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test your self in obgyn 1

1 / 143

A 23-year-old woman is evaluated after a recent diagnosis of polycystic ovary syndrome. She is concerned about hirsutism and irregular menses. She is not planning for pregnancy at this time and takes no medications. On physical examination, she has mild hirsutism, and the remaining of her physical examination, including pelvic examination, are normal. What is the most appropriate treatment?

2 / 143

A 45-year-old woman with a history of 7 months of amenorrhea, negative pregnancy test, and the desire to get pregnant. What is the most appropriate investigation to do?

3 / 143

A 51-year-old woman presents with hot flashes, irregular periods, and asks about the possibility of entering menopause. Which parameter is required to diagnose menopause?

4 / 143

A 60-year-old postmenopausal woman complains of vaginal dryness and itching. What is the management?

5 / 143

A postmenopausal patient complaining of itching in the vulva and watery discharge. On examination, scratches and scaly areas are found. What is the diagnosis?

6 / 143

A postmenopausal woman with dyspareunia and vaginal itching. What is the management?

7 / 143

A menopausal woman complains of insomnia and flushing. What is the most appropriate treatment?

8 / 143

In a case where the placenta is implanted deep into the uterine wall, what is the diagnosis?

9 / 143

Placenta is implanted in the superficial uterine wall. What is that?

10 / 143

A 37-year-old P4 with a history of 3 previous cesarean sections is undergoing an elective cesarean section at 37 weeks of gestation. The placenta was found to be attached deeply into the uterine wall. What is the most likely diagnosis?

11 / 143

A woman with breast cancer is on tamoxifen. What is a side effect of this drug?

12 / 143

A 60-year-old postmenopausal woman complains of a 1-year history of recurrent vulvar itching associated with blood-streaked secretions. She has recently developed a pea-sized mass in the labia. What is the likely diagnosis?

13 / 143

A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy for a benign reason. She started to have acute vasomotor symptoms post-operation and agreed to hormone replacement therapy. What is the most appropriate hormone replacement therapy regimen?

14 / 143

A 53-year-old woman has missed her period over the last 12 months. Which of the following hormones is likely to be altered as a result of the condition?

15 / 143

A 36-year-old lady with secondary amenorrhea (elevated FSH & LH). What is the most likely complication for this patient?

16 / 143

What is the predisposing factor for placenta previa?

17 / 143

A pregnant woman at 27 weeks gestational age presents with minimal bleeding, and ultrasound shows Placenta totalis. What is the most important management?

18 / 143

In a pregnant woman with a history of previous surgery, where the placenta is implanted into the uterus, what is the diagnosis?

19 / 143

In a case of retained placenta after spontaneous vaginal delivery, where the patient refuses hysterectomy and is managed by ligating the placenta and started on Methotrexate therapy, what is the complication of this case?

20 / 143

case of a previous surgery pregnant the placenta into uterus.?

21 / 143

A pregnant woman at 32 weeks gestational age presents with mild painless vaginal bleeding, few hours ago (placenta previa). What is the appropriate management?

22 / 143

A patient presents with painless mild vaginal bleeding at 34 weeks. What is the next step?

23 / 143

A pregnant unbooked patient presents with painless vaginal bleeding at 34 weeks, with a fundal height of 34 weeks. She lives far away and has difficulty in transport. What is the most appropriate thing to do?

24 / 143

A 39-year-old primigravida presents at 39 weeks gestation for a routine visit. Physical examination reveals cervical dilation, effacement, and elevated blood pressure. What is the most appropriate management?

25 / 143

A pregnant lady at 23 weeks gestation comes with mild vaginal bleeding. Ultrasound shows the placenta partially covering the internal os. What will you do for her?

26 / 143

In a patient who underwent uterine myomectomy for fibroids, and it was noted in the surgery note that it entered the uterine cavity, what’s the percentage of placenta accreta?

27 / 143

A 32-year-old primigravida at 34 weeks’ gestation presents for urgent care after falling down a flight of stairs. The patient complains of uterine tenderness and reduced fetal movement in the 45 minutes since the fall. There has been a small amount of dark red vaginal bleeding. The fetal heart monitoring revealed a heart rate of 150 bpm with Irregular uterine contractions every 3 to 4 minutes. Her pregnancy has been uncomplicated. She has a positive history of cigarette smoking. Which of the following is the most likely diagnosis?

28 / 143

A 25-year-old woman G2 P1001 at 36+4 weeks gestation with a history of prior cesarean section presents with abdominal pain and vaginal bleeding. Fetal heart baseline 160 bpm with minimal variability and repetitive late deceleration. The diagnosis?

29 / 143

Pregnant in 27 GA, came with minimal bleeding us showed placenta totally covers the mother’s cervix . What is the most imp Mx?

30 / 143

placenta previa 38 weeks with bleed now Unstable, what to do?

31 / 143

A pregnant woman at 37 weeks with profuse bleeding and contractions, and ultrasound shows placenta previa. What is the management?

32 / 143

In a case of third-trimester pregnancy with vaginal bleeding, abdominal exam showing a length less than the gestational age, and CTG showing late decelerations, what is the diagnosis?

33 / 143

When should cesarean section (C/S) be performed in a case of placenta previa?

34 / 143

A 22-year pregnant at 37 weeks gestation presents after fainting and has severe abdominal pain. She is cold and diaphoretic. Fundal height is 39 cm; the cervical os is closed, and there is no vaginal bleeding. Blood pressure 90/56 mmHg, Heart rate 130 /min. Which of the following is the most likely diagnosis?

35 / 143

What is the most common risk factor for abruptio placentae?

36 / 143

A 32-year pregnant woman with polyhydramnios presented at 37 weeks of gestation with painful vaginal bleeding and uterine tenderness following spontaneous rupture of membranes. Cardiotocography shows persistent bradycardia. The most likely diagnosis?

37 / 143

A 24-year-old primigravida who is a heavy smoker presented at 34 weeks of gestation to the Emergency Department with sudden heavy painful vaginal bleeding associated with uterine tenderness. What is the most likely diagnosis?

38 / 143

A pregnant woman at 32 weeks’ gestation is brought to the Emergency Room with vaginal bleeding and abdominal pain. On examination: Fundal height equals 30 weeks, and the abdomen is tense. Cardiotocography revealed fetal tachycardia, reduced variability, and late decelerations. Which of the following is the most likely diagnosis?

39 / 143

A primigravida (at 28 weeks) and a heavy smoker presented with severe vaginal bleeding and abdominal pain. Most likely cause is?

40 / 143

Pregnant with history of placental abruption 2 times before came in 3rd pregnancy with same condition and severe bleeding she’s on 37 week, when to admit patient?

41 / 143

A 28-year pregnant woman In her 34 weeks of gestation presented to Emergency Room with heavy vaginal bleeding. Abruption placentae is suspected (see lab result). Blood pressure 88/42 mmHg Heart rate 129 /min Respiratory rate 26 /min Oxygen saturation 96 % Test Result Normal Value Hb 86 130-170 gA_، the best next approach to save her life?

42 / 143

A 38-year-old presented to Labor Ward with severe abruptio placentae. She was diagnosed with intrauterine fetal death and disseminated intravascular coagulopathy (DIC). Vaginal examination revealed a 6 cm dilated cervix. The most appropriate management?

43 / 143

What is the most common cause of disseminated intravascular coagulation in pregnancy?

44 / 143

A 45-year-old obese nulligravida patient with polycystic ovary syndrome has had irregular vaginal bleeding since menarche. Lab results show elevated estrogen, FSH, and testosterone levels. Endometrial biopsy shows adenomatous hyperplasia. What is the most likely cause of the adenomatous hyperplasia?

45 / 143

A 25-year-old obese female with hirsutism, amenorrhea for about 5 months, and a dark rash on her neck and shoulders. What is the diagnosis?

46 / 143

A patient with irregular periods, hirsutism, increased LH, normal FSH, and increased testosterone levels. What is the next test to order?

47 / 143

A 20-year-old female with hair loss for 6 months, extensive facial and back acne, BMI of 33 kg/m2, thinning hair at the forehead with a receding hairline, normal thyroid, and negative urine pregnancy test. Serum prolactin and thyroid function tests are normal. Which additional test is indicated in this patient?

48 / 143

What is the action of metformin in the treatment of polycystic ovarian syndrome?

49 / 143

A patient with PCOS (polycystic ovary syndrome) who is obese and wants to get pregnant. How should she be managed?

50 / 143

What is the mechanism of action of clomiphene?

51 / 143

A patient with polycystic ovary syndrome who wants to become pregnant. What treatment should be given?

52 / 143

In polycystic ovary syndrome, what blood test is used for evaluating hirsutism?

53 / 143

In a patient with polycystic ovary syndrome, what investigation would you expect?

54 / 143

A patient complains of infertility, obesity, irregular menses, acne, and hirsutism. An ultrasound shows multiple small cysts on the peripheries of the ovaries. What is the diagnosis?

55 / 143

A patient with irregular menses, acne, and hirsutism. What is the cause?

56 / 143

A 25-year-old obese female with hirsutism, amenorrhea for about 5 months, and a dark rash on her neck and shoulders. What is the diagnosis?

57 / 143

In a patient with irregular periods, hirsutism, increased LH, normal FSH, and increased testosterone levels, what is the next test to order?

58 / 143

A 20-year-old female with hair loss for 6 months, extensive facial and back acne, BMI of 33 kg/m2, thinning hair at the forehead with a receding hairline, normal thyroid, and negative urine pregnancy test. Serum prolactin and thyroid function tests are normal. Which additional test is indicated in this patient?

59 / 143

A woman after delivery developed uterine inversion and was returned. Which placental location increases the risk of this condition?

60 / 143

A woman did some procedure (pelvic procedure but forgot what it was) and then came complaining of urine from the vagina during urination (micturition). What is the diagnosis?

61 / 143

A multiparous woman presents with pelvic fullness and the feeling of something coming out of her vagina. How do you establish a diagnosis?

62 / 143

A woman had 7 kids, now she is complaining of a vaginal mass protruding more with a cough. What is the next step?

63 / 143

A pregnant woman in the third trimester has vaginal prolapse grade 2. CTG is normal, vital signs are normal. What to do?

64 / 143

A 70-year-old woman, sexually active, had a hysterectomy done before, and she complains of prolapse and an enlarged vaginal opening, what is the appropriate procedure?

65 / 143

A female, P6, feels heaviness and discomfort in her pelvic region, exam showed a mass coming from the introitus, diagnosis?

66 / 143

An old lady, medically free with difficulty defecation and constipation, during defecation she introduces her finger in the vagina to initiate movement, management?

67 / 143

A 70-year-old lady had a hysterectomy 15 years ago now she has a very large vaginal vault prolapse which covers something I don’t remember and reaches the perineum. What is the appropriate treatment?

68 / 143

Intrauterine device with brown discharge. What’s the side effect?

69 / 143

Pt with chlamydia infection what to give?

70 / 143

Commonest Contraindication for intrauterine device?

71 / 143

Couples came to infertility clinic; the wife had Pelvic inflammatory disease 2 years ago with chlamydia infection and got treated, the husband’s semen was normal. What is the appropriate step?

72 / 143

Woman with a history of PID twice who has normal regular menses and her husband has a normal semen analysis but failed to get pregnant

73 / 143

Pt with chlamydia infection what to give?

74 / 143

Adhesion in the pelvis postoperative organism?

75 / 143

A patient with PID (brown discharge), she was treated with IV ceftriaxone but did not improve. What is the most likely causative organism?

76 / 143

Blood pressure 164/92 mmHg. Heart rate 130 ‘minRespiratory rate 18/min Temperature 37 “C Which of the following Is the next best step in management

77 / 143

patient with post-partum hemorrhage who was resuscitated then they found that there is persistent bleeding at several puncture sites what is the next important step?

78 / 143

Patient delivered without episiotomy, placenta was check and all parts were delivered, then patient had gush of blood coming, what is your next step?

79 / 143

Patient was on labor after delivery had inverted uterus and started to have bleeding what is the most imp cause for postpartum hemorrhage ?

80 / 143

35 Year old , G4p3L2 , medically free, presented in labor which take 16 hrs to deliver a 3 kg baby boy healthy, after delivering the placenta the patient had large amount of bleeding , what could be the cause?

81 / 143

In a patient with postpartum hemorrhage on oxytocin, where the source of bleeding cannot be determined due to excessive bleeding, what should be done?

82 / 143

In a woman with persistent bleeding who wants to conceive in the future, which structure should be ligated?

83 / 143

What percentage of maternal deaths worldwide is due to postpartum hemorrhage?

84 / 143

How do you differentiate between hypovolemic shock and postpartum hemorrhage?

85 / 143

In a patient with a precipitous labor, what is the most likely cause of postpartum bleeding?

86 / 143

During vaginal delivery with postpartum hemorrhage not controlled by manual compression and oxytocin, and the patient is hemodynamically unstable (hypotensive), what should be done next?

87 / 143

During a C-section with postpartum hemorrhage not controlled by manual compression and oxytocin, what should be done next?

88 / 143

In a woman who delivered a macrosomic baby at 38 weeks and now presents with postpartum hemorrhage, what is the treatment?

89 / 143

A lady who just delivered, her uterus was lax with mild post-partum hemorrhage, there were no lacerations and no remaining products of conception in the uterus. What is the appropriate management?

90 / 143

What is the highest success rate drug used in postpartum hemorrhage?

91 / 143

What is the best method to stop bleeding after delivery (postpartum bleeding)?

92 / 143

What is the most accurate method to ensure full placental separation?

93 / 143

Patient post delivery massage is done, oxytocin done. She was bleeding. On inspection you found it is due to laceration 2 cm you tried sutures but it’s not possible due to perfuse bleeding from above, what is the most appropriate next step?

94 / 143

What is the initial step in managing excessive vaginal bleeding in a postpartum patient after delivering a 4020-g baby with a history of chronic hypertension?

95 / 143

In a patient who delivered without an episiotomy, and all parts of the placenta were delivered, but she experienced a gush of blood afterward, what is the next step?

96 / 143

In a patient with postpartum hemorrhage, what is the most common cause?

97 / 143

What is the definition of primary postpartum hemorrhage?

98 / 143

What is the cause of bleeding when a pregnant woman experiences bleeding after 10 hours following delivery?

99 / 143

What type of bleeding occurs when a patient has 800 ml of vaginal bleeding after the delivery of the baby?

100 / 143

Pregnant lady at the third trimester came to the ER complaining of headache and sharp RUQ pain, BP 165/100, Protein +4. What is the cause of her pain?

101 / 143

Pregnant, now blood pressure 140/90, platelets 50,000, history of previously severe preeclampsia. What indication here of severe preeclampsia in this scenario?

102 / 143

Case of preeclampsia with very low platelets and high urea. What indicators suggest that it is preeclampsia?

103 / 143

A 30-year-old woman G2P1001 at 32 weeks’ gestation is admitted to labor and delivery complaining of lower abdominal and back pain. She has a significant previous history of severe preeclampsia (see lab results). Blood pressure: 140/90 mmHg. Test Result: Platelet count: 80 (Normal Values: 150-400 x 10^9/L), Uric Acid: 460 (Normal Values: 140-360 pmol/L). Which of the following findings would indicate severe preeclampsia?

104 / 143

A 27-year-old primigravida presented at 36 weeks of gestation with a headache, blurred vision, and proteinuria +++ Blood pressure 160/110 mmHg, heart rate 76/min, respiratory rate 18/min, temperature 36.8°C. Which of the following is the most appropriate medication for acute treatment of hypertension?

105 / 143

A 39-week pregnant woman with proteinuria and blood pressure 140/90. Your action?

106 / 143

A patient at 34 weeks of gestation with eclampsia. She was managed and stabilized. What is the most appropriate next step?

107 / 143

A woman at 34 weeks of gestation with the onset of eclampsia and controlled symptoms. What is the next step?

108 / 143

A primigravida at 32 weeks came with a mild headache with no abdominal pain or visual disturbance. Blood pressure 150/90, urine analysis +3 protein. What is the appropriate management?

109 / 143

A 38-year-old woman G3 P2002 at 34 weeks’ gestation is admitted to labor and delivery complaining of a headache, epigastric pain, and blurred vision. Non-stress test is reassuring. Blood pressure 170/120 mmHg. Which of the following is the most appropriate management?

110 / 143

A patient at 32 weeks presented with a seizure and high blood pressure. What is the next appropriate step?

111 / 143

In the management of preeclampsia, which drugs are given to prevent convulsions?

112 / 143

A 26-year-old primigravida woman presented to the clinic at 37 weeks’ gestation for routine antenatal care. She reports feeling ill and has a frontal headache. A urine dipstick analysis is performed and shows proteinuria 2+. She is admitted to the hospital High Risk Unit and started on an intravenous infusion of magnesium sulfate. Blood pressure 152/102 mmHg, heart rate 72/min, respiratory rate 16/min, temperature 37.2°C orally. Which of the following is the primary reason for administering the intravenous medication?

113 / 143

A 23-year-old primigravida presented at 32 weeks of gestation with seizures (see lab result). Protein +++ Blood pressure 160/110 mmHg Heart rate 78 min Respiratory rate 18/min Temperature 36.6 °C. Which of the following is the most appropriate next step in management?

114 / 143

A 23-year primigravida presents at 38 weeks of gestation in active labor. She complains of headache. Her laboratory studies show normal complete blood count, normal liver function tests, and elevated protein/creatinine ratio, blood pressure 150/100 mmHg. What is the diagnosis?

115 / 143

A female, para 6, presents with secondary dysmenorrhea and abnormal uterine bleeding. On physical examination, the uterus is enlarged and tender. What is the definitive treatment?

116 / 143

A patient with dysmenorrhea uses NSAID with no improvement. Laparoscopy was performed (finding in the picture). What is the most appropriate drug for her?

117 / 143

A 13-year-old girl presented with her mother with primary dysmenorrhea since her menarche a year ago. What is the best management?

118 / 143

A patient with severe abdominal pain with menstrual cycle (dysmenorrhea), affecting her work. What can you give?

119 / 143

A 19-year-old woman presents with crampy, lower abdominal pain beginning with the onset of menses every month, lasting for 2 to 3 days. She reports radiation of pain to the lower back and upper thighs, along with nausea, fatigue, and headache that have been present for several years and progressively getting worse. Physical examination is normal. What is the most likely diagnosis?

120 / 143

A 25-year-old woman complains of cramps and lower abdominal pain that occurs during the first day of her menses and usually improves by the third day. Her periods are regular, and all clinical assessments and pelvic ultrasounds are normal. What most likely explains her clinical presentation?

121 / 143

A female complains of menstrual pain that goes away on the 2nd and 3rd day of her period. It is associated with nausea, vomiting, and back pain radiating to the thighs, which is progressively getting worse. What is the diagnosis?

122 / 143

A 25-year-old woman complains of recurrent behavioral symptoms that start a few days before her menstrual cycles and usually disappear around the second day of the cycle. These symptoms have led to reduced work productivity and increased healthcare visits. What is the most reliable method to establish the diagnosis?

123 / 143

A 25-year-old woman complains of recurrent behavioral symptoms that start a few days before her menstrual cycles and usually disappear around the second day of the cycle. These symptoms have led to reduced work productivity and increased healthcare visits. What is the most common affective or behavioral symptom for her diagnosis?

124 / 143

A 12-year-old obese girl, 5 months after menarche, presents with irregular menstrual bleeding and increased weight. She has mild acne and is agitated during the examination. What is the most likely disorder to consider in communicating with this patient?

125 / 143

27-year-old woman presents to your practice with complaint of premenstrual abdominal bloating. irritability and uneasiness for the past 6 months. These symptoms begin 3-4-days before her anticipated periods and ease off with in 1 to 2 days of her menstrual flow. Recently, she had to take few days off work because of the intensity of her symptoms. Which one of the following is the most appropriate next step in management?

126 / 143

A 17-year-old with a change in behavior before every menstrual cycle that lasts for 3 days. What is the diagnosis?

127 / 143

A preterm patient at 30 weeks with 80% effacement and 2 cm dilatation, stable mom and fetus is admitted to labor. What should be done?

128 / 143

A patient with PPROM at 27 weeks presents with a fever. What should be done first?

129 / 143

A pregnant woman presented in recent days with premature rupture of membranes, then came with fever and abdominal pain. What is the likely diagnosis?

130 / 143

A 55-year-old woman complains of a mass protruding through her vagina when standing for quite some time, especially during coughing and straining. She has 7 children delivered vaginally, with the last delivery being complicated by prolonged second stage and ended up with vacuum extraction delivery of a 4.2 Kg baby. What is the most appropriate next step?

131 / 143

A patient on tocolytic beta-mimetics (terbutaline) experiences what is the most common side effect?

132 / 143

At 38 weeks gestational age, a patient experiences spontaneous rupture of membranes 24 hours ago, is not in labor, and has reassuring fetal status. What is the next step?

133 / 143

A 38-year-old primigravida presents at 38 weeks of gestation with a history of spontaneous rupture of membranes 24 hours ago. She has no labor pains, the uterus is soft, and the fetus is in cephalic presentation. Cardiotocography shows a normal fetal heart rate. What is the most appropriate next step in management?

134 / 143

A healthy lady experiences preterm labor. What should be administered?

135 / 143

At 32 weeks gestation, a patient experiences preterm labor and rupture of membranes. She was given steroids and antibiotics. What should be administered next?

136 / 143

A preterm patient at 30 weeks with 80% effacement and 2 cm dilatation, stable mom and fetus is admitted to labor. What is the appropriate action?

137 / 143

A patient at 27 weeks in labor with a 6cm cervical dilatation. What should be administered?

138 / 143

A 27-week lady with a history of PPROM. The CTG is reassuring, normal CBC, she is medically free, she denies any uterine contractions. What is the appropriate management?

139 / 143

A primigravida with preterm labor, known case of DM1, presents with severe contractions and a closed cervix. What should be given?

140 / 143

A pregnant woman at 32 weeks’ gestation presents to the Emergency Department with lower abdominal and back pain, cervical changes, and contractions. What is the most appropriate step in management?

141 / 143

A G3I known PPROM patient admitted on the 5th day develops a fever with a GBS count of 10,000. How will you manage?

142 / 143

A 27-year-old woman with a history of PPROM at 27 weeks presents with fever. What should be done first?

143 / 143

A 33-year-old patient presents with preterm rupture of membranes at 34 weeks of gestation. What is the most appropriate next step in management?

Your score is

Test your self in obgyn 2

1 / 100

1. A 36-year-old woman, G3P3, with amenorrhea since her last pregnancy 11 months ago, bilateral tubal ligation, night sweats, normal physical examination, high FSH. Most likely diagnosis?

2 / 100

2. A 30s female with irregular menses, heavy bleeding, no cramping, no menaces for 4 months, on levothyroxine, normal TSH, prolactin, and FSH. Diagnosis?

3 / 100

3. A pregnant woman at 34 weeks in labor examination showed transverse presentation. She wants to know if she can do CV. Ultrasound shows a bicornuate uterus with a normal fetus. What is the contraindication for CV?

4 / 100

4. A pregnant G3P2 at 37 weeks has a history of CS due to non-reassuring CTG. She is in labor with 4 cm dilation, and the presentation is breech. What is the absolute contraindication for CV?

5 / 100

5. A G4P3 pregnant lady in labor with a fetal presentation in breech and wants to undergo ECV. Her first delivery was a CS followed by 2 successful VBACs. Pelvic exam shows 1-2 cm dilated cervix, ultrasound indicates amniotic fluid at 4, and the CTG shows findings as in the picture. What is contraindicated for ECV?

6 / 100

6. A G4P3 pregnant lady in labor with a fetal presentation in breech and wants to undergo ECV. Her first delivery was a CS followed by 2 successful VBACs. Pelvic exam shows 1-2 cm dilated cervix, ultrasound indicates amniotic fluid at 4, and the CTG shows findings as in the picture. What is contraindicated for ECV?

7 / 100

7. In the case of twins, one fetus is in breech presentation, and the second is cephalic. There is a previous C/S. What is the indication for C/S now?

8 / 100

8. A woman at 39 weeks of pregnancy presents with breech presentation. What is your next step?

9 / 100

9. A 31-year-old woman at 37 weeks with rupture of membranes in labor, examination reveals breech presentation, CTG reactive, 50% effaced. What is your management?

10 / 100

10. A 31-year-old woman at 37 weeks with rupture of membranes in labor, examination reveals breech presentation, CTG reactive, 50% effaced. What is your management?

11 / 100

11. In a case with occipito-posterior presentation, what is the mode of delivery?

12 / 100

12. In a case with occipital-anterior presentation, what is the mode of delivery?

13 / 100

13. During a pregnant woman’s examination using the Leopold maneuver, the first and second findings indicate that it’s soft, not hard, and the fetal heartbeat is heard at the umbilicus. What is the presentation?

14 / 100

14. In a breech presentation, with the head on the fundus, the spine parallel to the mother, hip flexed, knee extended, and both elbows flexed, what is the presentation?

15 / 100

15. A fetus with a breech presentation flexing hip and knees. What is the presentation?

16 / 100

16. What is the best presentation of twins regarding vaginal delivery

17 / 100

17. When the examiner feels the nose and mouth during pregnancy examination, what is the presentation?

18 / 100

18. Female presented with recurrent vaginal bleeding, history of cesarean section a week ago, temperature 38°C, other labs within normal. What is the suspected diagnosis?

19 / 100

19. Postpartum woman 4 days post-delivery with fever and yellowish offensive lochia and tenderness. What treatment should be administered?

20 / 100

20. woman presents to the Emergency Department 15 days after giving birth by cesarean section. She complains of persistent vaginal bleeding, blood pressure 110/70 mmHg, heart rate 85/min, temperature 38.1 °C. What is the most likely diagnosis?

21 / 100

21. Diagnostic laparoscopy performed on a patient with chronic pelvic pain, dyspareunia, endometriosis on uterosacral ligaments, ovaries, and rectosigmoid colon. Ablated lesions with CO2 laser. First-line treatment given the extent of the disease?

22 / 100

22. 17-year-old girl with no onset of menstruation, abdominal pain every month, fully developed secondary sexual characteristics. Most likely diagnosis?

23 / 100

23. Patient diagnosed with endometriosis, complaining of dysmenorrhea. Best first-line medical treatment?

24 / 100

24. 40-year-old woman with a history of dysmenorrhea, excessive bleeding, soft and non-palpable abdomen. What could cause severe dysmenorrhea?

28-year-old female complaining of dysmenorrhea and dyspareunia, pelvic ultrasound shows a hypoechoic mass (ground glass). True statement about her condition?

25 / 100

25. Single lady with cyclic pain and dyschezia, laparoscopic image shows multiple flat dark lesions. Diagnosis?

26 / 100

26. Diagnosis and management of severe cyclic pain, dyschezia, heavy periods, and infertility

27 / 100

27. 30-year-old female with dyspareunia, dyspnea, bilateral ovarian mass with calcification. What is the management?

28 / 100

28. 32-year-old woman with diffuse pelvic pain, vaginal bleeding, pain with defecation, dyspareunia, history of dysmenorrhea. Trying to conceive for years but failed. Pelvic examination shows blood in the posterior vaginal vault, a closed os, and no palpable masses or cervical motion tenderness. Most likely diagnosis?

29 / 100

29. 39-year-old female, three children, completed her family, diagnosed with endometrioma, mild to moderate dysmenorrhea, and dyspareunia. Pelvic ultrasound shows a left ovary endometrioma cyst 6×7 in size. What is the most appropriate treatment?

30 / 100

30. Female with mild to moderate dysmenorrhea and dyspareunia, three children, completed her family, diagnosed with endometriosis. What is the definitive treatment of endometriosis, after the failure of all treatments?

31 / 100

31. A 24-year-old primigravida presents with the diagnosis of right ectopic pregnancy. The ultrasound revealed a 3 cm right tubal gestational sac with a 5-week crown-rump length, negative fetal heart activity, and a minimal amount of fluid in the pouch of Douglas. Her social history reveals that she lives in a village 80 km away from the city center

Blood pressure: 90/50 mmHg Heart rate: 110/min

Temperature: 35.6°C BMI: 36 kg/m²

Human chorionic gonadotropin: 3500 (Normal: < 5 mIU/mL)

Which of the following would be the absolute contraindication to the use of methotrexate for this patient?

32 / 100

32. 22-year-oid woman who is 6 weeks of amenorrhoea presented with vaginal bleeding, severe lower abdominal pain and shoulder pain On examination, she had tachycardia with low blood pressure, and her abdomen was distended with guarding and rebound tenderness. Pelvic examination revealed cervical motion tenderness. Pregnancy test is positive and an ultrasound showed no intrauterine pregnancy. What is the most appropriate next step in management?

33 / 100

33. A young-age female came with a 5 cm left adnexal mass, no use of contraception, and a negative pregnancy urine test with no symptoms. What is the most likely diagnosis?

34 / 100

34. In a typical case of ectopic pregnancy, when all vitals are normal except for blood pressure (90/55) and heart rate (>100), what is the mortality rate?

35 / 100

35. A woman diagnosed with ectopic pregnancy asks about the risk of recurrence. What is your response?

36 / 100

36. A 22-year-old woman, 6 weeks pregnant, has a β-HCG of 4500 and is vitally stable. What is the diagnosis?

37 / 100

37. A 34-year-old woman presented to the hospital 7 days before with right-sided lower abdominal pain, slight bright red vaginal bleeding, and a β-human chorionic gonadotropin of 2900 IU/Liter. She was administered intramuscular methotrexate. A week later, she reported to the hospital with severe right-sided lower abdominal pain, and a β-human chorionic gonadotropin of 6,000 IU/Liter. What is the most appropriate management?

38 / 100

38. In the case of a stable ectopic pregnancy, but the patient lives far from the hospital, what is the most appropriate management?

39 / 100

39. A healthy 33-year-old woman with G2 P1001 at 6 weeks of gestation is considering medical versus surgical management of her ectopic pregnancy. She opts for medical treatment. What should be considered with regard to medical treatment?

40 / 100

40. A hemodynamically stable woman has a tubal ectopic pregnancy measuring 2.5×3 cm by ultrasound, with a β-hCG level of 5000 mIU/mL (normal value < 5 mIU/mL). What is the most appropriate treatment?

41 / 100

41. After salpingectomy, how should you follow up?

42 / 100

42. A 30-year-old woman, 6 weeks post-laparotomy where salpingostomy was performed for a left tubal pregnancy, has been following up weekly to measure the serum human chorionic gonadotropin level. A plateau was noticed for the last 3 weeks at a β-hCG level of 3442 mIU/mL. What is the most appropriate next step in management?

43 / 100

43. A woman with an ectopic pregnancy managed with salpingostomy has a postoperative β-hCG of 3500. What should be done next?

44 / 100

44. How should you follow up after salpingectomy?

45 / 100

45. In a case of ectopic pregnancy, what is the next step?

46 / 100

46. A woman diagnosed with ectopic pregnancy asks about the most common predisposing factor. What is your response?

47 / 100

47. Ectopic pregnancy (described as an empty sac with an adnexal mass near it) is a defect in which process?

48 / 100

48. A female came with vaginal bleeding, she has a history of amenorrhea for 8 weeks, and she is unstable. What is the source of bleeding?

49 / 100

49. A 30-year-old woman with 6 weeks of amenorrhea presents with lower abdominal pain and mild vaginal bleeding. Examination reveals that she is hemodynamically stable and her abdominal examination is soft and non-tender. What is the most diagnostic test in her condition?

50 / 100

50. A patient with a history of perforated appendicitis 14 years ago presents with vague abdominal pain, amenorrhea for 2 months, and a β-HCG of 1800. What is the most appropriate management?

51 / 100

51. When the ectopic pregnancy size is 1-3 cm with a β-HCG of 2600, what is the name of the medical treatment?

52 / 100

52. In the case of an ectopic pregnancy with a size less than 3.5 cm and β-HCG at 2500, how will you manage it?

53 / 100

53. A 30-year-old woman, pregnant through in vitro fertilization (IVF), is diagnosed with an ectopic pregnancy and scheduled for laparoscopic removal. On ultrasound, there’s a 4 cm tubal pregnancy on the right and hydrosalpinx on the left. What is the management?

54 / 100

54. A 34-year-old lady, pregnant, complaining of amenorrhea, bleeding, and abdominal pain. β-HCG showed levels of 1600, and she was given methotrexate. One week later, she still has severe abdominal pain despite analgesia, and β-HCG shows 6000 units. What is the best management?

55 / 100

55. A 24-year-old married woman presented to the clinic with severe abdominal pain followed by vaginal bleeding for the last 6 hours. Her LMP was 8 weeks ago. On examination, she is drowsy and has a tense abdomen. What is the most likely diagnosis?

56 / 100

56. A woman who had amenorrhea for some months, with a confirmed pregnancy weeks ago, came complaining of minor vaginal bleeding, abdominal distention, generalized tenderness, and rigidity (signs of peritonitis), with vitals showing hypotension and signs of shock. The ultrasound report shows fluid collection in the cul-de-sac with no gestational sac found. What is the diagnosis?

57 / 100

57. A 25-year-old female presented to the ED with vaginal bleeding, nausea, and right lower abdominal pain and tenderness. She has a history of open appendectomy due to a perforated appendix. Her BP is 90/50, HR is 120, and RR is 25. What is the possible site of bleeding?

58 / 100

58. Patient with severe abdominal pain coinciding with the menstrual cycle (dysmenorrhea), affecting her work. What can you prescribe?

59 / 100

59. A 17-year-old female, complaining of primary dysmenorrhea with severe pain affecting her life and school attendance. She was on NSAIDs and the pain became less severe, allowing her to attend school and perform daily activities. What is the most appropriate next step?

60 / 100

60. A pregnant woman has high blood sugar levels, and diet control has failed. What is the next step?

61 / 100

61. What is safe in pregnancy with diabetes mellitus (DM)?

62 / 100

62. A 36-year-old female with diabetes on metformin delivered a baby with congenital anomalies and now wants to conceive again. What should she do?

63 / 100

63. A pregnant woman is confirmed to have gestational diabetes mellitus (GDM). What is the first-line treatment?

64 / 100

64. A pregnant woman at 23 weeks gestation, with all previous pregnancies uncomplicated, and her mother has type 2 diabetes. She is asking about gestational diabetes mellitus (GDM) screening. What is the appropriate screening method?

65 / 100

65. A woman comes to the operation room with labor contractions. Ultrasound findings show polyhydramnios with a baby weight of 4500g. What should you monitor?

66 / 100

66. A 38-year-old G3P1011 woman presents for her initial antenatal visit at 6 weeks’ gestation. She is known to have type 2 diabetes mellitus for 5 years, managed by oral hypoglycemic agents. Which of the following is the best indicator of fetal outcome in her pregnancy?

67 / 100

67. A female is hypertensive and diabetic, on ACE inhibitors (ACEI), insulin, and Metformin. She has decided to get pregnant soon. Her labs show heavy proteinuria, and her HbA1c is 8. What’s your most appropriate advice for her regarding diabetic control and fetal congenital malformations?

68 / 100

68. A 35-year-old nulliparous female at 24 weeks of gestational age has insulin-dependent diabetes mellitus with nephritis and chronic hypertension controlled on medication. The pregnancy has been uncomplicated so far. Her fundal height is 25 cm above the pubic symphysis, and fetal heart rate is 160. What complication is most likely to occur?

69 / 100

69. A pregnant woman with gestational diabetes type 2 with nephritis and controlled hypertension is pregnant now. What complication is most likely to occur?

70 / 100

70. A female pregnant at 12 weeks came for her antenatal visit, and she’s a known case of DM1. Her A1C was 12. Which risk increases drastically?

71 / 100

71. A female patient presents with heavy PV bleeding. Her bleeding is associated with pain and is of large volume. Upon vaginal examination, you notice pooling of blood. Pregnancy test is negative, her BP is low, RBC is low, Hb is low. What is your next step in management?

72 / 100

72. A 28-year-old woman came to the ER with heavy vaginal bleeding. She is nulliparous, pregnancy test is negative, and she has regular cycles but always with menorrhagia. How to stop the bleeding now?

73 / 100

73. A female who is exclusively breastfeeding and wants contraception for 2 years. What is the most appropriate method?

74 / 100

74. A postmenopausal woman for 3 years has on/off bleeding, and she is taking estrogen hormone. How should you manage her?

75 / 100

75. A 45-year-old woman underwent a hysterectomy and bilateral salpingo-oophorectomy. After that, she had vaso-motor symptoms and needs hormonal replacement. What hormones do you recommend for her?

76 / 100

76. What is the mechanism of action of emergency contraception?

77 / 100

77. A patient diagnosed with endometriosis is complaining of dysmenorrhea. Which of the following is the best first-line medical treatment?

78 / 100

78. A couple came to your clinic for counseling about their sexual relationship. The wife is worried because her husband is Hepatitis B positive, and she’s Hepatitis B negative. What are you going to tell them?

79 / 100

79. A woman in her 30s is asking for an effective and reversible method of contraception. Which of the following is the most effective?

80 / 100

80. A 28-year-old female known to have an ovarian cyst came to your clinic asking about contraception. Which of the following methods is most appropriate for her?

81 / 100

81. A female patient with cardiomyopathy and using heparin (or anticoagulant) is seeking contraception. What contraception is most appropriate for her?

82 / 100

82. A cardiac patient on anticoagulants is asking about the method of contraception. What type of contraceptive is appropriate for this patient?

83 / 100

83. A patient has hypertension, heavy bleeding, and anemia. What contraceptive can she use?

84 / 100

84. A 22-year-old primigravida woman at 24 weeks’ gestation has had fullness in the lower pelvic area for 12 hours, sudden rupture of membranes, and the absence of a palpable cervix. What is the most likely diagnosis?

85 / 100

85. A 35-year-old primigravida woman at 20 weeks’ gestation presents to the physician with vaginal pressure and a watery, pink vaginal discharge for 1 day. The uterus is palpated at the umbilicus. Fetal heart rate is 140/min. Speculum examination shows that the upper vagina is filled with bulging, shiny, smooth membranes. The cervix cannot be palpated. What is the most likely diagnosis?

86 / 100

86. At 8 weeks GA, a woman is diagnosed with cervical incompetence. What should be done?

87 / 100

87. A pregnant woman at 13 weeks of gestation with a history of spontaneous fetal loss at 20 weeks. What is the most appropriate action to take?

88 / 100

88. At 8 weeks pregnant, a woman is diagnosed with cervical incompetence and has a history of previous fetal passage at 28 weeks. What is the most appropriate management?

89 / 100

89. Female with a previous history of 2 preterm labors, and now she is at 20 weeks of gestation with her cervix opened 30 mm. What will you do?

90 / 100

90. Pregnant with vaginal bleeding, suspect cervical lesion. How to confirm diagnosis?

91 / 100

91. 34-year-old pregnant female at 30 weeks gestation with painless vaginal bleeding. Suspicious mass found during vaginal examination. US shows the fetus corresponds to gestational age. Next step for pregnant with suspicion of cervical lesion?

92 / 100

92. 24-year-old female with abnormal Pap smear results (not specified). What to do?

93 / 100

93. 33-year-old female with unsatisfactory Pap smear for evaluation. Best action:

94 / 100

94. Female with protruding mass from the cervix and uterine cavity:

95 / 100

95. Female with abnormal Pap smear and colposcopy showing invasive carcinoma:

96 / 100

96. Fungating mass from cervix, highest diagnostic value:

97 / 100

97. 40 years old with post-coital bleeding and intermenstrual bleeding, had 3 positive Pap smears, and colposcopy showed intraepithelial carcinoma. Next step?

98 / 100

98. 38-year-old female with non-invasive carcinoma in the cervix, wishing to preserve fertility. Best treatment:

99 / 100

99. Young patient with Pap smear showing high-grade squamous intraepithelial lesion, biopsy showing carcinoma in situ, wants to conserve fertility.

100 / 100

100. Pap test showing high-grade squamous intraepithelial lesion. Next step?

Your score is

obgyn 3

1 / 100

1. 27-year-old woman presented to the Emergency Room with right lower abdominal pain for one day and vomiting. The Emergency Room physician requested a CT scan of the abdomen. Which of the following is the most important information to know?

2 / 100

2. A 27-year-old woman presented to the Emergency Room with right lower abdominal pain for 1 day and vomiting. The Emergency Room physician requested a CT scan of the abdomen. Which of the following is the most important information to know?

3 / 100

3. Which lymph node will be affected in a female patient who has something in the uterus and is going for surgery?

4 / 100

4. For a patient pregnant with twins, what is the most common cause of death for the twins?

5 / 100

5. The most significant risk factor for breast cancer

6 / 100

6. A 27-year-old, Para 2, in her first trimester with a twin pregnancy. What is the risk for postpartum hemorrhage?

7 / 100

7. A 24-year-old female, Gravida 2 Para 1, presented with premature labor at 34 weeks with a twin pregnancy. What increases the risk of having postpartum hemorrhage (PPH)?

8 / 100

8. 31-year-old female, who smokes 12-14 cigarettes per day, came to the antenatal clinic. What is the greatest risk factor for subfertility?

9 / 100

9. Pregnant women with pneumonia, her immune system responds to this condition by IgG production. What type of immunity should the baby receive in this infection?

10 / 100

10. A pregnant woman with sickle cell anemia, having 1-2 attacks per year, now has a hemoglobin level of 9 and a systolic murmur grade 2/6. What should be done?

11 / 100

11. A pregnant woman, whose child’s school had an outbreak, is concerned about getting infected. Which vaccine should she get?

12 / 100

12. A pregnant woman in her 10th week, coming to antenatal care for the first visit. Which vaccine is recommended for her at this time?

13 / 100

13. A 28-year-old female with a history of recurrent pregnancy loss wants to improve her immunity before trying to conceive. What should you give her?

14 / 100

14. A woman had a C-section. What is the best way to prevent adhesions?

15 / 100

15. Woman in delivery, bleeding not stopping, wants to conceive in the future. Which structure should you ligate?

16 / 100

16. Newly married woman experiencing dysuria and frequency. Management?

17 / 100

17. Patient, 23 years old, newly married, complains of suprapubic pain and red, itchy vulva. Diagnosis?

18 / 100

18. Regarding postpartum psychosis.

19 / 100

19. Pregnant at 28 weeks with fetal hydrops and peak systolic flow of 1.8 MoM on MCA Doppler. Cause?

20 / 100

20. Pregnancy and pigmentation. Diagnosis?

21 / 100

21. What is the indication for forceps delivery in a 28-year-old female in labor with a cervix dilated to 7 cm, known case of mitral stenosis secondary to rheumatic fever in childhood, also has herpes?

22 / 100

22. Mother approximately 2 weeks postpartum complaining of clear discharge positive for leukocytes and epithelial cells?

23 / 100

23. Pregnant with Sickle Cell Disease, regular antenatal follow-up, Hb 97, otherwise normal labs and exam. What to do?

24 / 100

24. Female with a cervical lesion measuring 11mmx12mm with irregular borders, Pap smear done, no results yet. What to do?

25 / 100

25. Most common early complication of a molar pregnancy case treated by dilation and suction?

26 / 100

26. Common complication after uterine evacuation?

27 / 100

27. What defines uterine bleeding?

28 / 100

28. Pregnant in the first trimester, develops vaginal bleeding and lower left quadrant pain, denies any passage of tissue. Ultrasound shows no sac either intrauterine or extrauterine. What is the diagnosis?

29 / 100

29. A woman, either Para 1 or 3, has not been able to get pregnant for 3 years. She has symptoms of fatigue, weight gain, constipation. Lab tests show high TSH, normal FSH, LH, and very high prolactin. What is the diagnosis?

30 / 100

30. A young, medically free female with intermenstrual bleeding. What is the most appropriate investigation to reach a diagnosis?

31 / 100

31. Which of the following is the physiological cause of iron loss?

32 / 100

32. A patient, 22 days postpartum, presents with vaginal discharge without smell or symptoms, histology shows epithelial cells.

33 / 100

33. patient with a high BMI wants to get pregnant. What is the recommended course of action?

34 / 100

34. Pregnant woman at 15 weeks of gestation comes for a follow-up. What do you expect to see?

35 / 100

35. Post-coital bleeding with scanty bleeding. What is the most appropriate next step?

36 / 100

36. Patient admitted to the labor room, received prostaglandin, is now massively bleeding with stopped uterine contractions.

What is the cause of her condition?

37 / 100

37. A 48-year-old female presents with heavy vaginal bleeding. Ultrasound reveals clots in the uterus, the endometrium measuring 13mm with two 1mm lesions. Endometrial sampling was negative. What is the next step?

38 / 100

38. Primary gravida with singleton pregnancy at 23 weeks goes for an antenatal visit with spotting. Ultrasound shows cervical length of 30mm. What is the most appropriate management?

39 / 100

39. Young female patient with intermenstrual bleeding. What is the most appropriate investigation?

40 / 100

40. Pregnant patient’s gestational age correlates with fundal height, presenting with back pain, lower abdominal pain, and 2 uterine contractions every 10 minutes. Vaginal examination shows 1 cm cervical dilation and 70% effacement. Fetal heart rate is reassuring. How to confirm the diagnosis?

41 / 100

41. Female primigravida presents with vaginal spotting and abdominal pain, history of infertility for 6 years. What is the next step?

42 / 100

42. 15-year-old female with no menstruation, phenotypically female, and BMI less than the 5th percentile. What can improve her condition?

43 / 100

43. A female with rheumatoid arthritis (RA) taking Plaquenil (hydroxychloroquine) becomes pregnant. What is your advice regarding her medications?

44 / 100

44. A pregnant woman at 15 weeks gestational age complains of epilepsy and is on phenytoin, with her last attack 6 years ago. What is the most appropriate management?

45 / 100

45. A 10-week gestational age pregnant lady with a urinary tract infection (UTI). Which of the following drugs is contraindicated?

46 / 100

46. A pregnant woman, on anti-thyroxine medication for 10 years but not controlled, what should you do?

47 / 100

47. A pregnant woman at 28 weeks gestational age, known case of hyperthyroidism on 15mg carbimazole, comes with symptoms of hyperthyroidism. Labs show low TSH and high T4. What is the most appropriate management?

48 / 100

48. A patient with hyperthyroidism for 10 months treated with anti-hyperthyroidism drugs but with no improvement. Ultrasound shows multinodular goiter, and it is diagnosed as Graves’ disease. What is the best next step?

49 / 100

49. A patient with hypothyroidism started thyroxine, and after 2 weeks, she is still complaining of symptoms, and TSH is still high. What should you do?

50 / 100

50. A 22-year-old married woman with severe, recurrent depression stabilized on paroxetine for the past 3 months is now pregnant. What is the most appropriate management?

51 / 100

51. What antihypertensive is contraindicated in pregnancy?

52 / 100

52. A female hypertensive wants to get pregnant and is currently on ACE inhibitors (ACEI). What should you do?

53 / 100

53. A female complains of hypertension while on ACE inhibitors (ACEI) and is counseling about getting pregnant. What is true?

54 / 100

54. A woman with hypertension and diabetes wants to get pregnant. What will you do?

55 / 100

55. A patient diagnosed with tonic-clonic seizures two years ago, on medication but poorly controlled, presents to the antenatal clinic. What should you do?

56 / 100

56. A patient came to the clinic wanting to get pregnant. She has a history of epilepsy for 6 years and is not compliant with medication. What is the best initial management?

57 / 100

57. A pregnant lady who just delivered and is known to have bronchial asthma. Which of the following uterotonic medications should you avoid giving?

58 / 100

58. A 29-year-old woman presents to your clinic at 14 weeks of pregnancy for consultation regarding quitting smoking. She tried to give up smoking when she found out she is pregnant but failed. She is worried about her baby’s well-being and wants to quit smoking. Which one of the following is the most appropriate management option for her?

59 / 100

59. post-menopausal woman undergoing tamoxifen treatment for breast cancer, she had her last gynecological assessment by ultrasonography during her pre-menopausal period 5 years ago. At that time, she had an intramural uterine fibroid measuring 2×3 cm. The patient complained of on and off moderate amount of vaginal bleeding and her ultrasound confirmed an intramural uterine fibroid measuring 5 x 8 cm and homogenous endometrium 5 mm in thickness. Which of the following is the most likely diagnosis?

60 / 100

60. A 50-year-old woman with menorrhagia due to a large uterine fibroid was seen in the clinic to complete the consent form for an elective hysterectomy. What is the most appropriate step in this condition?

61 / 100

61. A 35-year-old woman with a history of previous pregnancies presented with secondary amenorrhea for 8 months. Which of the following is the most appropriate next step in management?

62 / 100

62. Fibroids are commonest in which race?

63 / 100

63. Female diagnosed with myoma in uterus, she has bleeding and wants to be pregnant. Which treatment is appropriate?

64 / 100

64. A 39-year-old woman presented with menorrhagia. Pelvic ultrasound confirms the presence of a uterine fibroid. What is the most likely location of this fibroid?

65 / 100

65. Which of the following is the most common degenerative changes of leiomyoma during pregnancy?

66 / 100

66. Picture of single cervical polyp with history of minimal bleeding. What is correct?

67 / 100

67. A 48-year-old asymptomatic woman attended the Gynecology Clinic for her Pap smear screening. During pelvic examination, a pelvic mass was felt, further assessment by transvaginal ultrasonography indicated the presence of a solitary uterine fibroid on the uterine fundus measuring 5×6 cm. Which of the following is the most appropriate management?

68 / 100

68. Female complain of Fibroid size 5×6 mild no bleeding or symptom how manage she follow up by ultrasound and do complete red cell count every two month Fibroid, 6×5 what you will do?

69 / 100

69. A 36-year-old asymptomatic woman diagnosed with a 5 cm subserous uterine fibroid. Which of the following is the most appropriate management?

70 / 100

70. A 32-year-old known case of secondary infertility found to have a submucosal uterine fibroid measuring 6 cm on pelvic ultrasound. She desires to preserve her fertility. Which of the following is the most appropriate management?

71 / 100

71. A 59-year-old woman attends to the clinic complaining of abnormal uterine bleeding for the last 2 months, concerned about her condition, she had the last menstrual cycle 12 years ago. An ultrasound scan was taken and endometrial polyp is suspected. Which of the following should be offered to the patient at this stage?

72 / 100

72. Abnormal uterine bleeding, hysteroscopy done and saw: (picture: soft tissue projection inside something?)

73 / 100

73. A 59-year old woman undergoes a hysteroscopy secondary to her complaint of abnormal uterine bleeding for the last couple of months. Which of the following is the most likely diagnosis?

74 / 100

74. 49 years female has submucosal fibroid, She didn’t complete her family yet. How manage?

75 / 100

75. Young couple trying to conceive for 6 months, the wife has regular cycles. What is the next investigation?

76 / 100

76. How to confirm ovulation?

77 / 100

77. Married for 3 years, off contraceptive for 18 months and still not pregnant. What should be done?

78 / 100

78. Couples present with infertility for 3 years. What will you order?

79 / 100

79. A couple presents with 3 months of infertility. Next step?

80 / 100

80. A couple seeking infertility clinic consultation after 3 months. What is your advice?

81 / 100

81. After how many months should a couple be considered infertile?

82 / 100

82. A couple failed to get pregnant after 2 years, husband’s sperm is normal. What is the cause of infertility?

83 / 100

83. A couple presents to an infertility clinic; everything is normal after taking history and examination. Which is the first investigation to start?

84 / 100

84. A 25-year-old newly married woman presented for routine gynecological examination. Which has the highest diagnostic value?

85 / 100

85. couple came to the OBGYN clinic to check infertility. What should be assessed first?

86 / 100

86. A 27-year-old primigravida at 36 weeks of gestation presents with a headache, blurred vision, and elevated blood pressure (160/110 mmHg). The urinalysis shows proteinuria (2+). Which of the following is the most appropriate medication for acute treatment of hypertension?

87 / 100

87. A 39-year-old woman, currently pregnant for the 6th time (gravida 6, para 5), is seen in the Antenatal Clinic for routine check-up at 22 weeks of gestation. Her blood pressure is found to be 140/90 mmHg with no proteinuria. Which of the following is the most appropriate treatment?

88 / 100

88. A 36-year-old woman presents with complaints of a headache and nausea for 3 weeks. She is G3 P2002, and her LMP was 15 weeks ago. Blood pressure is 180/120 mmHg, heart rate 76/min, weight 51 kg, height 160 cm. What is the most likely diagnosis?

89 / 100

89. A 24-year primigravida is found during antenatal care at 22 weeks of gestation to have a blood pressure of 140/95 mmHg in two different measurements documented 4 hours apart. Her urine test for protein was negative, and she was asymptomatic. What is the most likely diagnosis?

90 / 100

90. A 39-year-old primigravida at 39 weeks’ gestation attended her routine prenatal visit. She denied any headache, visual changes, nausea, vomiting, or abdominal pain. Urinalysis was negative for protein. Vital signs at this visit: Blood pressure 160/90 mmHg, Heart rate 84/min. Other visits had blood pressure 120/70 mmHg and heart rate 68/min. What is the most likely diagnosis?

91 / 100

91. A 36-year-old pregnant woman at 15 weeks, with hypertension measuring 180/110 mmHg and no proteinuria. What is the diagnosis?

92 / 100

92. A 36-year-old pregnant woman at 15 weeks gestation complains of a headache and blurred vision for the past 2 weeks, with hypertension. What is the diagnosis?

93 / 100

93. A pregnant lady at 39 weeks had routine blood pressure throughout pregnancy of 120/80 (normal) and suddenly it became 150/90. What is the diagnosis?

94 / 100

94. A woman took highly androgenic progesterone unknowingly during pregnancy. What complication will her daughter face?

95 / 100

95. Young female athlete, gymnast, late breast development, never menstruated, Tanner stage 5 but no menstruation. Diagnosis?

96 / 100

96. Male with bilateral breast enlargement, Tanner stage 5 gynecomastia. Next management?

97 / 100

97. 17-year-old female, no menstruation, high testosterone, normal breast development, coarse pubic hair. Diagnosis?

98 / 100

98. Child in the clinic with pubic hair increasing towards adult, dark scrotum. Tanner stage?

99 / 100

99. 15-year-old girl with sparse pubic hair not reaching the mons pubis, breast budding with areolar enlargement, no clear distinction between breast and areola. Tanner stage?

100 / 100

100. 24-year-old patient with high FSH, LH, normal GTH, and amenorrhea for 9 months. Diagnosis?

29-year-old female with menarche at 15, high LH and FSH, LMP 9 months ago, negative pregnancy test. Diagnosis?

Your score is

Ob-gyn 4

1 / 100

1. A 25-year-old woman, primigravida, at 31 weeks’ gestation presents with abdominal cramping, lower back pain, and cervical changes. What is the most appropriate next step in management?

2 / 100

2. A 28-week pregnant lady with a gush of clear fluid and premature rupture of membranes with a closed cervix. What is the most appropriate management?

3 / 100

3. A 30-year-old G1 with twins at 28 weeks is evaluated for vaginal bleeding and uterine contractions. What is the most appropriate next step in management?

4 / 100

4. A G3P2 patient at 30 weeks with rupture of membranes and no contractions. What should you give?

5 / 100

5. A patient with premature rupture of membranes at 32 weeks is presented with the following options. What is the most appropriate initial management?

6 / 100

6. At 31 weeks, a patient presents with premature PROM 1 week ago, showing decreased variability and variable decelerations on CTG. On pelvic exam, there’s fluid around the os and 4 cm dilation. What is the next step?

7 / 100

7. A pregnant female at 31+5 weeks of gestation presents with preterm premature rupture of membranes. CTG shows several variable decelerations. What is the next step in management?

8 / 100

8. A 24-year-old woman at 39 weeks of gestation presents with intermittent watery vaginal discharge that started last night. On speculum examination, pooling of straw-colored fluid in the posterior vaginal fornix is noted. The cervical os is closed. What best explains these clinical findings?

9 / 100

9. A woman at full term is diagnosed with active labor. She had clear fluid discharge before her contractions or labor started. What is the diagnosis?

10 / 100

10. A pregnant woman with premature rupture of membranes for 7 days came with offensive vaginal discharge, fever, rigors, and a tender uterus. What is the possible diagnosis?

11 / 100

11. Pregnant women prenatal diagnosed with Rh allominazation which of the following us finding?

12 / 100

12. A 23-year-old Rh-negative primigravida presents at 28 weeks of gestation for a follow-up visit. She is not sensitized to the D antigen. Her husband is Rh-positive. Which of the following is the most appropriate management?

13 / 100

13. A 17-year.old woman comes at 39 weeks’ gestation to the Emergency Department with no previous antenatal care. She delivered a healthy baby boy normally with no complications reported. Then she was given an injection of RhoGAM. What is the indication of RhoGAM?

14 / 100

14. complication of Rh happened if

15 / 100

15. A 34-year-old delivered 5 months ago presents with failure to breastfeed her baby, dizziness and fatigue. Her obstetrics history revealed that she had a vaginal delivery complicated with retained placenta and severe postpartum hemorrhage. which of the following is the most likely diagnosis?

16 / 100

16. A 45-year-old woman is referred to the Endocrinology Clinic due to abnormal thyroid function tests. She is asymptomatic, and there is no evidence of goiter on examination. Her TSH is elevated, and T4 is low. What is the most appropriate management plan?

17 / 100

17. A female presents with a high TSH and normal T4 levels, along with hypothyroidism symptoms. She is planning to become pregnant but is not currently taking thyroxine. What would you do for her?

18 / 100

18. A 25-year-old woman who is 15 weeks pregnant presents with symptoms of palpitations, tremors, and diarrhea for the past 3 weeks. She has Graves’ ophthalmopathy and a goiter. Laboratory results confirm the diagnosis of Graves’ disease, but the patient refuses treatment while pregnant. Her vital signs are within the normal range. What is the most appropriate action?

19 / 100

19. A 34-year-old woman presents with a history of galactorrhea, worsening fatigue, malaise, irregular excessive menses for the last 5 months, and frequent headaches. Physical examination is unremarkable, and a pregnancy test is negative. Laboratory results show elevated TSH, low T4, and high prolactin levels. What is the most appropriate management?

20 / 100

20. A 36-year-old woman with a history of hypothyroidism, who has been taking levothyroxine for the last 2 years, presents for her first prenatal visit. On examination, there is no goiter or cervical lymphadenopathy. Her blood pressure, heart rate, and other vital signs are normal. Her TSH and T4 levels are within the reference range. What is the most appropriate treatment for her hypothyroidism at this time?

21 / 100

21. A pregnant patient presents with symptoms of hypothyroidism, including cold intolerance and lethargy. Laboratory tests reveal high TSH levels and low T4 levels. What is the most appropriate management?

22 / 100

22. A 49-year-old woman is evaluated due to fatigue and weight gain despite following a daily diet and exercise regimen. She has hypercholesterolemia and a family history of hypothyroidism. On examination, she has dry skin, an enlarged thyroid gland with a diffusely nodular texture, and elevated thyroid peroxidase antibody (TPOAb). Her TSH is elevated, and T4 is within the normal range. What is the most appropriate next step in management?

23 / 100

23. A 60-year-old, this is her 2nd UTI in the last 6 months, feels a bulge in the vagina and has difficulty emptying her bladder, what is the next step?

24 / 100

24. Male has incontinence and has a history of difficulty in starting the urinary stream. What type of incontinence?

25 / 100

25. A patient presented complaining of a sudden urge to void, frequent voidings during the day, and getting up to void more than once per night. She diagnosed as urge urinary incontinence. Which of the following is the most appropriate management?

26 / 100

26. A 54-year-old female presented to a gynecology clinic complaining of dysuria and urinary incontinence. Urinalysis and cultures were insignificant, However, urodynamic study showed a contracting bladder even with a small amount of dripping. Which of the following is the most appropriate management?

27 / 100

27. G5P5 came with symptoms of stress incontinence. What do you suspect to find?

28 / 100

28. A 50-year-old female diagnosed with stress incontinence, asking about definitive management?

29 / 100

29. A 50-year-old female with no past surgical or medical history presented with complaints of urine incontinence with coughing and sneezing. What is the most appropriate management?

30 / 100

30. A case of stress incontinence with cough and asked about treatment

31 / 100

31. Multiparous women presented to the ER with urge and stress incontinence since 3 years. The urine leaks 3-4 times daily, and she needs to go to the bathroom 8-9 times daily. Upon pelvic Physical exam, you found she has very weak pelvic muscles. What is your initial treatment?

32 / 100

32. A 56-year-old multiparous patient on oral estrogen complains of painless urine incontinence when coughing, sneezing, or laughing for 1 year. Which of the following would be the recommended management?

33 / 100

33. What is the treatment of stress incontinence?

34 / 100

34. A woman has incontinence when jumping. What is the next most appropriate test to do?

35 / 100

35. Female present for regular check up in clinic, she didn’t rememberwhen was her last menstrual period, what is the most accurate wayto calculate the gestational age?

36 / 100

36. When the doctor is able to determine the gestational age byUltrasound?

37 / 100

37. a pregnant with polyhydramnios This associated with?

38 / 100

38. If a mother consumes polished rice, what deficiency might occur?

39 / 100

39. What is the type of estrogen produced during pregnancy?

40 / 100

40. What is the type of estrogen predominant during pregnancy?

41 / 100

41. What is considered as the reassuring biophysical profile score?

42 / 100

42. What physiological change would you expect in pregnancy?

43 / 100

43. When should GBS vaginal swab screening be done in pregnant women?

44 / 100

44. At what gestational age should diabetes screening be started in a pregnant woman?

45 / 100

45. When should breast self-examination be done?

46 / 100

46. At what cervical length is cervical insufficiency defined?

47 / 100

47. A pregnant woman’s last menstrual period was on May 7th. What is the expected date of delivery?

48 / 100

48. What is the time interval between ovulation and cleavage in dichorionic diamniotic twins?

49 / 100

49. What does “dizygotic” mean in the context of twins?

50 / 100

50. When can a lady get pregnant after sublay mesh and umbilical hernia repair, and what is the best time to do hernia repair?

51 / 100

51. After hernia repair, how long should a female wait before getting pregnant?

52 / 100

52. In the latent phase of labor, when is it considered prolonged?

53 / 100

53. When should screening for asymptomatic bacteriuria be done during pregnancy according to the U.S. Preventive Services Task Force (USPSTF)?

54 / 100

54. At what gestational age is elective cesarean section typically performed?

55 / 100

55. What is the best indicator of chromosomal abnormalities and at what gestational age?

56 / 100

56. After receiving 300 micrograms of Anti-D Ig, what does it cover in terms of fetal blood?

57 / 100

57. A 46-year-old woman at 34 weeks’ gestation presents with Braxton Hicks contractions and non-pruritic cervical discharge. What is the most appropriate next step?

58 / 100

58. A Rh-negative mother delivered a Rh+ baby and received the first dose of Anti-D Ig at 28 weeks. When should the second dose be given?

59 / 100

59. What supplements should a woman take when planning to get pregnant?

60 / 100

60. What should be given to a 29-year-old female before pregnancy?

61 / 100

61. What is the recommended quantity of folic acid for a healthy woman planning to conceive with no prior diseases or disorders?

62 / 100

62. For a pregnant woman with sickle cell anemia, what is the correct prescription for folic acid?

63 / 100

63. A 33-year-old woman presents to the clinic after an incidental finding of a mass in the cervix. She denies any complaints of pelvic pressure, pain, or menorrhagia but admits to having occasional post-coital bleeding. What is the most appropriate in counseling the patient?

64 / 100

64. A patient notices one or more sharply marginated, scaling, and red plaques predominantly involving only the vulva. Psoriasis is suspected. Which of the following is required for a definitive diagnosis of psoriasis?

65 / 100

65. A 24-year-old woman has been applying a new herbal cream on her vulva for the last 2 weeks. She notices a burning sensation and itching along with redness at the area of application. What is the most likely diagnosis?

66 / 100

66. A 30-year-old woman is complaining of a newly developed red and painful swelling on the vulva. On examination, the appearance of a solitary lesion is noticed, located at the 5 o’clock position of the vestibule. It is red, tender, fluid-filled, and appears to be infected. What is the most likely diagnosis?

67 / 100

67. A 66-year-old woman presents with a single and asymptomatic bright-red papule at the urethral meatus. The surface bleeds easily on touch. What is the most likely diagnosis?

68 / 100

68. A 20-year-old is suffering from vitiligo, which involves the vulva. What is the cause of this condition?

69 / 100

69. A 35-year-old obese woman notices soft, skin-colored, brown papules with short, thin stalks that are 1 to 3 mm developing in multiple areas of the inguinal folds. She states that when they are traumatized, they become blue and purpuric. What is the most likely diagnosis?

70 / 100

70. A 30-year-old woman comes to the clinic with anogenital lesions that appear as sharply marginated and are smooth, flat-topped, 1 to 2 cm in diameter, moist papules and small plaques. She admits to having multiple sexual partners and using illicit drugs. What is the most likely diagnosis?

71 / 100

71. A 60-year-old postmenopausal woman complains of a 1-year history of recurrent vulvar itching associated with blood-streaked secretions and recently developed a pea-sized mass in the labia. What is the most likely diagnosis?

72 / 100

72. What is the most common type of vulvar neoplasms?

73 / 100

73. A 70-year-old woman comes to the clinic complaining of a slowly enlarging lesion at the labia majora, which does not heal and bleeds when traumatized. What is the most likely diagnosis?

74 / 100

74. A 20-year-old is complaining of an asymptomatic solitary, benign, soft, smooth-surfaced cyst appearing on the vulvar vestibule. On examination, it is found to be domed, translucent, and filled with clear, viscous mucin. Incision of the lesion allows jelly-like mucinous material to be extruded. What is the most likely diagnosis?

75 / 100

75. What is the common complication after uterine evacuation?

76 / 100

76. In a case of Molar pregnancy treated by dilatation and suction, what is the most common early complication?

77 / 100

77. In a case of Molar pregnancy, what is the most common management option?

78 / 100

78. In a case of a “snowstorm” appearance of the uterus on ultrasound, what should the patient be counseled about?

79 / 100

79. In the case of Choriocarcinoma with very high hCG levels and hemoptysis, what is the first thing to do?

80 / 100

80. A 26-year-old woman at 8 weeks gestation presents with excessive nausea and vaginal bleeding. Abdominal examination reveals an enlarged uterus with the absence of fetal heart sounds. An ultrasonographic examination shows findings as in the image provided, along with high B-hCG levels. What is the most likely diagnosis?

81 / 100

81. A female pregnant with a known history of infertility presents with ovarian torsion. Her husband wants to sign the consent, but she refuses. Who is supposed to sign the consent?

82 / 100

82. A pregnant patient presents with ovarian torsion and refuses surgery. What is your action?

83 / 100

83. A lady came to the ER with right lower pain that started 6 hours ago. She’s drowsy, and bowel sounds are sluggish. The scenario does not mention specific lab results (e.g., hCG) or ultrasound findings. What is the possible diagnosis?

84 / 100

84. A female patient presented with abdominal pain for 1 day, intermittent right-sided pain, fullness, and rigidity. The pregnancy test is negative, and on examination, she was hypotensive with no fever, and her WBCs are within the normal range. What is the likely diagnosis?

85 / 100

85. A young lady with intermittent right lower abdominal pain (lasting 10-15 minutes) associated with nausea and vomiting. On examination, right lower quadrant fullness is felt. What is the diagnosis?

86 / 100

86. A 28-year-old woman comes to the emergency department with severe right lower quadrant pain. The pain suddenly became constant, severe, and associated with nausea and vomiting. There is tenderness to palpation over the right lower quadrant with no rebound or guarding. Urine pregnancy test is negative. What is the diagnosis?

87 / 100

87. Case of a young lady with sudden severe right lower abdominal pain 9/10 and a mass felt on ultrasound or CT. What is the diagnosis?

88 / 100

88. Which of the following occurs with OCPs?

89 / 100

89. A 19-year-old multigravida woman comes to the office for a routine checkup. She is concerned about having gained 4.5 kg over the last year and believes it is related to her oral contraceptive pills. The patient takes low-dose ethinyl estradiol/norethindrone daily. Prior to starting the pills, she had regular, heavy periods lasting 4-5 days. The patient missed school every month due to severe cramping on the first day of her period. Her pain symptoms resolved after 3 months on the pills. She takes no other medications. Coitarche was at age 18, and she has had 2 partners since then. The patient and her current partner use condoms inconsistently. Vital signs are normal. Her BMI is 27 kg/m2. Physical examination is unremarkable. Which of the following is the most appropriate advice for this patient?

90 / 100

90. Which of the following is a contradiction to the use of Hormonal replacement therapy in post-menopausal females?

91 / 100

91. A 40-year-old primigravida at 10 weeks with a history of previous DVT due to OCP use. What will you give to her?

92 / 100

92. A 30-year-old female smoker on OCPs for 6 years undergoes ovarian cystectomy and during the surgery develops hypotension, tachycardia, and hypoxia. What is the diagnosis?

93 / 100

93. A 30-year-old female smoker on OCPs for 6 years undergoes ovarian cystectomy and during the surgery develops hypotension, tachycardia, and hypoxia. What is the diagnosis?

94 / 100

94. A 19-year-old female, married and on OCPs, develops signs of DVT in the lower limb (lower extremity pain and swelling). What is the cause?

95 / 100

95. A 19-year-old healthy woman presented to the Emergency Room with left leg swelling and pain for 2 days. She has no significant past medical history and just missed her menstrual period. Blood pressure 131/89 mmHg, heart rate 92/min, respiratory rate 26/min, oxygen saturation 94%. Which of the following is the most important question to ask next in history?

96 / 100

96. A smoker and obese female on combined OCPs has a 4×4 cm hepatic hemangioma found on imaging. What is the most important thing to advise the patient?

97 / 100

97. A 32-year-old diabetic woman who has taken contraceptive pills for 12 years develops right upper quadrant pain (see report). CT scan reveals a 5-cm hypo-dense lesion in the right lobe of the liver. What is the most appropriate next step in management?

98 / 100

98. A pregnant woman presents with itching and elevated liver enzymes. What is the diagnosis?

99 / 100

99. A pregnant woman develops pruritic symptoms but has no history of contact with infected people and no autoimmune disease. Diagnosis?

100 / 100

100. A 40-year-old female, Para 4, with a history of tubal ligation four years ago after her last cesarean section delivery. Her last menstrual period was six weeks ago. She presented to the ER with

vaginal spotting and no abdominal pain. On examination, the OS is closed, and there is tenderness and fullness in her abdomen in the right lower quadrant. What is the best initial investigation?

Your score is

Ob-gyn 5

1 / 143

1. A 45-year-old obese nulligravida patient with polycystic ovary syndrome has had irregular vaginal bleeding since menarche. Lab results show elevated estrogen, FSH, and testosterone levels. Endometrial biopsy shows adenomatous hyperplasia. What is the most likely cause of the adenomatous hyperplasia?

2 / 143

2. A 25-year-old obese female with hirsutism, amenorrhea for about 5 months, and a dark rash on her neck and shoulders. What is the diagnosis?

3 / 143

3. A patient with irregular periods, hirsutism, increased LH, normal FSH, and increased testosterone levels. What is the next test to order?

4 / 143

4. A 20-year-old female with hair loss for 6 months, extensive facial and back acne, BMI of 33 kg/m2, thinning hair at the forehead with a receding hairline, normal thyroid, and negative urine pregnancy test. Serum prolactin and thyroid function tests are normal. Which additional test is indicated in this patient?

5 / 143

5. What is the action of metformin in the treatment of polycystic ovarian syndrome?

6 / 143

6. A patient with PCOS (polycystic ovary syndrome) who is obese and wants to get pregnant. How should she be managed?

7 / 143

7. What is the mechanism of action of clomiphene?

8 / 143

8. A patient with polycystic ovary syndrome who wants to become pregnant. What treatment should be given?

9 / 143

9. In polycystic ovary syndrome, what blood test is used for evaluating hirsutism?

10 / 143

10. In a patient with polycystic ovary syndrome, what investigation would you expect?

11 / 143

11. A patient complains of infertility, obesity, irregular menses, acne, and hirsutism. An ultrasound shows multiple small cysts on the peripheries of the ovaries. What is the diagnosis?

12 / 143

12. A patient with irregular menses, acne, and hirsutism. What is the cause?

13 / 143

13. A 25-year-old obese female with hirsutism, amenorrhea for about 5 months, and a dark rash on her neck and shoulders. What is the diagnosis?

14 / 143

14. In a patient with irregular periods, hirsutism, increased LH, normal FSH, and increased testosterone levels, what is the next test to order?

15 / 143

15. A 20-year-old female with hair loss for 6 months, extensive facial and back acne, BMI of 33 kg/m2, thinning hair at the forehead with a receding hairline, normal thyroid, and negative urine pregnancy test. Serum prolactin and thyroid function tests are normal. Which additional test is indicated in this patient?

16 / 143

16. A woman after delivery developed uterine inversion and was returned. Which placental location increases the risk of this condition?

17 / 143

17. A woman did some procedure (pelvic procedure but forgot what it was) and then came complaining of urine from the vagina during urination (micturition). What is the diagnosis?

18 / 143

18. A multiparous woman presents with pelvic fullness and the feeling of something coming out of her vagina. How do you establish a diagnosis?

19 / 143

19. A woman had 7 kids, now she is complaining of a vaginal mass protruding more with a cough. What is the next step?

20 / 143

20. A pregnant woman in the third trimester has vaginal prolapse grade 2. CTG is normal, vital signs are normal. What to do?

21 / 143

21. A 70-year-old woman, sexually active, had a hysterectomy done before, and she complains of prolapse and an enlarged vaginal opening, what is the appropriate procedure?

22 / 143

22. A female, P6, feels heaviness and discomfort in her pelvic region, exam showed a mass coming from the introitus, diagnosis?

23 / 143

23. An old lady, medically free with difficulty defecation and constipation, during defecation she introduces her finger in the vagina to initiate movement, management?

24 / 143

24. A 70-year-old lady had a hysterectomy 15 years ago now she has a very large vaginal vault prolapse which covers something I don’t remember and reaches the perineum. What is the appropriate treatment?

25 / 143

25. Intrauterine device with brown discharge. What’s the side effect?

26 / 143

26. Pt with chlamydia infection what to give?

27 / 143

27. Commonest Contraindication for intrauterine device?

28 / 143

28. Couples came to infertility clinic; the wife had Pelvic inflammatory disease 2 years ago with chlamydia infection and got treated, the husband’s semen was normal. What is the appropriate step?

29 / 143

29. Woman with a history of PID twice who has normal regular menses and her husband has a normal semen analysis but failed to get pregnant

30 / 143

30. Pt with chlamydia infection what to give?

31 / 143

31. Adhesion in the pelvis postoperative organism?

32 / 143

32. A patient with PID (brown discharge), she was treated with IV ceftriaxone but did not improve. What is the most likely causative organism?

33 / 143

33. Blood pressure 164/92 mmHg. Heart rate 130 ‘minRespiratory rate 18/min Temperature 37 “C Which of the following Is the next best step in management

34 / 143

34. patient with post-partum hemorrhage who was resuscitated then they found that there is persistent bleeding at several puncture sites what is the next important step?

35 / 143

35. Patient delivered without episiotomy, placenta was check and all parts were delivered, then patient had gush of blood coming, what is your next step?

36 / 143

36. Patient was on labor after delivery had inverted uterus and started to have bleeding what is the most imp cause for postpartum hemorrhage ?

37 / 143

37. 35 Year old , G4p3L2 , medically free, presented in labor which take 16 hrs to deliver a 3 kg baby boy healthy, after delivering the placenta the patient had large amount of bleeding , what could be the cause?

38 / 143

38. In a patient with postpartum hemorrhage on oxytocin, where the source of bleeding cannot be determined due to excessive bleeding, what should be done?

39 / 143

39. In a woman with persistent bleeding who wants to conceive in the future, which structure should be ligated?

40 / 143

40. What percentage of maternal deaths worldwide is due to postpartum hemorrhage?

41 / 143

41. How do you differentiate between hypovolemic shock and postpartum hemorrhage?

42 / 143

42. In a patient with a precipitous labor, what is the most likely cause of postpartum bleeding?

43 / 143

43. During vaginal delivery with postpartum hemorrhage not controlled by manual compression and oxytocin, and the patient is hemodynamically unstable (hypotensive), what should be done next?

44 / 143

44. During a C-section with postpartum hemorrhage not controlled by manual compression and oxytocin, what should be done next?

45 / 143

45. In a woman who delivered a macrosomic baby at 38 weeks and now presents with postpartum hemorrhage, what is the treatment?

46 / 143

46. A lady who just delivered, her uterus was lax with mild post-partum hemorrhage, there were no lacerations and no remaining products of conception in the uterus. What is the appropriate management?

47 / 143

47. What is the highest success rate drug used in postpartum hemorrhage?

48 / 143

48. What is the best method to stop bleeding after delivery (postpartum bleeding)?

49 / 143

49. What is the most accurate method to ensure full placental separation?

50 / 143

50. Patient post delivery massage is done, oxytocin done. She was bleeding. On inspection you found it is due to laceration 2 cm you tried sutures but it’s not possible due to perfuse bleeding from above, what is the most appropriate next step?

51 / 143

51. What is the initial step in managing excessive vaginal bleeding in a postpartum patient after delivering a 4020-g baby with a history of chronic hypertension?

52 / 143

52. In a patient who delivered without an episiotomy, and all parts of the placenta were delivered, but she experienced a gush of blood afterward, what is the next step?

53 / 143

53. In a patient with postpartum hemorrhage, what is the most common cause?

54 / 143

54. What is the definition of primary postpartum hemorrhage?

55 / 143

55. What is the cause of bleeding when a pregnant woman experiences bleeding after 10 hours following delivery?

56 / 143

56. What type of bleeding occurs when a patient has 800 ml of vaginal bleeding after the delivery of the baby?

57 / 143

57. Pregnant lady at the third trimester came to the ER complaining of headache and sharp RUQ pain, BP 165/100, Protein +4. What is the cause of her pain?

58 / 143

58. Pregnant, now blood pressure 140/90, platelets 50,000, history of previously severe preeclampsia. What indication here of severe preeclampsia in this scenario?

59 / 143

59. Case of preeclampsia with very low platelets and high urea. What indicators suggest that it is preeclampsia?

60 / 143

60. A 30-year-old woman G2P1001 at 32 weeks’ gestation is admitted to labor and delivery complaining of lower abdominal and back pain. She has a significant previous history of severe preeclampsia (see lab results). Blood pressure: 140/90 mmHg. Test Result: Platelet count: 80 (Normal Values: 150-400 x 10^9/L), Uric Acid: 460 (Normal Values: 140-360 pmol/L). Which of the following findings would indicate severe preeclampsia?

61 / 143

61. A 27-year-old primigravida presented at 36 weeks of gestation with a headache, blurred vision, and proteinuria +++ Blood pressure 160/110 mmHg, heart rate 76/min, respiratory rate 18/min, temperature 36.8°C. Which of the following is the most appropriate medication for acute treatment of hypertension?

62 / 143

62. A 39-week pregnant woman with proteinuria and blood pressure 140/90. Your action?

63 / 143

63. A patient at 34 weeks of gestation with eclampsia. She was managed and stabilized. What is the most appropriate next step?

64 / 143

64. A woman at 34 weeks of gestation with the onset of eclampsia and controlled symptoms. What is the next step?

65 / 143

65. A primigravida at 32 weeks came with a mild headache with no abdominal pain or visual disturbance. Blood pressure 150/90, urine analysis +3 protein. What is the appropriate management?

66 / 143

66. A 38-year-old woman G3 P2002 at 34 weeks’ gestation is admitted to labor and delivery complaining of a headache, epigastric pain, and blurred vision. Non-stress test is reassuring. Blood pressure 170/120 mmHg. Which of the following is the most appropriate management?

67 / 143

67. A patient at 32 weeks presented with a seizure and high blood pressure. What is the next appropriate step?

68 / 143

68. In the management of preeclampsia, which drugs are given to prevent convulsions?

69 / 143

69. A 26-year-old primigravida woman presented to the clinic at 37 weeks’ gestation for routine antenatal care. She reports feeling ill and has a frontal headache. A urine dipstick analysis is performed and shows proteinuria 2+. She is admitted to the hospital High Risk Unit and started on an intravenous infusion of magnesium sulfate. Blood pressure 152/102 mmHg, heart rate 72/min, respiratory rate 16/min, temperature 37.2°C orally. Which of the following is the primary reason for administering the intravenous medication?

70 / 143

70. A 23-year-old primigravida presented at 32 weeks of gestation with seizures (see lab result). Protein +++ Blood pressure 160/110 mmHg Heart rate 78 min Respiratory rate 18/min Temperature 36.6 °C. Which of the following is the most appropriate next step in management?

71 / 143

71. A 23-year primigravida presents at 38 weeks of gestation in active labor. She complains of headache. Her laboratory studies show normal complete blood count, normal liver function tests, and elevated protein/creatinine ratio, blood pressure 150/100 mmHg. What is the diagnosis?

72 / 143

72. A female, para 6, presents with secondary dysmenorrhea and abnormal uterine bleeding. On physical examination, the uterus is enlarged and tender. What is the definitive treatment?

73 / 143

73. A patient with dysmenorrhea uses NSAID with no improvement. Laparoscopy was performed (finding in the picture). What is the most appropriate drug for her?

74 / 143

74. A 13-year-old girl presented with her mother with primary dysmenorrhea since her menarche a year ago. What is the best management?

75 / 143

75. A patient with severe abdominal pain with menstrual cycle (dysmenorrhea), affecting her work. What can you give?

76 / 143

76. A 19-year-old woman presents with crampy, lower abdominal pain beginning with the onset of menses every month, lasting for 2 to 3 days. She reports radiation of pain to the lower back and upper thighs, along with nausea, fatigue, and headache that have been present for several years and progressively getting worse. Physical examination is normal. What is the most likely diagnosis?

77 / 143

77. A 25-year-old woman complains of cramps and lower abdominal pain that occurs during the first day of her menses and usually improves by the third day. Her periods are regular, and all clinical assessments and pelvic ultrasounds are normal. What most likely explains her clinical presentation?

78 / 143

78. A female complains of menstrual pain that goes away on the 2nd and 3rd day of her period. It is associated with nausea, vomiting, and back pain radiating to the thighs, which is progressively getting worse. What is the diagnosis?

79 / 143

79. A 25-year-old woman complains of recurrent behavioral symptoms that start a few days before her menstrual cycles and usually disappear around the second day of the cycle. These symptoms have led to reduced work productivity and increased healthcare visits. What is the most reliable method to establish the diagnosis?

80 / 143

80. A 25-year-old woman complains of recurrent behavioral symptoms that start a few days before her menstrual cycles and usually disappear around the second day of the cycle. These symptoms have led to reduced work productivity and increased healthcare visits. What is the most common affective or behavioral symptom for her diagnosis?

81 / 143

81. A 12-year-old obese girl, 5 months after menarche, presents with irregular menstrual bleeding and increased weight. She has mild acne and is agitated during the examination. What is the most likely disorder to consider in communicating with this patient?

82 / 143

82. 27-year-old woman presents to your practice with complaint of premenstrual abdominal bloating. irritability and uneasiness for the past 6 months. These symptoms begin 3-4-days before her anticipated periods and ease off with in 1 to 2 days of her menstrual flow. Recently, she had to take few days off work because of the intensity of her symptoms. Which one of the following is the most appropriate next step in management?

83 / 143

83. A 17-year-old with a change in behavior before every menstrual cycle that lasts for 3 days. What is the diagnosis?

84 / 143

84. A preterm patient at 30 weeks with 80% effacement and 2 cm dilatation, stable mom and fetus is admitted to labor. What should be done?

85 / 143

85. A patient with PPROM at 27 weeks presents with a fever. What should be done first?

86 / 143

86. A pregnant woman presented in recent days with premature rupture of membranes, then came with fever and abdominal pain. What is the likely diagnosis?

87 / 143

87. A 55-year-old woman complains of a mass protruding through her vagina when standing for quite some time, especially during coughing and straining. She has 7 children delivered vaginally, with the last delivery being complicated by prolonged second stage and ended up with vacuum extraction delivery of a 4.2 Kg baby. What is the most appropriate next step?

88 / 143

88. A patient on tocolytic beta-mimetics (terbutaline) experiences what is the most common side effect?

89 / 143

89. At 38 weeks gestational age, a patient experiences spontaneous rupture of membranes 24 hours ago, is not in labor, and has reassuring fetal status. What is the next step?

90 / 143

90. A 38-year-old primigravida presents at 38 weeks of gestation with a history of spontaneous rupture of membranes 24 hours ago. She has no labor pains, the uterus is soft, and the fetus is in cephalic presentation. Cardiotocography shows a normal fetal heart rate. What is the most appropriate next step in management?

91 / 143

91. A healthy lady experiences preterm labor. What should be administered?

92 / 143

92. At 32 weeks gestation, a patient experiences preterm labor and rupture of membranes. She was given steroids and antibiotics. What should be administered next?

93 / 143

93. A preterm patient at 30 weeks with 80% effacement and 2 cm dilatation, stable mom and fetus is admitted to labor. What is the appropriate action?

94 / 143

94. A patient at 27 weeks in labor with a 6cm cervical dilatation. What should be administered?

95 / 143

95. A 27-week lady with a history of PPROM. The CTG is reassuring, normal CBC, she is medically free, she denies any uterine contractions. What is the appropriate management?

96 / 143

96. A primigravida with preterm labor, known case of DM1, presents with severe contractions and a closed cervix. What should be given?

97 / 143

97. A pregnant woman at 32 weeks’ gestation presents to the Emergency Department with lower abdominal and back pain, cervical changes, and contractions. What is the most appropriate step in management?

98 / 143

98. A G3I known PPROM patient admitted on the 5th day develops a fever with a GBS count of 10,000. How will you manage?

99 / 143

99. A 27-year-old woman with a history of PPROM at 27 weeks presents with fever. What should be done first?

100 / 143

100. A 33-year-old patient presents with preterm rupture of membranes at 34 weeks of gestation. What is the most appropriate next step in management?

101 / 143

101. Pregnant with history of placental abruption 2 times before came in 3rd pregnancy with same condition and severe bleeding she’s on 37 week, when to admit patient?

102 / 143

102. A 28-year pregnant woman In her 34 weeks of gestation presented to Emergency Room with heavy vaginal bleeding. Abruption placentae is suspected (see lab result). Blood pressure 88/42 mmHg Heart rate 129 /min Respiratory rate 26 /min Oxygen saturation 96 % Test Result Normal Value Hb 86 130-170 gA_، the best next approach to save her life?

103 / 143

103. A 38-year-old presented to Labor Ward with severe abruptio placentae. She was diagnosed with intrauterine fetal death and disseminated intravascular coagulopathy (DIC). Vaginal examination revealed a 6 cm dilated cervix. The most appropriate management?

104 / 143

104. What is the most common cause of disseminated intravascular coagulation in pregnancy?

105 / 143

105. What is the most common risk factor for abruptio placentae?

106 / 143

106. A 22-year pregnant at 37 weeks gestation presents after fainting and has severe abdominal pain. She is cold and diaphoretic. Fundal height is 39 cm; the cervical os is closed, and there is no vaginal bleeding. Blood pressure 90/56 mmHg, Heart rate 130 /min. Which of the following is the most likely diagnosis?

107 / 143

107. A 32-year pregnant woman with polyhydramnios presented at 37 weeks of gestation with painful vaginal bleeding and uterine tenderness following spontaneous rupture of membranes. Cardiotocography shows persistent bradycardia. The most likely diagnosis?

108 / 143

108. A 24-year-old primigravida who is a heavy smoker presented at 34 weeks of gestation to the Emergency Department with sudden heavy painful vaginal bleeding associated with uterine tenderness. What is the most likely diagnosis?

109 / 143

109. A pregnant woman at 32 weeks’ gestation is brought to the Emergency Room with vaginal bleeding and abdominal pain. On examination: Fundal height equals 30 weeks, and the abdomen is tense. Cardiotocography revealed fetal tachycardia, reduced variability, and late decelerations. Which of the following is the most likely diagnosis?

110 / 143

110. A primigravida (at 28 weeks) and a heavy smoker presented with severe vaginal bleeding and abdominal pain. Most likely cause is?

111 / 143

111. A 25-year-old woman G2 P1001 at 36+4 weeks gestation with a history of prior cesarean section presents with abdominal pain and vaginal bleeding. Fetal heart baseline 160 bpm with minimal variability and repetitive late deceleration. The diagnosis?

112 / 143

112. A 32-year-old primigravida at 34 weeks’ gestation presents for urgent care after falling down a flight of stairs. The patient complains of uterine tenderness and reduced fetal movement in the 45 minutes since the fall. There has been a small amount of dark red vaginal bleeding. The fetal heart monitoring revealed a heart rate of 150 bpm with Irregular uterine contractions every 3 to 4 minutes. Her pregnancy has been uncomplicated. She has a positive history of cigarette smoking. Which of the following is the most likely diagnosis?

113 / 143

113. Pregnant in 27 GA, came with minimal bleeding us showed placenta totally covers the mother’s cervix . What is the most imp Mx?

114 / 143

114. placenta previa 38 weeks with bleed now Unstable, what to do?

115 / 143

115. A pregnant woman at 37 weeks with profuse bleeding and contractions, and ultrasound shows placenta previa. What is the management?

116 / 143

116. In a case of third-trimester pregnancy with vaginal bleeding, abdominal exam showing a length less than the gestational age, and CTG showing late decelerations, what is the diagnosis?

117 / 143

117. When should cesarean section (C/S) be performed in a case of placenta previa?

118 / 143

118. A pregnant woman at 32 weeks gestational age presents with mild painless vaginal bleeding, few hours ago (placenta previa). What is the appropriate management?

119 / 143

119. A patient presents with painless mild vaginal bleeding at 34 weeks. What is the next step?

120 / 143

120. A pregnant unbooked patient presents with painless vaginal bleeding at 34 weeks, with a fundal height of 34 weeks. She lives far away and has difficulty in transport. What is the most appropriate thing to do?

121 / 143

121. A 39-year-old primigravida presents at 39 weeks gestation for a routine visit. Physical examination reveals cervical dilation, effacement, and elevated blood pressure. What is the most appropriate management?

122 / 143

122. A pregnant lady at 23 weeks gestation comes with mild vaginal bleeding. Ultrasound shows the placenta partially covering the internal os. What will you do for her?

123 / 143

123. In a patient who underwent uterine myomectomy for fibroids, and it was noted in the surgery note that it entered the uterine cavity, what’s the percentage of placenta accreta?

124 / 143

124. What is the predisposing factor for placenta previa?

125 / 143

125. A pregnant woman at 27 weeks gestational age presents with minimal bleeding, and ultrasound shows Placenta totalis. What is the most important management?

126 / 143

126. In a pregnant woman with a history of previous surgery, where the placenta is implanted into the uterus, what is the diagnosis?

127 / 143

127. In a case of retained placenta after spontaneous vaginal delivery, where the patient refuses hysterectomy and is managed by ligating the placenta and started on Methotrexate therapy, what is the complication of this case?

128 / 143

128. case of a previous surgery pregnant the placenta into uterus.?

129 / 143

129. In a case where the placenta is implanted deep into the uterine wall, what is the diagnosis?

130 / 143

130. Placenta is implanted in the superficial uterine wall. What is that?

131 / 143

131.
A 37-year-old P4 with a history of 3 previous cesarean sections is undergoing an elective cesarean section at 37 weeks of gestation. The placenta was found to be attached deeply into the uterine wall. What is the most likely diagnosis?

132 / 143

132. A woman with breast cancer is on tamoxifen. What is a side effect of this drug?

133 / 143

133. A 60-year-old postmenopausal woman complains of a 1-year history of recurrent vulvar itching associated with blood-streaked secretions. She has recently developed a pea-sized mass in the labia. What is the likely diagnosis?

134 / 143

134. A 45-year-old woman has undergone a total abdominal hysterectomy and bilateral salpingo-oophorectomy for a benign reason. She started to have acute vasomotor symptoms post-operation and agreed to hormone replacement therapy. What is the most appropriate hormone replacement therapy regimen?

135 / 143

135. A 53-year-old woman has missed her period over the last 12 months. Which of the following hormones is likely to be altered as a result of the condition?

136 / 143

136. A 36-year-old lady with secondary amenorrhea (elevated FSH & LH). What is the most likely complication for this patient?

137 / 143

137. A menopausal woman complains of insomnia and flushing. What is the most appropriate treatment?

138 / 143

138. A postmenopausal woman with dyspareunia and vaginal itching. What is the management?

139 / 143

139. A postmenopausal patient complaining of itching in the vulva and watery discharge. On examination, scratches and scaly areas are found. What is the diagnosis?

140 / 143

140. A 60-year-old postmenopausal woman complains of vaginal dryness and itching. What is the management?

141 / 143

141. A 51-year-old woman presents with hot flashes, irregular periods, and asks about the possibility of entering menopause. Which parameter is required to diagnose menopause?

142 / 143

142. A 45-year-old woman with a history of 7 months of amenorrhea, negative pregnancy test, and the desire to get pregnant. What is the most appropriate investigation to do?

143 / 143

143. A 23-year-old woman is evaluated after a recent diagnosis of polycystic ovary syndrome. She is concerned about hirsutism and irregular menses. She is not planning for pregnancy at this time and takes no medications. On physical examination, she has mild hirsutism, and the remaining of her physical examination, including pelvic examination, are normal. What is the most appropriate treatment?

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