🔥2
38 years old multigravida woman complains of painless loss of urine, begin immediately after coughing, laughing or straining immediate cessation of the activity stops the urine loss, this history is suggestive of:
Anonymous Quiz
0%
Fistula
60%
Stress incontinence
0%
Urge incontinence
20%
Urethral incontinence
20%
UTI
🥰2
Involuntary loss of urine preceded by a strong sensation to void reflects which of the following forms of incontinence?
Anonymous Quiz
14%
Urge incontinence
0%
Stress incontinence
57%
Overflow incontinence
29%
Functional incontinence
Urinary stress incontinence is:
Anonymous Quiz
9%
Loss of large amount of urine when intra abdominal pressure is increased
45%
Loss of small amount of urine when intra abdominal pressure is increased
18%
Inability to control the bladder of all urine
18%
Inability to pass urine
9%
Constant loss of small amounts of urine
The first step in ttt of stress incontinence is:
Anonymous Quiz
13%
Sling operation
38%
Anterior colporrhaphy
0%
Colposuspension
50%
Pelvic floor exercise
The following statement regarding the ttt of USI is incorrect:
Anonymous Quiz
17%
Non surgical management is useless
0%
Reconstruction & elevation of the urethrovaginal angle cures the condition
83%
Coexistent detrusor overactivity should be treated before surgery for stress incontinence
0%
Colposuspension is carried out through an abdominal incision
Stress incontinence is not common in
Anonymous Quiz
43%
Nullipara
29%
Multiparous
14%
Pregnancy
14%
State of physical activity
A patient with hirsutism, ovarian androgen excess, and elevated serum LH levels is most likely to have which of the following?
Anonymous Quiz
14%
11 beta hydroxylase deficiency
29%
Cushing syndrome
0%
Adrenal tumour
57%
Polycystic ovarian syndrome
Clinical features of hyperandrogenism include all these features except
Anonymous Quiz
0%
Acne vulgans
43%
Feminine body contour
29%
Thickened voice
29%
Hirsutism
The main adrenal androgen is:
Anonymous Quiz
25%
Testosterone
25%
DHEA
38%
DHEAS
13%
Androstenedione
All of the following factors prevent uterine prolapse except:
Anonymous Quiz
0%
Uterosacral ligament
13%
Ovarian ligament
13%
Pelvic floor muscles
13%
Perineal muscles
63%
Anteverted uterine position
All the following pelvic structures support the vagina except:
Anonymous Quiz
0%
Perineal body
50%
Pelvic diaphragm
10%
Levator ani muscle
30%
Infundibulopelvic ligament
10%
True sacral ligament
The treatment of cystocele in a 32 year old woman may include the following except:
Anonymous Quiz
13%
Pelvic floor exercises
25%
Weight loss
38%
Vaginal hysterectomy
13%
Anterior colporrhaphy
13%
Vaginal pessary
Clinical symptoms of uterine prolapse don't include the following:
Anonymous Quiz
22%
Cervical ulcer
0%
Dyspareunia
11%
Amenorrhea
33%
Urinary retention
33%
Low back ache
All of the following are true regarding primary dysmenorrhoea except:
Anonymous Quiz
50%
May result from high levels of endometrial vasoconstrictive prostaglandins
17%
Are common in nullipara
17%
May result from increase sensitivity of uterine nerve supply
17%
Common with anovulatory cycles
Urge incontinence
Anonymous Quiz
22%
First line is surgery
33%
Most common type of incontinence
22%
Loss of urine by cough
22%
None of the above