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FCPS Model Test 06

1. Not true about De Quervain’s thyroiditis -
A. Affected patients are usually females aged 20–40 years
B. Transient inflammation of the thyroid gland
C. Enlarged, palpable and tender thyroid
D. Treated by antithyroid drugs
2. Not compatible with the age of presentation –
A) Papillary carcinoma: 20 – 40 years
B) Follicular carcinoma: 30 – 40 years
C) Medullary carcinoma: > 40 years
D) Anaplastic carcinoma : > 60 years
3. False statement about Riedel’s thyroiditis -
A) Exceptionally rare condition
B) May be associated mediastinal and retroperitoneal fibrosis
C) Can lead to malignancy
D) Oesophageal compression is a complication
4. Not the action of oestradiol-
A) Endometrial proliferation
B) Breast proliferation
C) Increased bone mineral content
D) Increased myometrial contractility
5. Ovulation occurs due to –
A) FSH surge
B) LH surge
c) Oestrogen surge
D) Progesterone surge
6. Which level is not true in menopause?
A) Increased oestrogen
B) Decreased inhibin
C) Increased FSH
D) Increased LH
7. Not the cause of hypergonadotrophic hypogonadism -
A) Tuberculosis
B) Hyperprolactinaemia
C) Haemochromatosis
D) Klinefelter’s syndrome
8. Not the feature of PCOS –
A) Menstrual irregularity
B) Episodic hypoglycaemia
C) Androgen excess
D) Multiple cysts in the ovaries
9. Turner’s syndrome is diagnosed by –
A) Western blot
B) PCR
C) Karyotyping
D) Hormone analysis
10.A 28-year-old woman, gravida 0 para 0, comes to the office with her husband, age 38, for evaluation of infertility. The couple has not conceived despite frequent intercourse without contraception for over a year. Menarche was at age 13. The patient's menstrual cycles are Irregular, and her last period was 8 weeks ago. She has no nipple discharge.She had trichomoniasis as a teenager. Sexually transmitted infection testing at her most recent annual examination was negative. Her husband had a normal semen analysis. The patient takes a daily prenatal vitamin and does not use tobacco, alcohol, or Illicit drugs. BMI is 28 kg/m'. Blood pressure is 130/80 mm Hg and pulse is 84/min. Heart and tung examination is normal. The abdomen is soft and nontender, with no palpable masses. Pelvic examination shows normal external genitalia and a mobile uterus without adnexal masses. Urine pregnancy test is negative. Serum TSH and prolactin levels are normal. Free testosterone levels are elevated. Which of the following is the most likely cause of this couple's Infertility?
A) Failure of follicle maturation
B) Impaired oocyte transport
C) Pelvic adhesions and fibrosis
D) Premature ovarian failure
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