If a patient can remember every detail of an accident, has not lost consciousness, and

has no evidence of external injury to the head, this can be excluded:

(1 Point)

Hydrocephalus

Spinal contusion

Subarachnoid hemorhage

Pooling of blood in the sinuses

CPC 4th Bimonthly (May 5, 2022)

1.
Screening for domestic violence should be routine. Methods include self-administered
questionnaires and a directed interview by a staff member or physician.
(1 Point)

True

False
2.
Culdocentesis, now rarely used, is needle puncture of the posterior vaginal fornix to
obtain fluid from the cul-de-sac (which is posterior to the uterus) for culture and for tests
to detect blood from a:
(1 Point)

Ruptured ectopic pregnancy

Ovarian torsion

Endometriosis

@hp›wI5y
Ovarian capsule rupture
3.
Torsion is a possible complication of ovarian new growth.
(1 Point)

True

False
4.
Pelvic capacity can be estimated clinically by evaluating various measurements with the
middle finger during bimanual examination
(1 Point)

True

False
5.
Based on CDC recommendation, HPV vaccines can be given as early as:
(1 Point)

12 years old

11 years old

10 years old

9 years old
6.
Puerperium is the time from delivery lasting about:
(1 Point)

2 to 4 weeks

10 to 12 weeks

4 to 6 weeks

@hp›wI5y
8 to 10 weeks
7.
Generally, women are routinely screened for gestational diabetes between:
(1 Point)

30 to 34 weeks

24 to 28 weeks

16 to 20 weeks

18 to 22 weeks
8.
A surgeon must be careful during ligation of the uterine areries, because you might also
ligate the:
(1 Point)

round ligament

ureter

cervical arteries

ovary
9.
The prognosis for patients with malignant degeneration is generally:
(1 Point)

Poor since it is already a carcinoma

Poor but dependent on stage and degenerated cell type

Favorable if the patient is beyond 65 years of age which lessens the chance of spread

Favorable especially if patient is less than 40 years old

10.

@hp›wI5y
A presumptive evidence of pregnancy wherein the vaginal mucosa becomes dark
bluish-red and congested.
(1 Point)

Chadwick sign

Levine sign

Ballote sign

Hegar sign
11.
A rectovaginal examination is helpful in evaluating:
(1 Point)

Lesions of the cervix

Ovarian new growths

Glands of the vulva

Masses in the cul-de-sac

12.
Estimates of gestational age are based on measurements of one of the following during
ultrasound:
(1 Point)

biparietal diameter

fetal movement

amniotic fluid volume

fetal heart tone

13.
Tuboovarian abscess is a possible differential to cystic teratoma.

@hp›wI5y
(1 Point)

True

False
14.
The safest time to travel during pregnancy is between:
(1 Point)

30 and 36 weeks

14 and 28 weeks

10 and 20 weeks

25 and 35 weeks
15.
The most widely accepted theory in the development of mature cystic teratoma.
(1 Point)

Parthenogenic Theory

Pluripotent Teratoma Theory

Germ Cell Dysplasia Theory

Totipotential Germ Layers Theory

16.
The managment for cervical insufficiency or incompetent cervix:
(1 Point)

Cerclage

Induction of labor

Oxytocin

@hp›wI5y
Antibiotics
17.
Vaginal bleeding that is painless, scant, and dark, is abnormally brief or prolonged, or
occurs at irregular intervals suggests:
(1 Point)

progesterone hyperactivity

malignancy related

absence of ovulation

pelvic inflammatory disease

18.
This is the most common gynecologic malignancy in the Philippines.
(1 Point)

Uterine cancer

Cervical cancer

Breast cancer

Ovarian cancer
19.
In the FIGO classification for Abnormal Uterine Bleeding (PALM COEIN), the letter "L"
stands for:
(1 Point)

Leiomyoma

Ligations

Lacerations

LH levels
20.

@hp›wI5y
Urine assays of the beta-subunit of human chorionic gonadotropin (beta-hCG) are
specific and highly sensitive; they become positive within about how many weeks from
conception?
(1 Point)

3 weeks

2 weeks

1 week

4 weeks
21.
In this maneuver, the health care provider attempts to determine what fetal part is lying
above the inlet, or lower abdomen The individual performing the procedure first grasps
the lower portion of the abdomen just above the pubic symphysis with the thumb and
fingers of the right hand. Which Leopold's maneuver does it refer to?
(1 Point)

Second maneuver

First maneuver

Third maneuver

Fourth maneuver
22.
One of the following is a contraindication for induction of labor:
(1 Point)

Underweight

Gestational diabetes

Classical CS scar

@hp›wI5y
Overweight
23.
Mature cystic teratomas of the ovary are often discovered as incidental findings on
physical exam, radiographic studies or during abdominal surgery.
(1 Point)

False

True
24.
This is done if women > 35 have unexplained vaginal bleeding. A thin, flexible, plastic
suction curette is inserted through the cervix to the level of the uterine fundus.
(1 Point)

Cervical laparotomy

Frozen section

Cervical curettage

Endometrial aspiration
25.
This maneuver requires that the health care provider face the woman's feet, as he or she
will attempt to locate the fetus' brow. The fingers of both hands are moved gently down
the sides of the uterus toward the pubis. Which Leopold's maneuver does it refer to?
(1 Point)

First maneuver

Fourth maneuver

Second maneuver

Third maneuver
26.
This is a non-specific indication of pregnancy characterized by the compressibility and
softening of the cervical isthmus.

@hp›wI5y
(1 Point)

Hegar's sign

Levine sign

Chadwick sign

Auspitz sign
27.
Specimens of cervical cells taken for the Pap test are examined for signs of cervical
cancer; the same specimen may be tested for HPV.
(1 Point)

True

False
28.
Coffee intake is absolutely contraindicated in pregnancy.
(1 Point)

False

True
29.
One of the following is the basis of age of gestation (AOG):
(1 Point)

Maternal BMI

Past menstrual period

Abdominal circumference

Fundal height
30.

@hp›wI5y
CT scan is usually preferred than MRI in evaluating gynecologic pathologies as it is less
expensive and has similar detection rates.
(1 Point)

False

True
31.
This is the most common invasive cancer of the female genital tract worldwide and the
third most common genital tract malignancy in the Philippines.
(1 Point)

Cervical cancer

Ovarian cancer

Endometrial cancer

Mature cystic teratoma

32.
A woman will ovulate as early as how many weeks post abortion?
(1 Point)

3 weeks

2 weeks

1 week

4 weeks
33.
The cervical mucus specimen when placed on a slide, allowed to dry, and assessed for
degree of microscopic crystallization (ferning), this actually reflects the levels of
circulating:
(1 Point)

LH

@hp›wI5y
Estrogen

Progesterone

FSH
34.
The recommended management for late incomplete abortion:
(1 Point)

Expectant management

Chemotherapy

Curettage

Radiotherapy
35.
Malignant transformation of dermoid cysts is most commonly seen among:
(1 Point)

Perimenopausal patients

Young patients

Premenopausal patients

Postmenopausal patients
36.
The criteria used for diagnosis of Polycystic Ovarian Syndrome:
(1 Point)

Conner Criteria

Amsel Criteria

FIGO Criteria

@hp›wI5y
Rotterdam Criteria
37.
Height of the fundus at 20 weeks AOG is approximately at which level?
(1 Point)

xiphoid process

the level of the umbilicus

epigastric area

just above the pubic bone

38.
Serous ovarian tumors are usually:
(1 Point)

Unilateral

Bilateral
39.
This condition increases the risk for ectopic pregnancy and can be caused by a sexually
transmitted infection.
(1 Point)

Syphilis

Incomplete abortion

Hydatidiform mole

Pelvic inflammatory disease

40.
This is the most significant cause of morbidity in ovarian teratoma:
(1 Point)

Malignant degeneration?

@hp›wI5y
Infection

Anemia

Torsion!!!!
41.
Weight-loss dieting during pregnancy is recommended for morbidly obese women.
(1 Point)

False

True
42.
Which of the following vaccines can be given to pregnant women?
(1 Point)

Influenza vaccine

Mumps vaccine

Rubella vaccine

Measles vaccine
43.
This is the fluoroscopic imaging of the uterus and fallopian tubes after injection of a
radiopaque agent into the uterus.
(1 Point)

Colposcopy

Dilatation and curettage

Suction curettage

Hysterosalpingography
44.

@hp›wI5y
This is a glycoprotein secreted by the majority of serous ovarian tumors; it is used to
assess sensitivity to chemotherapy and for the diagnosis of recurrences.
(1 Point)

CA-125!!

AFP

CA 19-9

CEA
45.
This occurrs when the widest part of the presenting part has passed successfully through
the pelvic inlet.
(1 Point)

Fetal back

Fetal lie

Fetal engagement

Fetal presentation
46.
Determination of placental location is part of the indication for ultrasound during
pregnancy.
(1 Point)

True

False
47.
Rh(D) antibody levels should be measured in pregnant women at the initial prenatal visit
and again at about:
(1 Point)

20 to 22 weeks

@hp›wI5y
26 to 28 weeks

18 to 20 weeks

16 to 18 weeks
48.
Most ectopic pregnancies occur in the fallopian tube and mostly occurs in which specific
area?
(1 Point)

Cornual

Isthmus

Ampullary

Fimbrial
49.
The increased temperature during pregnancy is due to:
(1 Point)

FSH

progesterone

estrogen

LH
50.
What is the surgical treatment of malignant transformations of cystic teratoma which is
the same as for ovarian carcinoma?
(1 Point)

Laparotomy

Curettage

@hp›wI5y
Radiotherapy

Cystectomy
51.
Mucinous ovarian tumors are usually:
(1 Point)

Bilateral

Unilateral
52.
Lymphovascular space invasion in cervical cancer does not alter the FIGO classificatioin.
(1 Point)

True

False
53.
Teratomas may be monodermal and higly specialized.
(1 Point)

True

False
54.
The main support of the uterus is provided by one of the following:
(1 Point)

broad ligament and cardinal ligament

cardinal ligament and uterosacral ligament

uterosacral ligament and round ligament

round ligament and cardinal ligament

55.
Luteinizing hormone peaks at how many hours before ovulation?

@hp›wI5y
(1 Point)

22 - 24 hours

4 - 6 hours

16 - 18 hours

10 - 12 hours
56.
This imaging modality can sufficiently differentiate lipid density from other fluid and blood
and may be another useful adjunct for diagnosis of ovarian teratomas, with an accuracy
of 99%.
(1 Point)

Pelvic ultrasound

MRI

Pelvic x-ray

CT Scan
57.
This can detect structural abnormalities too small to be detected by imaging, as well as
abnormalities on the surfaces of internal organs (eg, endometriosis, inflammation,
scarring).
(1 Point)

Endoscopy

Laparotomy

Omentectomy

Laparoscopy
58.

@hp›wI5y
In patients with incomplete abortion, it is classified as early if:
(1 Point)

> 12 weeks AOG

< 12 weeks AOG

12 to 16 weeks AOG

16 to 20 weeks AOG
59.
The radiological examination of choice in the diagnosis and monitoring of mature
teratomas, but it does not detect signs of malignant transformation.
(1 Point)

Ultrasound

CT Scan

MRI

Pelvic x-ray
60.
One of the following is a sign of malignancy in patients with mature cystic teratoma:
(1 Point)

Presence of necrosis

Intact capsule

Weight gain

Presence of skin lesions

61.
To provide nutrition for the fetus, most women require about 250 kcal extra daily; most
calories should come from:

@hp›wI5y
(1 Point)

Protein

Carbohydrates

Unsaturated fats

Fats
62.
Multifetal pregnancy is counted as two in terms of gravidity and parity
(1 Point)

True

False
63.
Abortus is the number of pregnancy losses (abortions):
(1 Point)

at 30 weeks AOG

before 20 weeks

after 20 weeks

before 10 weeks
64.
A modified Bishop score of 4 shows that:
(1 Point)

Mother is candidate for cervical ripening prior to induction

A possible bilateral salpingectomy can be done

Cervix is ripe and induction would have a high probability of being successful

@hp›wI5y
Mother is appraised for assited forceps delivery
65.
Which of the following is true regarding folic acid supplementation to pregnant women?
(1 Point)

Should not be given simultaneously with iron

Start giving preconception until 1st trimester

Start after initial prenatal and should be given until 16 weeks

This can be continued even 3 months postpartum

66.
Which of the following is the recommended total weight gain for overweight pregnant
women?
(1 Point)

12.5 to 18 kg

6.8 to 11.3 kg

11.5 to 16 kg

5 to 9 kg
67.
Bedside inspection of a cervical mucus specimen by a trained examiner can provide
information about the menstrual cycle and hormone states; this information may help in:
(1 Point)

Assessment of fertility

Assessment for sexually tranmsitted infections

Possible amenorrhea

Assessment for pelvic inflammatory disease

68.

@hp›wI5y
The diagnosis of dermoid cyst is confirmed during surgery on the macroscopic
appearance with a solid ovarian cyst containing fat, skin, hair, and:
(1 Point)

Blood

Teeth

White blood cells

Nails
69.
During prenatal visits, which of the following measurements are the most important?
(1 Point)

Waist-hip ratio

BP and weight

Height

Abdominal circumference
70.
One of the following is a risk factor for endometrial polyps:
(1 Point)

Methotrexate use

Several sexual partners

Shorter duration of menstruation

Hormone replacement therapy

71.
The clinical presentation of mature cystic teratoma with malignant degenaration is
nonspecific and varies according to the tumor stage and is similar to that of:

@hp›wI5y
(1 Point)

Benign ovarian cysts

Endometriosis

Pelvic inflammatory disease

Cervical cancer
72.
One of the following may be measured when infertility is suspected:
(1 Point)

Beta-HCG

Serum AFP

Pitutiary hormones

Adrenal hormones
73.
This procedure involves spreading of the vaginal walls with a speculum and insertion of a
curet to remove tissue from the endometrium or the uterine contents by scraping or
scooping,
(1 Point)

Dilatation and curettage

Endometrial aspiration

Endocervical curettage

Colposcopy
74.
In the case of young patients who wish to maintain their fertility, having a transformed
dermoid cyst limited to the ovarian capsule, without local or distant invasion,

@hp›wI5y
conservative treatment may not be possible, so chances of giving birth is slim even with
less aggresive forms.
(1 Point)

False

True
75.
For women with certain indications (eg, women with HIV infection), more frequent
screening for cervical cancer may be required, and screening may be started at a
younger age
(1 Point)

False

True
76.
Routine prenatal visits starting at 30 weeks AOG up to 36 weeks AOG, should occur
every:
(1 Point)

4 weeks

1 week

2 weeks

3 weeks
77.
Longitudinal axis of the uterus to the longitudinal axis of the fetus refer to:
(1 Point)

Fetal engagement

Fetal lie

Fetal brow

@hp›wI5y
Fetal presentation
78.
This is the part of the fetus that overlays the pelvic brim.
(1 Point)

Fetal lie

Fetal presentation

Fetal engagement

Fetal back
79.
If a woman has Rh-negative blood, she may be at risk of developing Rh(D) antibodies,
and if the father has Rh-positive blood, the fetus may be at risk of developing:
(1 Point)

Trisomy

Erythroblastosis fetalis

Fetal macarosomia

Congenital anomalies
80.
The most common transformation of mature cystic teratoma is a change into:
(1 Point)

Squamous cell carcinoma

Lymphoma

Adenocarcinoma

Germinoma
81.
Human Papilloma Virus vaccines can also be given to males.

@hp›wI5y
(1 Point)

True

False
82.
A chaperone is usually required during physical examination of a female, particularly
when the examiner is male, and may also provide assistance
(1 Point)

True

False
83.
An adjuvant chemotherapy was decided for the CPC case on Mature Cystic Teratoma
with Malignant Degeneration, which consists of:
(1 Point)

Bleomycin, Etoposide and Cisplatin

Bleomycin, Etoposide, Panitumumab

Bleomycin, Etoposide and Paclitaxel

Methotrexate, Etoposide and Bleomycin

84.
This term refers to intermenstrual bleeding:
(1 Point)

Amenorrhea

Metorrhagia

Menorrhagia

Dysmenorrhea
85.

@hp›wI5y
Prenatal care should include counseling especially for future plans by the mother that
would involve promotion of breastfeeding.
(1 Point)

True

False
86.
Medically necessary x-rays or other imaging during pregnancy should:
(1 Point)

Not be postponed

Should be done at 37 weeks AOG

Should be done at 10 weeks AOG

Postponed until after pregnancy

87.
One of the following is a contraindication to digital examination during pelvic
examination:
(1 Point)

Known preclampsia

Hypogastric pain

Postlabor rupture of membranes

Known placenta previa

88.
One of the following maneuver is done for shoulder dystocia:
(1 Point)

Leopold's Maneuver

McMurray Maneuver

@hp›wI5y
Mezantti Maneuver

McRoberts Maneuver
89.
In advanced cancers of ovarian squamous cell carcinoma with metastases, which one of
the following is usually the cause of diagnosis?
(1 Point)

pulmonary symptoms

CNS symptoms

urinary symptoms

cardiovascular complications
90.
In the initial obstetric examination, speculum and bimanual pelvic examination is done for
the following reasons:
(1 Point)

note the color and consistency of the cervix

determine cervical dilatation

determine fetal engagement

check for any lesions in the external genitalia

91.
The tumor markers used to help characterize ovarian lesions are not very specific and
can be used to differentiate malignant from benign ovarian tumors.
(1 Point)

True

False
92.

@hp›wI5y
If the birth canal laceration extends up to the external anal sphincter, what is the degree
of laceration?
(1 Point)

Fourth degree

Second degree

First degree

Third degree
93.
Women who are planning to become pregnant should:
(1 Point)

see a nurse after plans of conception

see an OB-GYN after 10 weeks of gestation

see a physician before conception

have vitamin D supplementation before conception

94.
Mature cystic teratomas (MCT) of the ovary, are commonly known as
(1 Point)

Chocolate cysts

Germ cell cysts

Adenoma cysts

Dermoid cysts
95.

@hp›wI5y
For most women, frequency of screening depends mainly on the woman’s age and
results of previous tests. If you have a 67-year-old female, what would be the
recommended screening?
(1 Point)

No more testing if test results have been normal in the preceding 10 years

Test every 5 years if the previous results were equivocal

Every 3 years if only a Pap test is done or every 5 years if a Pap test and an HPV test are
done

Usually every 3 years for the Pap test

96.
The 75g OGTT is done at 24 to 28 weeks AOG because this hormone is produced
during this time. It has growth hormone-like action and causes insulin resistance,
lipolysis and increased fatty acids.
(1 Point)

Prolactin

Luteinizing hormone

Beta-HCG

Human placental lactogen

97.
This is a type of gynecologic surgery where the surgeon removes more paracervical
tissue while preserving blood supply to distal ureters and bladder. This is suitable for
microinvasive cancers.
(1 Point)

Extrafascial hysterectomy

Modified radical hysterectomy

Radical hysterectomy

@hp›wI5y
Radical laparotomy
98.
One of the following is a risk factor for development of endometrial hyperplasia:
(1 Point)

Use of progestorone only pills

Methotrexate use

Hypertension

Incomplete abortions
99.
The treatment of mature teratomas is largely:
(1 Point)

Chemotherapy

Surgical

Radiotherapy

Medical
100.
Infection as a complication of Ovarian Tertaoma is rare and ocurs less than 1-2% of
cases.
(1 Point)

False

True

@hp›wI5y