03.2011 gynacology

What is the average weight gain during normal pregnancy?

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?

At what gestational age can examiner typically first detect fetal movements?

Which of the following findings characterizes a normal semen sample?

Duration of pregnancy from first day of LMP:

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?

Pregnant women with which condition should be vaccinated against influenza no matter what stage of pregnancy:

The most important indication for surgical repair of a separate uterus is?

Danazol used in the treatment of endometriosis causes which of the following changes within the endometrium and endometriosis tissue?

Definition of reactive non stress test:

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:

During vibroacustic stimulation testing what fetal response is measured?

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:

Which of the following is NOT part of the management of shoulder dystocia?

Which of the following patients is unlikely to have endometriosis:

What is the approximate incidence of breech presentation at term?

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:

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?

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:

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?

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?

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?

The presentation of Asherman syndrome typically involves:

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:

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?

A 55 year old woman with her FMB at age 50 present with a history of 3 days of light vaginal bleeding you should?

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?

In Pregnancy. what is the Chadwick sign?

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?