Gynecology Test Blue Print

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DAVAO MEDICAL SCHOOL FOUNDATION

DAVAO MEDICAL SCHOOL FOUNDATION

COLLEGE OF MEDICINE

DEPARTMENT OF OB-GYNE 3

TEST BLUEPRINTS FOR GYNECOLOGY

Submitted by:

FIDES N. RODRIGUEZ-ABABON, M.D., FPOGS

Course Coordinator - Gynecology

TEST BLUE PRINT 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 the etiology of primary amenorrhea with normal female external genitalia based on the 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

KnowledgeComprehensionApplicationAnalysisSynthesisEvaluationTotal items

1. Understand the etiology of primary

amenorrhea with normal female external

genitalia based on the presence or absence

of breast development and uterus

* Tanner Staging11

* Mullerian Anomalies11

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

* Ovarian causes11

* Pituitary causes11

TOTAL ITEMS224

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 & 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. 5(-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. hyperprolactinemia

b. imperforate hymen

c. transverse vaginal septum

d. 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. hirsutism

b. obesity

c. acanthosis nigricans

d. 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 (U/ml (normal values: prolactin