موسوعة إمحوتب/TRUE & FALSE
1- Fibroids:
A. Are more common in nulliparas and low parity women.
B. Are composed mainly of fibrous tissue.
C. May reach large sizes.
D. Submucus fibroids may cause infertility.
E. Have rich blood supply.
2- Fibroids:
A. Originate from smooth muscle.
B. Contain muscle and connective tissue.
C. Are usually multiple.
D. Are uncommon in the cervix.
E. Are usually submucus.
3- Fibroids:
A. Are the most common tumors of the female genital tract.
B. Grow rapidly after the menopause.
C. May cause mechanical obstruction of the tubes.
D. Shrink in response to treatment with GnRH analogues.
E. Cervical fibroids account for 40 % of all fibroids.
4- Fibroids:
A. Have rich blood supply.
B. Are estrogen dependent.
C. Are usually asymptomatic.
D. Shrink with pregnancy.
E. Broad ligament fibroids are classified into primary and secondary.
5- Pathological changes occurring in fibroids include:
A. Degeneration.
B. Calcification.
C. Torsion.
D. Infection.
E. Sarcomatous change in about 5% of cases.
6- Hyaline degeneration in a fibroid:
A. Is more common with large tumors.
B. Starts at the periphery of the tumor.
C. Is premalignant.
D. Is associated with dull aching pain.
E. Usually precedes cystic degeneration.
7- Calcification in a fibroid:
A. Is more common with large tumors.
B. Starts at the periphery of the tumor.
C. Is premalignant.
D. Is associated with dull aching pain.
E. Appears in X-ray but not in ultrasonography.
8- Red degeneration of a fibroid:
A. Is due to thrombosis of blood vessels of the capsule.
B. Is associated with coagulation defects.
C. Occurs only during pregnancy.
D. May present by acute abdominal pain.
E. Always requires immediate laparotomy.
9- Malignant change in a fibroid:
A. Is not uncommon.
B. Adenocarcinoma is the commonest type.
C. Is associated with invasion of the capsule.
D. Is associated with post menopausal bleeding.
E. Is associated with loss of the whorly appearance.
10- Complications of fibroids include:
A. Infection.
B. Red degeneration.
C. Endometrial carcinoma.
D. Intra peritoneal hemorrhage.
E. Recurrent abortion.
299. Fibroids: A. True.
B. False; fibroids are composed mainly of muscle fibers.
C. True.
D. True.
E. False; fibroids have poor blood supply.
300. Fibroids: A. True.
B. True.
C. True.
D. True.
E. False; fibroids are most commonly interstitial.
301. Fibroids: A. True.
B. False; fibroids undergo atrophy after the menopause.
C. True.
D. True.
E. False; cervical fibroids account for 4 % of all fibroids.
302. Fibroids: A. False; fibroids have poor blood supply.
B. True.
C. True.
D. False; fibroids commonly increase in size during pregnancy.
E. False; broad ligament fibroids are classified into true & false.
303. Pathological changes occurring in fibroids include: A. True.
B. True.
C. False; torsion is a potential complication, not a pathological change, of subserous fibroid polyp.
D. True.
E. False; sarcomatous change in about 0.02-0.5 % of cases.
304. Hyaline degeneration in a fibroid:
A. True.
B. False; starts at the center of large tumors.
C. False; it is not premalignant.
D. True.
E. True.
305. Calcification in a fibroid:
A. False; it is more common in older females.
B. True.
C. False; it is not premalignant.
D. False; it is not associated with pain.
E. False; it appears in both X-ray & ultrasonography.
306. Red degeneration of a fibroid:
A. True.
B. False; it is not associated with coagulation defects.
C. False; it occurs more commonly, but not exclusively during pregnancy.
D. True.
E. False; laparotomy is not indicated during pregnancy. In non pregnant affected females, medical treatment is indicated before laparotomy.
307. Malignant change in a fibroid:
A. False; it is rare.
B. False; sarcoma is the commonest type.
C. True.
D. True.
E. True.
308. Complications of fibroids include:
A. True.
B. True.
C. False; endometrial carcinoma is not a complication of fibroids. It may be an association due to a common factor; relative estrogen excess.
D. True.
E. True.