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Common Tumors and Polyps in Gynecology

Total questions: 74

Worksheet time: 37mins

Name
Class
Date
1.

What is the most common benign cervical neoplasm?

a)

Adenomyosis

b)

Cervical Polyp

c)

Leiomyoma

d)

Fibroid

2.

Cervical polyps occur more frequently in which group?

a)

Nulligravidas

b)

Adolescents

c)

Multigravidas

d)

Postmenopausal women

3.

The most common symptom of endometrial polyps is

a)

Pelvic pain

b)

excessive menstrual bleeding

c)

amenorrhea

d)

dysmenorrhea

4.

The most common tumor of the female pelvis is

a)

Endometrioma

b)

Fibroadenoma

c)

Leiomyoma

d)

Dermoid cyst

5.

The most common type of fibroid is

a)

Submucosal

b)

Subserosal

c)

Intramural

d)

Pedunculated

6.

The imperforate hymen is the most common congenital abnormality of the

a)

GI tract

b)

Female genital tract

c)

Urinary tract

d)

placenta

7.

An imperforate hymen may lead to obstruction resulting in accumulation of

a)

air, fluid, pus

b)

Blood, fluid, pus

c)

Urine

d)

Blood, air, water

8.

Rhabdomyosarcoma most commonly occurs in which population?

a)

Postmenopasual

b)

Pre menopausal

c)

Children

d)

Babies

9.

Which uterine condition is most associated with perimenopausal women aged 40–49?

a)

Endometrial Polyps

b)

Cervical Stenosis

c)

Vaginal Cysts

d)

Cervical Myoma

10.

Which fibroid type grows within the myometrium

a)

Pedunculated

b)

Submucosal

c)

Intramural

d)

Cervical

11.

Nabothian cysts are also known as

a)

Inclusion Cyst

b)

Functional cysts

c)

follicular cysts

d)

paraovarian cysts

12.

Nabothian cysts form in response to

a)

Hormonal imbalance

b)

Inflammation of the endocervical glands

c)

cervical trauma

d)

ovarian hyperstimulation

13.

Nabothian cysts are commonly found after:

a)

Menopause

b)

Pregnancy

c)

Ovulation

d)

Puberty

14.

Nabothian cysts are filled with

a)

Blood

b)

Mucus

c)

Pus

d)

Fluid

15.

Nabothian cysts develop on the surface of which structure?

a)

Cervix

b)

Uterus

c)

Fallopian tube

d)

Ovary

16.

Gravidity refers to

a)

Number of pregnancies carried to term

b)

Number of miscarriages

c)

Number of live births

d)

Number of times a woman has been pregnant

17.

Cervical stenosis is usually

a)

Aquired

b)

Congenital

c)

Rare and genetic

d)

Only at birth

18.

Cervical stenosis may cause

a)

Fluid retention in uterus

b)

Ovarian torsion

c)

Vaginal Prolapse

d)

Fallopian blockage

19.

Cervical stenosis involves obstruction at which location?

a)

Ovarian Hilum

b)

External or internal OS

c)

Bladder outlet

d)

Uterine fundus

20.

Which of the following is a possible cause of cervical stenosis?

a)

Radiation Therapy

b)

Cone biopsy

c)

Cervical Atrophy

d)

Tubal Ligation

21.

Postmenopausal cervical stenosis most often causes:

a)

Heavy bleeding

b)

dysmenorrhea

c)

infertility

d)

no symptoms

22.

Premenopausal patients with cervical stenosis may experience all EXCEPT:

a)

Oligomenorrhea

b)

Amenorrhea

c)

Dysmenorrhea

d)

Excessive lactation

23.

Hydrometra refers to:

a)

Accumulation of pus in the uterus

b)

Accumulation of fluid in the uterus

c)

Retention of blood in the vagina

d)

Fluid in the fallopian tubes

24.

Hematometra is defined as:

a)

Pus in the cervix

b)

Retention of menstrual blood in the uterus

c)

Blood in the peritoneal cavity

d)

Retained blood in the vagina

25.

Pyometra describes:

a)

Accumulation of pus in the uterus

b)

Retention of blood in the vagina

c)

Accumulation of serous fluid in the cervix

d)

Absence of cervical mucus

26.

Hematocolpos refers to:

a)

Blood in the fallopian tubes

b)

Retention of blood in the uterus

c)

Retention of blood in the vagina

d)

Blood in the peritoneum

27.

Hematometrocolpos indicates retention of menstrual blood in the:

a)

Cervix only

b)

Uterus only

c)

Vagina only

d)

uterus and vagina

28.

During SHG, fluid infusion helps with visualization of:O

a)

Ovarian Cysts

b)

Cervical Myoma

c)

Vulvar Lesions

d)

Adenomyosis

29.

Cryosurgery (cryotherapy) destroys abnormal tissue using:

a)

Extreme Heat

b)

Extreme Cold

c)

Electrical Current

d)

Radiation

30.

Endometrial polyps grow in response to circulating:

a)

Progesterone

b)

Estrogen

c)

LH

d)

FSH

31.

Many patients with endometrial polyps are

a)

Symptomatic

b)

Asymptomatic

c)

Painful

d)

Infertile

32.

The most common symptom of endometrial polyps is:

a)

Dysmenorrhea

b)

Amenorrhea

c)

Menometrorrhagia (excessive, irregular bleeding)

d)

Postcoital spotting

33.

Menometrorrhagia is best defined as:

a)

Light bleeding at regular intervals

b)

Prolonged or excessive uterine bleeding that occurs irregularly and more frequently than normal

c)

Absence of menstruation

d)

Spotting only after intercourse

34.

In postmenopausal patients taking tamoxifen, the normal endometrial thickness is:

a)

<5

b)

<8

c)

>8

d)

>5

35.

What percentage of women with adenomyosis experience excessive uterine bleeding or irregular bleeding?

a)

50%

b)

25%

c)

60%

d)

10%

36.

Adenomyosis is most commonly diagnosed in women over the age of:

a)

40

b)

50

c)

60

d)

70

37.

Which imaging modality is most commonly used to confirm adenomyosis?

a)

CT

b)

MRI

c)

Ultrasound

d)

X-Ray

38.

The most common presentation of adenomyosis includes:

a)

Small, well-defined uterus

b)

Diffuse uterine enlargement with indistinct endometrium-myometrium border and myometrial cysts

c)

Isolated ovarian cysts

d)

Cervical Stenosis

39.

Adenomyosis is commonly misdiagnosed as:

a)

Endometrial polyp

b)

Leiomyoma (fibroid)

c)

Nabothian cyst

d)

Ovarian torsion

40.

Metrorrhagia is defined as:

a)

Heavy bleeding only during menstrual periods

b)

Irregular uterine bleeding, especially between menstrual periods

c)

Absence of menstruation

d)

Painful menstruation without bleeding

41.

What percentage of patients with adenomyosis experience dysmenorrhea (pelvic pain during menstruation)?

a)

10%

b)

25%

c)

50%

d)

60%

42.

MRI is useful in patients with adenomyosis because it:

a)

Treats adenomyosis non-surgically

b)

Confirms diagnosis and differentiates adenomyosis from leiomyoma

c)

Detects Nabothian cysts

d)

Measures cervical stenosis

43.

Which type of fibroid is the most common?

a)

Submucosal

b)

Intramural

c)

Subserosal

d)

Pedunculated

44.

Intramural fibroids develop in which location?

a)

Endometrium

b)

Myometrium

c)

Subserosal

d)

Cervical Canal

45.

Subserosal fibroids are located:

a)

Within the endometrium

b)

Close to the peritoneal surface of the uterus

c)

Inside the cervical canal

d)

Only on the cervix

46.

Submucosal fibroids are notable for:

a)

Being the least symptomatic

b)

Distorting the endometrial stripe and causing the most symptoms

c)

Growing away from the uterus on a stalk

d)

Always causing infertility

47.

Pedunculated fibroids arise from:

a)

Submucosal Fibroids

b)

Subserosal Fibroids

c)

Intramural Fibroids

d)

Cervical Polyps

48.

Complications of pedunculated fibroids can include:

a)

Regression without symptoms

b)

Torsion, pain, infarction, degeneration, and necrosis

c)

Excess estrogen production

d)

Formation of Nabothian cysts

49.

Cervical myomas may cause:

a)

Hydrometra

b)

Hematometra

c)

Pyometra

d)

Hematocolpos

50.

Metrorrhagia refers to:

a)

Prolonged or excessive uterine bleeding that occurs irregularly and more frequently than normal

b)

Irregular uterine bleeding, especially between menstrual periods

c)

Absence of menstruation

d)

Heavy, regular menstrual bleeding

51.

Menometrorrhagia is defined as:

a)

Bleeding only between menstrual periods

b)

Normal menstruation

c)

Prolonged or excessive uterine bleeding that occurs irregularly and more frequently than normal

d)

Irregular uterine bleeding, especially between menstrual periods

52.

A patient has irregular bleeding only between her periods, but the total volume of menstrual bleeding is normal. This is most consistent with:

a)

Menometrorrhagia

b)

Metrorrhagia

c)

Hypermenorrhea

d)

Amenorrhea

53.

A patient has both prolonged heavy bleeding during periods and irregular spotting between periods. The correct term is:

a)

Metrorrhagia

b)

Menometrorrhagia

c)

Dysmenorrhea

d)

Hypomenorrhea

54.

Menometrorrhagia is a common sign of

a)

Cervical Myoma

b)

Endometrial Polyps

c)

Adenomyosis

d)

Leiomyoma

55.

What type of fibroid does letter A represent?

a)

Intramural

b)

Pedunculated

c)

Fundal Subserosal

d)

Submucosal

56.

What does letter B represent?

a)

Pedunculated

b)

Fundal Subserosal

c)

pedunculated subseroal

d)

Submucosal

57.

What type of fibroid does letter C represent?

a)

Submucosal

b)

Intramural

c)

Subserosal

d)

Pedunculated

58.

What type of fibroid does letter E represent?

a)

Pedunculated

b)

Subserosal

c)

Submucosal

d)

Intramural

59.

What type of fibroid is letter D?

a)

Submucosal

b)

Subserosal

c)

Pedunculated

d)

Intramural

60.

What type of fibroid is letter F

a)

Pedunculated

b)

Pedunculated submucosal

c)

submucosal

d)

Suberosal

61.

What pathology does this represent

a)

Cervical Myoma

b)

Nabothian Cyst

c)

Endometrial Polyp

d)

Leiomyoma

62.

What pathology is represented

a)

Nabothian Cyst

b)

Cervical Polyp

c)

Adenomyosis

d)

Leiomyoma

63.

What pathology is represented

a)

Cervical Polyp

b)

Cervical Myoma

c)

Endometriosis

d)

PCOS

64.

What pathology is represented

a)

Cervical Myoma

b)

Cervical Polyp

c)

Endometrial Polyp

d)

Adenomyosis

65.

What pathology is represented

a)

Adenomyosis

b)

Endometrial Polyp

c)

Cervical Polyp

d)

Cervical Neoplasm

66.

What type of fibroid is shown

a)

Submucosal

b)

Subserosal

c)

Pedunculated

d)

Intramural

67.

What type of fibroid is this

a)

Subserosal

b)

Submucosal

c)

Pedunculated

d)

Pedunculated Subserosal

68.
a)

Subserosal

b)

Submucosal

c)

Intramural

d)

Pedunculated

69.

What fibroid is this

a)

Intramural

b)

Pedunculated

c)

Subserosal

d)

Submucosal

70.

What type of fibroid is this

a)

Subserosal

b)

Submucosal

c)

Pedunculated

d)

Intramural

71.

What fibroid is this

a)

Pedunculated

b)

Intramural

c)

Submucosal

d)

Subserosal

72.

What type of fibroid is this

a)

Pedunculated in the fundus

b)

Subserosal in the fundus

c)

Submucosal In the fundus

d)

Subserosal in the cervix

73.
a)

Pedunculated

b)

Intramural

c)

Submucosal

d)

Subserosal

74.

What is this?

a)

Cervical Myoma (Tissue distorted on posterior wall)

b)

Cervical Myoma (tissue distortion on anterior wall)

c)

Endometrial Cyst (not tissue distortion)

d)

Cervical Polyp

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