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Prometric – OBG-5
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A 32-year-old woman presents with symptoms of urinary frequency, urgency, and pelvic pressure. Ultrasound reveals a large fibroid. What is the next step in management?
Myomectomy
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A 33-year-old woman presents with heavy menstrual bleeding and pelvic pressure. Ultrasound shows a 6 cm submucosal fibroid. What is the best treatment option?
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A 22-year-old woman with a history of irregular menstrual cycles presents with hirsutism and acne. What is the most likely diagnosis?
Adrenal hyperplasia
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A woman in her third trimester presents with constant right upper quadrant pain, nausea, and vomiting. What is the most likely diagnosis?
Appendicitis
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A pregnant woman at 28 weeks gestation presents with swelling of the face, hands, and legs along with headaches. What is the most likely diagnosis?
Gestational diabetes
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A woman in her second trimester presents with a fundal height measurement that is larger than expected for gestational age. What is the most likely diagnosis?
Oligohydramnios
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A 36-year-old woman presents with postmenopausal bleeding. What is the next step in management?
Ultrasound
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A 25-year-old woman presents with a vulvar lesion. Biopsy reveals squamous cell carcinoma. What is the next step in management?
Chemotherapy
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A 34-year-old woman at 36 weeks gestation presents with sudden, painless vaginal bleeding. What is the most likely diagnosis?
Placental abruption
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A 27-year-old woman at 24 weeks gestation presents with painful uterine contractions and vaginal bleeding. What is the most likely diagnosis?
Placenta previa
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A 29-year-old woman presents with lower abdominal pain and missed periods. A urine pregnancy test is positive. What should be the next step in management?
Pelvic exam
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A 19-year-old woman presents with severe lower abdominal pain and a positive pregnancy test. Ultrasound reveals no intrauterine pregnancy. What is the next step?
Serum beta-HCG
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A 30-year-old woman presents with infertility and a history of pelvic inflammatory disease (PID). What is the most likely cause of infertility?
Ovarian failure
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A pregnant woman at 32 weeks presents with signs of preterm labor. What should be administered to promote fetal lung maturity?
Dexamethasone
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A 30-year-old woman with a history of cervical dysplasia presents for routine follow-up after an abnormal Pap smear. What is the most appropriate next step?
Colposcopy
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A 26-year-old primigravida woman at 41 weeks gestation presents with no signs of labor. What is the next step?
Elective cesarean section
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A woman presents with a history of two previous cesarean sections and is now pregnant at 36 weeks. What is the safest delivery method?
Vaginal delivery
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A 28-year-old woman in her third trimester presents with decreased fetal movement. What should be the next step?
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A 25-year-old woman at 20 weeks gestation presents with a routine check-up and is found to have an anterior low-lying placenta on ultrasound. What is the best next step?
Repeat ultrasound in 4 weeks
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A woman at 34 weeks gestation presents with regular uterine contractions but no cervical dilation. What is the next step?
Admit for observation
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