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Prometric – OBG-4
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A 30-year-old woman at 28 weeks gestation presents with pruritus and jaundice. What is the most likely diagnosis?
Acute fatty liver
2 / 20
A 26-year-old woman presents with recurrent miscarriages and testing reveals antiphospholipid antibodies. What is the best treatment to reduce miscarriage risk?
Prednisone
3 / 20
A 24-year-old woman presents with amenorrhea, abdominal pain, and a positive pregnancy test. Ultrasound reveals an empty uterus. What is the most likely diagnosis?
Missed abortion
4 / 20
A 26-year-old woman presents with acute right lower quadrant pain and fever. What is the most likely diagnosis?
Ruptured ovarian cyst
5 / 20
A 30-year-old woman presents with new onset hypertension and proteinuria at 30 weeks gestation. What is the most likely diagnosis?
Gestational hypertension
6 / 20
A 22-year-old woman presents with a vulvar lesion that is painful and ulcerated. What is the most likely diagnosis?
Syphilis
7 / 20
A 28-year-old woman presents with severe pelvic pain and irregular menstrual bleeding. Ultrasound shows an ovarian mass with septations. What is the next step?
CA-125 measurement
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A woman at 36 weeks gestation presents with fever, chills, and uterine tenderness following rupture of membranes. What is the most likely diagnosis?
Endometritis
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A woman presents with abnormal uterine bleeding and an endometrial biopsy reveals hyperplasia without atypia. What is the most appropriate treatment?
Hysterectomy
10 / 20
A 33-year-old woman presents with a history of uterine fibroids and heavy menstrual bleeding. What is the most appropriate surgical treatment option?
11 / 20
A woman at 28 weeks gestation presents with elevated blood pressure and is diagnosed with gestational hypertension. What is the next step?
Monitor closely
12 / 20
A woman presents with unilateral breast tenderness and redness 3 weeks postpartum. What is the most likely diagnosis?
Engorgement
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A 34-year-old woman presents with a firm, painless breast mass. What is the next best step in management?
Mammogram
14 / 20
A woman at 20 weeks gestation presents with a history of cervical dysplasia and now has a short cervix on ultrasound. What is the most appropriate management?
Progesterone therapy
15 / 20
A 27-year-old woman presents with hirsutism, acne, and irregular periods. Ultrasound shows bilateral enlarged ovaries with multiple small cysts. What is the most likely diagnosis?
Adrenal hyperplasia
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A 38-year-old woman at 10 weeks gestation presents with heavy vaginal bleeding and passage of tissue. What is the most likely diagnosis?
17 / 20
A 35-year-old woman with a history of pelvic inflammatory disease (PID) presents with infertility. What is the most likely cause of her infertility?
Ovarian failure
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A 30-year-old woman presents with a firm, fixed breast mass. What is the next step in management?
Fine-needle aspiration
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A 32-year-old woman presents with primary infertility. She has a history of irregular periods and is diagnosed with polycystic ovary syndrome (PCOS). What is the first-line treatment?
Metformin
20 / 20
A 30-year-old woman at 32 weeks gestation presents with painless vaginal bleeding. What is the most likely diagnosis?
Placental abruption
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