Repro/OBGYN 6

A 64-year-old female presents to your office complaining of pain with intercourse. She is otherwise healthy and his had no other gynecological issues, and had a negative Pap smear six months ago. She also reports some minor postcoital bleeding. Physical examination reveals thin vaginal tissue with ecchymosis. Which of the following is the most likely cause of this patient’s complaints?

A 32-year-old female who is 34 weeks pregnant presents with painless vaginal bleeding. She has a previous obstetric history which is unremarkable except for spotting which occurred at 27 weeks gestation. Which of the following, which is the most likely diagnosis?

A 21-year-old female with multiple sex partners presents for the results of her Pap smear. Her results are reported as a low grade squamous intraepithelial lesion (LSIL) and she is HPV negative. Which of the following would be the next appropriate step in her management?

A 29-year-old female presents complaining of not having a period for the last seven months. She is a busy executive and a year ago started training for a marathon. Beta hCG testing is negative. Which of the following best describes her condition?

A 24-year-old female presents to the office for evaluation of her first pregnancy at 20 weeks gestation. Ultrasound shows a twin pregnancy. Upon palpation of the abdomen, where would you expect to find her fundal height?

A 19-year-old female complains of a slight vaginal discharge. Pelvic exam reveals a moderate amount of foamy, gray homogeneous vaginal discharge. A wet mount shows vaginal epithelial cells coated with round to rod-shaped organisms, pH 6.0 and 0-1/hpf white blood cells. What is the most likely diagnosis?

A 32-year-old female presents with a malodorous thick yellow vaginal discharge. She has no complaints of dysuria vaginal pain or itching. A smear of the vaginal secretions is done and clue cells are found. Upon application of KOH solution to the slide you notice a strong amine odor. This presentation is most suggestive of which of the following organisms?

A 24-year-old female presents with a history of regular menses until four months ago. Since then she has menstruated every 6 to 8 weeks but lasting only 3 to 5 days. Which of the following terms best describes this patient symptoms?

A 24-year-old female presents with vaginal and vulvar burning, pruritus, and a vaginal pH of 4.2. She is concerned about some white discharge she has had for the last week. Her past medical history is significant for diabetes but otherwise she is a healthy individual. Which of the following is the most likely diagnosis?

A 23-year-old female who is 22 weeks pregnant, presents or her monthly prenatal visit. This is her first pregnancy and she is concerned that she urinating much more than usual and that she feels that she must eat all the time. Her friends have told her this is normal, however specifically she’s concerned that she also has an insatiable thirst and feels she has to drink water constantly. She’s also noted a significant amount of weight gain which is greater than that expected for her gestation. Which of the following would be the most appropriate next step in her management?

A 19-year-old female presents the emergency room complaining of vaginal bleeding. She is 12 weeks pregnant and is visibly concerned about the bleeding. She also reports some severe lower abdominal cramping. Upon your pelvic exam you find a large amount of blood in the vagina and placental tissue and an open cervical os. Which of the following best describes the patient’s

A 27-year-old nulliparous patient comes to your office to discuss pregnancy. She has been attempting to get pregnant for 15 months and is now concerned she is unable to conceive. She is an overall healthy individual with a history of polycystic ovarian syndrome. Her vaginal exam and ultrasound showed no signs of structural abnormality and her husband has had a full analysis and no issues have been found. Initial management for this patient would be which of the following?

A 27-year-old female who is 10 weeks pregnant presents the office with vaginal bleeding. Your initial exam finds a uterus which is much larger than expected for her gestational age. This is her first visit to the gynecologist and she has only tested herself with a home pregnancy test. Beta hCG levels are drawn in the office and found to be significantly more elevated than expected. Ultrasound is performed and shows a snowstorm pattern. Which of the following is the most likely diagnosis?

Which of the following scenarios in ABO and Rh typing requires no intervention during a second gestation?

Which of the following is a clinical characteristic of chorioamnionitis?

All of the following are risk factors associated with preterm labor except?

Which of the following is a clinical characteristic of hyperemesis gravidarum?

All of the following are risk factors for uterine atony except?

Which of the following most definitively confirms a diagnosis of multiple gestation?

Low-dose combination oral contraceptives must be stopped in a smoker at age:

In a menstruating asymptomatic female with a 4-cm ovarian cyst, the treatment of choice is:

What is the least likely cause for abnormal uterine bleeding?

The “gold standard” for diagnosis of abnormal uterine bleeding is:

Treponema pallidum is the etiology of:

Which of the following is indicated in the management of mild preeclampsia?

Which of the following is the incidence for dizygotic twins in the United States?

A breastfeeding woman presents 3 weeks postpartum complaining of unilateral breast pain, fever of 102°F, and chills. Breast examination shows an erythematous right breast with a palpable mass, induration, erythema, and tenderness to palpation. The most likely diagnosis is:

Which of the following medications is contraindicated for use during pregnancy?

Which of the following most closely defines primary dysmenorrhea?

A 61-year-old female with a history of five vaginally deliveries, presents for evaluation from her primary care in response to her complaint of stress incontinence and urinary frequency. Urological examination and evaluation was negative. On examination you find reducible mass bulging into the anterior wall of the vagina. What is the most likely diagnosis?