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Prometric - OBG-1
Prometric OBG Quiz-1
1 / 20
A 30-year-old woman presents with infertility and has a history of chlamydia infection. What is the most likely cause of her infertility?
2 / 20
A 35-year-old woman presents with postcoital bleeding and an abnormal Pap smear. What is the next step in management?
3 / 20
A 28-year-old woman presents with irregular menstrual periods, weight gain, and excessive hair growth. What is the most likely diagnosis?
4 / 20
A 32-year-old woman presents with amenorrhea and galactorrhea. Serum prolactin is elevated. What is the most likely diagnosis?
5 / 20
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?
6 / 20
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?
7 / 20
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?
8 / 20
A 28-year-old woman presents with abnormal uterine bleeding. Ultrasound shows a thickened endometrial stripe. What is the next step?
9 / 20
A 35-year-old woman presents with postmenopausal bleeding. What is the most appropriate first step in management?
10 / 20
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?
11 / 20
A 30-year-old woman presents with painless vulvar ulcers. RPR is positive. What is the best treatment?
12 / 20
A 26-year-old woman presents with chronic pelvic pain and dyspareunia. Laparoscopy reveals endometriosis. What is the first-line treatment?
13 / 20
A 28-year-old woman at 32 weeks gestation presents with preterm labor. What medication should be administered to delay delivery?
14 / 20
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?
15 / 20
A 32-year-old woman presents with severe preeclampsia and is being prepared for delivery. What is the most important medication to administer?
16 / 20
A 25-year-old woman presents with a history of recurrent yeast infections. What is the best treatment option?
17 / 20
A 34-year-old woman at 39 weeks gestation presents with regular uterine contractions but no cervical dilation. What is the next step?
18 / 20
A 24-year-old woman presents with sudden, sharp pelvic pain during ovulation. What is the most likely diagnosis?
19 / 20
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?
20 / 20
A 28-year-old woman at 36 weeks gestation presents with sudden painless vaginal bleeding. What is the most likely diagnosis?
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Prometric - OBG-2
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 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?
Prometric - OBG-3
A 27-year-old woman presents with amenorrhea and galactorrhea. Serum prolactin levels are elevated. What is the most likely cause?
PCOS
A 32-year-old woman presents with abdominal pain and heavy menstrual bleeding. Ultrasound shows an intramural fibroid. What is the best treatment option?
Hysterectomy
A 29-year-old woman presents with a painless vulvar mass. Biopsy reveals vulvar intraepithelial neoplasia (VIN). What is the next step in management?
Chemotherapy
A 29-year-old woman with a history of recurrent miscarriages presents at 10 weeks gestation with spotting. What is the most appropriate management?
Perform dilation and curettage
A 22-year-old woman presents with vulvar itching and burning. Wet mount reveals motile trichomonads. What is the best treatment option?
Fluconazole
A 32-year-old woman presents with postpartum hemorrhage after a normal vaginal delivery. Uterine atony is noted on exam. What is the first-line treatment?
A 25-year-old woman presents with amenorrhea for 6 months and a history of significant weight loss. What is the most likely cause?
A 28-year-old woman presents with bilateral breast tenderness and nipple discharge. Mammogram shows dense breast tissue without masses. What is the next step?
Fine-needle aspiration
A 33-year-old woman presents with menorrhagia and is found to have a thickened endometrium on ultrasound. What is the next step in management?
Hysteroscopy
A 35-year-old woman presents with pelvic pain, fever, and purulent cervical discharge. Pelvic ultrasound shows tubo-ovarian abscess. What is the next step?
Oral antibiotics
A 30-year-old woman presents with infertility and a history of endometriosis. What is the most likely cause of her infertility?
Ovarian failure
A 34-year-old woman presents with vulvar itching and white, curd-like discharge. What is the most likely diagnosis?
Trichomoniasis
A 28-year-old woman at 38 weeks gestation presents with sudden onset of chest pain and shortness of breath. What is the most likely diagnosis?
Myocardial infarction
A 30-year-old woman presents with severe right lower quadrant pain and fever. Transvaginal ultrasound shows a complex adnexal mass. What is the next step?
Antibiotic therapy
A 37-year-old woman with a history of multiple cesarean sections presents at 39 weeks gestation with contractions. What is the safest delivery option?
Trial of labor
A 40-year-old woman presents with abnormal uterine bleeding and an endometrial biopsy reveals complex hyperplasia with atypia. What is the most appropriate treatment?
Hormonal therapy
A 24-year-old woman presents with dysuria, increased urinary frequency, and suprapubic pain. Urinalysis shows positive nitrites. What is the most likely diagnosis?
Pyelonephritis
A 30-year-old woman presents with secondary amenorrhea and a history of dilation and curettage (D&C) for a prior miscarriage. What is the most likely diagnosis?
A 24-year-old woman presents with severe pelvic pain during menstruation. Pelvic exam reveals nodularity along the uterosacral ligaments. What is the most likely diagnosis?
PID
A 22-year-old woman presents with heavy menstrual bleeding and is found to have a low hemoglobin level. What is the next step in management?
Endometrial ablation
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Prometric - OBG-4
A woman at 36 weeks gestation presents with fever, chills, and uterine tenderness following rupture of membranes. What is the most likely diagnosis?
Endometritis
A woman presents with unilateral breast tenderness and redness 3 weeks postpartum. What is the most likely diagnosis?
Engorgement
A 22-year-old woman presents with a vulvar lesion that is painful and ulcerated. What is the most likely diagnosis?
Syphilis
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?
Metformin
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?
Missed abortion
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?
CA-125 measurement
A 30-year-old woman presents with a firm, fixed breast mass. What is the next step in management?
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?
Adrenal hyperplasia
A 30-year-old woman at 28 weeks gestation presents with pruritus and jaundice. What is the most likely diagnosis?
Acute fatty liver
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 26-year-old woman presents with acute right lower quadrant pain and fever. What is the most likely diagnosis?
Ruptured ovarian cyst
A 34-year-old woman presents with a firm, painless breast mass. What is the next best step in management?
Mammogram
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 35-year-old woman with a history of pelvic inflammatory disease (PID) presents with infertility. What is the most likely cause of her infertility?
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?
Progesterone therapy
A 30-year-old woman at 32 weeks gestation presents with painless vaginal bleeding. What is the most likely diagnosis?
Placental abruption
A woman at 28 weeks gestation presents with elevated blood pressure and is diagnosed with gestational hypertension. What is the next step?
Monitor closely
A 30-year-old woman presents with new onset hypertension and proteinuria at 30 weeks gestation. What is the most likely diagnosis?
Gestational hypertension
A woman presents with abnormal uterine bleeding and an endometrial biopsy reveals hyperplasia without atypia. What is the most appropriate treatment?
A 26-year-old woman presents with recurrent miscarriages and testing reveals antiphospholipid antibodies. What is the best treatment to reduce miscarriage risk?
Prednisone
Prometric - OBG-5
A woman presents with a history of two previous cesarean sections and is now pregnant at 36 weeks. What is the safest delivery method?
Vaginal delivery
A woman in her third trimester presents with constant right upper quadrant pain, nausea, and vomiting. What is the most likely diagnosis?
Appendicitis
A 28-year-old woman in her third trimester presents with decreased fetal movement. What should be the next step?
Ultrasound
A 19-year-old woman presents with severe lower abdominal pain and a positive pregnancy test. Ultrasound reveals no intrauterine pregnancy. What is the next step?
Serum beta-HCG
A 25-year-old woman presents with a vulvar lesion. Biopsy reveals squamous cell carcinoma. What is the next step in management?
A 30-year-old woman presents with infertility and a history of pelvic inflammatory disease (PID). What is the most likely cause of infertility?
A 36-year-old woman presents with postmenopausal bleeding. What is the next step in management?
A 32-year-old woman presents with symptoms of urinary frequency, urgency, and pelvic pressure. Ultrasound reveals a large fibroid. What is the next step in management?
Myomectomy
A 26-year-old primigravida woman at 41 weeks gestation presents with no signs of labor. What is the next step?
Elective cesarean section
A 29-year-old woman presents with lower abdominal pain and missed periods. A urine pregnancy test is positive. What should be the next step in management?
Pelvic exam
A 22-year-old woman with a history of irregular menstrual cycles presents with hirsutism and acne. What is the most likely diagnosis?
A 33-year-old woman presents with heavy menstrual bleeding and pelvic pressure. Ultrasound shows a 6 cm submucosal fibroid. What is the best treatment option?
A 34-year-old woman at 36 weeks gestation presents with sudden, painless vaginal bleeding. What is the most likely diagnosis?
A pregnant woman at 28 weeks gestation presents with swelling of the face, hands, and legs along with headaches. What is the most likely diagnosis?
Gestational diabetes
A 27-year-old woman at 24 weeks gestation presents with painful uterine contractions and vaginal bleeding. What is the most likely diagnosis?
Placenta previa
A 30-year-old woman with a history of cervical dysplasia presents for routine follow-up after an abnormal Pap smear. What is the most appropriate next step?
Colposcopy
A pregnant woman at 32 weeks presents with signs of preterm labor. What should be administered to promote fetal lung maturity?
Dexamethasone
A 25-year-old woman at 20 weeks gestation presents with a routine check-up and is found to have an anterior low-lying placenta on ultrasound. What is the best next step?
Repeat ultrasound in 4 weeks
A woman in her second trimester presents with a fundal height measurement that is larger than expected for gestational age. What is the most likely diagnosis?
Oligohydramnios
A woman at 34 weeks gestation presents with regular uterine contractions but no cervical dilation. What is the next step?
Admit for observation
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