What is the average weight gain during normal pregnancy?
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Question 2 of 34
2. Question
A 23-year-old woman presents for evaluation of a 7-month history of amenorrhea. Examination discloses bilateral galactorrhea and normal breast and pelvic examinations. Pregnancy test is negative. Which of the following classes of medication is a possible cause of her condition?
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Question 3 of 34
3. Question
At what gestational age can examiner typically first detect fetal movements?
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Question 4 of 34
4. Question
Which of the following findings characterizes a normal semen sample?
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Question 5 of 34
5. Question
Duration of pregnancy from first day of LMP:
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Question 6 of 34
6. Question
You are seeing five symptomatic menopausal patients in the clinic. Each patient has one of the medical conditions listed below. All of the patients wish to begin hormone replacement therapy today. The patient with which one of the following medical conditions may be started on hormone replacement therapy at the time of the visit?
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Question 7 of 34
7. Question
Pregnant women with which condition should be vaccinated against influenza no matter what stage of pregnancy:
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Question 8 of 34
8. Question
The most important indication for surgical repair of a separate uterus is?
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Question 9 of 34
9. Question
Severe maternal hypothyroidism has been linked to which:
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Question 10 of 34
10. Question
Danazol used in the treatment of endometriosis causes which of the following changes within the endometrium and endometriosis tissue?
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Question 11 of 34
11. Question
Definition of reactive non stress test:
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Question 12 of 34
12. Question
25-year-old woman, gravida 4, para 4, with a history of leiomyomas, presents to the emergency department reporting pelvic pressure. She denies cardiac, renal, or hepatic symptoms. A pelvic ultrasound shows a 10-cm left uterine mass that has the echogenicity of a fibroid. Pressure from the fibroid may also cause:
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Question 13 of 34
13. Question
During vibroacustic stimulation testing what fetal response is measured?
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Question 14 of 34
14. Question
A 27-year-old woman, gravida 2, para 1, at 30 weeks of gestation, presents to the clinic for a routine prenatal visit. Her pregnancy has been unremarkable thus far. “Serosal fibroids” are listed under her “problem list.” Her fundus measures 37 cm from the symphysis pubis. In discussing possible complications of a fibroid uterus during pregnancy, you mention that she is at highest risk for:
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Question 15 of 34
15. Question
Which of the following is NOT part of the management of shoulder dystocia?
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Question 16 of 34
16. Question
Which of the following patients is unlikely to have endometriosis:
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Question 17 of 34
17. Question
What is the approximate incidence of breech presentation at term?
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Question 18 of 34
18. Question
A 25year-old woman primigravida is in the emergency room comlaining of lower pelvic pain and spotting for the past week.Her last normal menstrual period was 7 weeks ago.you have obtained a serum B-hCG. Which was 4000 IU\L and a transvaginal ultrasound was performed wich revealed no gestational sac in the endometrial cavity. No adnexal masses and no free fluid in the cul de sac. The next step in the management of this patient is:
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Question 19 of 34
19. Question
An 18-year-old consults you for evaluation of disabling pain with her menstrual periods. The pain has been present since menarche and is accompanied by nausea and headache. History is otherwise unremarkable, and pelvic examination is normal. You diagnose primary dysmenorrhea and recommend initial treatment with which of the following?
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Question 20 of 34
20. Question
A 14-year-old nulligravid girl presents to the emergency department by ambulance because she passed out on the floor of her house and is covered in blood. She is now conscious. She has been bleeding off and on for the past 5 months since onset of menarche. Her BP = 98/48, P = 106, RR = 16, and T = 96.2. Physical examination is unremarkable. Pelvic ultrasound is also unremarkable. Serum human chorionic gonadotropin (hCG) is negative, and her hemoglobin is 7 g/dL. You begin a low-dose combination oral contraceptive taper. The next best step in management of this patient is:
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Question 21 of 34
21. Question
In an amenorrheic patient who has had pituitary ablation for a craniopharyngioma, which of the following regimens is most likely to result in an ovulatory cycle?
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Question 22 of 34
22. Question
A 46-year old multiparous woman just underwent a hysterectomy becaus of a molar pregnancy.other than her treatmente for gestational trophoblastic disease,you obtain a B-hCG two days after the operation.What is the next step in management of this patient?
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Question 23 of 34
23. Question
Which of the following medications is used first line therapy in the treatment of pelvic pain endometriosis?
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Question 24 of 34
24. Question
A 26 year old woman gravid 4 , para 4 is happily married she is factor V leiden mutation carrier she has regular periods that last 9-10 days are extremely heavy and are associated with severe cramping she is fairly sure she has completed childbearing, which of the following contraceptive metods will be the most reliable and suitable for her?
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Question 25 of 34
25. Question
The presentation of Asherman syndrome typically involves:
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Question 26 of 34
26. Question
A 32-year-old woman, gravida 3, para 3, just delivered a viable female infant weighing 4000 g via cesarean section for nonreassuring fetal heart rate pattern. She received intrathecal (spinal) anesthetic and narcotic for pain relief during the procedure. Her Foley catheter is left in place for several hours after the cesarean section. This will prevent:
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Question 27 of 34
27. Question
A 23-year-old woman, gravida 1, para 0, spontaneous abortions 1, has undergone colposcopy for evaluation of a highgrade lesion found on Pap smear. The squamocolumnar junction was visible in its entirety, and the endocervical curettage was normal. A directed biopsy of the cervix revealed a 1-mm focus of invasion. The next best step in management is:
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Question 28 of 34
28. Question
During the evaluation of secondary amenorrhea in a 24-year-old woman, hyperprolactinemia is diagnosed. Which of the following conditions could cause increased circulating prolactin concentration and amenorrhea in this patient?
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Question 29 of 34
29. Question
A 55 year old woman with her FMB at age 50 present with a history of 3 days of light vaginal bleeding you should?
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Question 30 of 34
30. Question
The Uterus and the fallopian tubes arise embryologically from which of the following?
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Question 31 of 34
31. Question
Luteal phase defects are ovulatory disorders. Which of the following studies performed in the second half of the menstrual cycle is helpful in making this diagnosis?
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Question 32 of 34
32. Question
A 20-year-old presents to you with a deep, excavating, painless lesion above the clitoris, overlying the pubic bone. Her serum VDRL is positive. A lumbar puncture and analysis of her cerebrospinal fluid also yields a positive VDRL. The best term to describe her lesion is:
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Question 33 of 34
33. Question
In Pregnancy. what is the Chadwick sign?
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Question 34 of 34
34. Question
A 22-year-old woman consults you for treatment of hirsutism. She is obese and has facial acne and hirsutism on her face and periareolar regions and a male escutcheon. Serum LH level is 35 mIU/mL and FSH is 9 mIU/mL. Androstenedione and testosterone levels are mildly elevated, but serum DHAS is normal. The patient does not wish to conceive at this time. Which of the following single agents is the most appropriate treatment of her condition?