OBGYN Practice General Questions and

OBGYN Practice General Questions and Answers 2023/2024 Sign of pregnancy.Bluish or purplish discoloration of vagina, vulva and cervix. Occur 6- 12 week's gestation - Correct Answer Chadwick's sign On exam a pregnant woman noted to have fundal height at level of umbilicus. This corresponds to what gestational age or how many weeks - Correct Answer 20 weeks Gestational age if fundal height of preg. woman is top of uterus, right above pubic bone

• Correct Answer 13-14 weeks

Gestational age at which fundal height of preg woman at bottom of mother's ribs - Correct Answer 36-40 weeks Common Sx: Hirsutism, infertility, irregular menses - Correct Answer Polycystic Ovarian Syndrome Vulvar pruritus, thick and white (curd like, cheesy) vaginal discharge - what condition? - Correct Answer Vaginal candidiasis How do you test for vaginal candidiasis - Correct Answer KOH prep 25 year old presents with pelvic pain and uterine bleeding. Her Beta HCG was 1200 mIU/L 6 days ago. Her current Beta-HCG is 1600 mIU/L. What is the next best test in eval of this pt?

• Laparoscopy
• Culdocentesis
• Dilation and Curettage
• Transvaginal US - Correct Answer Transvaginal US (Is the best test to seperate

ectopic from intrauterine pregancy What is the function of progesterone in terms of fertility and ovulation esp. for people trying to conceive - Correct Answer Progesterone helps to prepare uterus for implantation and if fertilization occurs helps maintain uterine lining and pregnancy.Progesterone levels peak mid luteal (6-7 days) after ovulation. It is also best measure of ovulation. This is the best time to fertilize. After that progesterone levels drop.A couple presents having not been able to conceive over the past 12 months.Evaluation of the male has been normal. The female has had regular menses. Ovulation can be confirmed with mid-luteal phase measurement of which of the following?

• Thyroid stimulating hormone
• Luteinizing hormone 1 / 2

• Progesterone
• Prolactin - Correct Answer Progesterone.

What vaginal infection presents with malodurous gray-white discharge. PH > 4.5 usually 5.0- 5.5 - Correct Answer Bacterial Vaginosis What vagina condition does not present with discharge but presents with vaginal dryness - Correct Answer Atrophic vaginitis What vaginal condition presents with vulvar pruritus and a profuse, frothy, greenish, foul-smelling vaginal discharge with a PH exceeding 5.0 - Correct Answer Trichomoniasis If pregnant woman presents with abdominal pain and vaginal bleeding it is likely - Correct Answer Abruptio placentae If pregnant woman presents with vaginal bleeding or hematuria with suprabupic pain and tenderness it is likely - Correct Answer Uterine rupture If pregnant woman presents with sudden, painless, profuse bleeding in the third trimester it is likely - Correct Answer Placenta Previa If pregnant woman presents with systemic signs of bleeding and thrombosis. Typically presents at time of delivery. It is likely - Correct Answer Disseminated intravascular coagulation Sign of pregnancy, softening of cervix, occurs at 4-5 weeks gestation. - Correct Answer Goodell's sign Sign of pregnancy, softening of uterine isthmus. 6-8 weeks gestation - Correct Answer Hagar's sign Sign of pregnancy, fundus flexes easily on the cervix, 7-8 Weeks gestation - Correct Answer McDonald's sign A 25 year-old female presents with constant premenstrual pelvic pain. She also notes dysmenorrhea and dyspareunia. Which of the following is the most likely diagnosis?

• Uterine Leiomyoma
• Endometrial polyps
• Ovarian Cysts
• Endometriosis - Correct Answer Endometriosis

Pt presents with premenstrual pelvic pain, dysmenorrhea, dyspareunia. Most likely - Correct Answer Endometriosis

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