Gynaecology Day 4 Quiz - Nurses Revision

Welcome to your Gynaecology Day 4

Ten Questions, 15 MCQ's and 5 Fill-in's. Those are 20

August 30, 2025

What is an ectopic pregnancy?

a) Implantation of a fertilized ovum in the endometrial cavity

b) Implantation of a fertilized ovum outside of the uterine cavity

c) Implantation of multiple fertilized ova within the uterus

d) Implantation of a fertilized ovum in the ovarian follicle

What is the most common anatomical location for ectopic pregnancy?

a) Ovary

b) Abdomen

c) Cervix

d) Fallopian tube

Which of the following is a rare type of multiple pregnancy where one viable pregnancy develops within the uterus and another fertilized egg implants elsewhere as an ectopic pregnancy?

a) Ovarian pregnancy

b) Abdominal pregnancy

c) Heterotopic pregnancy

d) Cervical pregnancy

Which condition thought to prevent or retard migration of the fertilized ovum to the uterus increases the risk for an ectopic pregnancy?

a) Pelvic inflammatory disease

b) Endometriosis

c) Ovarian cysts

d) Cervical polyps

Which contraceptive method carries the highest risk for ectopic pregnancy?

a) Oral contraceptives

b) Intrauterine devices

c) Barrier methods

d) Progestin-only contraceptives

What is the classic triad of symptoms of ectopic pregnancy?

a) Nausea, vomiting, and dizziness

b) Amenorrhea, vaginal bleeding, and lower abdominal pain

c) Back pain, pelvic pressure, and urinary frequency

d) Constipation, bloating, and fatigue

What is Cullen's sign indicative of in relation to ectopic pregnancy?

a) Presence of intrauterine pregnancy

b) Ruptured ectopic pregnancy

c) Appendicitis

d) Gestational trophoblastic disease

Which treatment modality is suitable for small, unruptured ectopic pregnancies and avoids surgery?

a) Laparotomy

b) Salpingectomy

c) Methotrexate therapy

d) Linear salpingostomy

What is the recommended duration for avoiding pregnancy after an ectopic pregnancy?

a) 1 month

b) 3 months

c) 6 months

d) 12 months

Which of the following best describes cervical ectropion?

a) A condition where benign growths protrude from the inner surface of the cervix.

b) A benign condition characterized by raw-looking area on the outside of the cervix due to glandular cells from inside the cervix.

c) A sexually transmitted infection affecting the upper genital tract.

d) An inflammatory condition of the endometrium.

What is the most common cause of cervical ectropion?

a) Bacterial infection

b) Hormonal changes

c) Cervical trauma

d) Genetic predisposition

Which epithelium is typically seen in the ectocervix of the cervix?

a) Simple columnar epithelium

b) Stratified squamous non-keratinized epithelium

c) Pseudostratified columnar epithelium

d) Transitional epithelium

What is the first-line treatment for cervical ectropion?

a) Antibiotics

b) Surgical removal

c) Cryotherapy or electrocautery

d) Hormonal therapy

What is the most common type of cervical polyp?

a) Ectocervical polyp

b) Endocervical polyp

c) Fibroepithelial polyp

d) Adenomatous polyp

What is the pathophysiology of pelvic inflammatory diseases (PID)?

a) Ascending infection from the vagina leading to inflammation of the upper genital tract

b) Direct trauma to the pelvic organs

c) Hormonal imbalance causing inflammation

d) Autoimmune reaction affecting the reproductive organs