一、单选（只有1个正确答案，每个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 per iods complaints of 2 days’ vaginal bleeding in 6 weeks 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 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. order a serum quantitative β-HCG3. what is the likely diagnosis?A. ectopic pregnancyB. evitable abortionC. threatened abortionD. habitual abortionE. dysfunctional uterine bleeding4. if this woman want to keep the baby, your best management isA. discussion of contraceptionB. continual clinical observation of a few more daysC. evacuationD. 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 production 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 amenorrhea. 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 syndrome8. for each evaluation, select the most appropriate day of a normal 28-day menstrual cycle for a woman with 5 day menstrual cycles. You perform endometrial biopsy for evaluation of infertility atA .Day 5B. Day 10C. Day 14D Day 21E Day 27A woman, 48 years old , has the history of twice pregnancy and once delivery. In recent several years, the period of menstruation has 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 and 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 2.0×1012,hemoglobin concentration is 60g/L.The pathological results of diagnostic curettage are : simple hyperplasia endometrium.9.Which diagnosis is possible of the following?A. Anovulatory functional bleeding, during perimenopauseB.Carcinoma of endometriumC.Cervical cancerD.Atrophic vaginitisE.Myoma of uterus.10. For the patient, all of the 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 reproductive ageB. the symptom may not palliate or disappear after pregnancyC. 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. 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 contraction13. A nulligravida at 30 gestational week, was found shocked in bed with severe vaginal bleeding without abdominal pain, what is the most possible diagnosis of her?A.marginal placenta previaB. rupture of uterusC. complete placenta previaD. placenta abruptionE. cervical cancer14. Under which of situation, there might be seen pathologic retraction ring?A. PolyhydromniaB. twin pregnancyC. placenta previaD. threatened rupture of uterusE. placenta abruption15. Which of the following diseases rarely leads to postpartum homarrhage?A. twin pregnancyB. polyhydramnioC. premature rupture of membraneD. placenta previaE.severe pregnancy-induced hypertension16.Which of the followings is not the complication of severe placenta abruption?A.acute renal failureB. coagulation dysfunctionC.postpartum hemorrhageD. 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 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. radiotherapyD. chemotherapyE. subtotal hysterectomy19. which of the following change would be seen mostly in myoma of uterus combined with pregnancy?A.hyaline degenerationB. cystic degenerationC.red degenerationD. 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 situationD.the age of patientE.whether childbearing or not21.Which treatment could be chosen to endometrial carcinoma patient of late stage or relapse most commonly?A.chemotherapyB. surgeryC. radiotherapyD. progestogen treatmentE. others22. A woman who has endometrial carcinoma most often presents with which of the following symptoms?A.hemoptysisB. weight lossC. postmenopausal bleedingD. vaginal dischargeE. infection23. Which of following management fits for choriocarcinoma best?A.hysterectomyB. Chinese medicineC. immunotherapyD. chemotherapyE. radiation therapy24. How to differentiate invasive mole with CC?A.seen villous pattern, is CCB. 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 operationC. because of radiotherapyD. 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 degreeB. I heavy degreeC.II minor degreeD. II heavy degreeE. III degree27. About ovary, which of the following is false?A. only one ovarian follicle maturate during every menses cycleB. corpus luteum secretes estrogen and progesterone after ovulationC. if ovum isn’t fertilized, corpus luteum regresses to corpus albicans.D. the amount of ovarian follicles in ovary is determined by newborn phase in humanE. 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 aboutA. ninth dayB. fourteenth dayC. sixteenth dayD. eighteenth dayE. twenty-second day29. which of the following isn’t 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 ovulationC. large quantities of progesterone inhibit hypothalamus to secrete FSH-RH and LH-RHD. large quantities of progesterone inhibit LH-RHE. the peak’s emergence of LH/FSH is before ovu lation30. which of the ovarian tumors is the most sensitive to radiation therapy?A. teratomaB. serous cystadenocarcinomaC. dysgeminomaD. mucinous csytadenocarcinomaE. Brenner tumor二、填空（每个0.5分，共10分）1. Fetal membranes consist of ( ) and ( ).2. Decidua 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 bleeding 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、名词解释（每个4分，共20分）1．Perimenopause2. prolapse of uterus3. GTD4. squamo-columnar junction5. in labor四、简答题（每个5分，共20分）1.What are estrogen and progesterone physiological functions to uterus 、fallopian tube andbreast?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、病案讨论（每个10分，共20分）1．A 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 of swollen hands and feet and “putty eyes” , which have been getting worse during 2 weeks. She feels headache 2 days ago. Her blood pressure is 150/110 mmHg whose usual blood pressure of 120/70mmHg. Her dipstick urinary protein is 2+. She reports daily fetal movements have not changed.Questions:A.What is your initial diagnosis?B.What do your procedures of management include?C.When will you terminate the pregnancy?2. A 39-year-old woman, gravida 2,para 1,complains of severe menstruation bleeding and prolonged duration for about 1year,in late 2 months, along with dizziness and fatigue. Pelvic examination demonstrates a hard , diffusely enlarged as 12 gestational week uterus, but without other abnormal findings. And laboratory investigation shows HB is 60g/L.Questions:A.Please write down the most probable diagnosis of this patient.B.What else diseases should to be distinguished with your diagnosis?C.What kind of other investigations should be done to help you make the definitediagnosis.D.How to treat?。