Repro/OBGYN 7

A 25-year-old female presents complaining of right breast swelling redness and pain while she’s breast-feeding. Exam finds the patient with an indurated right breast no overt fluctuant area, warm to the touch with an erythematous area of 5 X 6 centimeters. Which of the following is the most likely organism?

A 62-year-old female presents the office with vaginal bleeding for the past three days. The patient has been menopausal for the last eight years and has had no bleeding since. She reports dark red brown bleeding and spotting. Bimanual exam finds no abnormalities. What is your next step in the treatment of this patient?

Angiotensin receptor blockers are contraindicated in patients who have which of the following?

A 20-year-old sexually active female presents the office with lower abdominal pain that is been present for the last six days and is getting worse. She had her last normal period six weeks ago and has a positive home pregnancy test. She is presently clinically stable with the normal blood pressure and is afebrile. Physical exam finds diffusive abdominal tenderness which is localized to the right side. Pelvic exam finds increased pain on the right adnexa. Which of the following is the most likely diagnosis?

A 22-year-old female presents concerned that she cannot get pregnant despite two years of trying. She has no present somatic complaint. You notice her to be mildly obese, is hirsute and has acne. Results of her ultrasound show a “string of pearls appearance” in both ovaries. Which of the following is the most likely disorder?

A 28-year-old female, who is in her third trimester, presents with sudden profuse bleeding accompanied by uterine contractions and abdominal pain. Which of the following is the most likely condition?

A 34-year-old obese patient is 29 weeks pregnant and now has presented for the third time to the office with the persistent hypertension. Which of the following agents may not be used in this patient?

A 20-year-old female presents complaining of pain in her breasts. The pain has become worse over the last few months and is worse prior to and during her menstruation. She’s noticed a few lumps which are quite large and is concerned about breast cancer. She does report that these lumps change in size in relation to her menstruation. Which of the following is most likely diagnosis?

A 42-year-old female comes to the office of the complaint of menorrhagia. She’s also concerned as she has noted an increased girth over the last 12 months and is unable to fit in her pants. She has been followed by her internal medicine physician for a chronic but worsening iron deficiency anemia. Pregnancy testing is negative. On exam you palpate an enlarged firm uterus. The most likely diagnosis for her condition is:

A 50-year-old female with a history of four for vaginal births, complains of incomplete rectal evacuation, rectal fullness and a sense of pressure in her vagina. Which of the following is most likely to be found on physical examination?

A 26-year-old female presents with 2 cm firm painless and freely mobile mass in her right breast. She noticed the lump eight months ago and reports it does not change with her menstruation and has slowly grown over the last eight months. What is the most likely diagnosis?

A 24-year-old female complains of worsening dysmenorrhea. She has periods which occur at normal intervals however are heavy with clotting and mild pain with defecation. She also has an associated abdominal pain which she states worsens just prior to and during her menstruation, and states she has been unable to conceive for the past four years. Pelvic exam is normal except for painful nodules noted posterior and to the left of the cervix. Which of the following is the most likely diagnosis this patient?

A 26-year-old female presents with complaints of milky nipple discharge for the last four months and she has not had her menstruation for the last five months. She is sexually active, is not using oral contraception and pregnancy tests have been negative. She is also noted visual changes which are reported by her ophthalmologist as by temporal hemianopsia. Which hormone level is most likely to be elevated in this patient?

A 56-year-old woman has newly diagnosed breast cancer that is hormone receptor negative. Which of the following is appropriate counseling to the patient concerning the hormone receptor analysis?

Which of the following is the uterine phase present from day 15-28 in the normal menstrual cycle?

During which of the following intervals in pregnancy to should patients be screened for gestational diabetes?

Which of the following is a risk factor for an ectopic pregnancy?

A 15-year-old female patient is brought to your office because her mother is worried that she has not started menses. On physical examination, the patient is of short stature and has vellus hair of the pubis, and there is no breast budding. Which of the following is the most likely diagnosis?

Which of the following is a characteristic of Down’s syndrome?

A woman presents to the emergency department 10 weeks after the first day of her last menstrual period complaining of bright red vaginal discharge. She denies abdominal cramping. Physical examination discloses blood in the vaginal vault, closed cervix, without evidence of passage of tissue. Which of the following is the most likely diagnosis?

Clinical breast examination should be performed by a clinician at what time of the menstrual cycle?

Which of the following is not a cause of abnormal uterine bleeding?

Which of the following defines the triad of pre-eclampsia?

Which of the following benign ovarian condition which may resolve spontaneously following menses?

Which of the following is a risk factor for preterm labor?

Which of the following tests is indicated in the initial assessment for diagnosis of a suspected ectopic pregnancy in a hemodynamically stable patient?

Which of the following patients is most likely to develop shoulder dystocia during delivery of a neonate?

The best diagnostic study for management of uterine leiomyomas is:

Which of the following is the most common presenting symptom of ectopic pregnancy?

Rh immune globulin (RhIG) should be given to a mother when there is possibility of fetal to maternal bleeding in which of the following circumstances?