Prometric OBG- 1

A 30-year-old woman presents with infertility and has a history of chlamydia infection. What is the most likely cause of her infertility?

A 35-year-old woman presents with postcoital bleeding and an abnormal Pap smear. What is the next step in management?

A 28-year-old woman presents with irregular menstrual periods, weight gain, and excessive hair growth. What is the most likely diagnosis?

A 32-year-old woman presents with amenorrhea and galactorrhea. Serum prolactin is elevated. What is the most likely diagnosis?

A 36-year-old woman at 34 weeks gestation presents with headache, visual disturbances, and a blood pressure of 160/110 mmHg. What is the most likely diagnosis?

A 29-year-old woman presents with sudden onset of severe lower abdominal pain. Transvaginal ultrasound reveals a ruptured ovarian cyst. What is the next step?

A 30-year-old woman with a history of gestational diabetes in her previous pregnancy presents at 12 weeks gestation. What is the best management?

A 28-year-old woman presents with abnormal uterine bleeding. Ultrasound shows a thickened endometrial stripe. What is the next step?

A 35-year-old woman presents with postmenopausal bleeding. What is the most appropriate first step in management?

A 22-year-old woman presents with a missed menstrual period and a positive pregnancy test. Ultrasound shows no intrauterine pregnancy. What is the next step?

A 30-year-old woman presents with painless vulvar ulcers. RPR is positive. What is the best treatment?

A 26-year-old woman presents with chronic pelvic pain and dyspareunia. Laparoscopy reveals endometriosis. What is the first-line treatment?

A 28-year-old woman at 32 weeks gestation presents with preterm labor. What medication should be administered to delay delivery?

A 29-year-old woman presents with acute pelvic pain and nausea. Pelvic ultrasound reveals a large ovarian mass with decreased blood flow. What is the diagnosis?

A 32-year-old woman presents with severe preeclampsia and is being prepared for delivery. What is the most important medication to administer?

A 25-year-old woman presents with a history of recurrent yeast infections. What is the best treatment option?

A 34-year-old woman at 39 weeks gestation presents with regular uterine contractions but no cervical dilation. What is the next step?

A 24-year-old woman presents with sudden, sharp pelvic pain during ovulation. What is the most likely diagnosis?

A 30-year-old woman presents with a history of irregular menses and difficulty conceiving. Ultrasound shows multiple small ovarian cysts. What is the diagnosis?

A 28-year-old woman at 36 weeks gestation presents with sudden painless vaginal bleeding. What is the most likely diagnosis?

A 30-year-old woman presents with infertility and a history of endometriosis. Laparoscopy reveals extensive pelvic adhesions. What is the best treatment option?

A 28-year-old woman presents with fever and lower abdominal pain following a dilation and curettage for a missed abortion. What is the next step in management?

A 33-year-old woman presents with hirsutism, acne, and irregular periods. Ultrasound reveals bilateral ovarian cysts. What is the most likely diagnosis?

A 24-year-old woman presents with abnormal uterine bleeding and is found to have a 6 cm uterine fibroid on ultrasound. What is the best treatment option?

A 30-year-old woman presents with pelvic pain, bloating, and early satiety. Ultrasound reveals a complex ovarian mass. What is the most likely diagnosis?

A 29-year-old woman with a history of cesarean section presents at 36 weeks gestation with uterine tenderness and vaginal bleeding. What is the most likely diagnosis?

A 40-year-old woman presents with abnormal uterine bleeding. Endometrial biopsy reveals endometrial hyperplasia without atypia. What is the most appropriate treatment?

A 26-year-old woman presents with vaginal discharge and pruritus. Wet mount reveals clue cells. What is the most likely diagnosis?

A 35-year-old woman presents with postcoital bleeding and an abnormal Pap smear. What is the next step in management?

A 32-year-old woman presents with amenorrhea, breast tenderness, and a positive pregnancy test. Ultrasound shows no intrauterine pregnancy. What is the next step?

A 28-year-old woman presents with a painful vulvar lesion. Biopsy reveals squamous cell carcinoma. What is the next step in management?

A 27-year-old woman presents with severe pelvic pain and infertility. Laparoscopy reveals adhesions between the ovaries and fallopian tubes. What is the most likely cause?

A 25-year-old woman presents with heavy menstrual bleeding and pelvic pressure. Ultrasound reveals a large submucosal fibroid. What is the best treatment?

A 34-year-old woman presents with painless hematuria and a palpable pelvic mass. What is the most likely diagnosis?

A 29-year-old woman with a history of regular cycles presents with a sudden, severe headache and visual disturbances at 36 weeks gestation. What is the most likely diagnosis?

A 30-year-old woman presents with acute onset of right lower quadrant pain during her menstrual cycle. Ultrasound reveals a 5 cm ovarian mass. What is the next step?

A 22-year-old woman presents with a small, painless ulcer on her vulva. What is the most likely diagnosis?

A 35-year-old woman at 28 weeks gestation presents with hypertension, proteinuria, and right upper quadrant pain. What is the most likely diagnosis?

A 24-year-old woman presents with lower abdominal pain, fever, and purulent vaginal discharge. What is the most likely diagnosis?

A 30-year-old woman presents at 32 weeks gestation with sudden vaginal bleeding and abdominal pain. What is the most likely diagnosis?

A 22-year-old woman presents with a vulvar lesion that is painful and ulcerated. What is the most likely diagnosis?

A 33-year-old woman presents with a history of uterine fibroids and heavy menstrual bleeding. What is the most appropriate surgical treatment option?

A woman at 36 weeks gestation presents with fever, chills, and uterine tenderness following rupture of membranes. What is the most likely diagnosis?

A 30-year-old woman presents with a firm, fixed breast mass. What is the next step in management?

A woman at 20 weeks gestation presents with a history of cervical dysplasia and now has a short cervix on ultrasound. What is the most appropriate management?

A woman presents with abnormal uterine bleeding and an endometrial biopsy reveals hyperplasia without atypia. What is the most appropriate treatment?

A 32-year-old woman presents with primary infertility. She has a history of irregular periods and is diagnosed with polycystic ovary syndrome (PCOS). What is the first-line treatment?

A 27-year-old woman presents with hirsutism, acne, and irregular periods. Ultrasound shows bilateral enlarged ovaries with multiple small cysts. What is the most likely diagnosis?

A 34-year-old woman presents with a firm, painless breast mass. What is the next best step in management?

A 38-year-old woman at 10 weeks gestation presents with heavy vaginal bleeding and passage of tissue. What is the most likely diagnosis?

A 30-year-old woman presents with new onset hypertension and proteinuria at 30 weeks gestation. What is the most likely diagnosis?

A 30-year-old woman at 32 weeks gestation presents with painless vaginal bleeding. What is the most likely diagnosis?

A 28-year-old woman presents with severe pelvic pain and irregular menstrual bleeding. Ultrasound shows an ovarian mass with septations. What is the next step?

A 30-year-old woman at 28 weeks gestation presents with pruritus and jaundice. What is the most likely diagnosis?

A 24-year-old woman presents with amenorrhea, abdominal pain, and a positive pregnancy test. Ultrasound reveals an empty uterus. What is the most likely diagnosis?

A woman at 28 weeks gestation presents with elevated blood pressure and is diagnosed with gestational hypertension. What is the next step?

A 26-year-old woman presents with recurrent miscarriages and testing reveals antiphospholipid antibodies. What is the best treatment to reduce miscarriage risk?

A woman presents with unilateral breast tenderness and redness 3 weeks postpartum. What is the most likely diagnosis?

A 26-year-old woman presents with acute right lower quadrant pain and fever. What is the most likely diagnosis?

A 35-year-old woman with a history of pelvic inflammatory disease (PID) presents with infertility. What is the most likely cause of her infertility?