MCQ Quiz: Diseases Exam!

18 Questions | Total Attempts: 392

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MCQ Quiz: Diseases Exam!

What do you know about diseases? There are a plethora of causes for diseases. It could be anything from fluctuating blood sugar to chest pain. There are many conditions in which there is more than one symptom for more than one disease. It is also common to have a disease because of genetic factors. This quiz will assist you in finding out about different diseases.


Questions and Answers
  • 1. 
    Dr. Hawley A 17-year-old-woman taking oral contraceptives and doxycycline presents with complaints of a burning sensation on urination and a sticky off-white vaginal discharge. The vaginal exam reveals erythema and adherent white material. The vulvar area is inflamed. Vaginal secretions are mounted in 10% KOH and allowed to digest; the result at 450x is shown in the image. What is causing her vaginitis?
    • A. 

      Gardnerella vaginalis

    • B. 

      Haemophilus ducreyi

    • C. 

      Neisseria gonorrhoeae

    • D. 

      Trichomonas vaginalis

    • E. 

      Candida spp

  • 2. 
    What are the two agents most likely to cause PID in an infected but untreated woman?
    • A. 

      Neisseria gonorrhoeae and Chlamydia trachomatis

    • B. 

      Treponema pallidum and Chlamydia trachomatis

    • C. 

      HPV and Ureaplasma genitalium

    • D. 

      HPV and Neisseria gonorrhoeae

    • E. 

      Haemophilus ducreyi and Neisseria gonorrhoeae

  • 3. 
    Dr. Bansal A 30-year-old woman with polycystic ovarian syndrome has been prescribed combined oral contraceptive pills for controlling the recent growth of unwanted hair on her body. Which of the following is the most likely mechanism by which this drug exerts its therapeutic effect in this condition?
    • A. 

      Decreases adrenal androgen synthesis

    • B. 

      Decreases ovarian androgen synthesis

    • C. 

      Decreases synthesis of sex hormone-binding globulin

    • D. 

      Increases ovarian estrogen synthesis

    • E. 

      Increases synthesis of gonadotropins

  • 4. 
    A 30-year-old woman who is 7 days postpartum consults her obstetrician for an appropriate contraceptive method. She breastfeeds her son. The baby and the mother both are doing well. Which of the following is the most suitable contraceptive method for her?
    • A. 

      Combined oral contraceptives

    • B. 

      Levonorgestrel-intrauterine device

    • C. 

      Estrogen patch

    • D. 

      Tubectomy

    • E. 

      Danazol

  • 5. 
    Dr. Keator A 38-year-old primigravid woman complains of irregular menstrual cycles.  Urinalysis is negative for chorionic gonadotropin.  Physical exam reveals galactorrhea; otherwise unremarkable.  Which of the following is the most likely cause of this patient’s irregular menstrual cycles?
    • A. 

      Elevated estrone

    • B. 

      Elevated oxytocin

    • C. 

      Elevated progesterone

    • D. 

      Elevated thyroid stimulating hormone

    • E. 

      Elevated prolactin

  • 6. 
    A 35-year-old woman, para 3, gravida 2, is diagnosed with mild hyperglycemia after the oral glucose challenge and subsequently delivers (at term) a large for gestational age baby boy.  Which of the following hormones was most likely elevated in this woman and caused fetal overgrowth?
    • A. 

      Insulin growth factor 1

    • B. 

      Insulin growth factor 2

    • C. 

      Chorionic gonadotropin

    • D. 

      Pituitary growth hormone

    • E. 

      Prolactin

  • 7. 
    A 28-year-old woman, para 2, gravida 1, at 39 weeks of pregnancy goes to the gynecologist for her weekly check-up.  Pelvic exam reveals a dilatation of the cervix of 1.5 cm.  Elevation in which of the following is the most likely cause of this patient’s cervical dilatation?
    • A. 

      Estrogen receptors

    • B. 

      Corticotropin releasing hormone

    • C. 

      Oxytocin receptors

    • D. 

      Prostaglandin F2

    • E. 

      Prostaglandin E2

  • 8. 
    Dr. Blanchetot* A 35-year-old woman, recently diagnosed with invasive ductal carcinoma of the breast, comes for genetic counseling with her 30-year-old sister. Their mother died of breast cancer at age 52 and was the only other affected relative. To determine the risk to her daughter, the woman has comprehensive BRCA1 and BRCA2 genetic testing with negative results. Which of the following statements by this patient should make the counselor MOST concerned that she does not fully understand these results?
    • A. 

      "I am not at significantly increased risk for ovarian cancer."

    • B. 

      "My daughter will not need to have BRCA testing."

    • C. 

      "I am considering bilateral mastectomy."

    • D. 

      "My sister is not at increased risk for breast cancer."

  • 9. 
    A 25-year-old woman has invasive colon cancer and hundreds of polyps. She has a total of colectomy. In addition to routine care for the general population, which of the following medical surveillance evaluations will she continue to require?
    • A. 

      Annual ophthalmic exam

    • B. 

      Breast MRI

    • C. 

      Endometrial biopsy every 2 years

    • D. 

      Screening skin exam for melanoma yearly

    • E. 

      Upper GI endoscopy every 2-3 years

  • 10. 
    Dr. Pandey A 36-year-old woman with mild hirsutism has normal levels of testosterone, normal de-dehydroepiandrosterone sulfate (DHEA-S), and a normal urine 17 ketosteroids and corticosteroids. Which of the following is most likely to be the cause of this woman’s hirsutism?
    • A. 

      Sertoli-Leydig cell tumor

    • B. 

      Thecoma

    • C. 

      Idiopathic hirsuitism

    • D. 

      Granulosa cell tumor

    • E. 

      Cushing syndrome

  • 11. 
    A 24-year-old woman with a history of recurrent right lower abdominal pain has a palpable right ovarian mass. An ultrasound of the abdomen confirms the presence of a solitary cystic mass of the ovary. No calcifications are noted. The findings are most consistent with which one of the following lesions?
    • A. 

      Serous cystadenoma

    • B. 

      Mucinous cystademona

    • C. 

      Cystic teratoma

    • D. 

      Dysgerminoma

    • E. 

      Follicular cyst

  • 12. 
    Which of the following ovarian tumors is most similar to dysgerminoma of the ovary, in both origin and biology?
    • A. 

      Yolk sac tumor

    • B. 

      Serous cystadenocarcinoma

    • C. 

      Cystic teratoma

    • D. 

      Sertoli-Leydig cell tumor

    • E. 

      Granulosa cell tumor

  • 13. 
    Which of the following vulvar diseases is most likely to be misdiagnosed as verrucous carcinoma?
    • A. 

      Condyloma latum

    • B. 

      Granuloma inguinale

    • C. 

      Lymphogranuloma venereum

    • D. 

      Condyloma acuminate

    • E. 

      Chancroid

  • 14. 
    Which of the following conditions does not have dysmenorrhea?
    • A. 

      Increased uterine prostaglandins

    • B. 

      Adenomyosis

    • C. 

      Endometriosis

    • D. 

      Cervical stenosis

    • E. 

      Oral contraceptive use

  • 15. 
    A routine cervical pap smear taken during a gynecologic examination of a 31-year-old woman shows numerous, loosely arranged cells with a high nuclear-cytoplasmic ratio. Colposcopy shows white epithelium punctuation and mosaic pattern in the transformation zone. Which of the following is the most likely diagnosis in this case?
    • A. 

      Adenocarcinoma of endocervix

    • B. 

      Chronic cervicitis

    • C. 

      Clear cell carcinoma

    • D. 

      Herpes simplex virus infection

    • E. 

      Cervical dysplasia

  • 16. 
    A 24-year-old female presented with complaints of persistent vaginal discharge and dyspareunia. On examination, there were red, patchy, diffuse lesions on the vaginal wall, and cervix. Histopathologic examination of the lesions revealed vaginal adenosis with chronic inflammation. Which of the following is the best explanation for this type of lesion?
    • A. 

      Glandular metaplasia

    • B. 

      Mullerian glandular epithelium

    • C. 

      Epithelium of urogenital sinus origin

    • D. 

      Derived from mesonephric duct

    • E. 

      Cells of yolk sac origin

  • 17. 
    Dr. Bellot A 58-year-old woman presented with nipple discharge. She had no other complaints.  She was referred to a breast clinic where several tests were done including a mammogram. A decision was made operate and the lesion shown below was excised. Which statement is correct?
    • A. 

      The lesion is obviously malignant and further surgery will be needed.

    • B. 

      It is likely that her nipple discharge was clear and serous.

    • C. 

      This lesion is fragile and may bleed.

    • D. 

      There is very likely an invasive cancer deep to this lesion.

    • E. 

      The other breast is at great risk for a similar lesion.

  • 18. 
    An 80-year-old woman has been observing a mass growing in her left breast for about 6 months. It has grown quite large and there is ulceration of the overlying skin. Because she lives alone most of the time she has told no one about the mass and even though she is fearful that it is “something bad” she only recently went to see her doctor. He immediately arranged for a biopsy and the pathologist’s report included the description “inflammatory carcinoma”. What is a characteristic finding in this disease?
    • A. 

      Cutaneous lymphatics plugged with tumor cells

    • B. 

      Tumor cells which are mesenchymal in origin

    • C. 

      A prominent fibrotic reaction

    • D. 

      A very well-differentiated ductular pattern

    • E. 

      Loss of skin pigment

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