Obstetrics and Gynecology Samplex Test 5

A 25 y/o, G3P4 comes to your office for a routine prenatal check-up, complaining of vaginal bleeding. Patient is 16 weeks AOG based on LMP. Upon PE, her uterus is at the level of the umbilicus and no FHTs can be heard. BP is 150/90 mmHg with no prior history of hypertension. Urinalysis showed 2+ proteinuria on dipstick. Which of the following condition should you rule out first?

What is the normal position of the uterus?

What provides the major support of the uterus and the cervix?

Proper recording and evaluation of the periodic changes of the fetal heart rate (FHR) are needed for proper intrapartum assessment. What is the probable etiology if there is gradual decrease in the FHR below the baseline with onset to nadir of at least >30 secs?

Which sequence of cardinal movements of labor best applies to a fetus delivered via face presentation?

How many weeks post-partum does the uterus regress or involutes to its non-pregnant size?

Benign GTD can be classified as complete and incomplete mole. An incomplete mole has 3 sets of chromosomes due to which of the following reasons?

What is the most frequent site of eccyesis?

A 26 y/o, G1P1 (1001) complains of amenorrhea. She had hypotensive episodes during her delivery 7 months ago and was transfused 10 units of fresh whole blood. She was not able to breastfeed because her breasts started to sag. She also lost weight, became anorexic and weak. What explains the amenorrhea in this patient?

A 4 y/o girl was brought to the clinic for slight enlargement of the left breast with no other associated signs and symptoms since two years ago. You will tell the parents that premature thelarche is:

A 40-year-old G4P3 woman comes to the E.R. complaining of vaginal bleeding, pelvic pain, flank pain, foul-smelling discharge, and disorientation. Her past medical history is significant for 3NSVDs and 1 miscarriage. In addition, she did have a history of abnormal Pap smears approx.3 years earlier. What initial lab work-up must be done?

Potential sites for ureteral injury during abdominal hysterectomy with bilateral salpingo-oophorectomy include all of the following except:

A 60-year-old woman visits your clinic with complaints of pelvic pressure and abdominal fullness. Her LMP was 3 years ago. BPE and IVP are normal. Staging explore lap is performed. You find stage 1a ovarian CA. What is the best intervention in this case?

A 19-year-old primigravida at 32 weeks’ gestation comes to the office for a routine prenatal visit. Her BP is 150/95 mmHg. Her previous BPs have been 120/7 mmHg range. 2 hours later: While receiving IV MgSO4 therapy, her RR have decreased from 20- 5 rpm. Findings are consistent with

A primigravida at 16 weeks by LMP has a fundal height at umbilicus. She has abnormality elevated levels of MS-AFP and BhCG. You:

A 43-year-old woman comes to the office complaining of involuntary urine loss. Loss of urine occurs continuously day and night along with pelvic pressure. Residual volume is 450 ml.

How many weeks after abortion does ovulation usually occur?

Duration of pregnancy is most correctly measured clinically by which of the following units?

In which presentation is the fetal head partially flexed and a large anterior fontanel presenting?

Which of the following is not an indication of severe pregnancy-induced hypertension?