Медведєв Михайло ВолодимировичТестуванняInfertile couple. Family Planning. Endometriosis

Infertile couple. Family Planning. Endometriosis

Медведєв Михайло Володимирович // 22 Ноября 2015

Вопросов в тесте: 20

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Infertile couple. Family Planning. Endometriosis

A woman thirty years old complained of lack of pregnancy during 8 years. Menstrual periods since 16 years 3-5 days with delays of one month or more. Woman has excessive body weight, hirsutism. Bimanual examination: the body of the uterus is normal size, ovaries increased in size, dense, painless, movable. What is the most likely diagnosis?

вопрос 1 из 20 //

Варианты ответа:

  1. Dermoid ovarian cysts
  2. Genital infantilism
  3. Genital tuberculosis
  4. Polycystic ovary syndrome
  5. Chronic adnexitis
Infertile couple. Family Planning. Endometriosis

Female 28 y.o. suffering from infertility. During bimanual examination: uterus of normal size, mobile, adnexa are not palpated. When conducting colpocytology on 21 day of menstrual cycle: the superficial cells 80%, 20% intermediate, cariopicnotic index 75%. How do you assess this situation?

вопрос 2 из 20 //

Варианты ответа:

  1. Normal menstrual cycle
  2. Pregnancy
  3. There are signs of endometrial proliferation
  4. Lack of second phase of the cycle
  5. Luteine phase
Infertile couple. Family Planning. Endometriosis

Patient K., 29 y.o., addressed to gynecologist with complaints of secondary infertility in the last 5 years, pain in the area below the belly and buttocks in premenstrual period and during menstruation. In history 4 abortions, childbirth - 0. Suffering from heavy menstrual bleedings. Which disease do you suspect?

вопрос 3 из 20 //

Варианты ответа:

  1. Endometriosis
  2. Vaginitis
  3. DUB
  4. Salpingitis
  5. Endometritis
Infertile couple. Family Planning. Endometriosis

The patient, thirty years old, is in the gynecological clinic for treatment of endometriosis. In history 5 abortions, 2 childbirths. During vaginal examination in the region of cervix and vaginal mucosa were found cyanotic formations of different size. What type of endometriosis in this patient?

вопрос 4 из 20 //

Варианты ответа:

  1. Extragenital
  2. Endometrioid cyst of ovary
  3. External genital
  4. Internal genital
  5. Peritoneal
Infertile couple. Family Planning. Endometriosis

Patient N., 25 y.o., complains of pain in lower abdomen irradiating to vagina, which increases during menstruation, sexual intercourse. 2 years ago endometriosis was suspected. During vaginal examination behind the uterus thick, knotty, painful mass is palpated. Diagnosis?

вопрос 5 из 20 //

Варианты ответа:

  1. Retrocervical endometriosis
  2. Chronic salpingitis
  3. Endometriosis of the cervix
  4. Adenomyosis
  5. Parametritis
Infertile couple. Family Planning. Endometriosis

Female 36 y.o. refered to gynecologist with complaints of heavy painful menses, spotting before and after menstruation. In history – 1 delivery, 4 abortions. Gynecological status: external genitalia, cervix and vagina are not changed, uterus retroflected, size 9x7x7 cm, restricted in movement during palpation. Adnexa are not changed, vaginal vaults are free. What is the most likely diagnosis?

вопрос 6 из 20 //

Варианты ответа:

  1. Uterine leiomyoma
  2. DUB (AUB)
  3. Endometrial cancer
  4. Internal endometriosis
  5. Chronic endometritis
Infertile couple. Family Planning. Endometriosis

Patient 31 y.o. suffering from infertility, cervical erosion. Complains of increased vaginal discharge with unpleasant odor. Speculum examination: cervix - erosion 1,0 x 0,5 cm. Uterine body 5x5x4 cm, without abnormality. Adnexa on both sides are not enlarged, sensitive to palpation, vaginal vaults are not painful. Discharge increased in amount, bad smelling. What doctor should do?

вопрос 7 из 20 //

Варианты ответа:

  1. Take material from the cervical canal, urethra on flora, chlamydia, check sensitivity to antibiotics
  2. Laparoscopy
  3. Observation
  4. HSG
  5. Treatment with cephalosporine antibiotics
Infertile couple. Family Planning. Endometriosis

In woman 42 y.o. during the last 10 years menstrual bleedings were in form of hyperpolymenorhea and dysmenorhea. Vaginal examination: cervix is normal, slightly enlarged spheric shape uterus, painful, adnexa are not palpated. What is the most likely diagnosis?

вопрос 8 из 20 //

Варианты ответа:

  1. Cancer of the uterus
  2. Subserosal leiomyoma
  3. Endomyometritis
  4. Endometriosis of uterus
  5. PID
Infertile couple. Family Planning. Endometriosis

Patient 47 y.o. addressed with complaints of pain below the belly, heavy bloody discharge from genital tract before and during menstruation. Once endometriosis was diagnosed, she received hormonal treatment. During vaginal study uterus 9x8x8 cm in size, hard, rough, painless, adnexa are not palpated. What additional means are necessary to clarify the diagnosis?

вопрос 9 из 20 //

Варианты ответа:

  1. Study of vaginal flora and antibioticogram
  2. Colposcopy, cervical biopsy
  3. Pelvic ultrasound, hysteroscopy
  4. D&C
  5. HSG
Infertile couple. Family Planning. Endometriosis

Woman thirty years old referred to an out-patient clinic with complaints of lack of pregnancy during 6 years. Spermogram of male partner is normal. Menstruation for 4-5 days in 40-45 days, irregular, moderate. OBJECTIVE: Patient is of high nutrition. Gynecological examination: pubic hair of female-type, uterus decreased in size, by the side of the uterus palpated formations 5x4x4 cm and 6x5x5 cm, hard, painless, movable during palpation. Basal temperature: monofasic. What kind of investigation could help in diagnosis?

вопрос 10 из 20 //

Варианты ответа:

  1. hysteroscopy
  2. HSG
  3. Pelvic X-ray
  4. hormonal testing, sonography
  5. Colposcopy
Infertile couple. Family Planning. Endometriosis

Patient 40 years old, is in the gynecology department complains of a sense of gravity and periodic pain in the lower abdomen. G10, P3, 7 abortions, suffering from menstrual irregularity. In the hospital diagnosed with "two-sided ovarian cysts. Patient was examined, surgery has been performed. During operation enlarged ovaries on both sides with the "chocolate" content were revealed. Which disease in the patient?

вопрос 11 из 20 //

Варианты ответа:

  1. Ovarian Cancer
  2. Ovarian Endometriosis
  3. PID on both sides
  4. Polycystic ovary syndrome
  5. Benign ovarian tumors
Infertile couple. Family Planning. Endometriosis

Female 18 y.o. complains of absence of pregnancy within one year of regular sexual life without contraception, G0. During vaginal examination pathology was not found. Which test should be performed first?

вопрос 12 из 20 //

Варианты ответа:

  1. Laparoscopy
  2. HSG
  3. ART
  4. Spermogram
  5. Hysteroscopy
Infertile couple. Family Planning. Endometriosis

Patient 33 y.o. complaints of dark bloody discharge from vagina before menses. During speculum examination cervix cylindrical, in external os there are small cystic areas of cyanotic color, which bleed to the touch. What is the most correct method of treating disease?

вопрос 13 из 20 //

Варианты ответа:

  1. Hemostatic therapy
  2. Androgens, corticosteroids
  3. Hysterectomy
  4. Electrocoagulation of cervix
  5. Estrogen-gestagen drugs
Infertile couple. Family Planning. Endometriosis

30 y.o. patient complains of pain below the abdomen, infertility during 3 years, suffers from inflammatory diseases during 6 years after the abortion. Several times medical treatment in hospital. OBJECTIVE FINDINGS: Pulse 76 bpm, BP 120/70 mmHg, body temperature 37,2 °C, soft abdomen, painful to palpation in the inguinal regions. Cervix without pathology. Vaginal study: the body of the uterus smooth, hard, painless, normal size, adnexa on both sides enlarged, painful to palpation, vaginal vaults free. What should be the first stage of management of the patient?

вопрос 14 из 20 //

Варианты ответа:

  1. Infection screening and antibacterial therapy
  2. ART
  3. Complex imunostimulating therapy
  4. Treatment of pain
  5. Hysterosalpingography
Infertile couple. Family Planning. Endometriosis

Patient 25 years, referred to gynecologist with complaints of prolonged painful menstruation, with long premenstrual bleeding, infertility during 5 years. During speculum examination of the cervix: "eye" – looking inclusions, your diagnosis?

вопрос 15 из 20 //

Варианты ответа:

  1. Cervical cancer
  2. Endometriosis of cervix
  3. Abnormality of menstrual cycle
  4. Cervical polyp
  5. Erosion of cervix
Infertile couple. Family Planning. Endometriosis

In woman 26 years old, who suffers from infertility, measurement of basal temperature shows monophasic basal temperature curve below 37 °C throughout the menstrual cycle. What this states for?

вопрос 16 из 20 //

Варианты ответа:

  1. Biphasic cycle, luteine phase insufficiency
  2. Anovulyatory cycle
  3. Biphasic normal cycle
  4. Biphasic cycle, failure of the first phase
  5. Pregnancy
Infertile couple. Family Planning. Endometriosis

28 y.o. patient complains of infertility for 5 years. In anamnesis: 1 artificial abortion 7 years ago, chronic bilateral adnexitis, menstrual cycle is regular, painless, 4-5/28 days. Vaginal examination: uterus normal, adnexa from both sides increased, painless with palpation, moving, vaults free. Spermogram is normal. What is the most likely cause of infertility?

вопрос 17 из 20 //

Варианты ответа:

  1. Age of woman
  2. Adhesions in the pelvis
  3. Lack of luteal phase of the cycle
  4. Secretory insufficiency of endometrium
  5. Anovulation
Infertile couple. Family Planning. Endometriosis

In the gynecological department entered patient 28 years old, complaining of infertility for 2 years. With a history: 3 artificial abortions, menstrual cycle is normal. Male was investigated – spermogram is normal. What of the following should be done first?

вопрос 18 из 20 //

Варианты ответа:

  1. Husband’s sperm insemination
  2. Laparoscopy
  3. Hydrotubation
  4. HSG
  5. Ovulation induction
Infertile couple. Family Planning. Endometriosis

Female 34 y.o. complains of bloody discharge, that appear few days before menses. In history – coagulation of cervix 2 years ago. During inspection of the cervix in speculum cyanotic cysts looking as “eyes” were revealed. What should be done to confirm the diagnosis.

вопрос 19 из 20 //

Варианты ответа:

  1. Biopsy of the cervix
  2. Laparoscopy
  3. Pap smear
  4. Ultrasonography of the pelvis
  5. Hysteroscopy, D&C
Infertile couple. Family Planning. Endometriosis

Patient 27 y.o. entered gynecological department for examination and treatment of infertility. Childbirth - 0, abortion - 1. Menstruation is not broken, often occurring relapses of inflammatory adnexal disease. Which type of infertility in the patient?

вопрос 20 из 20 //

Варианты ответа:

  1. Mixed
  2. Relative
  3. Primary infertility
  4. Absolute
  5. Secondary Infertility