Module: SEMIOLOGY II - 2nd Year
Obstetrics & Gynecology Urinary System
1st Session - Semester 4 - June 2023
Very important:
1. The exam lasts 1 hour (60 minutes)
2. The exam includes: 22 MCQs
3. Using a ballpoint pen (BLUE or BLACK), put an "X" inside the box corresponding to
the correct answer on the cross-answer sheet
4. The use of the white-out on the answer sheets IS NOT RECOMMENDED
Obstetrics & Gynecology Semiology (10 questions)
1. About patient history in gynecology, which are the correct propositions?
A. It establishes the reason for consultation
B. It collects family history of the patient
C. It confirms the etiological diagnosis
D. It requires a climate of trust
E. It is a time that has become superfluous thanks to technological advances
2. The examination of a pregnant woman at term includes:
A. Weight
B. Waist circumference measurement
C. Blood pressure
D. Digital rectal examination
E. Vaginal examination
3. What semiological criterion characterizes physiological leucorrhea ?
A. It occurs after unprotected intercourse
B. It’s accompanied by pruritus
C. It’s accompanied by urinary burning
D. It’s accentuated in peri-ovulatory period
E. It smells bad
Clinical case, MCQ 4 to 6:
A female patient presents for consultation for abnormal uterine bleeding.
4. Regarding your questioning, tick the right propositions:
A. You inquire about the age of the patient
B. The amount of blood emitted is not useful to characterize
C. You inquire about the duration of evolution of the symptomatology
D. Accompanying signs are not useful to look for in this case
E. The family history of the patient is important to notice
5. Regarding your physical examination, tick the correct statements:
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A. Measuring blood pressure is essential
B. The speculum examination is performed only after the patient's consent
C. The abdominal examination supplements the gynecological examination
D. Conjunctiva staining is checked at the start of the examination
E. A complete neurological examination is a priority
This is a 44-year-old woman, single, who presents with abnormal uterine bleeding in the form of
low-abundance metrorrhagia, with no other accompanying signs.
6. The additional examinations to be requested first are
A. Pelvic ultrasound
B. Pelvic MRI
C. Pelvic CT
D. Beta-HCG assay
E. There is no need for additional investigation
7. Which statements of the following describe pelvic ultrasound examination?
A. It’s an invasive procedure
B. It’s a non-irradiating procedure
C. It’s an uncomfortable procedure for the patient
D. It’s an uncomfortable procedure for the physician
E. It’s an operator dependent procedure
8. Which condition of the following is a contraindication for hysterosalpingography?
A. Hypertension
B. Nulliparity
C. Genital infection
D. Infertility
E. Diabetes
F. Hypertension
9. Regarding the PAP smear test, choose the correct statements:
A. It collects endometrial cells
B. It collects endocervical cells
C. It collects exocervical cells
D. It collects junctionnal cells
E. It collects vaginal cells
10. At the clinical examination stage, a breast lump is characterized by:
A. Its size
B. Its histological type
C. Its location
D. Its boundaries
E. Its mobility
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Part 2: Semiology of the Urinary System (12 questions)
11. Indicate the conditions that must be considered as ABNORMAL:
A. Albuminuria (> 300 mg/24h)
B. Glucosuria
C. Natriuria
D. Hematuria
E. Calciuria (less than 1 mmol/24h)
12. Indicate the possible cause(s) of hematuria.
A. Kidney tumors
B. Kidney stones
C. Gastric cancer
D. Prostate cancer
E. Urinary tract infection
13. Indicate the symptom(s) that can be found in a patient with urinary calculi (urolithiasis).
A. Sharp, sudden, and severe pain in the lower back
B. Hematuria
C. Polyuria (abnormally large production of urine)
D. Fever and chills (if associated with infection).
E. May be asymptomatic (when the stones are small and located in the renal pelvis)
14. Indicate the risk factors of urinary calculi (urolithiasis).
A. Hypercalcemia
B. High uric acid in the blood
C. Beer potomania (excessive intake of beer)
D. Repeated urinary tract infections.
E. Dehydration
15. Indicate the type of urinary calculi (urolithiasis) that are frequently associated with pain.
A. Medium size stones located in the renal pelvis.
B. Stones located in the ureter triggering spasms of the lining smooth muscle.
C. Microscopic stone located in the bladder whose diameter is smaller than the urethral
lumen.
D. Stones associated with hematuria.
E. Stones associated with urinary tract infections.
16. Indicate the symptom(s) that can be found in a patient with urinary tract infection.
A. Pollakiuria (abnormally frequent urination)
B. Dysuria (painful urination)
C. Polyuria (abnormally large production of urine)
D. Urgent needs to urinate.
E. Fever
17. Indicate the risks factors of complicated urinary tract infection.
A. Diabetes mellitus
B. Asthma
C. Urolithiasis (urinary calculi)
D. Immunocompromised status.
E. Pregnancy
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18. Indicate the imaging diagnostic tests that can be prescribed for patients with dysuria.
A. Ultrasonography
B. Chest X-rays
C. Plain abdominal radiography
D. Abdominal and pelvis CT
E. Magnetic Resonance Imaging (MRI) of the abdomen and the pelvis in pregnant patients
19. Indicate the correct answer. End-stage renal failure is defined by glomerular filtration rate
below:
A. 90%
B. 60%
C. 50%
D. 30%
E. 15%
20. Indicate the correct proposal(s). Urinary incontinence is:
A. commonly referred to as bladder weakness.
B. an unintentional and involuntary discharge of urine.
C. very rare and only affects less than 5% of elderly people (> 60 years-old)
D. often a taboo subject despite the enormous suffering it causes.
E. a condition whose prevalence increases with age in both women and men.
21. All the following tests, except one, must be performed in case of prostate dysfunction
(benign hyperplasia or cancer
A. Measurements of prostate specific antigen (PSA)
B. Search for hematuria
C. Sperm count test.
D. Urine analysis looking for the presence of bacteria.
E. Urine cytology
22. Indicate the (symptom)s that can be found in patients with benign prostate hyperplasia.
A. Sudden and immediate urge to urinate (urinary urgency)
B. Nocturia (urinating frequently at night)
C. Strong urinary stream
D. Abdominal straining upon urination
E. Polyuria
