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Prometric - OBG - Rapid - 4
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A 30-year-old woman presents with sudden onset of severe lower abdominal pain during mid-cycle. What is the most likely cause?
Mittelschmerz is ovulation pain that occurs mid-cycle and presents with sudden lower abdominal pain.
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A 26-year-old woman presents with lower abdominal pain, fever, and mucopurulent cervical discharge. What is the diagnosis?
PID presents with lower abdominal pain, fever, and mucopurulent discharge, often caused by a sexually transmitted infection.
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A 30-year-old woman presents with severe pelvic pain and an ultrasound showing an ovarian cyst. What is the next step?
Most ovarian cysts are managed expectantly unless they are large, complex, or symptomatic.
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A 33-year-old woman presents at 38 weeks with painless vaginal bleeding. What is the most likely cause?
Placenta previa presents with painless vaginal bleeding in the late second or third trimester.
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A 28-year-old woman presents with regular contractions at 32 weeks and cervical dilation of 3 cm. What is the diagnosis?
Preterm labor is diagnosed when regular contractions cause cervical dilation before 37 weeks gestation.
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A 35-year-old woman presents with hypertension and proteinuria at 28 weeks. What is the diagnosis?
Preeclampsia is defined by hypertension and proteinuria after 20 weeks gestation.
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A 30-year-old woman presents with severe pelvic pain and irregular periods. Ultrasound shows an ovarian mass. What is the most likely diagnosis?
Ovarian cysts often present with irregular periods and pelvic pain.
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A 26-year-old woman presents with pelvic pain, dyspareunia, and a history of infertility. What is the most likely diagnosis?
Endometriosis often presents with pelvic pain, dyspareunia, and infertility.
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A 30-year-old woman at 34 weeks presents with regular contractions and cervical dilation of 4 cm. What is the diagnosis?
Preterm labor is diagnosed when regular contractions cause cervical dilation before 37 weeks.
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A 33-year-old woman at 36 weeks presents with decreased fetal movement. What is the next best step?
A nonstress test is the first step in evaluating decreased fetal movement.
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A 35-year-old woman presents with hypertension and 3+ proteinuria at 30 weeks. What is the diagnosis?
Preeclampsia is defined by the presence of hypertension and proteinuria after 20 weeks gestation.
12 / 28
A 28-year-old woman presents with heavy menstrual bleeding and an enlarged, boggy uterus. What is the most likely diagnosis?
Adenomyosis presents with heavy bleeding and a boggy, enlarged uterus.
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A 33-year-old woman presents with fever, uterine tenderness, and foul-smelling discharge at 32 weeks. What is the most likely diagnosis?
Chorioamnionitis is an infection of the amniotic fluid, often presenting with fever and uterine tenderness.
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A 30-year-old woman presents with severe lower abdominal pain and a positive pregnancy test. Ultrasound shows no intrauterine pregnancy. What is the most likely diagnosis?
Ectopic pregnancy is suspected when a positive pregnancy test is followed by no intrauterine pregnancy on ultrasound.
15 / 28
A 28-year-old woman presents with amenorrhea and pelvic pain. Ultrasound shows a complex adnexal mass. What is the most likely diagnosis?
Ovarian cysts are common causes of pelvic pain and menstrual irregularities.
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A 33-year-old woman presents with regular contractions at 38 weeks and cervical dilation of 7 cm. What is the diagnosis?
Active labor progresses beyond 6 cm of cervical dilation with regular contractions.
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A 30-year-old woman presents with heavy bleeding and severe pelvic pain. Ultrasound shows a large uterine mass. What is the most likely diagnosis?
Uterine fibroids (leiomyomas) can cause heavy bleeding and pelvic pain.
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A 35-year-old woman presents with new-onset hypertension and 3+ proteinuria at 28 weeks. What is the most likely diagnosis?
19 / 28
A 28-year-old woman presents with regular contractions at 34 weeks and cervical dilation of 4 cm. What is the diagnosis?
Preterm labor is diagnosed when regular contractions lead to cervical dilation before 37 weeks gestation.
20 / 28
A 33-year-old woman presents at 36 weeks with painless vaginal bleeding. What is the most likely cause?
Placenta previa presents with painless vaginal bleeding in the third trimester.
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A 30-year-old woman presents with regular contractions and cervical dilation of 5 cm at 40 weeks. What is the diagnosis?
Active labor is defined by regular contractions and cervical dilation beyond 4 cm.
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A 35-year-old woman presents with hypertension, proteinuria, and elevated liver enzymes at 28 weeks. What is the most likely diagnosis?
HELLP syndrome involves hemolysis, elevated liver enzymes, and low platelets, often in the setting of preeclampsia.
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A 26-year-old woman presents with lower abdominal pain, fever, and mucopurulent cervical discharge. What is the most likely diagnosis?
PID presents with lower abdominal pain, fever, and mucopurulent discharge, often caused by sexually transmitted infections.
24 / 28
A 30-year-old woman presents with sudden onset of severe pelvic pain and a positive pregnancy test. Ultrasound shows no intrauterine pregnancy. What is the diagnosis?
Ectopic pregnancy is suspected with pelvic pain, a positive pregnancy test, and no intrauterine pregnancy on ultrasound.
25 / 28
A 28-year-old woman presents with heavy menstrual bleeding and an enlarged uterus. What is the most likely diagnosis?
26 / 28
A 33-year-old woman presents with regular contractions at 36 weeks and cervical dilation of 4 cm. What is the diagnosis?
27 / 28
A 30-year-old woman presents with heavy bleeding and pelvic pain. Ultrasound reveals a 5 cm mass in the uterus. What is the most likely diagnosis?
Uterine fibroids are common benign growths that cause heavy bleeding and pelvic pain.
28 / 28
A 28-year-old woman presents with lower abdominal pain, cervical motion tenderness, and fever. What is the diagnosis?
PID presents with fever, cervical motion tenderness, and lower abdominal pain due to a sexually transmitted infection.
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