Repro/OBGYN 2

Which of the following medicines should not be taken by the woman who is pregnant?

A 22-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 29-year-old infertile woman has had episodic lower abdominal and pelvic pain for 2 years. A physical examination, including pelvic exam, reveals no abnormalities. A Pap smear shows only a few trichomonads and no dysplastic cells. A laparoscopy is performed, and the gynecologist notes the presence of several blue to red 0.2 to 0.4 cm slighted raised lesions scattered on the pelvic peritoneum in the cul-de-sac and broad ligaments. Which of the following is the most likely diagnosis?

Which of the following is a characteristic of HELLP syndrome?

Which of the following is the definition of infertility?

The most common location for an ectopic pregnancy what anatomic location?

Danazol is often used in the treatment of which of the following conditions?

A Papanicolaou cytology examination should not be performed in which of the following patients?

A 16-year-old G0P0 patient presents complaining of lower pelvic pain that alternates from right to left side of her pelvis. She states that it is related to her menstrual cycle and occurs most commonly midcycle. She denies sexual activity. She reports that she takes Motrin with some relief. Her pelvic examination is unremarkable. Which of the following is the most likely diagnosis?

A 37-year-old woman seeks counseling concerning treatment of hypertension during pregnancy. She should be advised that which of the following medications should not be taken during pregnancy?

Which of the following is a risk factor for cervical incompetance?

A 32-year-old G2P1 is seen presents to the clinic for routine prenatal examination. A 50-g oral GTT yielded results of 153 mg/dL. The next appropriate step in management of this patient is:

A patient who is 36 weeks gestation arrives at the emergency department with painless, bright red vaginal bleeding, back pain, and active contractions.. Examination shows a closed cervix, uterine tenderness, and no evidence of rupture of membranes. Which of the following is the most likely diagnosis?

A 30-year-old woman at a 30 weeks of gestation comes to the office complaining of dysuria, and urinary frequency and urgency. She denies fever or chills, and no CVA tenderness is noted on examination. Urinalysis shows WBCs, nitrites, and RBCs. The most appropriate management of this patient is:

A 30-year-old woman comes to the emergency department complaining of vaginal bleeding. A threatened abortion is suspected. Which of the following best describes a threatened abortion?

A 27-year-old woman with an eight week history of amenorrhea is seen for vaginal bleeding and abdominal pain. An ectopic pregnancy is suspected. Which of the following would support the suspicion?

In gestational diabetes, which of the following best describes glucose control?

A 30-year-old woman at 27 weeks of gestation with recurrent uterine contractions is being evaluated for preterm labor. Which of the following treatment options is contraindicated in this patient?

A 32-year-old woman is being seen for a prenatal visit. Which of the following elements of her history is a risk factor for development of pregnancy-induced hypertension?

Which of the following is the definitive cure for pregnancy-induced hypertension or preeclampsia?

Which of the following refers to an abnormal or difficult pregnancy or childbirth that is often assisted by forceps, ventouse, or caesarian section?

Birth-control pills can prevent the occurrence of which of the following disorders?

A 32-year-old woman, who has never been pregnant, presents with inappropriate and spontaneous flow of milk from her breasts. Which of the following is the most appropriate diagnosis?

A 60-year-old female, with a previous history of hysterectomy, presents with vaginal pressure, painful intercourse, constipation, and intermittent vaginal bleeding. Which of the following is the most appropriate diagnosis?

A 52-year-old postmenopausal woman presents with unwanted urine leakage when coughing or sneezing as well as incomplete emptying of the bladder. Which of the following is the most appropriate diagnosis?

An aromatase inhibitor is prescribed to post-menopausal women with breast cancer tumors that are:

During pregnancy, Braxton Hicks contractions:

A 24-year-old pregnant patient at 34 weeks’ gestation comes to the office complaining of headaches, blurred vision, nausea and vomiting, and swelling in her feet and hands. She has gained 5 pounds since her last appointment a week ago. On physical examination, there is tenderness in the upper right abdomen. Her blood pressure is 140/92. Urinalysis indicates proteinuria. What is the most likely diagnosis?

A 53-year-old female comes to the office complaining of vaginal dryness, itchiness, and irritation. She also states that sexual intercourse is painful. She says she previously enjoyed intercourse with her husband, and would like to have pleasurable sex with him again. The patient is postmenopausal and has vaginal atrophy. She was previously given topical estrogen vaginal creams, but she did not like the “messiness” of them. What alternative treatment would you suggest to help relieve her vaginal atrophy?

A 22-year-old woman is brought to the clinic by her husband. She has vaginal bleeding, pain and cramping in the lower abdomen, and is passing tissue from her vagina. She says she is 14 weeks’ pregnant. After performing a pelvic exam and ordering a human chorionic gonadotropin (HCG) level and a pelvic ultrasound, your diagnosis is spontaneous abortion. You explain both medical and surgical treatment options to the patient. She chooses surgery. What type of surgery will you prescribe for her?