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Prometric – OBG – Rapid – 1
1 / 50
A 25-year-old woman presents with vaginal discharge and vulvar pruritus. Examination shows a thin, malodorous green discharge. What is the most likely diagnosis?
Trichomonas is characterized by yellow-green, malodorous discharge.
2 / 50
A woman presents with low-grade fever and abdominal pain. She is sexually active with infrequent condom use. Pelvic exam reveals mucopurulent discharge and cervical motion tenderness. Gram stain shows N. gonorrhea. What is the common coinfection?
Gonorrhea and Chlamydia are often co-infections. CDC recommends dual therapy.
3 / 50
What is the most common cause of hypertension in young women?
Oral contraceptives increase the risk of hypertension, especially in young women.
4 / 50
A patient in labor has an oval-shaped pelvis with anteroposterior diameter greater than the transverse diameter. What kind of pelvis does she have?
An anthropoid pelvis has an AP diameter larger than the transverse.
5 / 50
A pregnant 35-year-old patient is at highest risk for the concurrent development of which malignancy?
Cervical cancer is more common in younger women, including during pregnancy.
6 / 50
A 29-year-old woman complains of PMS with emotional symptoms. Oral contraceptives alleviated most symptoms but not depression. What is the next step?
SSRIs like fluoxetine are effective in treating the emotional symptoms of PMS.
7 / 50
A 76-year-old woman with stress urinary incontinence and hypermobile urethra. No cystocele or rectocele. What surgical procedure should you recommend?
Midurethral sling is the preferred surgery for stress incontinence.
8 / 50
Which drug is safe during pregnancy?
Erythromycin is safe for use during pregnancy.
9 / 50
Which test is recommended for women at high risk of preeclampsia?
24-hour urine collection checks for protein in urine, a sign of preeclampsia.
10 / 50
A woman with spontaneous rupture of membranes for 23 hours, clear fluid, temperature 38.4°C, and uterine tenderness. What is the best recommendation?
Antibiotics should be given to manage risk of infection, especially chorioamnionitis.
11 / 50
A 2-year-old boy with congenital CMV infection. The mother is now pregnant and worried about the new baby. What is true?
Maternal antibodies to CMV protect the fetus from severe complications.
12 / 50
A 24-year-old pregnant woman with a history of pulmonary embolism. What is the best next step?
Low-dose heparin is used to prevent thromboembolic events in pregnancy.
13 / 50
A 27-year-old woman presents with fever, fatigue, joint pain, and a butterfly rash. What antibody supports the diagnosis of SLE?
Anti-ds DNA antibodies are specific for SLE and indicate a poor prognosis.
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A 45-year-old woman with amenorrhea for 7 months wants to become pregnant. Which test is indicated?
Elevated FSH suggests ovarian failure, the most likely cause of secondary amenorrhea.
15 / 50
A young woman with amenorrhea, acne, hirsutism, deepening voice, and an ovarian mass. What is the most likely diagnosis?
Sertoli-Leydig tumors secrete testosterone, leading to masculinization.
16 / 50
A 26-year-old woman has an abnormal Pap smear showing ASCUS. What is the best next step?
Testing for HPV is recommended after an ASC-US result to rule out high-risk HPV types.
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An 18-year-old girl with 2 months of amenorrhea and no pelvic exam. What is the next best step?
The first step in evaluating secondary amenorrhea is a pregnancy test.
18 / 50
A 50-year-old woman with cervical cancer. Which lymph node group is first involved in metastatic spread?
Cervical cancer spreads first to the paracervical lymph nodes.
19 / 50
A 36-year-old woman who is breastfeeding wants birth control. What method may reduce her milk supply?
Estrogen-containing contraceptives can decrease milk supply.
20 / 50
A woman requests epidural analgesia during labor. What test should be done before the procedure?
Platelet count is essential to rule out coagulopathy, a contraindication for epidurals.
21 / 50
Which term describes irregular, prolonged, and heavy menstrual bleeding?
Menometrorrhagia refers to excessive uterine bleeding at irregular intervals.
22 / 50
A 12-year-old girl has not started puberty. What is the first sign of puberty in girls?
Thelarche, or breast development, is the first sign of puberty in girls.
23 / 50
An 18-year-old girl with normal secondary sexual characteristics but absent uterus, cervix, and fallopian tubes. What is the diagnosis?
Mullerian agenesis involves the absence of the uterus and upper vagina despite normal secondary sexual development.
24 / 50
A 15-year-old boy bitten by an Ixodes tick develops a rash and positive IgM antibody to Borrelia burgdorferi. What is the diagnosis?
IgM antibodies to Borrelia confirm Lyme disease, transmitted by Ixodes ticks.
25 / 50
A woman with severe dysmenorrhea, dyspareunia, and infertility. What is the definitive test for diagnosing endometriosis?
Laparoscopy is the gold standard for diagnosing endometriosis.
26 / 50
A 40-year-old woman presents with bloody nipple discharge. What is the most likely diagnosis?
Intraductal papilloma is the most common cause of bloody nipple discharge.
27 / 50
A woman with a history of tubal ligation presents with spotting and no recent period. What is the best next step?
Urine b-hCG is the first step to rule out ectopic pregnancy in such cases.
28 / 50
What is the treatment of choice for bacterial vaginosis?
Metronidazole is the drug of choice for treating bacterial vaginosis.
29 / 50
A woman with a 34-day menstrual cycle. When is the closest date of ovulation?
Subtracting 14 days from the cycle length gives ovulation on the 20th day.
30 / 50
A woman smokes, douches, and has frequent intercourse. What is the strongest risk factor for bacterial vaginosis?
Douching disrupts the natural vaginal flora, increasing the risk for bacterial vaginosis.
31 / 50
A woman treated for pelvic inflammatory disease tries to get pregnant without success. Tubal factor infertility is diagnosed. What is the next step?
Laparoscopy can confirm and treat tubal factor infertility caused by PID.
32 / 50
A 33-year-old woman at 38 weeks gestation becomes disoriented and cyanotic after delivery. BP is 75/49, and O2 saturation is 70%. What is the diagnosis?
Amniotic fluid embolism presents with sudden respiratory distress and hypotension postpartum.
33 / 50
A 36-year-old woman with severe morning sickness and amenorrhea for 8 weeks uses condoms regularly. What is the most likely diagnosis?
Pregnancy is the most likely cause of these symptoms despite condom use.
34 / 50
A woman develops subacute DIC with skin hemorrhages and uterine bleeding after childbirth. What is the best treatment?
Fresh frozen plasma is used to treat DIC by replacing clotting factors.
35 / 50
A 32-year-old woman presents with high fever, dysuria, and flank pain. What is the most likely organism causing these symptoms?
E. coli is the most common cause of pyelonephritis, especially in women.
36 / 50
A 29-year-old woman at 28 weeks of gestation presents with shortness of breath. Exam shows a systolic ejection murmur. What is the next step?
Physiologic dyspnea and murmurs are common in pregnancy and typically require reassurance.
37 / 50
A woman with a history of PID presents for infertility evaluation. What test is used to identify structural abnormalities?
Hysterosalpingogram is used to evaluate the uterus and fallopian tubes for abnormalities.
38 / 50
Which statement is true about adenomyosis?
Adenomyosis involves the presence of endometrial glands within the uterine muscle.
39 / 50
A 19-year-old girl requests termination of pregnancy at 8 weeks gestation. What is the safest method?
Suction D&C is the safest method for first-trimester abortion after 49 days of gestation.
40 / 50
A pregnant woman develops a deep vein thrombosis. What is the best treatment for her?
Heparin is safe and effective for managing DVT in pregnancy.
41 / 50
A 21-year-old woman has a left adnexal mass confirmed by ultrasound to be a dermoid with solid components. What percentage of these tumors are bilateral?
Approximately 10% of benign cystic teratomas (dermoids) are bilateral.
42 / 50
A 22-year-old woman at 34 weeks gestation complains of increasing spidery veins on her face and chest. What is the best advice?
Vascular spiders are common during pregnancy and usually resolve postpartum.
43 / 50
A woman presents with high fever, dysuria, flank pain, nausea, and vomiting. What is the most likely diagnosis?
Pyelonephritis typically presents with flank pain, fever, and dysuria.
44 / 50
A 32-year-old woman delivers a stillborn fetus at 34 weeks with an enlarged placenta and petechiae. What is the most likely causative agent?
Syphilis (T. pallidum) causes stillbirth, hydropic fetuses, and placental enlargement.
45 / 50
A woman has a 2 x 2 cm lesion on the labia majora, and biopsy is taken. What is the most likely histopathology?
Squamous cell carcinoma is the most common histopathological finding in vulvar lesions.
46 / 50
What is the most effective way to prevent fetal cardiac anomalies during pregnancy?
Smoking cessation is the most effective method to reduce the risk of congenital heart defects.
47 / 50
A woman presents with a 3-day history of fever and abdominal pain. Gram stain reveals N. gonorrhea. What other infection is commonly co-infected?
Chlamydia is commonly co-infected with N. gonorrhea, requiring dual therapy.
48 / 50
A 14-year-old girl with breast buds but no menarche. What is the best advice to the mother?
Menarche typically occurs 1-2 years after the start of breast development.
49 / 50
How does smoking affect the fetus during pregnancy?
Smoking is associated with intrauterine growth restriction (IUGR).
50 / 50
What is the period for developing postpartum cardiomyopathy in complicated pregnancies?
Postpartum cardiomyopathy develops from the last month of pregnancy to six months postpartum.
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