertility, obese , irregular menses with acne and hirsutism and ultrasound show multiple small cyst on the peripheries of the ovaries whats diagnosis
A-Stein leventhal syndrome
B) gynecomastia
C-)Kallmann syndromes
Q10- A 33-year-old woman, known case of polycystic ovarian syndrome (PCOs), presents with oligomenorrhea and severe hirsutism. Which of the following is the best biochemical test for hirsutism
A. Testosterone
B- 17 Hydroxyprogesterone
C Adrenocorticotropin (ACTH)
D Sex steroid binding globulin
Q11- 24-year-old woman is complaining of failure to conceive over the last 16 months despite regular intercourse. She has infrequent menstruation occurring once every 6 to 8 weeks along with increased facial hair and acne On ultrasound, her ovaries had multiple small follicles each is 2-5 mm on the surface. She indicated that her main aim is getting pregnant. Body mass index 37 kg/m2 the initial step in management
A. Weight reduction, danazol and metformin
B. Weight reduction, metformin and clomiphene citrate
C. Weight reduction, in vitro fertilization and salicylic acid
D. Weight reduction, laparoscopic ovarian wedge resection and metformin
Q12- polycystic ovary syndrome wants to become pregnancy, What to give
A- clomiphene
B-OCPs
Q13- A 23-year woman is evaluated after a recent diagnosis of polycystic ovary syndrome. She is concerned about hirsutism and irregular menses. She is not planning for pregnancy at this time and takes no medications. On physical examination, she has mild hirsutism and the remaining of her physical examination, including pelvic examination, are normal. Which of the following is the most appropriate treatment
A- Metformin
B. Spironolactone therapy
C- Combined oral contraceptive pills
D- Levonorgestrel intrauterine system
Q14- A 26-year old married woman presents to Endocnnology-Gynecdogy clinic for a follow-up of her investigation. Accordingly, a polycystic ovarian syndrome is made. She is counselled about plan of management and metformin use in her condition. What does metformin do in the above condition
A. Anti-androgen effect
B. Reducing insulin resistance
C Increasing P450 in the liver
D Lowering blood sugar by Increasing consumption
Q15- A 42-year obese nulligravida patient with polycystic ovary syndrome has had irregular vaginal bleeding since menarche She has used no medication to control her periods (see lab results and report). مسرب مهم
Which of the following is the most likely cause of the adenomatous hyperplasia
A. Human papilloma virus
B. Unopposed estrogen
C. Cellular apoptosis
D- Menopause
Q16- A 30-year-old woman presents with oligomenorrhoea and mild hirsutism. She was diagnosed as a case of polycystic ovarian syndrome (PCOs) She has no desire to get pregnant! Which of the following is the most appropriate next step In management
2 Comments
wadalwaseela37
أبريل 23, 2024ي سلااااام
mayadamakeen
مايو 13, 2024جزاكم الله خيرا