妇产科英文题

一、单选（只有 1个正确答案，每个 1分，共30分）1.whichofthefollowingdoestheearlypregnancyhaveincommon?A.morningsicknessB.breastenlargementC.abdomenenlargementD.amenorrhea(ceaseofmense)E.urinaryfrequencyA26-year-oldwomanwithregularmenstrualper iodscomplaintsof2days ’vaginalbleedingin6weeksafterherlastmenstrualperiod.Thebleedingisdarkincolor,painlessandbeganafterintercourse.Homepregnancytestispositive.Examinationshowsasmallamountofdarkbloodinthevaginaandatthecervicalos.Thecervixisclosedandnotissueisvisible.Bimanualexaminationrevealsaslightlysoft,normalsizeuterusandnormaladnexawithoutmassesortenderness.2.whatisyourprocedureofdiagnosis?A.orderatransvaginalultrasoundexaminationB.orderatransabdominalultrasoundexaminationC.performaculdocentesisD.adviseevacuationoftheuterusbysuctioncurettageE.orderaserumquantitative β-HCGwhatisthelikelydiagnosis?A.ectopicpregnancyB.evitableabortionC.threatenedabortionD.habitualabortionE.dysfunctionaluterinebleedingifthiswomanwanttokeepthebaby,yourbestmanagementisA.discussionofcontraceptionB.continualclinicalobservationofafewmoredaysC.evacuationD.laparoscopeE.prescribeprogesterone20mg/dayWhichofthefollowingcontraceptivesimprovetheriskfordevelopmentofpelvicinflammatorydisease?condomswithoutspermicideoralcontraceptiveintrauterinedevicediaphragmvasectomy.6.Causesproduction of agrossly recognizable vaginal mucosawith punctatehemorrhage( “strawberryspots ”)candidaalbicanstrichomonasvaginalisNeisseriagonorrhoeaeGarderellavaginalis(bacteriavaginosis)Atrophic(senile)vaginitisA19-year-oldpatientpresentstoyourofficewithprimaryamenorrhea.Shehasnormalbreastandpublichairdevelopment,buttheuterusandvaginaareabsent.PossiblediagnosisincludeXYYsyndromeGonadaldysgenesisMullerianagenesisKlinefeltersyndromeTurnersyndromeforeachevaluation,selectthemostappropriatedayofanormal28-daymenstrualcycleforawomanwith5daymenstrualcycles.YouperformendometrialbiopsyforevaluationofinfertilityatA.Day5精品文库B.Day10C.Day14Day21Day27Awoman,48yearsold,hasthehistoryoftwicepregnancyandoncedelivery.Inrecentseveralyears,theperiodofmenstruationhasturnedtobeirregular,andthequalityvariedfromsmalltolarge.Aftertwo-month-cessation,therehasbeenpersistentvaginalbleedinginlatehalfmonth,withlargevolume,andaccompanyingwithweaknessanddizziness.Sothepatientcameheretoseedoctor.Andthen,thephysicalexaminationandbimanualexaminationwereperformed.Thegynecologistfoundnoparticularlypositivesign,thepalefaceandtheuterineslightlyenlargedandsoftened.Additionally,aseriesofinvestigationwerealsocarriedoutforher.Redbloodcellcountwas2.0×1012,hemoglobinconcentrationis60g/L.Thepathologicalresultsofdiagnosticcurettageare:simplehyperplasiaendometrium.9.Whichdiagnosisispossibleofthefollowing?A.Anovulatoryfunctionalbleeding,duringperimenopauseCarcinomaofendometriumCervicalcancerAtrophicvaginitisMyomaofuterus.Forthepatient,allofthefollowingthetreatmentyoushouldperform,exceptwhat?A.Prescribetheprogestroneandtesterone,B.Hysterectomyandbilateralsingo-oophorectomyC.CorrecttheanemiaD.Anti-infectionagentE.bloodtransfusionwhichofthefollowingisfalseaboutendometriosis?A.commonlyoccursinwomenofreproductiveageB.thesymptommaynotpalliateordisappearafterpregnancyC.themostcommonlocationisovariesD.adenomyomaisakindofendometriosisE.theendometriumofabnormalgrowthsoccurveryrarelymalignantchangeWhichofthefollowingsaboutthreatenedurineruptureiscorrect?A.oftenseeninuterinehypotonicdysfunctionB.presentpathologicretractionringC.thefetalpresentationcouldbeengagedinthepelvicinletD.fetalhearttoneisclearE.hasirregularuterinecontractionAnulligravidaat30gestationalweek,wasfoundshockedinbedwithseverevaginalbleedingwithoutabdominalpain,whatisthemostpossiblediagnosisofher?marginalplacentapreviaruptureofuteruscompleteplacentapreviaplacentaabruptioncervicalcancerUnderwhichofsituation,theremightbeseenpathologicretractionring?A.PolyhydromniaB.twinpregnancyC.placentapreviaD.threatenedruptureofuterusE.placentaabruptionWhichofthefollowingdiseasesrarelyleadstopostpartumhomarrhage?A.twinpregnancyB.polyhydramnioC.prematureruptureofmembraneD.placentapreviaE.severepregnancy-inducedhypertension欢迎下载 2精品文库16.Whichofthefollowingsisnotthecomplicationofsevereplacentaabruption?acuterenalfailurecoagulationdysfunctionC.postpartumhemorrhagehypertensionDIC17.Whichofthefollowingsisnotthefactorleadingtouterinerupture?A.obstructionoffetalpresentationB.thepreviousscarofuterinewallC.injudicioususeofoxytocinD.breechpresentationE.transverselie18.Whichofthefollowingchoiceistheeffectivemanagementforcarcinomainsituofuterinecervix?totalhysterectomyradicalhysterectomyradiotherapychemotherapysubtotalhysterectomywhichofthefollowingchangewouldbeseenmostlyinmyomaofuteruscombinedwithpregnancy?hyalinedegenerationcysticdegenerationC.reddegenerationsarcomatouschangecalificateddegeneration20.Theclinicalsymptomofuterinemyomaismostgreatlyassociatedwithwhichcharacterofit?thetumorsizethenumberC.thesituationD.theageofpatientE.whetherchildbearingornot21.Whichtreatmentcouldbechosentoendometrialcarcinomapatientoflatestageorrelapsemostcommonly?chemotherapysurgeryradiotherapyprogestogentreatmentothersAwomanwhohasendometrialcarcinomamostoftenpresentswithwhichofthefollowingsymptoms?hemoptysisweightlosspostmenopausalbleedingvaginaldischargeinfection23.Whichoffollowingmanagementfitsforchoriocarcinomabest?hysterectomyChinesemedicineimmunotherapychemotherapyradiationtherapy24.HowtodifferentiateinvasivemolewithCC?seenvillouspattern,isCCwithlungmetastasis,isCCfollowedbymole,isCCfollowedbynormallabororabortion,isCC欢迎下载 3精品文库E.noneofthem25.Whichisthemostpossiblereasonresultedinurinaryfistula?obstetricalinjurytraumacausedbygynecologicaloperationbecauseofradiotherapybladderdiseasenoneofthemWithcervixandcorpusofuterusemergingoutofvaginalostotally,itbelongstowhichdegreeofuterineprolapse?IminordegreeIheavydegreeC.IIminordegreeIIheavydegreeE.IIIdegree27.Aboutovary,whichofthefollowingisfalse?A.onlyoneovarianfolliclematurateduringeverymensescycleB.corpusluteumsecretesestrogenandprogesteroneafterovulationC.ifovumisn ’tfertilized,corpusluteumregressestocorpusalbicans.D.theamountofovarianfolliclesinovaryisdeterminedbynewbornphaseinhumanE.theendocrineregulationofovulationisemergenceofpeakofbloodLH/FSHbeforeovulation.ifmenstrualperiodis32days,duringmenstrualcyclethetimeofovulationoccursataboutA.ninthdayB.fourteenthdayC.sixteenthdayD.eighteenthdayE.twenty-secondday29.whichofthefollowingisn’ttrueaboutthechangeofhormoneinnormalmenstrualcycle?A.estrogenhastwopeaksduringmenstrualcycleB.theamountofprogesteronebeginstoincreaseafterovulationC.largequantitiesofprogesteroneinhibithypothalamustosecreteFSH-RHandLH-RHD.largequantitiesofprogesteroneinhibitLH-RHE.thepeak ’semergenceofLH/FSHisbeforelationovuwhichoftheovariantumorsisthemostsensitivetoradiationtherapy?A.teratomaB.serouscystadenocarcinomaC.dysgeminomaD.mucinouscsytadenocarcinomaE.Brennertumor二、填空（每个0.5分，共10分）1.Fetalmembranesconsistof()and().2.Deciduaisdividedinto()、（）and().3.Fourintegrantconditionsoffertilizedovumimplantingwithintheendometriumare()、（）、（）and（）4.BasalpathologicchangeofPIHis().5.Endometiralhyperplasiasaredividedinto()、()and().6.Thecommontwotypesofdysfunctionaluterinebleedingofovulationare()and().7.Themostcommonwayofcontraceptionis()inourcountry.8.Prolongedlaborisdefinedas().9.Anteriorasynelitismisdefinedas().10.Thecommonoraldrugsofartificialaboritonare()and().三、名词解释（每个 4分，共20分）1．PerimenopauseprolapseofuterusGTDsquamo-columnarjunctioninlabor欢迎下载 4精品文库四、简答题（每个5分，共20分）Whatareestrogenandprogesteronephysiologicalfunctionstouterus、fallopiantubeandbreast?Describeplacentalfunctions.Howtodiagnoseearlyheartfailureduringpregnancy?Pleasedistinguishsquamousepithelizationfromsquamousmataplasiaofcervicalepithelium.五、病案讨论（每个10分，共20分）1．A36-year-oldwomanG1hashadanunremarkableantepartumcoursesinceherfirstprenatalvisitat8weeks.Atthestartofherthirty-secondweeks,shecomplainsofsw