1、一、單選（只有1個正確答案，每個1分，共30分）1. which of the following does the early pregnancy have in common?A. morning sicknessB. breast enlargementC. abdomen enlargementD. amenorrhea (cease of mense)E. urinary frequencyA 26-year-old woman with regular menstrual periods complaints of 2 days vaginal bleeding in 6 week

2、s after her last menstrual period. The bleeding is dark in color , painless and began after intercourse. Home pregnancy test is positive.Examination shows a small amount of dark blood in the vagina and at the cervical os. The cervix is closed and no tissue is visible. Bimanual examination reveals a

3、slightly soft, normal size uterus and normal adnexa without masses or tenderness.2. what is your procedure of diagnosis?A. order a transvaginal ultrasound examinationB. order a transabdominal ultrasound examinationC. perform a culdocentesisD. advise evacuation of the uterus by suction curettageE. or

4、der a serum quantitative -HCG3. what is the likely diagnosis?A. ectopic pregnancy B. evitable abortionC. threatened abortionD. habitual abortionE. dysfunctional uterine bleeding4. if this woman want to keep the baby, your best management is A. discussion of contraceptionB. continual clinical observa

5、tion of a few more daysC. evacuation D. laparoscopeE. prescribe progesterone 20mg/day5. Which of the following contraceptives improve the risk for development of pelvic inflammatory disease?A. condoms without spermicideB. oral contraceptiveC. intrauterine deviceD. diaphragmE. vasectomy. 6. Causes pr

6、oduction of a grossly recognizable vaginal mucosa with punctate hemorrhage ( “strawberry spots”)A. candida albicansB. trichomonas vaginalisC. Neisseria gonorrhoeaeD. Garderella vaginalis ( bacteria vaginosis)E. Atrophic(senile) vaginitis7. A 19-year-old patient presents to your office with primary a

7、menorrhea. She has normal breast and public hair development, but the uterus and vagina are absent. Possible diagnosis includeA. XYY syndromeB. Gonadal dysgenesisC. Mullerian agenesisD. Klinefelter syndromeE. Turner syndrome 8. for each evaluation, select the most appropriate day of a normal 28-day

8、menstrual cycle for a woman with 5 day menstrual cycles. You perform endometrial biopsy for evaluation of infertility at A .Day 5 B. Day 10 C. Day 14 D Day 21 E Day 27A woman, 48 years old , has the history of twice pregnancy and once delivery. In recent several years, the period of menstruation has

9、 turned to be irregular, and the quality varied from small to large. After two-month-cessation, there has been persistent vaginal bleeding in late half month, with large volume, and accompanying with weakness and dizziness. So the patient came here to see doctor. And then, the physical examination a

10、nd bimanual examination were performed. The gynecologist found no particularly positive sign, the pale face and the uterine slightly enlarged and softened. Additionally, a series of investigation were also carried out for her. Red blood cell count was 2.01012,hemoglobin concentration is 60g/L.The pa

11、thological results of diagnostic curettage are : simple hyperplasia endometrium.9.Which diagnosis is possible of the following?A. Anovulatory functional bleeding, during perimenopause B. Carcinoma of endometriumC. Cervical cancerD. Atrophic vaginitisE. Myoma of uterus.10. For the patient, all of the

12、 following the treatment you should perform, except what?A. Prescribe the progestrone and testerone, B. Hysterectomy and bilateral singo-oophorectomyC. Correct the anemiaD. Anti-infection agentE. blood transfusion11. which of the following is false about endometriosis?A. commonly occurs in women of

13、reproductive age B. the symptom may not palliate or disappear after pregnancy C. the most common location is ovariesD. adenomyoma is a kind of endometriosisE. the endometrium of abnormal growths occur very rarely malignant change12. Which of the followings about threatened urine rupture is correct?A

14、. often seen in uterine hypotonic dysfunctionB. present pathologic retraction ringC. the fetal presentation could be engaged in the pelvic inletD.fetal heart tone is clearE.has irregular uterine contraction 13. A nulligravida at 30 gestational week, was found shocked in bed with severe vaginal bleed

15、ing without abdominal pain, what is the most possible diagnosis of her?A. marginal placenta previa B. rupture of uterusC. complete placenta previa D. placenta abruptionE. cervical cancer14. Under which of situation, there might be seen pathologic retraction ring?A. Polyhydromnia B. twin pregnancyC.

16、placenta previa D. threatened rupture of uterusE. placenta abruption 15. Which of the following diseases rarely leads to postpartum homarrhage?A. twin pregnancy B. polyhydramnioC. premature rupture of membrane D. placenta previaE.severe pregnancy-induced hypertension16.Which of the followings is not

17、 the complication of severe placenta abruption?A. acute renal failure B. coagulation dysfunctionC.postpartum hemorrhage D. hypertensionE. DIC17.Which of the followings is not the factor leading to uterine rupture?A. obstruction of fetal presentationB. the previous scar of uterine wallC. injudicious

18、use of oxytocinD. breech presentationE. transverse lie18. Which of the following choice is the effective management for carcinoma in situ of uterine cervix?A. total hysterectomyB. radical hysterectomyC. radiotherapy D. chemotherapyE. subtotal hysterectomy19. which of the following change would be se

19、en mostly in myoma of uterus combined with pregnancy? A. hyaline degenerationB. cystic degenerationC.red degeneration D. sarcomatous changeE. calificated degeneration20. The clinical symptom of uterine myoma is most greatly associated with which character of it?A. the tumor sizeB. the numberC.the si

20、tuationD.the age of patientE.whether childbearing or not 21.Which treatment could be chosen to endometrial carcinoma patient of late stage or relapse most commonly?A. chemotherapyB. surgeryC. radiotherapy D. progestogen treatmentE. others22. A woman who has endometrial carcinoma most often presents

21、with which of the following symptoms?A. hemoptysisB. weight lossC. postmenopausal bleeding D. vaginal dischargeE. infection23. Which of following management fits for choriocarcinoma best?A. hysterectomy B. Chinese medicineC. immunotherapy D. chemotherapyE. radiation therapy 24. How to differentiate

22、invasive mole with CC? A. seen villous pattern, is CC B. with lung metastasis, is CCC. followed by mole, is CCD. followed by normal labor or abortion, is CCE. none of them25. Which is the most possible reason resulted in urinary fistula?A. obstetrical injuryB. trauma caused by gynecological operatio

23、nC. because of radiotherapy D. bladder diseaseE. none of them26. With cervix and corpus of uterus emerging out of vaginal os totally, it belongs to which degree of uterine prolapse?A. I minor degree B. I heavy degreeC.II minor degreeD. II heavy degreeE. III degree 27. About ovary, which of the follo

24、wing is false?A. only one ovarian follicle maturate during every menses cycleB. corpus luteum secretes estrogen and progesterone after ovulationC. if ovum isnt fertilized, corpus luteum regresses to corpus albicans. D. the amount of ovarian follicles in ovary is determined by newborn phase in humanE

25、. the endocrine regulation of ovulation is emergence of peak of blood LH/FSH before ovulation.28. if menstrual period is 32 days, during menstrual cycle the time of ovulation occurs at about A. ninth dayB. fourteenth dayC. sixteenth dayD. eighteenth dayE. twenty-second day29. which of the following

26、isnt true about the change of hormone in normal menstrual cycle?A. estrogen has two peaks during menstrual cycleB. the amount of progesterone begins to increase after ovulation C. large quantities of progesterone inhibit hypothalamus to secrete FSH-RH and LH-RHD. large quantities of progesterone inh

27、ibit LH-RHE. the peaks emergence of LH/FSH is before ovulation30. which of the ovarian tumors is the most sensitive to radiation therapy?A. teratomaB. serous cystadenocarcinoma C. dysgeminomaD. mucinous csytadenocarcinomaE. Brenner tumor二、填空（每個0.5分，共10分）1. Fetal membranes consist of ( ) and ( ).2. D

28、ecidua is divided into ( )、（ ）and ( ) .3. Four integrant conditions of fertilized ovum implanting within the endometrium are ( ) 、（ ）、（ ）and（ ）4. Basal pathologic change of PIH is ( ).5. Endometiral hyperplasias are divided into ( )、( ) and ( ).6. The common two types of dysfunctional uterine bleedi

29、ng of ovulation are ( ) and ( ).7. The most common way of contraception is ( ) in our country.8. Prolonged labor is defined as ( ).9. Anterior asynelitism is defined as ( ).10. The common oral drugs of artificial aboriton are ( ) and ( ).三、名詞解釋（每個4分，共20分）1 Perimenopause2. prolapse of uterus3. GTD4.

30、squamo-columnar junction5. in labor四、簡答題（每個5分，共20分）1. What are estrogen and progesterone physiological functions to uterus 、fallopian tube and breast?2. Describe placental functions.3. How to diagnose early heart failure during pregnancy?4. Please distinguish squamous epithelization from squamous mataplasia of cervical epithelium.五、病案討論（每個10分，共20分）1A 36-year-old woman G1 has had an unremarkable antepartum course since her first prenatal visit at 8 weeks. At the start of her thirty-second weeks, she complains