Repro/OBGYN 5

How early can a hCG level be detected in the serum?

Which of the following is the most common type of cervical cancer?

A 34-year-old woman has a 3 month history of bilateral mobile masses in her breasts. The masses become more painful during the premenstrual phase of her cycle. Fibrocystic breast changes is diagnosed. Which of the following is the preferred initial therapy?

Which of the following neurological exam finding would be found in a woman diagnosed with preeclampsia?

A 34-year-old woman has taken an estrogen-progestin oral contraceptive pill for 4 years. She is at greatest risk of developing an adenoma in which of the following organs?

Ethinyl estradiol and drospirenone oral contraceptive therapy is initiated in a 30-year-old woman who has a history of post-streptococcal glomerulonephritis. Blood urea nitrogen is 29 mg/dL and serum creatinine is 1.2 mg/dL. Which of the following is the most likely adverse effect to occur?

A 32-year-old woman who is being evaluated for infertility has microscopic examination of her cervical mucus. A fern frond pattern of the mucus indicates which of the following?

Ospemifene therapy is initiated in a 67-year-old woman in treatment of vaginal atrophy. Which of the following is the class of this medication?

A 26-year-old woman with known Marfan syndrome wishes to become pregnant. Which of the following is the most appropriate management?

Which of the following is the most common presenting complaint of patients diagnosed with vulvar carcinoma?

Which of the following is the most appropriate screening test(s) for infectious disease in pregnancy?

A 16-year-old female patient presents with right lower quadrant (RLQ) pain that started 5 hours ago as periumbilical “crampy” pain. The pain has increased since onset; she admits to nausea without vomiting and a fever for the last hour. She also admits to unprotected intercourse over the last 6 months. Physical examination discloses the patient to be dehydrated, bowel sounds are decreased, and she experiences tenderness over the RLQ. Pelvic examination discloses tenderness over the RLQ and no cervical motion tenderness. Which of the following diagnostic studies should be performed initially in evaluation of this patient?

Which of the following is the most likely cause of vaginal bleeding in the first trimester?

Toxic shock syndrome is caused by a toxin produced by which bacteria?

Which of the following is a contraindication for methotrexate in the treatment of ectopic pregnancy?

Which of the following is a non-surgical treatment modality for uterovaginal prolapse?

Which of the following is a complication of pyelonephritis in pregnancy?

In which of the following anatomic structures does an ectopic pregnancy most commonly occur?

A 22-year-old woman presents on day 26 of her menstrual cycle complaining of a lump in her breast. It was present before her last menstrual cycle, then disappeared, and is now again palpable. The lump is tender, smooth, mobile, and round. The most likely diagnosis is:

A 31-year-old female presents with ectopic pregnancy. Her serum HCG is 5190mU, the ectopic mass is 4.2 cm on ultrasound, and she is hemodyanamically stable and compliant with physician advice. Which of the following treatments is most appropriate for resolution of her ectopic pregnancy?

Which of the following characteristics distinguishes eclampsia from preeclampsia?

A 38-year-old women experiencing her first pregnancy presents in her 25th week of gestation with swelling of the face and hands, sudden weight gain, headache, visual disturbances, nausea, and decreased urine output. Physical examination reveals high blood pressure, proteinuria, and hyperreflexia. Based on the patient’s presentation and physical examination, which of the following is the most appropriate diagnosis?

Which of the following laboratory values is clinically diagnostic for the onset of menopause?

Which of the following interventions is used to prevent premature labor and delivery in women who have a history of preterm birth or with confirmed diagnosis of cervical incompetence?

Which of the following medications can reduce the risk of recurrent preterm birth in women with a history of preterm delivery?

Which of the following medications, used to stop preterm uterine contractions, relax the uterine muscles by decreasing the intracellular concentration of calcium ions?

Which of the following medications, used to stop pre-term uterine contractions, inhibits myometrial contractility mediated by calcium?

A 29-year-old female presents to the office for her prenatal visit at 39 weeks gestation. Fetal heart tones are assessed. Which of the following heart rates would be considered to be a normal range for her fetus?

A 22-year-old patient presents requesting birth control. She is presently involved with several sexual partners and frequently has unprotected sex. She has a history of one elective abortion and one episode of pelvic inflammatory disease. Which of the following forms of birth control would you be least likely to recommend for her?

A 27-year-old pregnant female presents at 30 weeks gestation concerned as she had a sudden gush of clear fluid from her vagina. The patient denies any pain, and overall is well appearing with no other complaints. She is very concerned for the well-being of her baby. Which of the following is least important in aiding the diagnosis of this patient?