Gynecology Test Blue Print

DAVAO MEDICAL SCHOOL FOUNDATION COLLEGE OF MEDICINE DEPARTMENT OF OB-GYNE 3

TEST BLUEPRINTS FOR GYNECOLOGY

Submitted by:

FIDES N. RODRIGUEZ-ABABON, RODRIGUEZ-ABABON, M.D., FPOGS Course Coordinator - Gynecology

TEST BLUE PRINT – AMENORRHEA AMENORRHEA Entry Competency: At the beginning of the module, the student has background knowledge of the etiology of amenorrhea and its biochemical mechanisms and processes. Intermediate Competency: Given a set of 4 questions, the student can demonstrate mastery in the etiology and pathophysiology of amenorrhea. Mastery is achieved when the student answers3 or more of the questions correctly in 5 minutes.

Specific Objectives: 1. Understand Understand the etiology of primary primary amenorrhea amenorrhea with normal female female external genitalia genitalia based on the presence presence or absence of breast development and uterus. 2.

Analyze the pathophysiology of secondary amenorrhea according to its different causes.

Type of test:

True or False: 0 Multiple choice : 4 items _______________________ Total Items : 4 items

TEST BLUE PRINT – AMENORRHEA AMENORRHEA Entry Competency: At the beginning of the module, the student has background knowledge of the etiology of amenorrhea and its biochemical mechanisms and processes. Intermediate Competency: Given a set of 4 questions, the student can demonstrate mastery in the etiology and pathophysiology of amenorrhea. Mastery is achieved when the student answers3 or more of the questions correctly in 5 minutes.

Specific Objectives: 1. Understand Understand the etiology of primary primary amenorrhea amenorrhea with normal female female external genitalia genitalia based on the presence presence or absence of breast development and uterus. 2.

Analyze the pathophysiology of secondary amenorrhea according to its different causes.

Type of test:

True or False: 0 Multiple choice : 4 items _______________________ Total Items : 4 items

Minimum Passing Level (MPL):

75%

II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Understand the etiology etiology of primary primary amenorrhea with normal female external genitalia based on the presence or absence of breast development and uterus * Tanner Staging

* Mullerian Anomalies

Knowledge

Comprehension

Application

Analysis

Synthesis

Evaluation

Total items

1

1

1

1

2. Analyze the pathophysiology pathophysiology of secondary amenorrhea amenorrhea according to its different causes.

* Ovarian causes * Pituitary causes TOTAL ITEMS

2

1

1

1

1

2

4

Sample Questionnaire the Directions: Each of the following numbered items or incomplete statements is followed by answers or by completions of the statement. Select the best answer. Write the letter on the space provided before each number. Use capital letters only. Erasures will not be credited. (Items 1 & 2 refer to objective # 1)

D_ 1 ) A 17 year old girl consulted because of primary amenorrhea. Physical examination reveals Tanner stage III breast and pubic hair development with an absent vagina.The most likely diagnosis in this patient is a. androgen insensitivity syndrome b. isolated gonadotropin deficiency c. 5α-reductase deficiency d. mullerian agenesis B_ 2) A 17 year old girl with primary amenorrhea complains of cyclic hypogastric pains. On physical exam, she has well developed breasts and a bulging bluish introital mass. The most likely diagnosis is: a. b. c. d.

hyperprolactinemia imperforate hymen transverse vaginal septum Rokitansky-Kuster-Hauser syndrome

(Items 3 & 4 refer to objective # 2) C_ 3) A systemic manifestation that is a direct effect of the hyperinsulinemic state in a woman with polycystic ovary syndrome (PCOS) is a. b. c. d.

hirsutism obesity acanthosis nigricans hyperprolactinemia

C_ 4) A 29 year old woman presents with amenorrhea and bilateral galactorrhea. She is taking amitriptyline hydrochloride for depression. Pregnancy test is negative. Serum prolactin is 80 ng/ml and TSH is 0.9 µU/ml (normal values: prolactin <20 ng/ml; TSH 0.5 – 5.0 µU/ml). The most likely reason for the hyperprolactinemia is a. b. c. d.

hyperthyroidism amitriptyline therapy pituitary microadenoma hypothalamic amenorrhea

TEST BLUEPRINT – ABNORMAL UTERINE BLEEDING Entry Competency: At the beginning of the module, the student has background knowledge of the definition of abnormal uterine bleeding, its etiology and pathophysiology. Intermediate Competency: Given a set of 6 questions, the student can demonstrate mastery in the etiology, pathophysiology and management of abnormal uterine bleeding. Mastery is achieved when the student answers 5 or more of the questions correctly in 7 minutes. Specific Objectives: 1.

Know the etiology and pathophysiology of abnormal uterine bleeding according to the 2 major categories: a) Organic causes or anatomical causes b) Dysfunctional causes

2.

Analyze and interpret the diagnostic tests indicated for each disorder.

3.

Explain the principles in the management of these disorders: a) Medical treatment b) Surgical treatment

4.

Know the possible long term complications of those with abnormal uterine bleeding.

Type of test:

True or False : 0 Multiple choice : 6 items __________________________ Total Items: 6 items

Minimum Passing Level (MPL): 75%

II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Know the etiology and pathophysiology of abnormal uterine bleeding according to the 2 major categories: * organic or anatomical causes * dysfunctional causes 2. Analyze and interpret the diagnostic tests indicated for each disorder. 3. Explain the principles in the management of these disorders:

Knowledge

Comprehension

Application

Analysis

Synthesis

Evaluation

Total items

1

1

2

2 1

1

* medical treatment 4. Know the possible long-term complications of those with abnormal uterine bleeding. TOTAL ITEMS

1

1

1 4

1 1

1

6

Sample Questionnaire Directions: Each of the following numbered items or incomplete statements is followed by answers or by completions of the statement. Select the best answer. Write the letter on the space provided before each number. Use capital letters only. Erasures will not be credited.

(Items 1 to 3 refer to objective # 1)

D_1) Causes of vaginal bleeding in prepubertal girls include the following, except: a. b. c. d.

vaginal foreign body precocious puberty estrogen-producing ovarian tumors none of the above

_B_2) Dysfunctional uterine bleeding is frequently associated with:

a. b. c. d.

endometrial polyps anovulation cervicitis submucous myoma

_C 3) A 14 year old girl who started to menstruate last year complains of abnormal bleeding. Which of the following characterizes bleeding in young adolescent females? a. b. c. d.

midcycle spotting regular cycles with heavy menses anovulatory bleeding hypothalamic-pituitary maturity

(Item 4 refer to objective # 2) _B_ 4) A 20 year old woman has irregular, unpredictable menstrual periods every 30-90 days. Physical examination reveals acne on her face and upper back with few, dark coarse hairs on her chin and lower abdomen. The most sensitive marker of androgen excess is a. b. c. d.

total testosterone free testosterone fasting insulin ratio of LH to FSH

(Item 5 refer to objective # 3)

_B_ 5) Progestins are synthetic steroids with progesterone-like quality. They are used in treating dysfunctional uterine bleeding. Its functions include all of the following, except: a. b. c. d.

it is an antiestrogen increase the effect of estrogen on the endometrium antimitotic and antigrowth effect on the endometrium support and organize the endometrium to effect uniform sloughing

(Item 6 refer to objective # 4) _ D_ 6) A 27 year old woman has irregular menstrual bleeding with a previous diagnosis of polycystic ovary syndrome (PCOS). Pertinent physical examination findings: she is obese with normal vital signs and minimal excess hair growth. In counseling the patient regarding her long-term prognosis, you tell her that she is at increased risk for a. b. c. d.

postmenopausal osteoporosis cervical cancer polycystic kidneys diabetes mellitus TEST BLUEPRINT – FAMILY PLANNING

Entry Competency: At the beginning of the module, the student has background knowledge of the different methods of family planning and its mechanism of actions. Intermediate Competency:

Given a set of 4 questions, the student can demonstrate mastery of the different methods of family planning and its mechanism of actions. Mastery is achieved when the student answers 3 or more of the questions correctly in 4 minutes. Specific Objectives: 1. Know the different methods of family planning, their chemical precursors and their mechanism of actions. 2. Identify the indications & contraindications of each method. 3. Analyze the advantages & disadvantages of the different methods of family planning.

Type of test:

True or False : 0 Multiple choice : 4 items _______________________ Total Items : 4 items


II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Know the different methods of family planning, their chemical precursors and their mechanism of actions * prostaglandin – arachidonic acid

Knowledge

1

Comprehension

Application

Analysis

Synthesis

Evaluation

Total items

1

* cervical mucus - “ dry days”

1

2. Identify the indications & contraindications of each method. 3. Analyze the advantages & disadvantages of the different methods of family planning.

1

2

Total Items

1

1

1 1 1

1 4


(Items 1 and 2 refer to objective # 1) _B_ 1) Which of the following substance is the precursor of prostaglandin: a.) b.) c.) d.)

Isoleucine Arachidonic acid Linoleic acid Phospholipase A

_C_ 2 ) When using the Cervical Mucus method of contraception, the couple can have a safe sexual intercourse during : a) the period where mucus is dry and scant b) the “peak” day c) the “dry days” immediately after the menses until mucus is detected

d) the period when the mucus increases in quantity and becomes progressively more slippery and elastic until a peak day is reached

(Item 3 refer to objective # 3) _C 3) IUD use is contraindicated in the following situations, except: a) b) c) d)

a history of PID undiagnosed genital bleeding hypertension copper allergy

(Item 4 refer to objective # 4) _ D_ 4) Which of the following is NOT a beneficial effect of oral contraceptive use? a) fewer ectopic pregnancies b) less dysmenorrhea c) reduced menstrual blood loss with less anemia d) decreased incidence of cervical cancer

TEST BLUEPRINT – REPRODUCTIVE PHYSIOLOGY

Entry Competency: At the beginning of the module, the student has background knowledge of the normal physiology and biochemical processes of the menstrual cycle. Intermediate Competency: Given a set of 3 questions, the student can demonstrate mastery in the physiology of the endometrium and the biochemical processes that happen every menstrual cycle. Mastery is achieved when the student answers the 3 questions correctly in 3 minutes. Specific Objectives: 1. Explain the different characteristics of a normal menstrual cycle. 2. Analyze the different biochemical processes and the interplay of the involved hormones during the menstrual cycle.

Type of test:

True or False : 0 Multiple Choice : 3 items ________________________ Total Items : 3 items

Minimum Passing Level (MPL) : 80%

II. Test Specification Table (Blueprint)

OBJECTIVES & CONTENTS

Knowledge

Comprehension

Application

Analysis

Synthesis

Evaluation

Total items

1. Explain the different characteristics of a normal menstrual cycle . 2. Analyze the different biochemical processes and the interplay of the involved hormones during the menstrual cycle. TOTAL ITEMS

1

1

1

2

2

2

3


(Item 1 refer to objective # 1) _ A_ 1) Normal menstruation is characterized by the following, EXCEPT: a. b. c. d.

average blood loss of more than 80 ml per cycle consists mostly of endometrial tissue periodic every 21-40 days cycle mean duration of 4.7 days

(Item 2 & 3 refer to objective # 2)

_ B_ 21) Which of the following statements best describes the estrogen-positive feedback on LH release: a.) b.) c.) d.)

it is unaffected by the duration of estrogen stimulation it is affected by the level of circulating estrogen it is enhanced by the testosterone it is mediated by opioid peptides

_A _ 22) The following events are associated with menstrual flow: a.) b.) c.) d.)

withdrawal of progesterone prolonged maintenance of estrogen withdrawal of LH prolonged maintenance of progesterone

TEST BLUEPRINT – GESTATIONAL TROPHOBLASTIC DISEASE

Entry Competency: At the beginning of the module, the student has background knowledge of the different types of gestational trophoblastic diseases, its pathophysiology, characteristics and biochemical processes. Intermediate Competency: Given a set of 4 questions, the student can demonstrate mastery in the pathophysiology and characteristics of the different types of trophoblastic diseases. Mastery is achieved when the student answers 3 or more of the questions correctly in 5 minutes.

Specific Objectives: 1. Identify the different spectrum of interrelated tumors presenting as gestational trophoblastic disease. 2. Analyze the different characteristics and pathophysiology of complete and partial hydatidiform mole. 3. Explain the different signs and symptoms of a complete hydatidiform mole.

Type of test:

True or False : 0 Multiple Choice : 4 items ________________________ Total Items: 4 items

Minimum Passing Level (MPL): 80% II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Identify the different spectrum of interrelated tumors presenting as gestational trophoblastic disease. 2. Analyze the different characteristics and pathophysiology of complete and partial hydatidiform mole. * complete H-mole

Knowledge

Comprehension

Application

1

Evaluation

Total items

1

1

1

1

1 1

Synthesis

1

* partial H-mole 3. Explain the different signs and symptoms of a complete hydatidiform mole. TOTAL ITEMS

Analysis

1

1 2

4

Sample Questionnaire Directions: Each of the following numbered items or incomplete statements is followed by answers or by completions of the statement. Select the best answer. Write the letter on the space provided before each number. Use capital letters only. Erasures will not be credited. (Item 1 refer to objective # 1)

_ D_ 1) Gestational trophoblastic disease is one of the rare human tumors that includes a spectrum of interrelated tumors including, except: a ) hydatidiform mole b ) placental site trophoblastic tumor c) choriocarcinoma d ) none of the above (Items 2 & 3 refer to objective # 2)

_ D_ 2) The following statements are characteristics of a complete hydatidiform mole, EXCEPT: a.) b.) c.) d.)

lack identifiable embryonic or fetal tissues usually have a 46,XX karyotype usually arise from an ovum that has been fertilized by a haploid sperm chorionic villi exhibit focal hydatidiform swelling

_B_ 3)Partial hydatidiform moles are characterized by the following pathologic features, EXCEPT: a.) b.) c.) d.)

Prominent stromal invasions Chorionic villi of varying size with generalized hydatidiform swelling, cavitation and trophoblastic hyperplasia Identifiable embryonic or fetal tissues Marked villous scalloping

(Item 4 refer to objective # 3) _B_ 4) The following signs and symptoms are typically seen in a patient with a complete H-mole, EXCEPT:

a.) b.) c.) d.)

vaginal bleeding smaller uterine size hyperemesis gravidarum preeclampsia

TEST BLUEPRINT – PELVIC ENDOMETRIOSIS

Entry Competency: At the beginning of the module, the student has background knowledge on the pathphysiology and biochemical mechanisms and processes of pelvic endometriosis. Intermediate Competency: Given a set of 4 questions, the student can demonstrate mastery of the pathophysiology , symptomatology and management of pelvic endometriosis. Mastery is achieved when the student answers 3 or more of the questions in 5 minutes.

Specific Objectives: 1. Identify the different signs and symptoms of pelvic endometriosis. 2. Analyze the different modes of management of endometriosis, both medical and surgical.

Types of test:

True or False

:

0

Multiple Choice : 4 items ______________________ Total Items : 4 items


II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Identify the different presentations and complications of pelvic endometriosis.. 2. Analyze the different modes of management of pelvic endometriosis * medical treatment

Knowledge

Comprehension

Application

1

* surgical treatment 3. Analyze the different factors necessary in the treatment of pelvic endometriosis. TOTAL ITEMS

Analysis

1

Sample Questionnaire

Synthesis

Evaluation

Total items

1

1

1

1

1

1

1

3

4

Directions: Each of the following numbered items or incomplete statements is followed by answers or by completions of the statement. Select the best answer. Write the letter on the space provided before each number. Use capital letters only. Erasures will not be credited.

(Item 1 refer to objective # 1) _C _ 1) Indication for surgery in women with endometriosis include/s the following, except: a) b) c) d)

endometrioma infertility and adhesions mild pain involvement of bowel or urinary tract

(Items 2 & 3 refer to objective # 2)

_C _ 2) A 45 year old, G3P3 has mild endometriosis confirmed by laparoscopy a year ago.Since that procedure, the patient’s dysmenorrhea have gotten worse. The most reasonable operative procedure at this point is: a) b) c) d)

dilatation & curettage uterine suspension total abdominal hysterectomy and bilateral salpingooophorectomy presacral neurectomy

_C_ 3) In terms of the side effects and subsequent pregnancy rates, the best sex steroid therapy of endometriosis is:

a) b) c) d)

estrogen alone estrogen-progesterone oral progesterone parenteral progesterone

(Item 4 refer to objective # 3) _D_ 4) Factor /s important in selecting therapy for newly discovered endometriosis include a) b) c) d)

patient’s age wishes and plans of childbearing severity of disease all of the above

TEST BLUEPRINT – MENOPAUSE

Early Competency: At the beginning of the module, the student has background knowledge of the pathophysiology and biochemical mechanisms and processes of menopause. Intermediate Competency: Given a set of 3 questions, the student can demonstrate mastery of the pathophysiology and biochemical processes and management of menopause. Mastery is achieved when the student answers 3 questions correctly in 4 minutes.

Specific Objectives: 1. Analyze the biochemical mechanisms of the hormones involved in menopause. 2. Identify the different complications associated with menopause. 3. Analyze the different modalities of treatment in the menopausal stage; its advantages, disadvantages and contraindications.

Type of test:

True or False : 0 Multiple Choice : 3 items ________________________ Total Items : 3 items

Minimum Passing Level (MPL):

75%

II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Analyze the biochemical mechanisms of the hormones involved in menopause. 2. Identify the different complications associated with menopause. 3. Analyze the different treatment modalities of menopause; its advantages, disadvantages & contraindications.

Knowledge

Comprehension

Application

Analysis

1 1

Synthesis

Evaluation

Total items

1 1

1

1

1

TOTAL ITEMS

2

3

Sample Questionnaire

Directions: Each of the following numbered items or incomplete statements is followed by answers or by completions of the statement. Select the best answer. Write the letter on the space provided before each number. Use capital letters only. Erasures will not be credited.

(Item 1 refer to objective # 1) _ B_ 1) This hormone is elevated as a first sign of menopause a) b) c) d)

estradiol follicle stimulating hormone luteinizing hormone progesterone

(Item 2 refer to objective # 2) _ D_ 2) Common sites of bone fracture during menopause include the following bones, except: a) b) c) d)

vertebral bodies distal ranus femoral neck humerus

(Item 3 refer to objective # 3) _ A_ 3) Absolute contraindication of estrogen used during menopause, except: a) b) c) d)

benign breast mass undiagnosed genital bleeding active liver disease active thromboembolic disease

TEST BLUEPRINT – REPRODUCTIVE TRACT INFECTIONS Entry Competency:

At the beginning of the module, the student has background knowledge of the pathophysiology and biochemical processes of reproductive tract infections. Intermediate Competency: Given a set of 6 questions, the student can demonstrate mastery in the etiology, pathophysiology and management of reproductive tract infections. Specific Objectives: 1. Identify the different reproductive tract infections in relation to its presenting signs and symptoms. 2. Analyze the different laboratory procedures that are available to clinch the diagnosis of specific reproductive tract infections. 3. Analyze the different therapeutic modalities for patients with reproductive tract infection.

Type of test:

True or False : 0 Multiple Choice : 6 items __________________________ Total Items: 6 items


II. Test Specification Table (Blueprint)

OBJECTIVES & CONTENTS 1. Identify the different reproductive tract infections in relation to its presenting signs and symptoms. 2. Analyze the different laboratory procedures that are available to clinch the diagnosis of specific reproductive tract infections. 3. Analyze the different therapeutic modalities for patients with reproductive tract infections. TOTAL ITEMS

Knowledge

Comprehension

Application

Analysis

4

4

Synthesis

Evaluation

Total items

4

1

1

1

1

2

6


Items 1 to 4 refer to objective #1)

A 19 year old woman has vulvar lesions of 3 days duration. She has some discomfort on urination. She had a history of unprotected coitus.

_D_ 1) Lesions which manifest as discharge are the following, EXCEPT: a) b) c) d)

candidiasis gonorrhea chlamydia condyloma accuminata

_B_ 2) If the lesions are warty, multiple and painless, the most likely diagnosis is: a) b) c) d)

condyloma lata condyloma accuminata herpes simplex chlamydia

_B_ 3) If on speculum examination you note mucopus discharge which is thick, yellowish, mal odorous and the patient also tells you she has dysuria, what is another possible disease entity? a) b) c) d)

chlamydia gonorrhea cervicitis condyloma accuminata

_ C_ 4)) If the lesions are vesicular, “kissing lesions”, and extremely painful, the most reasonable diagnosis is: a) b) c) d)

condyloma lata condyloma accuminata herpes simplex chlamydia

(Item 5 refer to objective # 2) _ C_ 5) If you suspect herpes, which of the following do you expect to find? a) b) c) d)

microscopic examination of the virus in vaginal secretions mixed with 10% KOH (+) Whiff test microscopic examination of material from the ulcerated lesions for giant cells (+) cervical culture

(Item 6 refer to objective # 3) _ A_ 6) The most reasonable therapy for the patient could be: a) soap & water b) amoxycillin c) podophyllin

d) metronidazole

TEST BLUEPRINT – BENIGN AND MALIGNANT DISEASES OF THE CERVIX Entry Competency: At the beginning of the module, the student has background knowledge of the pathophysiology of the different entities involving the cervix. Intermediate Competency: Given a set of 3 questions, the student can demonstrate mastery of the pathophysiology of some of the different entities involving the cervix. Mastery is achieved when the student answers 2 or more of the questions correctly in 3 minutes.

Specific Objectives: 1. Identify the common benign lesions of the cervix that are often confused with cervical cancer. 2. Analyze the different histopathologic presentations of cervical carcinoma. 3. Analyze the different modalities of treatment of cervical carcinoma in relation to its histologic type and staging.

Type of test:

True or False : 0 Multiple Choice : 3 items ________________________ Total Items: 3 items


II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Identify the common benign lesions of the cervix that are often confused with cervical cancer. 2. Analyze the different histopathologic presentations of cervical carcinoma. 3. Analyze the different modalities of treatment of cervical carcinoma in relation to its histologic type and staging. TOTAL ITEMS

Knowledge

Comprehension

Application

Analysis

1

1

Synthesis

Evaluation

Total items

1 1

1

1

1

2

3



_ D_ 1) Lesion/s commonly confused with cervical cancer is/are, except: a) b) c) d)

polyps tuberculosis eversion none of the above

(Item 2 refer to objective # 2) _C_ 2) The most common histologic type of cervical carcinoma is: a) b) c) d)

adenocarcinoma adenosquamous carcinoma squamous cell carcinoma adenoacanthoma

(Item 3 refer to objective # 3) _ D_ 3) Radiation therapy in cervical carcinoma treatment consists of: a) b) c) d)

teletherapy brachytherapy nanotherapy A & B only

TEST BLUEPRINT – BENIGN AND MALIGNANT DISEASES OF THE OVARIES Entry Competency: At the beginning of the module, the student has background knowledge of the pathophysiology of the different entities involving the ovaries. Intermediate Competency: Given a set of 4 questions, the student can demonstrate mastery of the pathophysiology of some of the disease entities involving the ovaries. Mastery is achieved when the student answers 3 or more questions in 5 minutes.

Specific Objectives: 1. Identify the different intraoperative findings consistent of an ovarian malignancy. 2. Identify the different histopathologic findings of an ovarian new growth.

3. Analyze the different stages of an ovarian malignancy. 4. Explain the different complications associated with an ovarian neoplasm.

Type of test:

True or False : 0 Multiple Choice : 4 items _________________________ Total Items: 4 items

Minimum Passing Level (MPL): 75% II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Identify the different intraoperative findings consistent of ovarian malignancy. 2. Identify the different histopathologic findings of ovarian neoplasm. 3. Analyze the different stages of an ovarian malignancy. 4. Explain the different complications associated with ovarian neoplasm. TOTAL ITEMS

Knowledge

Comprehension

Application

Analysis

Synthesis

Evaluation

Total items

1

1

1

1 1 1

2

1

1 1

1

4


(Item 1 refer to objective # 1) _ C_ 1) The following items are intraoperative findings consistent with ovarian malignancy, EXCEPT: a) b) c) d)

adherence to adjacent organs presence of ascites bilaterality presence of solid areas

(Item 2 refer to objective # 2) _ B_ 2) The cell origin of the most common type of an ovarian neoplasm is a) b) c) d)

germ cells epithelial cells stromal cells lipoid cells


_D_ 3) A 55 year old woman has an asymptomatic ovarian carcinoma in one ovary. Although her peritoneal cavity is free of tumor, she has retroperitoneal nodes positive for the malignancy. The stage of her ovarian tumor is: a) b) c) d)

IA IIA IIB III

(Item 4 refer to objective # 4) _ A_4) Pseudomyxoma peritonei typically is the result of a rupture of a) b) c) d)

a mucinous borderline tumor a serous tumor a dysgerminoma a mature teratoma TEST BLUEPRINT – BENIGN AND MALIGNANT DISEASES OF THE UTERUS

Entry Competency: At the beginning of the module, the student has background knowledge on the pathophysiology of the different entities involving the uterus. Intermediate Competency: Given a set of 4 questions, the student can demonstrate mastery of the pathophysiology of some of the disease entities involving the uterus. Mastery is achieved when the student answers3 or more of the questions in 5 minutes.

Specific Objectives: 1. Identify the clinical presentations of the different malignancies involving the uterus. 2. Know the different drugs that can cause endometrial cancer. 3. Analyze the different staging of endometrial carcinoma. 4. Analyze the different treatment modalities of the various disease entities involving the endometrium.

Type of test:

True or False : 0 Multiple Choice : 4 items __________________________ Total Items : 4 items

Minimum Passing Level (MPL): 75% II. Test Specification Table (Blueprint) OBJECTIVES & CONTENTS 1. Identify the clinical presentations of the different malignancies involving the uterus. 2. Know the different drugs that can cause endometrial cancer. 3. Analyze the different stages of an endometrial carcinoma. 4. Analyze the different treatment modalities

Knowledge

Comprehension

Application

Analysis

1

Synthesis

Evaluation

Total items

1

1

1 1

1

of the various disease entities involving the endometrium. TOTAL ITEMS

1

1

1

1

2

4



_D_ 1) Abnormal uterine bleeding is the most common complaint associated with malignancies of the, EXCEPT: a) cervix b) uterus c) fallopian tube d) ovary (Item 2 refer to objective # 2) _D _ 2) Which of the following drugs has been known to cause endometrial cancer? a) b) c) d)

Megace GnRH agonist Danazol Tamoxifen

Gynecology Test Blue Print

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