Repro/OBGYN 1

A 27 year old presents for her first prenatal visit at three months gestation. Testing finds her to have a positive RPR and FTA test for syphilis. She is allergic to penicillin. Which of the following is the recommended treatment?

A 67 year old female complaining of vaginal pressure is found on exam to have a descended uterus with the cervix positioned beyond the hymen. Which of the following best represents her uterine prolapse?

A 26 year old female who is 2 months post-partum and breast feeding presents with a painful swollen left breast. Exam finds induration and erythema from the nipple and laterally. The area is warm and tender to the touch. Her only pertinent medical history is three episodes of abscess on her back and thigh which required I&D and tested positive for MRSA. Which of the following treatments would be most appropriate for this patient?

A 14-year-old girl has a 3 month history of cyclic pelvic pain and amenorrhea. Examination shows a purple-red bulge at the vaginal introitus. Which of the following is the most likely diagnosis?

A 22-year-old woman who was exposed to diethylstilbesterol in utero should be counseled that she is at increased risk for which of the following?

A 29-year-old nulliparous patient comes to your office to discuss pregnancy. She and her mate have been trying for more than a year to have a child. Her history is unimpressive except for diagnosed polycystic ovarian syndrome. Semen analysis of her partner is noncontributory. Initial management for this patient would be which of the following?

A 34-year-old woman tests positive for mutations of BRCA1 and BRCA2 genes. Which of the following cancers is she at high risk for developing?

A 23-year-old woman wishes to begin oral contraceptive therapy. She should be counseled that which of the following is an absolute contraindication to estrogen-progestin oral contraception?

A 19-year-old woman has unprotected sexual intercourse. Which of the following may be taken as an emergency measure to prevent pregnancy?

A 23-year-old woman thinks that she is pregnant and obtains a home pregnancy test. Which of the following is the methodology of this test?

A young couple (each partner is 25 years old) arrives at your office for infertility counseling. They have been trying to conceive for 7 months without success. Which of the following is the most appropriate clinical recommendation?

Which of the following laboratory studies is indicated for a patient with postpartum fever?

Which of the following features best describes post partum depression?

In the treatment of postpartum hemorrhage, which of the following is NOT appropriate first line management?

What is the most appropriate initial treatment for a patient diagnosed with postpartum depression?

What is the most common fetal malpresentation?

Which of the following is NOT a risk factor for the development of postpartum fever/sepsis?

What term is defined as an abnormal progression of labor due to “power, passage, or passenger,” that may result in other modes of delivery than vaginal?

Pharmaceutical treatment of choice for severe preeclampsia to prevent seizures is:

Initial management of the eclamptic patient includes which of the following?

Which of the following women would be most at risk for developing uterine fibroids?

A 20-year-old female college student walks into the clinic complaining of vaginal itching, a thin white discharge, and a fishy vaginal odor. She also reports burning on urination. She is sexually active with more than one sexual partner, and is not consistent in using condoms. She also douches regularly. Microscopic examination of her vaginal fluid shows clue cells, a pH of >4.5, and a fishy odor after addition of 10% KOH (i.e., the whiff test). What is the most likely cause of her vaginitis?

A 16-year-old girl comes to the clinic asking for the “cancer vaccine.” After questioning her further, you determine she is requesting the vaccine called Gardisil. Before you give her the vaccine, what do you tell the patient that Gardisil protects against?

A 34-year-old female patient presents at the clinic complaining of abdominal discomfort and excessively heavy and painful periods. An ultrasound reveals significant endometrial growth around the ovaries, fallopian tubes, and pelvic tissue, as well as cysts and scar tissue. You diagnose her with endometriosis. Which of the following treatment options would least likely be appropriate based on the patient’s condition?

A 28-year-old pregnant woman in her 21st week presents at the clinic with high blood pressure and severe headaches. A urinalysis reveals an unusually high protein level. You diagnose her with preeclampsia. Which of the following symptoms would indicate that her condition has progressed on to eclampsia?

A pregnant 26-year-old patient in her 16th week presents at the clinic with vaginal bleeding and severe cramping. Upon examination, you find that no membranes have been ruptured, but her cervix is dilated. Which form of spontaneous abortion is she most likely experiencing?

A 25-year-old healthy married woman comes to the office for a routine Pap smear and pelvic exam. Her last Pap smear was a year ago, and it was normal. Prior to that, she had yearly Pap smears starting at age 18, and all were normal. The patient asks you if she can have Pap smears less frequently. Based on her history and recommendations from organizations such as the American College of Obstetricians and Gynecologists (ACOG), what time interval would you advise for this patient?

A 37-year-old female comes to the clinic with spotty vaginal bleeding, breast tenderness, mild cramping and worsening pain in the lower right abdomen, and nausea. She also complains of lightheadedness. She is slightly hypotensive, with a blood pressure of 100/60. When asked about menstruation, the patient states she is about a week past due for her period. The patient states she is sexually active. When asked about contraception, the patient states she is not on any form of birth control, and that her partner does not use condoms. What test would you most likely perform first on this patient?

Which of the following is the most likely cause of a combination of dysmenorrhea, dyspareunia, dyschezia, and pelvic pain?

A 27-year-old female who is 19 weeks pregnant, came to the emergency department complaining of abdominal pain and uterine cramping with vaginal bleeding. Serum beta hCG is obtained. Results are below expected values. Ultrasound is performed and finds that the uterus is empty. Which of the following is the most likely diagnosis?