Which cancer is most strongly linked to persistent HPV infection?
A) Ovarian cancer
B) Cervical cancer
C) Endometrial cancer
D) Breast cancer
📖 شرح: HPV is the primary cause of cervical cancer.
الإجابة الصحيحة: B
Which drug is used to medically manage ectopic pregnancy?
A) Misoprostol
B) Methotrexate
C) Oxytocin
D) Clomiphene
📖 شرح: Methotrexate inhibits trophoblastic cell division.
الإجابة الصحيحة: B
Which hormone is responsible for stimulating theca cells to produce androgens?
A) FSH
B) LH
C) Prolactin
D) Oxytocin
📖 شرح: LH stimulates theca cells to produce androgens.
الإجابة الصحيحة: B
Which condition presents with primary amenorrhea and normal secondary sexual characteristics?
A) Turner syndrome
B) Androgen insensitivity syndrome
C) PCOS
D) Hypothyroidism
📖 شرح: AIS presents with normal breast development but absent uterus.
الإجابة الصحيحة: B
Which ovarian tumor is associated with “coffee?bean nuclei”?
A) Granulosa cell tumor
B) Serous cystadenoma
C) Dermoid cyst
D) Yolk sac tumor
📖 شرح: Granulosa cell tumors show coffee?bean nuclei.
الإجابة الصحيحة: A
Which condition presents with cyclic pelvic pain and a fixed retroverted uterus?
A) Endometriosis
B) Adenomyosis
C) PID
D) Fibroids
📖 شرح: Endometriosis can cause adhesions and a fixed uterus.
الإجابة الصحيحة: A
Which enzyme converts testosterone to DHT in peripheral tissues?
A) Aromatase
B) 5-alpha reductase
C) 17-beta hydroxysteroid dehydrogenase
D) Desmolase
📖 شرح: 5-alpha reductase converts testosterone to DHT.
الإجابة الصحيحة: B
Which condition presents with high testosterone, high LH, and normal internal female genitalia?
A) Turner syndrome
B) AIS (Androgen Insensitivity Syndrome)
C) PCOS
D) CAH
📖 شرح: AIS has high testosterone but no androgen receptor response.
الإجابة الصحيحة: B
Which ovarian tumor secretes estrogen and may cause endometrial hyperplasia?
A) Sertoli-Leydig tumor
B) Granulosa cell tumor
C) Yolk sac tumor
D) Fibroma
📖 شرح: Granulosa cell tumors produce estrogen.
الإجابة الصحيحة: B
Which condition shows “snowstorm appearance” on ultrasound?
A) Ectopic pregnancy
B) Complete molar pregnancy
C) Partial molar pregnancy
D) Placenta previa
📖 شرح: Complete mole shows diffuse trophoblastic proliferation.
الإجابة الصحيحة: B
Which hormone is responsible for cervical mucus becoming thin and watery?
A) Progesterone
B) Estrogen
C) Prolactin
D) Oxytocin
📖 شرح: Estrogen makes cervical mucus thin and stretchy.
الإجابة الصحيحة: B
Which condition presents with amenorrhea, low FSH, low LH, and normal prolactin?
A) Primary ovarian failure
B) Hypothalamic amenorrhea
C) PCOS
D) Hyperprolactinemia
📖 شرح: Hypothalamic dysfunction lowers GnRH, FSH, and LH.
الإجابة الصحيحة: B
Which tumor marker is elevated in dysgerminoma?
A) AFP
B) CA-125
C) LDH
D) Inhibin
📖 شرح: Dysgerminomas characteristically elevate LDH.
الإجابة الصحيحة: C
Which condition presents with postpartum hemorrhage and inability to lactate?
A) Sheehan syndrome
B) Asherman syndrome
C) Endometritis
D) Uterine atony
📖 شرح: Sheehan syndrome causes pituitary infarction.
الإجابة الصحيحة: A
Which drug is used to induce ovulation in women with PCOS?
A) Metformin
B) Clomiphene citrate
C) Bromocriptine
D) Oxytocin
📖 شرح: Clomiphene blocks estrogen receptors to increase FSH/LH.
الإجابة الصحيحة: B
Which condition presents with painful menses, enlarged boggy uterus, and heavy bleeding?
A) Endometriosis
B) Adenomyosis
C) Fibroids
D) PID
📖 شرح: Adenomyosis involves endometrial tissue within the myometrium.
الإجابة الصحيحة: B
A 3-year-old child presents with high fever, drooling, toxic appearance, and prefers to sit in the tripod position. What is the most likely diagnosis?
A) Croup
B) Epiglottitis
C) Asthma
D) Bronchiolitis
📖 شرح: Epiglottitis presents with drooling, high fever, and tripod position.
الإجابة الصحيحة: B
What is the most common cause of bronchiolitis in infants under 2 years of age?
A) Influenza virus
B) Respiratory syncytial virus (RSV)
C) Adenovirus
D) Parainfluenza virus
📖 شرح: RSV is the leading cause of bronchiolitis in infants.
الإجابة الصحيحة: B
A child presents with a bright red “slapped cheek” rash followed by a lacy rash on the trunk. What is the most likely diagnosis?
A) Measles
B) Rubella
C) Fifth disease (Parvovirus B19)
D) Scarlet fever
📖 شرح: Slapped cheek rash is not seen in measles or rubella.
الإجابة الصحيحة: C
What is the most common bacterial cause of acute otitis media in children?
A) Streptococcus pyogenes
B) Streptococcus pneumoniae
C) Haemophilus influenzae
D) Moraxella catarrhalis
📖 شرح: S. pyogenes rarely causes otitis media.
الإجابة الصحيحة: B