You are on page 1of 4

MCQ on menopause

1-Which of the following is\are signs of menopause:


a- high FSH.
b- low FSH
c- low estrogen
d- high estrogen
e- a & c.
2- The main symptom of menopause is :
a- hot flashes.
b-night sweat
c- vaginal dryness.
d- sleep disturbance
e- all the above.
3-The contraindication for use hormonal replacement therapy(HRT) are :
a-smoking
b-unexplained vaginal bleeding
c-coronary artery disease
d-breast cancer
e- all the above.
4- A 55 year old woman who has just gone through her menopause is concerned that
she may develop vertebral fractures. She has never had any surgery before and has no
relevant medical history. What is the most effective way of preventing pathological
fractures post-menopause?
a) Clonidine J Vaginal lubricant
b) Combined Oestrogen and progestogen replacement therapy
c) Oestrogen only HRT
d) Progestins
e) Mineral supplements
5-all of the following appear to decrease hot flushes in menopausal women except ?

a.
b.
c.
d.

androgens
raloxifene
isoflavones
tibolone

Menopause could be diagnosed by


A history of absent menstruation
B High FSH level in young age group
C Absent menstruation for 1 year at the age of 52 year
D Hot flushes
E Insomnia

hormone replacement therapy


1-HRT is useful in all except
a) Flushing
b) Osteoporosis
c) Vaginal atrophy
d) Coronary heart disease
2-estrogen replacement for post-menopausal symptoms cause an increase in ?
a.
b.
c.
d.

LDL
Cholesterol
VLDL
Triglycerides

3-absolute contraindication of hormone replacement therapy is ?


a.
b.
c.
d.

thrombosis
fibrocystic disease
fibroadenoma
hemorrhage

4-GnRH analogues may be given in all of the following except ?


a.
b.
c.
d.

prostate carcinoma
endometrial carcinoma
fibromyoma of uterus
precocious puberty

5-estrogen administration in a post menopausal woman increases the ?


a.
b.
c.
d.

gonadotropin secretion
LDL cholesterol
Bone mass
Muscle mass

Contraindication to postmenpausal estrogen replacement therapy include the


following except
A Resent deep vein thrombosis
B Acute liver disease
C High serum triglyceride
D Premenpausal mastectomy for breast cancer

E Diabetes mellitus

epilepsy in pregnancy
1-A 25 years old primigravida reports at 6 weeks gestation with h/o seizure disorder.
She has been on phenytoin for the last 6 months. The appropriate management in this
case would be
One answer only.
a) Continue phenytoin and adjust the levels as per serum levels
b) Stop phenytoin and start barbiturates
c) Terminate pregnancy as phenytoin has had its teratogenic effect
d) Stop phenytoin and terminate pregnancy if sonography detects malformations

2-Which vitamin deficiency is most commonly seen in a pregnant mother who is on


phenytoin therapy for epilepsy?
A. Vitamin B6
B. Vitamin B12
C. Vitamin A
D. Folic acid
3-Which of the following statements is incorrect in relation to pregnant women with
epilepsy?
A. The rate of congenital malformation is increased in the offspring of women with
epilepsy
B. Seizure frequency increases in approximately 70% of women
C. Breast feeding is safe with most anticonvulsants
D. Folic acid supplementation may reduce the risk of neural tube defect
4- Safest antiepileptic drug in pregnancy
ABCD-

Diazepam
Phenytoin
Carbamazepine
Valproate

5- Which of the following anticonvulsants is most likely to be associated with a neural


tube defect?
a. phenobarbital
b. carbamazepine
c. phenytoin

d. valproic acid
Prenatal diagnosis
1-The best period of gestation to carry out chorion villous biopsy for prenatal
diagnosis is?
A. 8-10 weeks
B. 10-12 weeks
C. 12-14 weeks
D. 14-16 weeks
2-prenatal diagnosis is possible 4 all except
a- sickle cell trait
b- beta thallasemia
c- DMD
d- ectodermal dysplasia
3-Prenatal diagnosis at 16 weeks of pregnancy can be performed
using all of the following, except:
b- Amniotic fluid.
c- Maternal blood.
d- Chorionic villi.
e- Fetal blood.
4-Which one of the following congenital malformation of the fetus can be
diagnosed in first trimester by ultrasound ?
A) Anencephaly
B) Inencephaly
C) Microcephaly
D) Holoprosencephaly

5-The best way of diagnosing Trisomy-21 during second trimester of pregnancy


is ?
A) Triple marker estimation
B) Nuchal skin fold thickness measurement
C) Chorionic villus sampling
D) Amniocentesis

You might also like