婦產(chǎn)科英文題

1、一、單選(只有 1 個正確答案，每個 1 分，共 30 分)whichofthefollowingdoestheearlypregnancyhaveincommon?morningsicknessbreastenlargementabdomen enlargementamenorrhea (cease ofmense)urinaryfrequencyA26-year-oldwomanwithregularmenstrualperiodscomplaintsof2daysvaginalbleedingin6weeks afterherlastmenstrualperiod.Thebleeding

2、isdarkincolor,painlessandbeganafterintercourse.Home pregnancy test ispositive.Examinationshowsasmallamountofdarkbloodinthevaginaandatthecervicalos.Thecervixis closedandnotissueisvisible.Bimanualexaminationrevealsaslightlysoft,normalsizeuterusandnormal adnexa without masses ortenderness.what is your

3、procedure ofdiagnosis?order a transvaginal ultrasoundexaminationorder a transabdominal ultrasoundexaminationperform aculdocentesisadvise evacuation of the uterus by suction curettageorder a serum quantitative 3-HCGwhat is the likelydiagnosis?ectopic pregnancyevitableabortionthreatened abortionhabitu

4、alabortiondysfunctional uterinebleedingifthiswomanwanttokeepthebaby,yourbestmanagementisdiscussion ofcontraceptioncontinual clinical observation of a few moredaysevacuationlaparoscopeprescribe progesterone20mg/dayWhichofthefollowingcontraceptivesimprovetheriskfordevelopmentofpelvicinflammatorydiseas

5、e?condoms withoutspermicideoralcontraceptiveintrauterinedevicediaphragmvasectomy.Causes production of a grossly recognizable vaginal mucosa with punctate hemorrhage (strawberry spots)candida albicanstrichomonasvaginalisNeisseriagonorrhoeaeGarderella vaginalis ( bacteriavaginosis)Atrophic(senile)vagi

6、nitisA19-year-oldpatientpresentstoyourofficewithprimaryamenorrhea.Shehasnormalbreastandpublic hairdevelopment,buttheuterusandvaginaareabsent.PossiblediagnosisincludeXYYsyndromeGonadaldysgenesisMullerianagenesisKlinefeltersyndromeTurnersyndromeforeachevaluation,selectthemostappropriatedayofanormal28-

7、daymenstrualcycleforawomanwith 5daymenstrualcycles.YouperformendometrialbiopsyforevaluationofinfertilityatA .Day 5B. Day 10C. Day 14 D Day 21 E Day 27Awoman,48yearsold,hasthehistoryoftwicepregnancyandoncedelivery.Inrecentseveralyears, theperiodofmenstruationhasturnedtobeirregular,andthequalityvaried

8、fromsmalltolarge.Aftertwo-month- cessation,therehasbeenpersistentvaginalbleedinginlatehalfmonth,withlargevolume,andaccompanying withweaknessanddizziness.Sothepatientcameheretoseedoctor.Andthen,thephysicalexaminationand bimanualexaminationwereperformed.Thegynecologistfoundnoparticularlypositivesign,t

9、hepalefaceand theuterineslightlyenlargedandsoftened.Additionally,aseriesofinvestigationwerealsocarriedoutforher.Redbloodcellcountwas2.0X1012,hemoglobinconcentrationis60g/L.Thepathologicalresultsofdiagnostic curettage are : simple hyperplasiaendometrium.Which diagnosis is possible of thefollowing?Ano

10、vulatory functional bleeding, duringperimenopauseCarcinoma ofendometriumCervical cancerAtrophicvaginitisMyoma ofuterus.Forthepatient,allofthefollowingthetreatmentyoushouldperform,exceptwhat?Prescribe the progestrone andtesterone,Hysterectomy and bilateralsingo-oophorectomyCorrect theanemiaAnti-infec

11、tionagentbloodtransfusionwhich of the following is false aboutendometriosis?commonly occurs in women of reproductiveagethesymptommaynotpalliateordisappearafterpregnancythe most common location isovariesadenomyoma is a kind ofendometriosistheendometriumofabnormalgrowthsoccurveryrarelymalignantchangeW

12、hichofthefollowingsaboutthreatenedurineruptureiscorrect?often seen in uterine hypotonicdysfunctionpresent pathologic retractionringthefetalpresentationcouldbeengagedinthepelvicinletfetal heart tone isclearhas irregular uterinecontractionAnulligravidaat30gestationalweek,wasfoundshockedinbedwithsevere

13、vaginalbleedingwithout abdominalpain,whatisthemostpossiblediagnosisofher?marginal placentapreviarupture ofuteruscomplete placenta previaplacenta abruptioncervical cancerUnderwhichofsituation,theremightbeseenpathologicretractionring?Polyhydromniatwinpregnancyplacenta previathreatened rupture ofuterus

14、placenta abruptionWhichofthefollowingdiseasesrarelyleadstopostpartumhomarrhage?twinpregnancypolyhydramniopremature rupture ofmembraneplacenta previasevere pregnancy-inducedhypertensionWhichofthefollowingsisnotthecomplicationofsevereplacentaabruption?acute renalfailurecoagulation dysfunctionpostpartu

15、m hemorrhagehypertensionDICWhich of the followings is not the factor leading to uterine rupture?obstruction of fetal presentationthe previous scar of uterine wallinjudicious use of oxytocinbreech presentationtransverse lieWhich of the following choice is the effective management for carcinoma in sit

16、u of uterine cervix?total hysterectomyradical hysterectomyradiotherapychemotherapysubtotal hysterectomywhich of the following change would be seen mostly in myoma of uterus combined with pregnancy?hyaline degenerationcystic degenerationred degenerationsarcomatous changecalificated degenerationThe cl

17、inical symptom of uterine myoma is most greatly associated with which character of it?the tumor sizethe numberthe situationthe age of patientwhether childbearing or notWhich treatment could be chosen to endometrial carcinoma patient of late stage or relapse commonly?chemotherapysurgeryradiotherapypr

18、ogestogen treatmentothersA woman who has endometrial carcinoma most often presents with which of the following symptoms?hemoptysisweight losspostmenopausal bleedingvaginal dischargeinfectionWhich of following management fits for choriocarcinoma best?hysterectomyChinese medicineimmunotherapychemother

19、apyradiation therapyHow to differentiate invasive mole with CC?seen villous pattern, is CCwith lung metastasis, is CCfollowed by mole, is CCfollowed by normal labor or abortion, is CCnone of themWhich is the most possible reason resulted in urinary fistula?obstetrical injurytrauma caused by gynecolo

20、gical operationbecause of radiotherapybladder diseasenone ofthemWithcervixandcorpusofuterusemergingoutofvaginalostotally,itbelongstowhichdegreeofuterine prolapse?I minordegreeI heavydegreeII minordegreeII heavydegreeIIIdegreeAbout ovary, which of the following isfalse?onlyoneovarianfolliclematurated

21、uringeverymensescyclecorpusluteumsecretesestrogenandprogesteroneafterovulationif ovum isn t fertilized, corpus luteum regresses tocorlpuisans.theamountofovarianfolliclesinovaryisdeterminedbynewbornphaseinhumantheendocrineregulationofovulationisemergenceofpeakofbloodLH/FSHbeforeovulation.ifmenstrualp

22、eriodis32days,duringmenstrualcyclethetimeofovulationoccursataboutninthdayfourteenth daysixteenthdayeighteenth daytwenty-second daywhichofthefollowingisnttrueaboutthechangeofhormoneinnormalmenstrualcycle?estrogen has two peaks during menstrualcycletheamountofprogesteronebeginstoincreaseafterovulation

23、largequantitiesofprogesteroneinhibithypothalamustosecreteFSH-RHandLH-RHlarge quantities of progesterone inhibitLH-RHthe peak s emergence of LH/FSH isbeforadtkonwhichoftheovariantumorsisthemostsensitivetoradiationtherapy?teratomaserouscystadenocarcinomadysgeminomamucinouscsytadenocarcinomaBrennertumo

24、r二、填空(每個 0.5 分，共 10 分)Fetalmembranesconsistof()and().Deciduaisdividedinto()( )and().Fourintegrantconditionsoffertilizedovumimplantingwithintheendometriumare)()、()andBasalpathologicchangeofPIHis().Endometiralhyperplasiasaredividedinto()、()and().Thecommontwotypesofdysfunctionaluterinebleedingofovulati

25、onare() and().Themostcommonwayofcontraceptionis() in ourcountry.Prolongedlaborisdefinedas().Anteriorasynelitismisdefinedas().Thecommonoraldrugsofartificialaboritonare() and ().三、名詞解釋(每個 4 分，共 20 分)Perimenopauseprolapse ofuterusGTDsquamo-columnarjunctioninlabor四、簡答題（每個 5 分，共 20 分）Whatareestrogenandpr

26、ogesteronephysiologicalfunctionstouterus、fallopiantubeandbreast?Describe placentalfunctions.How to diagnose early heart failure duringpregnancy?Pleasedistinguishsquamousepithelizationfromsquamousmataplasiaofcervicalepithelium.五、病案討論（每個 10 分，共 20A36-year-oldwomanG1hashadanunremarkableantepartumcoursesinceherfirstprenatalvisitat8weeks.Atthestartofherthirty-secondweeks,shecomplainsof