8. CM Vagina is formed from the following layers:a) [x] internal layerb) [x] medial layer;c) [x] external layerd) [ ] peritoneal layer;e) [ ] skin layer.

---------------------------------------------------------------------10. CM For Stein-Levental syndrome is characteristic:a) [ ] appears at 30-35 years;b) [x] increasing of 17-ketosteroids in urinec) [x] appearing of obesity in 70% of casesd) [x] anovulatory sterilitye) [x] increasing in volume of both ovaries;

--------------------------------------------------------------------- 12. CM which is the cause of false amenorrhea?a) [x] hymeneal atresiab) [x] vaginal atresia;c) [ ] hypophysial tumor;d) [ ] hypothyroidisme) [ ] acute and chronic stress;

15. CM physiologic menopause is caused by:a) [x] decreasing the level of progesteroneb) [ ] excess production of gonadothropinec) [ ] increased production of steroid hormonesd) [x] exhaustion of ovarian follicular apparatuse) [ ] aging of genital organs

--------------------------------------------------------------------- 16. CM Classic symptoms that represent the primary polycystic ovaries are:a) [x] amenorrheab) [x] hirsutismc) [ ] hyperpolymenorrhea;d) [x] sterility;e) [x] obesity

--------------------------------------------------------------------- 18. CM Causes of the primary Dysmenorrhea are:a) [ ] endometriosisb) [x] anomalies of the genitalia;c) [ ] chronic inflammatory processes of genitaliad) [x] hyperproduction of PG F2alphae) [ ] pelvic ganglioneuritis

1

19. CM Causes of the secondary dysmenorrhea are:a) [x] endometriosisb) [ ] functional disordersc) [x] uterine fibromiomad) [x] cervico-isthmus spikese) [x] inflammatory processes of genitalia

--------------------------------------------------------------------- 22. CM The clinical picture of dysmenorrhea manifest through:a) [x] pain syndromeb) [x] psycho-emotional disorderc) [x] vegetative disordersd) [x] vascular-vegetative disorders;e) [x] metabolic-endocrine disorders.

--------------------------------------------------------------------- 23. CM Enumerate the vegetative disorders that take place in dysmenorrhea:a) [x] hyperhydrosisb) [x] sicknessc) [x] tachycardiad) [x] diarrhea;e) [x] abdominal meteorism

--------------------------------------------------------------------- 24. CM Enumerate the psycho-emotional disorders that take place in dysmenorrhea:a) [x] irritabilityb) [ ] coetaneous itchiness;c) [x] depressiond) [x] somnolence;e) [ ] polyuria

--------------------------------------------------------------------- 25. CM Enumerate the vascular disorders that take place in dysmenorrhea:a) [x] vertigob) [ ] sicknessc) [x] collapsed) [x] extrasystolee) [x] tachycardia

--------------------------------------------------------------------- 26. CM Enumerate the principle of treatment in dysmenorrhea :a) [x] antioxidantb) [x] inhibitors of prostaglandin synthesisc) [x] spasmoliticd) [x] oral contraceptive;e) [ ] antibiotics;

---------------------------------------------------------------------

2

--------------------------------------------------------------------- 30. CM Early pubertal development can be of type:a) [x] izosexualb) [x] heterosexual;c) [x] mix;d) [ ] complete;e) [ ] incomplete;

--------------------------------------------------------------------- 31. CM Say the possible forms of hermaphroditism:a) [x] pureb) [x] pseudo;c) [ ] typicald) [ ] atypicale) [ ] all above

--------------------------------------------------------------------- 32. CM Constitutional, girls with true early pubertal development are characterized through:a) [ ] high sizeb) [x] low sizec) [ ] long extremity;d) [x] short extremity;e) [x] high body

--------------------------------------------------------------------- 34. CM The clinical picture of early puberty, izosexual type having a central genesis with organic character, is characterized by:a) [x] presence of pathologic reflexb) [x] excessively emotional liabilityc) [x] changes on the bottom of the eye;d) [x] intracranial hypertension;e) [ ] hirsutism

--------------------------------------------------------------------- 35. CM Early puberty (ovarian type, izosexual) is determined by:a) [ ] intracranial tumorb) [x] hormonal active ovarian tumor;c) [x] ovarian follicular cyst;d) [ ] thyroid gland tumor;e) [ ] all above mentioned;

--------------------------------------------------------------------- 36. CM Through family planning is understand:a) [x] prevention of unwanted pregnancyb) [x] birth planning;c) [ ] interruption the unwanted pregnancyd) [x] contraception;e) [x] demography;

3

37. CM Select the basic principle of family planning:a) [x] permanent attention to the demographic process;b) [x] propagation of contemporary methods of contraceptionc) [x] population prophylaxis;d) [x] the assurance with contraceptives, and medical instruction looking their utilization;e) [ ] the implementation of new technologies for break of undesirable pregnancy

--------------------------------------------------------------------- 38. CM Select the requirements according to the methods of contraception:a) [ ] contraceptive effectiveness: Pearl index 10%b) [x] the absence of the secondary effects upon the woman and its partner;c) [x] don't train consequences for an eventual pregnancy;d) [x] simplicity in utilization;e) [x] accessibility, reduced cost

--------------------------------------------------------------------- 40. CM Enumerate the factors of which depends the choice of the contraceptive method?a) [x] ageb) [x] peculiarities of the sexual lifec) [ ] numbers of abortion;d) [x] presence of the gynecologic or somatic pathology,e) [x] attitude of the partners regarding the type of contraception

--------------------------------------------------------------------- 41. CM Select the method of an ideal contraception:a) [x] independent of the doctor, safe and Effectively;b) [ ] in dependence of the sexual act;c) [x] simple utilization and soft reversibilityd) [x] accessible for all religion, culture, politicse) [x] protection against sexual transmissible diseases;

--------------------------------------------------------------------- 42. CM Select the methods for natural family planning:a) [x] method of the calendarb) [x] method of the basal temperature;c) [x] cervical;d) [x] coition interrupted ;e) [ ] spermicidal

--------------------------------------------------------------------- 43. CM The action mechanism of the intrauterine device is based on the following moments, with exception:a) [ ] ova- and spermatotoxic action of the Cu 2* ionb) [x] abortive action;c) [x] modification of motilityd) [ ] aseptic inflammation;e) [ ] immobilization action on the spermatozoa by Cu 2* ions

4

44. CM The intrauterine device can be introduced:a) [ ] during mensesb) [x] immediately after mensesc) [x] after medical abortiond) [x] in necessity at any day if it is excluded the pregnancye) [ ] at the middle of the menstrual cycle;

--------------------------------------------------------------------- 45. CM Enumerate which are the causes of pain after the intrauterine device is introduced:a) [x] uterine contraction orientated to expel the starletb) [x] uterine perforation;c) [x] partial expel of the starlet;d) [x] localized infectione) [ ] small size of the starlet;

--------------------------------------------------------------------- 46. CM Select the contraindication for the intrauterine device application:a) [x] pregnancyb) [x] acute inflammatory process;c) [x] the erosion of the cervix;d) [x] endocarditise) [ ] fertile age;

--------------------------------------------------------------------- 48. CM Select the methods for masculine contraception:a) [ ] coition interrupted;b) [x] condomc) [x] vasectomy;d) [ ] starlete) [ ] tubectomy --------------------------------------------------------------------- 50. CM The cysts can be:a) [x] follicularb) [x] of the yellow bodyc) [x] paraovariand) [x] echinococcal;e) [ ] cillioepithelial

--------------------------------------------------------------------- 54. CM Serous and mucinous cystoma:a) [x] epithelial tumorsb) [ ] do not transform to malignantc) [ ] a characteristic is the slow growthd) [x] frequently are unilaterallye) [ ] accompanied by ascites;

---------------------------------------------------------------------

5

55. CM To the active hormonal ovarian neoplasm refers:a) [x] tumors with granular cellsb) [ ] ovarian fibromac) [x] gynandroblastomad) [ ] Brenner tumor:e) [ ] teratoma

--------------------------------------------------------------------- 56. CM The feminineness ovarian neoplasm come from:a) [ ] Sertolli and Leiding cellsb) [x] granular cells;c) [ ] epithelial cellsd) [x] thecal cellse) [ ] from all types of cells;

--------------------------------------------------------------------- 57. CM Appoint the vaginal colpocytologic sample type, characteristic for ovarian tecoma:a) [ ] atrophicb) [x] type III-IVc) [x] type I-II;d) [ ] all typese) [ ] none of them;

--------------------------------------------------------------------- 59. CM Select the characteristic of androblastoma:a) [ ] appears frequently at the age of 20-30 and 50-70b) [ ] usually it is a bilateral tumor;c) [ ] accompanied by an increased level of estradiol in the bloodd) [x] 10-30% of cases become maligne) [x] accompanied by an increased level of testosterone in the blood

--------------------------------------------------------------------- 61. CM In the lutheinizant bilateral cysts should be made:a) [ ] urgent surgical interventionb) [ ] puncture of the posterior fornix;c) [x] to determine the level of chorionic gonadothropine;d) [x] to exclude hydatic mall;e) [x] to exclude chorioepithelioma

--------------------------------------------------------------------- 62. CM Select the characteristics of teratoma:a) [ ] metastasis tumorb) [ ] is treated by chemotherapy;c) [x] a germinal tumord) [x] is treated surgically;e) [ ] tends to malignance;

---------------------------------------------------------------------

6

--------------------------------------------------------------------- 64. CM After provenance the cysts can be:a) [x] retentionb) [x] embryonicc) [ ] metastasis;d) [x] inflammatorye) [x] parasitical;

--------------------------------------------------------------------- 65. CM Androgenic hormone are synthesized in the following places, with exception:a) [ ] suprarenalb) [ ] ovariesc) [ ] placentad) [x] thyroide) [x] skin

--------------------------------------------------------------------- 66. CM Enumerate the androgenic effect on the women organism:a) [x] anabolic effectb) [ ] inhibition of the libidoc) [ ] hypertrophy of the mammary glandsd) [x] anovulatione) [ ] falling of the hair;

--------------------------------------------------------------------- 68. CM To the suprarenal virilization refers:a) [x] adrenogenital syndrome;b) [ ] Shtein-Leventali syndrome;c) [x] androsteromad) [x] corticosteromae) [ ] Chiarri-Fromeli syndrome;

--------------------------------------------------------------------- 69. CM To the ovarian virilization refers the following, with the exception:a) [x] adrenogenital syndromeb) [ ] Shtein-Leventali syndrome;c) [x] Chiarri-Fromeli syndrome;d) [ ] androblastomae) [x] Cushing syndrome;

--------------------------------------------------------------------- 70. CM According to the time of appearing of the adrenogenital syndrome we can distinguish:a) [x] congenital adrenogenital syndrome;b) [x] adrenogenital syndrome in the fertile period;c) [ ] adrenogenital syndrome in the pre-climax;d) [ ] adrenogenital syndrome in the post-climax;e) [x] adrenogenital syndrome in the pre-puberty

---------------------------------------------------------------------

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71. CM Which are the clinical manifestations in the congenital adrenogenital syndrome?a) [x] pseudohermaphrodism;b) [x] aplasia of the vagina;c) [x] uterus, ovaries, fallopian tubes - normald) [x] urethral canal opened in the vagina;e) [ ] marked osteoporosis;

--------------------------------------------------------------------- 72. CM what is the clinical manifestation of the pre puberty adrenogenital syndrome?a) [x] premature sexual maturationb) [x] early closure of the ossification pointsc) [ ] hypertrophy of the mammary glandsd) [x] hypertrophy of the clitorise) [ ] baldness;

--------------------------------------------------------------------- 73. CM The clinical signs of the adrenogenital syndrome in the reproductive period are:a) [x] masculine secondary sexual signsb) [ ] hypertrophy of the mammary glandsc) [x] hypertrophy of the body muscles;d) [x] hypertrophy of the clitoris;e) [ ] baldness;

--------------------------------------------------------------------- 77. CM The clinical picture in the Cushing disease the following:a) [ ] polymenorrhea;b) [x] spikesc) [x] hirsutism;d) [ ] habitually abortions;e) [x] osteoporosis;

--------------------------------------------------------------------- 78. CS uterine tubes and uterus are formed from:a) [ ] mezonephral duct (Wolf);b) [x] paramezonephral duct (Muller);c) [ ] sinovaginal bulbs;d) [ ] metanephrotic caniculie) [ ] pronephros;

--------------------------------------------------------------------- 85. CM In patients with Rokitansky-Kuster-Hauser syndrome is determined:a) [x] feminine genotypeb) [x] feminine secondary sexual signs well developedc) [ ] 45XO cariotyped) [ ] ovaries with shoelace form of conjunctive tissuee) [x] absence of the uterus and vagina

---------------------------------------------------------------------

8

86. CM In patients with Turner syndrome is determined:a) [ ] absence of the uterus and vaginab) [x] external genitalia of feminine typec) [x] ovaries with shoelace form of conjunctive tissued) [ ] e) [x] 47YXX cariotype;e) [x] 45XO cariotype

--------------------------------------------------------------------- 87. CM Enumerate the factors that lead to pregnancy:a) [x] spermatogenesisb) [x] ovulation;c) [ ] tube impermeability;d) [ ] endometrial polyposis;e) [ ] pathologic interaction between sperm and cervix glare

--------------------------------------------------------------------- 88. CM To appreciate the factors of male sterility are significant the following laboratory tests, with the exception:a) [ ] spermatogrammab) [ ] post-coition test;c) [x] ultrasound exam of the abdominal cavityd) [x] general blood analysise) [ ] penetration test.

--------------------------------------------------------------------- 89. CM According to WHO, characteristic of an normal sperm are:a) [x] mobility of 25% of the spermatozoids after 60 minutes after ejaculation;b) [x] volume of ejaculation 2-5 ml;c) [x] pH 7,2-7,8;d) [ ] normal morphology 30%e) [ ] Lecithin granules in big quantities

--------------------------------------------------------------------- 90. CM Correctional treatment of the sterility in case of cervix factors includes the following schemes, with the exception:a) [ ] small doses of estrogen;b) [ ] artificial fertilizationc) [ ] condom during 6 monthsd) [x] extracorporal fecundation;e) [x] resection of ovaries.

--------------------------------------------------------------------- 91. CM The following factors indicate ovulation:a) [x] phenomenon of cervical mucus crystallization "++++"b) [x] increasing of the basal T with 0,6- 0,8 during 10 daysc) [x] cariopicnotic index 60-70 %d) [x] pregnancye) [ ] endometrium in the secretor phase

9

--------------------------------------------------------------------- 93. CM The diagnosis of uterine factor of sterility includes:a) [x] endometrial biopsy;b) [x] hysteroscopy;c) [ ] functional test;d) [x] laparoscopy;e) [ ] insemination of the vaginal content.

--------------------------------------------------------------------- 94. CM Enumerate the causes of fallopian tube sterility:a) [x] peritubular spikes;b) [x] intratubular spikes;c) [ ] endocrine-metabolic disorders;d) [x] obliteration of the fimbrial portion;e) [x] hydrosalpinx.

--------------------------------------------------------------------- 96. CM Select the complications of conception process on a background of sexual transmissible diseases (STD):a) [x] spontaneous abortionb) [x] pregnancy stopped in evolution;c) [ ] hypertrophy of the fetus;d) [ ] late severe gestosis;e) [x] polyhydramnios;

--------------------------------------------------------------------- 97. CM Factors that increase the incidence of sexual transmissible diseases (STD) in Republic of Moldova are:a) [x] Open borders;b) [x] high migration of the population;c) [x] Unemploymentd) [ ] screening programs, prevention and treatmente) [x] insufficient sexual education

--------------------------------------------------------------------- 98. CM Which infections have specific etiology?a) [ ] with Escherichia coli;b) [x] with Chlamydia trachomatis;c) [x] with Mycoplasma hominis;d) [x] with Trichomonus vaginalis;e) [ ] with Bacillus piocianicus

---------------------------------------------------------------------

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100. CM Principles of treatment of sexual transmissible diseases (STD) refers:a) [x] etiologic treatment of all sexual partnersb) [x] sexual breakc) [ ] sedative therapy, psychotropic;d) [x] physiotherapy;e) [x] local treatment;

--------------------------------------------------------------------- 101. CM Clinical picture of the vulvo-vaginitits refers the following:a) [x] abundant leucorrheab) [x] hyperemiac) [x] itchinessd) [ ] nausea, vomite) [x] dysuria

--------------------------------------------------------------------- 103. CM The specific treatment of candidosis includes the following:a) [x] Nizoralb) [ ] Valtrex;c) [x] Diflucand) [ ] Sumamed;e) [ ] Tetracycline;

--------------------------------------------------------------------- 104. CM What groups of pathologies don't cause „acute abdomen" in gynecology?a) [ ] acute internal hemorrhageb) [ ] acute trophy disordersc) [ ] acute inflammatory diseased) [x] eminence of pregnancy interruptione) [x] dysfunction hemorrhages

--------------------------------------------------------------------- 105. CM At the acute abdomen causes, caused by the internal hemorrhage doesn't refer the following:a) [x] necrosis of the myoma noduleb) [x] pelvioperitonitis;c) [ ] ectopic pregnancy;d) [ ] ovary apoplexy;e) [ ] trauma of the internal genitalia;

--------------------------------------------------------------------- 106. CM At the acute abdomen cases, caused by trophy changes doesn't refer the following :a) [ ] torsion of the pedicle of subserous myoma noduleb) [ ] torsion of the pedicle of the ovarian cyst;c) [ ] necrosis of the myoma noduled) [x] ovary apoplexy;e) [x] stagnant uterine pregnancy ;

---------------------------------------------------------------------

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107. CM At the acute abdomen cases, caused by the acute inflammatory diseases are referred :a) [x] pelvioperitonitisb) [x] parametritis;c) [ ] ectopic pregnancyd) [ ] ovary apoplexye) [ ] ischemia of the myoma nodule

--------------------------------------------------------------------- 109. CM There are the following tubal pregnancy:a) [x] in evolutionb) [ ] eminence of pregnancy interruptionc) [x] interruptedd) [ ] stagnante) [ ] abdominal; --------------------------------------------------------------------- 116. CM Conservative treatment of the tubal pregnancy consists in administration of:a) [x] Methotrexatb) [x] Miphepriston (RU-486)c) [ ] estrogen-gestagene drugsd) [ ] androgense) [ ] misoprostol (PG)

--------------------------------------------------------------------- 117. CM treatment of the tubal pregnancy can be:a) [x] surgicalb) [x] micro surgicalc) [x] conservatived) [ ] combined;e) [ ] radiotherapy

--------------------------------------------------------------------- 119. CM It can be distinguished the following types of ovarian apoplexy:a) [x] anemicb) [ ] acute;c) [x] dolor;d) [ ] chronice) [x] mixed;

--------------------------------------------------------------------- 121. CM What are the terms that describe menopause?a) [x] spontaneous disappearing of menses caused by ovarian exhaustingb) [ ] period of changes of the menstrual cycle caused by the ovarian exhaustingc) [ ] immediate period after the last menstrual cycle;d) [x] period that starts after 12 months after the last menstrual cycle;e) [ ] none of definitions is correct

12

-------------------------------------------------- 122. CM What drugs are used in prophylaxis and treatment of osteoporosis in women with menopause:a) [x] caltrate-600b) [x] calcitonin;c) [x] calcitrol;d) [ ] small doses of corticosteroidese) [ ] selective modulators of the estrogenic receptors

--------------------------------------------------------------------- 123. CM Management of osteoporosis in women with post-menopause doesn't include:a) [x] supplementation of folic acidb) [x] supplementation of iron;c) [ ] supplementation of calcium;d) [ ] supplementation of vitamin D;e) [x] hypoproteic diet

--------------------------------------------------------------------- 124. CM Enumerate the medical factors of risk in osteoporosis in women with post-menopause:a) [x] heparin prescriptionb) [x] corticosteroides prescriptionc) [x] parathyroid prescription;d) [ ] estrogen substitution in hormonal mono therapye) [ ] combined hormonal therapy of substitution

--------------------------------------------------------------------- 125. CM Enumerate the general factors of risk in osteoporosis in women with post-menopause:a) [ ] familial background of uterine myomab) [x] immobility for a long time;c) [ ] regular physical exercisesd) [x] pour alimentation in calciume) [x] excess of smoking and/or alcohol

--------------------------------------------------------------------- 127. CM What is the volume of obligatory exams before starting the hormonal therapy of substitution in women with post-menopause:a) [x] general clinical examb) [x] gynecologic exam;c) [x] clinical exam of the mammary glands;d) [ ] mammography;e) [x] cytological sample Papanicolaou;

---------------------------------------------------------------------

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128. CM What drugs from enumerated are not used in hormonal therapy of substitutionin women with post-menopause:a) [ ] Kliogest ®;b) [x] Klion D ®;c) [ ] Ovestin ®;d) [ ] Climen ®;e) [x] Femoden ®; --------------------------------------------------------------------- 136. CM Specific effects of estrogen consist of:a) [x] maturation and maintaining the genital tract and mammary glandsb) [x] regeneration and endometrial proliferationc) [ ] development of yellow bodyd) [ ] endometrial secretor changese) [ ] pregnancy maintaining

--------------------------------------------------------------------- 137. CM Specific effects of progesterone consist of:a) [x] hyperthermal action upon the thermoregulatory centerb) [ ] regeneration and endometrial proliferationc) [ ] somatic maturation;d) [x] endometrial secretor changese) [x] pregnancy maintaining

--------------------------------------------------------------------- 139. CM Trigger organs of the estrogenic hormones refer the following:a) [x] uterus, vagina;b) [x] mammary glandc) [x] pilose follicle;d) [x] skin, bonny tissuee) [ ] clitoris

--------------------------------------------------------------------- 140. CM Endometrial is formed from the following layers:a) [x] basal;b) [x] functional;c) [ ] muscular;d) [ ] intermediary;e) [ ] peritoneal

--------------------------------------------------------------------- 146. CM Blood supply of the mammary gland is made by:a) [ ] external thoracicb) [x] interne thoracicc) [x] lateral thoracicd) [ ] common thoracice) [ ] medial thoracic

---------------------------------------------------------------------

14

147. CM The most characteristic signs of endometrioses are:a) [x] obtained dysmenorrheab) [x] sterility;c) [ ] irregular mensesd) [ ] habitual spontaneous abortionse) [ ] obesity;

--------------------------------------------------------------------- 149. CM The most informative methods of adenomiosis diagnostic are:a) [ ] uterine curettageb) [x] hysterosalpingography;c) [ ] pneumoradiopelviometry;d) [ ] Papanicolaou teste) [x] laparoscopy

--------------------------------------------------------------------- 150. CM Enumerate the synonyms of endometriosis:a) [x] endometrial heterotopyb) [x] adenomiosis;c) [ ] adenomatous hyperplazia;d) [x] chocolate ovarian cyste) [x] extragenital endometriosis

--------------------------------------------------------------------- 151. CM What drugs are not used in the treatment of endometriosis:a) [ ] Nonovlon ;b) [x] Parlodel ;c) [ ] 17-OPC;d) [ ] Testosterone;e) [x] Gravibinon

--------------------------------------------------------------------- 154. CM More pronounced pain syndrome is found in:a) [x] nodular adenomiosisb) [x] ovarian endometriosisc) [ ] endometriosis of the cervixd) [x] retrocervical endometriosis;e) [ ] extragenital endometriosis

--------------------------------------------------------------------- 160. CM In ovulatory dysfunctional uterine hemorrhage refers the following:a) [ ] long persistence of the follicleb) [ ] follicular atresia;c) [x] shortening of the follicular phase or luteinic one;d) [x] increasing of luteinic phasee) [x] intermenstrual hemorrhage

---------------------------------------------------------------------

15

161. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 40 years old accuses polymenorrhea, proiomenorrhea and sterility, and the functional diagnosis tests show T basal monophasic, sign of pupil and fern 3+, 4+, acidophilic and cariopicnotic indexes 60-70%:a) [x] persistence of the yellow bodyb) [x] long persistence of the follicle;c) [ ] shortening of the follicular phase or luteinicd) [ ] increasing of luteinic phase;e) [ ] intermenstrual hemorrhage

--------------------------------------------------------------------- 162. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 16 years old accuses abundant and prolonged menses, and the functional diagnosis tests show sign of pupil *** during the whole cycle:a) [x] persistence of the follicleb) [x] follicular atresiac) [ ] shortening of the follicular phase or luteinic;d) [ ] increasing of luteinic phasee) [ ] intermenstrual hemorrhage

--------------------------------------------------------------------- 163. CM Appreciate the cause of dysfunctional hemorrhages, when the patient of 30 years old accuses proiomenorrhea, polyhypermenorrhea, and the functional diagnosis tests show T basal biphasic and shortening of the follicular phase 7-9 days:a) [ ] long and temporary persistence of the follicleb) [ ] follicular atresia;c) [x] shortening of the follicular phase;d) [ ] increasing of luteinic phasee) [x] decrease of the menstrual cycle with 18-21 days;

--------------------------------------------------------------------- 164. CM Enumerate which are the nonspecific and specific haemostatic actions of estrogens:a) [x] endometrial proliferation and stimulation;b) [x] ]brisk changes of hormonal estrogenic titer and maintaining it;c) [x] decrease the capillary fragility;d) [x] equilibration and increasing the vascular tonus;e) [ ] effect of endometrial secretor transformation

--------------------------------------------------------------------- 165. CM Syndrome of polycystic ovaries is characterized through:a) [ ] hyperestrogenemiab) [x] hyperandrogenemiac) [x] disorders of follicular genesisd) [ ] excessive production of progesterone;e) [ ] excessive production of cortisone

--------------------------------------------------------------------

16

166. CM Synonymies of the Stein-Leventhal syndrome are:a) [x] primary polycystic ovariesb) [x] disease of polycystic ovaries , sclerocysticc) [ ] atretic ovariesd) [ ] ovarian dermoid cyst;e) [ ] liver disease --------------------------------------------------------------------- 169. CM Diagnostic of syndrome of polycystic ovaries is put on the base of:a) [x] vaginal-abdominal tactb) [x] laparoscopyc) [ ] metrosalpingographyd) [x] testing of the sexual hormonese) [ ] sounding of the uterine cavity

--------------------------------------------------------------------- 170. CM Select the echographic arguments for ovarian tumor malignancy:a) [x] dimension over 10 cmb) [x] bilateralismc) [x] intracystic vegetationd) [x] heterogeneitye) [ ] dimension less than 5 cm

--------------------------------------------------------------------- 171. CM Syndrome of polycystic ovaries is characterized through::a) [x] 17-cetosteroid in big quantities eliminated with urineb) [x] increased plasmatic androgensc) [ ] progesterone over 0, 5 ng/ml;d) [x] increased plasmatic c% of LHe) [ ] hyperthyroidism;

--------------------------------------------------------------------- 172. CM For the syndrome of polycystic ovaries at the endometrial biopsy is specific:a) [ ] endometrial decidualisationb) [x] glandular hyperplazia in placentas with opsomenorrheac) [x] absence of endometrial secretor phased) [ ] there are no pathological changese) [x] endometrial atrophy when is present amenorrhea

--------------------------------------------------------------------- 174. CM The surgical treatment of the syndrome of polycystic ovaries consists in:a) [ ] ovaryectomy;b) [x] cuneiform resection of the ovaries;c) [ ] hysterectomy with ovaryectomy,d) [x] partial ovarian decorticatione) [x] ovarian diathermopuncture:

17

--------------------------------------------------------------------- 175. CM what refers to the physiologic barriers of genital organs?a) [x] small and big labia connected compactlyb) [x] acid PH of the vaginal content;c) [x] proteolytic and bactericide activities of the cervical glared) [x] hymen;e) [x] desquamation of the endometrial functional layer during menstruation

--------------------------------------------------------------------- 177. CM Enumerate the clinical picture of acute vulvitis:a) [x] pain, vulvae Itchingb) [x] edema of the external genital organs;c) [ ] temperature;d) [x] hyperemia of vulvae) [ ] hyperpolymenorrhea

--------------------------------------------------------------------- 178. CM Colposcopy changes in case of chronic colpitis:a) [x] punctiform hemorrhages;b) [x] mucous edema;c) [ ] atypical vascularization;d) [x] mucous hyperemiae) [ ] all the enumerated signs

--------------------------------------------------------------------- 179. CM Enumerate the methods that provoke the inflammatory process:a) [x] piquant foodsb) [x] the remaking of the cervix and the cervical canal with AgNo3 0,5%c) [ ] diathermy of the lumbar region;d) [x] i/m 500 mln CM of gonovaccinee) [ ] i/m 20 thousand UN of synestroli 2%

--------------------------------------------------------------------- 180. CM Enumerate the characteristic signs for chronic cervicitisa) [x] indurations of the cervixb) [x] hyperemia at the region of the external orifice;c) [x] serous-purulent secretions;d) [x] contact hemorrhage;e) [ ] formation of pseudoerosion

--------------------------------------------------------------------- 181. CM Enumerate the specific signs for acute endometritis:a) [x] pains in the inferior part of the abdomenb) [x] temperature;c) [ ] cyanosis of the region of the external orifice of the cervix;d) [x] leukocytosis with left deviation of the leukocyte formulae) [x] serous-purulent secretions;

---------------------------------------------------------------------

18

182. CM Appreciate which are the characteristic accuses for veridical erosion:a) [ ] temperature;b) [ ] caseous secretionsc) [x] serous secretions;d) [x] serous- hemorrhagic secretions;e) [x] contact hemorrhage

--------------------------------------------------------------------- 183. CM Enumerate the characteristic accuses for chronic salpingoophoritis in acute stage:a) [x] permanent hypogastric and sacral painsb) [x] sterility;c) [ ] vulvar itchingd) [x] temperature;e) [x] purulent leucorrhea

--------------------------------------------------------------------- 184. CM Enumerate the characteristic accuses for chronic anexitis:a) [ ] acute pains in hypogastria and sacrumb) [x] chronic pains in hypogastria and sacrumc) [x] disorders of the menstrual cycled) [x] sterility;e) [ ] febrile temperature --------------------------------------------------------------------- 187. CM Enumerate the clinical manifestations of the uterine myoma:a) [x] menorrhagesb) [x] metrorrhagesc) [ ] dyspareuniad) [x] painse) [x] functional disorders of the adjacent organs

--------------------------------------------------------------------- 188. CM Enumerate the complications that can appear in the case of uterine myoma:a) [x] appearing of myomatous nodulesb) [ ] ascitesc) [x] suppuration of the nodulesd) [x] necrosis of the nodulee) [x] torsion of the myomatous nodule

--------------------------------------------------------------------- 189. CM Which complimentary products are used for diagnosis of uterine myoma:a) [x] hysterometryb) [ ] culdocentezisc) [ ] colpocytologic sampled) [ ] cystoscopye) [x] USG

---------------------------------------------------------------------

19

190. CM Enumerate the radiological methods for diagnosis of uterine myoma:a) [x] pneumopelvigraphyb) [x] hysterosalpingographyc) [x] flebographyd) [ ] fluorographye) [ ] fistulography

--------------------------------------------------------------------- 191. CM What endoscopic methods are not used for diagnosis of the uterine myoma:a) [ ] hysteroscopyb) [ ] laparoscopicc) [ ] culdoscopyd) [x] bronchoscopye) [x] cystoscopy --------------------------------------------------------------------- 193. CM Which complication can appear in case of sub serous localization of myoma:a) [x] malignancyb) [x] torsionc) [x] functional disorders of the adjacent organs;d) [x] disorder of the urethral topography with their strangulation with formation of hydrourether and hydronephrosise) [ ] appearing of myomatous nodules

--------------------------------------------------------------------- 194. CM Which complication can appear in case of sub mucous localization of myoma:a) [x] malignancyb) [x] torsionc) [ ] functional disorders of the adjacent organs;d) [x] acute abundant hemorrhage;e) [x] appearing of myomatous nodules

--------------------------------------------------------------------- 197. CM Enumerate the symptoms characteristic for hyperanteflexion of the uterusa) [ ] hypomenstrual syndrome;b) [ ] proiomenorrhea;c) [x] feelings of pressure in the region of the gall bladder;d) [ ] hyperplazia of the uterus;e) [x] infertility

--------------------------------------------------------------------- 198. CM Which from enumerated below causes can lead to retroflection of the uterus?a) [x] myomatous nodules situated on the anterior wall of the uterusb) [x] general asthenia;c) [x] pelvioperitonitis;d) [ ] premenstrual syndrome;e) [ ] twins birth

20

----------------------------------------------------------------- 199. CM What is specific for the total prolapsed uterus?a) [x] cystocelb) [x] rectocelc) [ ] cervix exteriorized through the genital apertured) [x] uterus exteriorized through the genital aperture, difficulties in urinatione) [ ] constipation

--------------------------------------------------------------------- 200. CM Enumerate the causes of prolapsed uterus:a) [x] atrophy of the ligament apparatus and muscles of perineal regionb) [x] inborn hypoplazia of the muscles of perineal region;c) [x] cachexy;d) [ ] rupture of the cervix I degree;e) [ ] rupture of the cervix II-III degree

--------------------------------------------------------------------- 202. CM Which from the following antecedents favors appearing the prolapsed uterus?a) [x] delivery of an macrocosm fetus;b) [x] perinea rupture III degreec) [x] difficult physical work from childhoodd) [x] pluriparity;e) [x] frequent delivery

--------------------------------------------------------------------- 203. CM Enumerate the possible causes of obstetrical traumatism (of the genital organs):a) [x] incorrect management of the delivery;b) [x] delivery of an macrocosm fetusc) [x] distocia of the cervix during delivery;d) [ ] disorder of the menstrual cycle;e) [ ] disorder of circulation

--------------------------------------------------------------------- 209. CM Appoint the affirmations that characterize premenstrual syndrome:a) [ ] frequently increases along the age;b) [x] frequency of the disease doesn't depend on the agec) [x] 20-55% incidence;d) [x] represents a complex of pathologic symptoms;e) [ ] clinical signs approximately last all the menstrual cycle

--------------------------------------------------------------------- 210. CM The hormonal disorders in pathogenesis of the premenstrual syndrome leads to:a) [x] hyposecretion of the progesteroneb) [x] hypersecretion of FSH and ACTHc) [x] hypersecretion of estrogen;d) [x] hypersecretion of bradichininee) [ ] hyposecretion of adrenaline

21

--------------------------------------------------------------------- 211. CM Clinical picture of adenomiosis includes:a) [x] progressive algodysmenorrheab) [x] hyperpolymenorrheac) [ ] coetaneous edemad) [x] dyspareuniae) [x] postmenstrual brown secretions "chocolate"

--------------------------------------------------------------------- 213. CM The postcastration syndrome develops due to:a) [x] total ovaryectomyb) [x] subtotal ovaryectomyc) [x] massive radiation;d) [x] severe infection;e) [ ] massive hemorrhages during delivery

--------------------------------------------------------------------- 214. CM Indicate the most active fraction of the androgens:a) [x] testosteroneb) [ ] androsteronec) [x] androstendioned) [ ] dehydroepiandrosteronee) [ ] levonorgestrel --------------------------------------------------------------------- 216. CM Enumerate the indications for conservative treatment of uterine myoma:a) [ ] myoma dimensions more than 12 weeks of pregnancyb) [x] myoma dimensions less than 9 weeks of pregnancyc) [ ] rapid speed of growth of the noduled) [x] slow speed of growth of the nodulee) [ ] association of the uterine myoma with the ovarian pathologies

--------------------------------------------------------------------- 217. CM What drugs in our days are considered first line in conservative treatment of uterine myoma:a) [ ] estrogensb) [x] gestagensc) [x] immunosuppressived) [ ] androgense) [ ] anticoagulant --------------------------------------------------------------------- 220. CM What is the aim of administration of the estrogenic component from the substitution hormonal drugs in women postmenopausal:a) [x] to prevent cardiovascular accidentsb) [x] to prevent osteoporosis;c) [x] to control the heat sensations and nocturnal sweating;d) [ ] to control symptoms of vaginal atrophy;e) [ ] with the aim of anticancer protection of mammary glands and endometrial

22

--------------------------------------------------------------------- 225. CM Enumerate the structures that don't take part in the endometrial functional layer:a) [ ] compactb) [ ] spongiestc) [x] basal;d) [x] stromae) [x] glands with continuum epithelial proliferation

--------------------------------------------------------------------- 230. CM Neural-hormonal regulation of the menstrual cycle take place through the following mechanism, with exception:a) [ ] feed-backb) [ ] neurogen;c) [x] Biorhythm;d) [x] enzymatice) [x] metabolic;

--------------------------------------------------------------------- 231. CM Neurogen regulation of the menstrual function is stronger than the feed-back and includes the following structures, with the exception:a) [ ] hypothalamusb) [ ] epiphysesc) [ ] meduloadrenald) [x] pancrease) [x] liver

--------------------------------------------------------------------- 236. CM In the anatomic pedicle component of the ovarian tumor doesn't enter:a) [ ] ovarian suspensor ligament;b) [x] round ligament;c) [ ] own ovarian ligament;d) [x] omentum;e) [ ] a part of wide ligament

--------------------------------------------------------------------- 239. CM Appoint the relevant symptoms for differential diagnostic of appendicitis and interrupted tubal pregnancy:a) [x] menstrual retentionb) [x] temperature;c) [ ] hypogastria painsd) [x] presence of pregnancy signs;e) [x] leukocytosis ;

--------------------------------------------------------------------- 241. CM Vagina takes part from:a) [ ] external genital organsb) [x] internal genital organs;c) [ ] pair organ;d) [x] impair organ;e) [ ] organ with hormonal secretion

23

--------------------------------------------------------------------- 242. CM Uterus is an organ:a) [x] cavityb) [x] muscularc) [x] impair;d) [ ] paire) [x] mobile

--------------------------------------------------------------------- 243. CM Endometrial functional layer have the following zones:a) [x] compactb) [x] spongiest;c) [ ] zone of transition;d) [ ] basale) [ ] parabasal

--------------------------------------------------------------------- 244. CM From the histological point of view in the ovarian structure we can distinguish:a) [x] germinating epithelialb) [x] cortical zone;c) [x] medullar zone;d) [ ] pavimentous epitheliume) [ ] cubic epithelium

--------------------------------------------------------------------- 245. CM Enumerate the muscular layers of the perineum:a) [x] external;b) [x] medium;c) [x] internal;d) [ ] transversal;e) [ ] oblique

--------------------------------------------------------------------- 246. CM Uterine blood supply take place through:a) [x] uterine arteriesb) [x] ovarian arteriesc) [ ] vesicle arteriesd) [ ] rectal arteriese) [ ] funicular arteries

--------------------------------------------------------------------- 247. CM Celioepithelial cystoma:a) [ ] doesn't associates with ascitis;b) [ ] are unicameral or multicameral with celioepithelial tissue;c) [ ] don't become malignant;d) [x] frequent associates with ascites 70% bilateral;e) [x] are formation of conjunctive tissue

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248. CM Name the anatomic pedicle components of cystoma:a) [ ] round ligamentb) [x] ligamentum proprium ovaricum;c) [x] ligamentum infundibilo- pelvicumd) [x] mezoovary;e) [ ] uterine tube

--------------------------------------------------------------------- 249. CM Component of the surgical pedicle of the ovarian cystoma can be:a) [x] intestinal loopb) [x] omentum;c) [ ] kidneys;d) [x] appendix;e) [ ] liver

--------------------------------------------------------------------- 251. CM Determine the causes of uterine dysfunctional anovulatory hemorrhages:a) [x] temporary and prolonged persistence of the follicleb) [x] follicular atresia;c) [ ] shortening follicular or luteinic phased) [ ] increasing of the luteinic phase;e) [ ] inter-menstrual hemorrhage

--------------------------------------------------------------------- 252. CM Enumerate which are the haemostatic measures in juvenile uterine hemorrhage with easy form of anemia:a) [x] hormonal hemostasisb) [ ] surgical hemostasis (curettage);c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.);d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);e) [x] administration of the antianemic drugs and vitamin therapy

--------------------------------------------------------------------- 253. CM Enumerate which are the haemostatic measures in juvenile uterine hemorrhage with severe form of anemia:a) [x] hormonal hemostasis;b) [x] surgical hemostasis (curettage);c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.);d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);e) [ ] administration of the antibacterial drugs

--------------------------------------------------------------------- 254. Enumerate which are the haemostatic measures in uterine hemorrhage from the perimenopausal period:a) [ ] hormonal hemostasisb) [x] surgical hemostasis (curettage)c) [x] administration of the contractile drugs (oxytocin, pituitrine .etc.)d) [x] administration of the haemostatic drugs (ethamsilat, vicasol etc.);e) [x] administration of the antianemic drugs and vitamin therapy

25

--------------------------------------------------------------------- 255. CM Which from the following hormonal drugs are used as haemostatic in case of uterine hemorrhageFrom the reproductive period:a) [ ] estrogensb) [x] combined oral contraceptivec) [ ] androgens;d) [x] progesterone and its derivationse) [x] nor-steroids;

--------------------------------------------------------------------- 256. CM Which are the causes of juvenile hemorrhages:a) [x] hypothalamic-hypophysis immaturity;b) [x] toxic-infectious unfavorable action ;c) [x] hypo-vitaminosis;d) [ ] uterine myoma;e) [x] psycho-emotive traumas

--------------------------------------------------------------------- 258. CM Appoint the correct affirmations for the feminine testicle syndrome (Morris):a) [ ] 46XY cariotypeb) [ ] 45XO cariotypec) [x] external genital organ feminine typed) [ ] external genital organ masculine typee) [x] feminine gonads

--------------------------------------------------------------------- 259. CS Characteristic cariotype for Turner syndrome is:a) [ ] 46XYb) [ ] 46XXc) [x] 45XOd) [ ] 47YXXe) [ ] 47XXX --------------------------------------------------------------------- 261. CM Which from the following pathologies are Mullerian anomalies:a) [x] bicorn uterusb) [ ] feminine testicle syndrome (Morris)c) [x] didelfius uterusd) [x] Rokitansky-Kuster-Hauser syndromee) [ ] inferior third aplasia of vagina

--------------------------------------------------------------------- 262. CM Which from the following pathologies are chromosomal anomalies:a) [x] Turner syndromeb) [ ] feminine testicle syndrome (Morris)c) [ ] didelfius uterusd) [ ] Rokitansky-Kuster-Hauser syndromee) [x] Klinefelter syndrome

26

--------------------------------------------------------------------- 263. CM Mammary gland is under the hormonal action of:a) [x] ovaries;b) [x] adrenal glandsc) [x] hypophysis;d) [x] thyroid glande) [ ] hypothalamus

--------------------------------------------------------------------- 265. CM At the specific effects of progesterone on mammary gland doesn't refer:a) [ ] alveolar tissue proliferation of mammary glandb) [x] lactofore ducts proliferation of mammary glandc) [x] adipose tissue proliferation;d) [x] proliferation of conjunctive fibrous lax tissuee) [x] proliferation tissue

--------------------------------------------------------------------- 266. CM Which changes of mammary glands skin is characteristic for tumor processes:a) [x] the sign elevated appearance of skinb) [x] umbilicus sign;c) [x] platform sign;d) [x] "orange bark" sign;e) [ ] "cherry stone" sign

--------------------------------------------------------------------- 268. CM In case of mastopathy, morphologic we can distinguish the following changes:a) [x] atrophicb) [x] dystrophicc) [x] proliferationd) [ ] necrotic;e) [ ] suppuration

--------------------------------------------------------------------- 269. CM Usually, mastopathy is associated with:a) [ ] adrenal gland tumorb) [ ] tumor of hypophysisc) [x] uterine myomad) [x] dysmenorrheae) [x] ovarian dysfunction

--------------------------------------------------------------------- 270. CM What method from the following is efficient for the mastopathy prophylaxis:a) [x] hormonal contraceptionb) [ ] contraception with intrauterine devices;c) [ ] systematic vitamin therapy;d) [x] long nursing;e) [ ] condom therapy

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--------------------------------------------------------------------- 272. CM Appreciate in which day of the menstrual cycle is made the hormonal investigation in a patient with endocrine sterility:a) [ ] 2 dayb) [x] 7 day;c) [x] 14 dayd) [ ] 17 day;e) [x] 21 day.

--------------------------------------------------------------------- 274. CM In case of sterility determined by the de hyperanteflexion or retroflexion of the uterus, the management is:a) [ ] anti-inflammatory treatmentb) [x] gynecologic massage;c) [ ] hormonal therapy;d) [x] surgical correctione) [ ] resultative therapy

--------------------------------------------------------------------- 276. CM Enumerate the investigations that are recommended in hyperprolactinemia:a) [ ] evaluation the level of estrogensb) [x] cranium radiographyc) [ ] probe with estrogend) [x] probe with bromcriptine;e) [x] tomography of sella turcica

--------------------------------------------------------------------- 277. CM Mechanism of action of gestagens contraceptive pastilles includes:a) [x] condensation and concentration of cervical glare;b) [x] inhibition of spermatozoids enzymes;c) [x] slowing the ovule movement through the uterine tubesd) [ ] disorders of endometrial secretion process;e) [x] inducing the endometrial atrophy

--------------------------------------------------------------------- 278. CM Which is the non-contraceptive effects of hormonal contraceptives:a) [x] decrease the risk of some tumor development of the reproductive systemb) [x] decrease the incidence of endometriosisc) [x] decrease the incidence of sterilityd) [ ] prophylaxis of inflammatory affectionse) [x] can suppress the next menstruation

--------------------------------------------------------------------- 279. CM Before prescribing OCC to a patient we should evaluate the health by:a) [x] anamnesisb) [x] general examc) [x] gynecologic examd) [x] laboratory exam;e) [ ] internist consultation

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--------------------------------------------------------------------- 280. CM Select the symptoms that serve as reason for emergency in case of COCa) [x] headacheb) [x] retrosternal pain;c) [ ] amenorrhead) [x] dyspneae) [x] acute visual disturbances

--------------------------------------------------------------------- 281. CM Sterilization can be applied as a contraceptive method in women:a) [x] over 35 years, that have at least 3 children and don't want any moreb) [x] with health problems and in case of pregnancy contraindicationsc) [x] with multiple abortiond) [ ] with chronic colecistitise) [ ] with adverse reactions after hormonal contraception

--------------------------------------------------------------------- 284. CM Clinical signs of hymeneal atresia are:a) [x] amenorrheab) [ ] hymeneal membrane of normal colorc) [x] cyclic pains, monthly in the hypogastric regiond) [x] hymeneal membrane of gray colore) [x] cyclic pain in the lumbar region

--------------------------------------------------------------------- 285. CS Causes of genital prolapse:a) [ ] insufficiency of sustaining methodsb) [ ] trauma of sustaining musclesc) [ ] increased physical effortd) [ ] genital infantilisme) [x] obesity

--------------------------------------------------------------------- 291. CM During the treatment of estrogen-gestagens takes place:a) [x] improve of general stateb) [x] decrease of hirsutismc) [x] appearance of menstrual reactiond) [ ] decrease in weighte) [ ] mastodinia

--------------------------------------------------------------------- 292. CS High level of gonadotropin (after releasing-hormone test) is characteristic for the restraint in sexual developmenta) [ ] peripheralb) [x] central;c) [ ] mixt;d) [ ] all mentioned abovee) [ ] none of the following

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293. CM Name the hysteroscopy indications:a) [x] amenorrhea and infertility of unknown genesisb) [x] development anomalies of the uterusc) [ ] retrocervical endometriosisd) [x] submucous myomatous nodulee) [x] polyps of the uterine cavity

--------------------------------------------------------------------- 294. CM Planned diagnostic laparoscopy is indicated in the following cases:a) [x] for the diagnosis and differentiation of the internal genital organ tumorsb) [x] for the diagnosis development anomaly of internal genital organsc) [x] for polycystic ovary developmentd) [ ] in case of ovarian apoplexy suspicione) [ ] in case of uterine perforation suspicion

--------------------------------------------------------------------- 295. CM Surgical laparoscopy in done for:a) [ ] diagnosis of endometrial hyperplaziab) [x] tubectomy in case of ectopic pregnancyc) [x] ovarian collection for in vitro fertilizationd) [x] intraperitoneal placement of clams as markers for chemotherapye) [x] biopsy for the internal organ tumors

--------------------------------------------------------------------- 296. CM Name the informative methods for the permeability determination of fallopian tubes in case of infertility:a) [x] laparoscopy;b) [ ] hysteroscopy;c) [ ] hysterometry;d) [x] metrosalpingography;e) [ ] colposcopy

--------------------------------------------------------------------- 297. CM Name the diagnosis methods in case of cervical erosions:a) [x] valve inspection;b) [ ] manual examinationc) [ ] bacteriological examination of the vaginal contentd) [x] colposcopy;e) [ ] cervical biopsy

--------------------------------------------------------------------- 298. CM Name the indications for the surgical treatment of the internal genital organs inflamatory processes :a) [x] acute parametritisb) [x] pyosalpinx perforationc) [x] pelvioperitonitis in case of inefficient conservatory treatment methodsd) [ ] chronic anexitis in acutizatione) [x] hydrosalpinx torsion

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299. CM In which pathologies of genital organs are indicated the physical methods:a) [x] subacute salpingoophoritisb) [ ] purulent parametritisc) [ ] pelvioperitonitis;d) [x] chronic anexitise) [x] tubal infertility

--------------------------------------------------------------------- 301. CM Endometriosis is :a) [ ] a inflammatory processb) [ ] a viral pathologyc) [x] can be genital and extragenitald) [x] usually evolves without complicationse) [ ] is a tumor process

--------------------------------------------------------------------- 304. CM Physiological menopause is caused by the following factors, except:a) [ ] decrease the level of progesteroneb) [x] excessive production of gonadotropinc) [x] increase the production of steroid hormonesd) [ ] aging of hypothalamic centerse) [x] aging of genital organs

--------------------------------------------------------------------- 305. CM Remedies used in the conservatory treatment of the polycystic ovarian syndrome are:a) [x] Clomifenb) [x] Chorionic gonadotropinc) [ ] Metradine;d) [x] Verospiron;e) [x] Norcolut

--------------------------------------------------------------------- 307. CM At suprarenal virilism refers the following except:a) [ ] adrenogenital syndromeb) [x] Shtein-Leventali syndromec) [ ] hyperplazia of the suprarenal cortical layerd) [ ] corticosteromae) [x] Chiarri-Fromeli syndrome

--------------------------------------------------------------------- 308. CM After the appearance of adrenogenital syndrome we distinguish the following forms, except:a) [ ] inborn adrenogenital syndromeb) [ ] adrenogenital syndrome during reproductive periodc) [x] preclimacteric adrenogenital syndromed) [x] postclimacteric adrenogenital syndromee) [ ] prepubertal adrenogenital syndrome

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309. CM The clinical signs of the prepubertary adrenogenital syndrome includes the following, except:a) [ ] premature sexual maturationb) [ ] premature ossification region closurec) [x] mammary gland hypertrophyd) [ ] clitoris hypertrophye) [x] alopecia

--------------------------------------------------------------------- 310. CM The treatment in case of Itsenko-Cushing disease doesn't include:a) [x] substitutional hormonal therapyb) [x] surgical therapyc) [ ] radiotherapyd) [x] symptomatic treatmente) [x] inhibitory hormonal therapy

--------------------------------------------------------------------- 311. CM Clinical signs of androsteroma includes the following:a) [x] adisonism;b) [x] virilism;c) [x] infertility;d) [x] amenorrhea;e) [ ] arterial hypotension

--------------------------------------------------------------------- 318. CM The development of hyperplastic processes of the endometrium usually associate with:a) [x] ovary tecomatosisb) [ ] endometrium in the secretion stagec) [ ] ovarian follicular cystd) [x] uterine myomae) [x] mammary gland adenofibroma

--------------------------------------------------------------------- 319. CS Yhe usage of hormonal hemostasis in hyperplastic endometrial processes are indicated in case of:a) [x] when after the curettage of uterine cavity in hemostatic purpose, and 6 months didn't passb) [ ] purulent discharges from the genital pathwaysc) [ ] inflammatory purulent annex tumord) [ ] suspicion of submucous uterine myomae) [ ] climacteric period

--------------------------------------------------------------------- 320. CM The cancer of the uterine body more frequently is localized in the following regions of the uterus:a) [ ] inferior segment of the uterusb) [x] uterine fundc) [x] uterine anglesd) [ ] region of the cervixe) [ ] posterior wall of the uterus

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--------------------------------------------------------------------- 321. CM Name the contraindications for the associated chemotherapy indication. (distant intracavitary gamma-therapy)a) [x] generalized process of the tumoral processb) [ ] uterine tumors spread locally in the T1-2 No Mo limitsc) [x] invasion of the neighbor organs (urinary bladder, rectum)d) [x] presence of intracavitary anomaliese) [x] decompensated anomalies of the CV, pulmonary and endocrine system

--------------------------------------------------------------------- 330. CM Plastic microsurgical interventions on the fallopian tubes are done in case of:a) [ ] tubal-ovarian tumorb) [x] tubal occlusion in different portionsc) [ ] infertility for more than 10 yearsd) [x] ectopic pregnancye) [ ] age more than 35

--------------------------------------------------------------------- 331. CM In the treatment of adenomiosis are used:a) [ ] estrogensb) [x] androgensc) [x] gestagensd) [x] Danazole) [x] synthetic antigonadotropins

--------------------------------------------------------------------- 332. CS Lahm-Schiller test assumesa) [ ] paint the cervix with acetic acidb) [x] paint the cervix with Lugol solutionc) [ ] paint the cervix with fluorescined) [ ] paint the cervix with methilen bluee) [ ] paint the cervix with iodine 5% solution

--------------------------------------------------------------------- 333. CM Follicular phase of the menstrual cycle is characterized through:a) [x] basal temperature lower than 37 degreesb) [x] increase and development of the ovarian folliclesc) [ ] basal temperature over 37 degreesd) [x] endometrial vessels increasee) [x] estrogenic secretion by the ovary

---------------------------------------------------------------------335. CM Specify what ovarian tumors met more often:a) [ ] teratomab) [x] serous tumorsc) [x] mucinous tumorsd) [ ] fibromae) [ ] tecoma

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33

336. CM Dermoid cyst:a) [ ] its not a veridical tumorb) [x] teratoma is a mature cystc) [ ] it's not malignantd) [ ] maximal incidence after 40 yearse) [x] often torsion

--------------------------------------------------------------------- 337. CM In case of cervix cancer, B stage recommends:a) [ ] conizationb) [ ] cervix amputationc) [x] Vertaim operationd) [x] radiotherapye) [ ] hormonal. treatment

--------------------------------------------------------------------- 338. CM Benign tumor that develops from muscular tissue:a) [x] leiomyomab) [x] myomac) [ ] gliomad) [ ] lipomae) [ ] teratoma

--------------------------------------------------------------------- 339. CM The treatment of endometriosis that appear during the reproductive period is treated with...a) [x] progestinb) [x] Danazolc) [x] gonadotropin releasing-hormoned) [ ] dexametazone) [ ] androgens

--------------------------------------------------------------------- 340. CM Specify which from the following allow to establish the diagnosis of ectopic pregnancy in evolution:a) [x] beta-HCG dosageb) [ ] vaginal smearc) [x] echographyd) [x] diagnostic curettagee) [x] laparoscopy

--------------------------------------------------------------------- 348. CM In uterine myoma causes of metrorrhage are:a) [x] endometrial hyperplaziab) [x] enlargement of uterine cavityc) [x] hormonal disturbancesd) [x] decrease in uterine contractionse) [ ] myometrial thinning

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349. CM What is characteristic for the hemorrhages determined by uterine myoma:a) [x] progressive menorrhagesb) [x] polymenorrheac) [x] hypermenorrhead) [x] progressive anemiae) [ ] acyclic hemorrhages

--------------------------------------------------------------------- 351. CM The investigations that confirm the diagnosis of sexual transmitted diseases are:a) [ ] colposcopyb) [ ] differential diagnosis curettagec) [ ] cytologyd) [x] vaginal smeare) [x] bacteriologic exam

--------------------------------------------------------------------- 352. CM Pathogenetic mechanisms of pelvioperitonitis include:a) [x] excitation of the peritoneal receptor groupb) [x] synthesis of the adrenergic mediatorsc) [x] vasodilatation and vascular hyperpermeabilityd) [x] kininic system activatione) [ ] generalized vasoconstriction

--------------------------------------------------------------------- 353. CM Surgical intervention in diffuse peritonitis has a direct goal:a) [x] removing the source of infectionb) [x] adequate drainagec) [x] decompression of the digestive tractd) [ ] keeping of uterus and adnexae) [ ] hydro-electrolytic re-equilibration

--------------------------------------------------------------------- 354. CM Specific treatment of genital herpes is done with the following drugs:a) [x] Valtex;b) [ ] Ciprobai;c) [ ] Mycosistd) [ ] Sumamed;e) [x] Aciclovir;

--------------------------------------------------------------------- 355. CM Specific treatment of candidosis includes the drugs, except:a) [ ] Nizoral;b) [x] Valtrex;c) [ ] Diflucan;d) [x] Sumamed;e) [x] Tetracycline

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35

356. CM To the primary signs of sexual transmitted diseases refers:a) [x] colpitisb) [x] cervicitisc) [ ] hepatitisd) [ ] deathe) [ ] chronic pelvic inflammatory diseases

--------------------------------------------------------------------- 357. CM To the consequences of STD refers the following:a) [x] ectopic pregnancyb) [x] infertilityc) [x] habitual abortionsd) [ ] gastritise) [ ] cardiopathia

--------------------------------------------------------------------- 358. CM For the clinic of pelvioperitonitis of specific etiology is characteristic:a) [ ] acute pains in the epigastria regionb) [x] acute pains in hypogastriac) [ ] lack of peritoneal irritationd) [x] positive Blumberg sign

e) [x] fever 39-400

--------------------------------------------------------------------- 361. CM Physiological barriers of the feminine genital organs include the following, excepta) [ ] vulvab) [ ] cervical mucusc) [ ] menstruationd) [x] publican pilositye) [x] Bartolin's glands

--------------------------------------------------------------------- 362. CS Name how will be appreciated menstruation if the lost blood quantity is of 25mla) [x] hypomenorrheab) [ ] hypermenorrheac) [ ] sanguine eliminationsd) [ ] amenorrheae) [ ] opsomenorrhea;

---------------------------------------------------------------------364. CM What from the following modifications are not the causes of anovulatory dysfunctional uterine hemorrhages:a) [ ] temporary and prolonged persistency of the follicleb) [ ] follicle atresiac) [x] shortening of the follicular or luteinic phase\d) [x] prolonging of the luteinic phasee) [x] intermenstrual hemorrhages

36

366. CM What hormonal drugs are not used in juvenile uterine hemorrhage hemostasis.a) [ ] estrogensb) [ ] natural estrogensc) [x] androgens;d) [x] progesterone and its derivativese) [x] nonsteroids

--------------------------------------------------------------------- 368.CM To the causes of acute abdomen, determined by trophic disturbances refers:a) [x] torsion of the subserous myomatous peduncleb) [x] torsion of the ovarian cyst pedunclec) [x] necrosis of the myomatous nodule;d) [ ] ovarian apoplexye) [ ] stopped uterine pregnancy

--------------------------------------------------------------------- 369. CM Which from the named doesn't represent forms of tubal pregnancy :a) [ ] in evolutionb) [x] imminence of pregnancy interruptionc) [ ] interrupted;d) [x] stopped ;e) [x] abdominal

--------------------------------------------------------------------- 371. CM What methods do not refer to the tubal pregnancy treatment:a) [ ] tubal removal through laparoscopy or laparotomyb) [x] curettage of the uterine cavityc) [x] antibiotic administrationd) [x] administration of estrogen-gestagen drugse) [x] uterine cavity aspiration

--------------------------------------------------------------------- 372. CM Diagnosis of ovarian apoplexy is based on the following:a) [x] clinical signs include intraabdominal hemorrhageb) [x] anamnesis (link with the menstrual cycle)c) [ ] feverd) [x] positive punction of the posterior fornixe) [x] disturbance of ovarian integrity during laparoscopy

--------------------------------------------------------------------- 374. CM Indication of oral contraceptives in dysmenorrhea leads to:a) [x] decrease in myometrial contractilityb) [x] delay in endometrial proliferationc) [ ] stimulation of prostaglandin synthetased) [x] decrease the quantity of estrogense) [x] anovulation induction

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37

376. CM Name the contraindications for the effectuation of hysterosalpingography:a) [x] metrorrhage;b) [x] pregnancy suspicionc) [ ] latent form of genital tuberculosisd) [x] acutization of chronic salpingitise) [x] latent endometritis

--------------------------------------------------------------------- 377. CM Enumerate indications for diagnostic emergency laparoscopy:a) [x] suspect to ectopic pregnancyb) [x] absence of effect to complex conservative treatment of acute inflammatory process for 12-48 hours;c) [ ] diagnosis of polycystic ovaries,d) [x] suspect to uterine perforation;e) [ ] primary infertility

--------------------------------------------------------------------- 378. CM Laparoscopy and culdoscopy are indicated in case of:a) [x] suspicion for anexial uterine tumorb) [x] ovarian endometriosisc) [x] sterility and tubal genesisd) [ ] pronounced adhesive process of the pelvis minore) [x] polycystic ovaries syndrome

--------------------------------------------------------------------- 385. CM What pathological states from the mentioned refer to the pre-cursor states of the cervix:a) [x] polypb) [ ] dysplasiac) [x] ectropiond) [x] papillomae) [ ] adenomiosis

--------------------------------------------------------------------- 386. CM Which from the mentioned pathological states according to cervical cancer are non-epithelial tumors:a) [x] rhabdomyosarcomab) [ ] mezonefroid adenocarcinomac) [ ] adenoid-cystic cancerd) [ ] glandular cancere) [x] leyomyosarcoma

--------------------------------------------------------------------- 387. CM Treatment methods of intraepithelial cancer in young women is:a) [x] apply a cone incision with the scalpelb) [x] electroconization of cervixc) [ ] total hysterectomyd) [x] conization with CO2 lasere) [ ] radical radiotherapy

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38

388. CM Intracavitary irradiation as a radical radiotherapy component influences upon:a) [x] primary tumorb) [ ] lymphatic regional nodesc) [ ] lateral parts of ligamentsd) [x] vaginae) [x] parametrium

--------------------------------------------------------------------- 389. CM Distant irradiation as a component of radical radiotherapy influences on:a) [ ] vaginab) [ ] parametriumc) [x] regional lymph nodesd) [ ] ligament portions close to cervixe) [x] lateral parts of the ligaments

--------------------------------------------------------------------- 391. CM Constitutionally, girls with true early puberty are characterized through the following aspects, excepta) [x] big heightb) [ ] low heightc) [x] long extremitiesd) [ ] short extremitiese) [x] relatively short trunk

--------------------------------------------------------------------- 394. CM As a result of estrogen-gestagene treatment takes place:a) [x] improvement of general stateb) [x] decrease of hirsutismc) [x] appearance of menstrual reactiond) [ ] decrease of weighte) [ ] decrease in uterine size

--------------------------------------------------------------------- 395. CM Premature tellarhe is characterized through:a) [x] increased secretions of estrogensb) [x] increased secretion of FSHc) [ ] decreased secretion of FSHd) [x] increased secretion of LHe) [ ] increased secretion of progesterone

--------------------------------------------------------------------- 396. CM For the puberty delay of central geneses are characteristic:a) [x] 1-2 menstruation per yearb) [x] eunucoid constitutionc) [x] secondary sexual signs poorly developedd) [x] hypoplazia of internal genital organse) [ ] hyperplazia of internal genital organs

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39

398. CM What doesn't refer to the neuroendocrine disorders that lead to virilization in Stein-Leventhal syndrome:a) [ ] ovarian hyperandrogenyb) [x] suprarenal hyperandrogenyc) [x] hypoestrogenemiad) [x] hyperestrogenemiae) [x] multiple births

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