OBGYN SHELF EXAM ACTUAL QUESTIONS AND

OB/GYN SHELF EXAM (ACTUAL / ) QUESTIONS AND

VERIFIED CORRECT ANSWERS

Rx for advanced (Stages II ) ovarian cancer - --- Answers_____Surgical removal, followed by adjuvant chemo (taxane carboplatin)

When is IOL used for a missed abortion? - --- Answers_____After the 16th week of gestation

Management of inevitable abortion - --- Answers_____Hospitalization, analgesics, observation (same as for incomplete abortion to monitor for sepsis, DIC, hemorrhage) suction curettage

Dull, ill-defined pelvic ache worse prior to menstruation and relieved by menses; Hx of sexual problems - --- Answers_____Pelvic congestion syndrome

• aspects of a BPP - ---Answers_____NST, tone, movements,

breathing, amniotic fluid volume

BPP of 4 or less - ---Answers_____Delivery if fetus is >26wks

pH of amniotic fluid - ---Answers_____7-7.5 1 / 4

Definition of maternal leukocytosis - ---Answers_____>15,000

Amenorrhea eval - ---Answers_____Uterus on pelvic U/S: if

FSH increased --> karyotype; if FSH decreased --> cranial MRI

Uterus absent on U/S: if 46,XX/ nml testosterone, indicates

abnormal Mullerian dev't; if 46,XY/male testosterone levels, indicates androgen insensitivity

How does FSH aid in the diagnosis of amenorrhea - ---

Answers_____If increased, is hypergonadotropic amenorrhea:

peripheral problem

If decreased, is hypogonadotropic amenorrhea: central

problem

Cause of amenorrhea in female athlete's trial - --- Answers_____Decreased GnRH/LH --> estrogen deficiency

Test to determine whether vaginal bleeding is from a fetal hemorrhage - ---Answers_____Apt test

Rx for gonorrhea or chlamydia - ---Answers_____Ceftriaxone and azithro (or doxy)

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Most common cause of a nonreactive NST - ---

Answers_____Sleeping baby: wake up with vibroacoustic

stimulation

Cause of vaginismus - ---Answers_____Involuntary contraction of perineal musculature (psychological)

Rx for vaginismus - ---Answers_____Relaxation, Kegels, gradual dilation w/ dilators, fingers, etc.

Rx for primary anorgasmia - ---Answers_____Self-stimulation

After what point are breech presentations attempted to be converted? - ---Answers_____37wks (b/c most self-resolve by then)

When are fetuses at highest risk from ionizing radiation exposure? - ---Answers_____8-15wks

Effects of ionizing radiation - ---Answers_____Mental retardation, microcephaly, abnormal genitalia, growth restriction, microphthalmia, cataracts

Test when suspect anovulation as cause of infertility - --- Answers_____Mid-luteal phase serum progesterone (should be increased to >10)

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Monomorphous pink papules, absence of comedones - --- Answers_____Steroid-induced folliculitis (steroid acne)

Most preventable cause of fetal growth restriction in the US - ---Answers_____Smoking (causes 1 in 3 cases)

Most common infection leading to IUGR - ---Answers_____CMV

DES exposure in utero increases the risk for - --- Answers_____Adenocarcinoma of the vagina

pH of vaginitis infections - ---Answers_____Normal (4-4.5) in yeast infections; elevated (5-6) in BV and trich

How to distinguish BV and tric clinically? - --- Answers_____Pruritis and inflammation seen only in trichomonas

Decreased long-term variability can be due to this benign condition - ---Answers_____Fetal sleep

Yellow mucopurulent discharge from the cervix - --- Answers_____Most commonly chlamydia

Dyspareunia, dysmenorrhea, dyschezia - --- Answers_____Endometriosis

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