Pelvic Inflammatory Disease (PID)

 Pelvic Inflammatory Disease (PID):

1. Treatment of pelvic inflammatory disease (PID) include the following, EXCEPT:

A. Oral doxycycline

B. Removal of IUCD

C. Clindamycin

D. Tetracycline

E. Dilatation and curettage (D & C)

2. The differential diagnosis of vulvar swelling includes all the followings EXCEPT:

A. Bartholin's cyst.

B. Hematoma.

C. Condyloma.

D. Nabothian cyst.

E. Papilloma.

3. The terminology of pelvic inflammatory diseases indicates:

A. Infection of the vagina.

B. Infection of Bartholin's glands

C. Infection of Skene's glands.

D. Infection of the urinary bladder.

E. Endometritis and salpingo-oophoritis.

4. Late sequele of Salpangitis:

A. Endometriosis

B. Endometrial hyperplasia

C. Fallopian tube cancer

D. Hydrosalpinx

E. Cervitis

5. Recto-vaginal fistula result from all of the following EXCEPT:

A. obstetrical delivery

B. Irradiation to the pelvis

C. Carcinoma

D. Hemmorraidectomy

E. Obesity

6. The etiology of PID include all of the following except:

A. TB.

B. Hepatitis virus.

C. Chlamydia.

D. Group B streptococci.

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E. Gonorrhea

7. The differential diagnosis of vulvar swelling includes all the followings EXCEPT:

A. Bartholin's cyst

B. Hematoma.

C. Condyloma.

D. Nabothian cyst.

E. Papilloma.

8. A 38 year old woman is seen for the evaluation of a swelling in her right vulva.

She has also noted pain in this area when walking and during coitus. On

examination a mildly tender flactuant mass was noticed just outside the

introits in the right vulva. What the most likely diagnosis?

A. Bartholin's abscess.

B. Lymphogranuloma venerum.

C. Chancroid.

D. Vulva carcinoma.

E. Herpes infection.

9. Treatment of pelvic inflammatory disease include the following, EXCEPT:

A. Oral doxycycline

B. Removal of IUCD

C. Clindamycin

D. Tetracycline

E. Dilatation and curettage (D & C)

10. On bimanual examination, bilateral adnexal masses were palpated. A vaginal

US was done for her and it showed bilateral tubo-ovarian abscesses. What is

the most appropriate next step in her management:

A. Admit the patient for emergency laparoscopic drainage of the abscess.

B. Admit the patient and give her IV antibiotic.

C. Treat with multiple oral antibiotics as an outpatient.

D. Call interventional radiotherapy to perform "CT guided Percutaneous

aspiration".

E. Admit the patient for exploratory laparotomy, TAH and BSO.

11. Bartholin's abscess:

A. Is often asymptomatic.

B. Is usually bilateral.

C. Is most commonly due to gonococcus infections.

D. Is best treated surgically.

E. Is usually presented as painful swelling to one side to clitoris.

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12. The mechanism of infertility in pelvic inflammatory disease (PID) include the

following EXCEPT:

A. Polycystic ovary.

B. Peritubal adhesions.

C. Hydrosalpinx.

D. Pyosalpinx.

E. Frozen pelvis.

13. Disorders of pelvic support are commonly associated with all of the following

EXCEPT:

A. Multiparity. (children)

B. Aging.

C. Alcohol consumption.

D. Pelvic trauma.

E. Heavy lifting.