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Prometric - OBG - Rapid - 3
1 / 50
A 30-year-old woman presents with a 3 cm ovarian mass on ultrasound. What is the next step in management?
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Most ovarian cysts are managed expectantly unless they are large, complex, or symptomatic.
2 / 50
A 28-year-old woman presents with pelvic pain and irregular periods. Ultrasound shows multiple ovarian cysts. What is the most likely diagnosis?
Polycystic ovarian syndrome (PCOS) is characterized by multiple ovarian cysts, irregular periods, and hyperandrogenism.
3 / 50
A 26-year-old woman presents with cervical motion tenderness, fever, and mucopurulent discharge. What is the most likely diagnosis?
PID presents with fever, cervical motion tenderness, and mucopurulent discharge, often due to a sexually transmitted infection.
4 / 50
A 22-year-old woman presents with a unilateral adnexal mass and elevated β-hCG. What is the most likely diagnosis?
Germ cell tumors can secrete β-hCG and are common in young women with adnexal masses.
5 / 50
A 30-year-old woman presents with heavy menstrual bleeding and dysmenorrhea. Ultrasound shows a mass in the uterine wall. What is the most likely diagnosis?
Uterine fibroids (leiomyomas) are common and can cause heavy bleeding and pelvic pain.
6 / 50
A 35-year-old woman at 30 weeks presents with sudden-onset vaginal bleeding and uterine tenderness. What is the most likely cause?
Abruptio placentae involves placental detachment and is associated with painful vaginal bleeding.
7 / 50
A 30-year-old woman presents with a boggy uterus and severe dysmenorrhea. What is the most likely diagnosis?
Adenomyosis presents with severe dysmenorrhea, heavy bleeding, and a boggy uterus.
8 / 50
A 33-year-old woman with hypertension at 28 weeks presents with elevated liver enzymes and low platelets. What is the diagnosis?
HELLP syndrome involves hemolysis, elevated liver enzymes, and low platelets in the context of preeclampsia.
9 / 50
A 24-year-old woman at 28 weeks presents with regular contractions and cervical dilation of 2 cm. What is the diagnosis?
Preterm labor is diagnosed when regular contractions lead to cervical dilation before 37 weeks.
10 / 50
A 30-year-old woman presents with fever, uterine tenderness, and foul-smelling amniotic fluid. What is the most likely diagnosis?
Chorioamnionitis is a bacterial infection of the amniotic fluid, presenting with fever and uterine tenderness.
11 / 50
A 28-year-old woman at 32 weeks presents with decreased fetal movement. What is the next best step?
A nonstress test is the first step in evaluating decreased fetal movement.
12 / 50
A 35-year-old woman at 36 weeks presents with hypertension and proteinuria. What is the diagnosis?
Preeclampsia is diagnosed by the presence of hypertension and proteinuria after 20 weeks gestation.
13 / 50
A 33-year-old woman presents with regular contractions every 5 minutes at 36 weeks. Cervical dilation is 4 cm. What is the diagnosis?
Active labor begins at 4-6 cm of cervical dilation with regular contractions.
14 / 50
A 25-year-old G1P0 woman presents with blood pressure of 160/100 at 28 weeks. What is the diagnosis?
Preeclampsia is diagnosed by hypertension and proteinuria after 20 weeks gestation.
15 / 50
A 30-year-old woman presents with pelvic pain, heavy bleeding, and a palpable mass in the uterus. What is the most likely diagnosis?
Uterine fibroids are common causes of heavy bleeding and pelvic pain.
16 / 50
A 28-year-old woman presents with sharp, unilateral pelvic pain during mid-cycle. What is the most likely diagnosis?
Mittelschmerz is ovulation pain, which is typically unilateral and occurs mid-cycle.
17 / 50
A 26-year-old woman presents with fever, lower abdominal pain, and cervical motion tenderness. What is the diagnosis?
PID presents with lower abdominal pain, fever, and cervical motion tenderness, often due to sexually transmitted infections.
18 / 50
A 35-year-old woman presents with 3+ proteinuria and elevated blood pressure at 34 weeks. What is the diagnosis?
19 / 50
A 30-year-old woman presents with heavy bleeding and pelvic pain. Ultrasound shows an 8 cm mass in the uterus. What is the most likely diagnosis?
Uterine fibroids (leiomyomas) are benign growths in the uterus and are associated with heavy bleeding and pelvic pain.
20 / 50
A 33-year-old woman presents at 36 weeks with decreased fetal movement. What is the next best step?
21 / 50
A 35-year-old woman presents with hypertension and proteinuria at 28 weeks. What is the diagnosis?
Preeclampsia is diagnosed with hypertension and proteinuria after 20 weeks gestation.
22 / 50
A 30-year-old woman presents with severe pelvic pain and irregular periods. Ultrasound shows an ovarian mass. What is the most likely diagnosis?
Ovarian cysts often present with irregular periods and pelvic pain.
23 / 50
A 28-year-old woman presents with regular contractions at 30 weeks. Cervical dilation is 2 cm. What is the diagnosis?
Preterm labor is diagnosed when regular contractions cause cervical dilation before 37 weeks gestation.
24 / 50
A 32-year-old woman presents with lower abdominal pain, fever, and cervical motion tenderness. What is the most likely diagnosis?
PID is characterized by fever, cervical motion tenderness, and lower abdominal pain.
25 / 50
A 30-year-old woman presents with vaginal bleeding and a placental mass on ultrasound at 12 weeks. What is the most likely diagnosis?
A molar pregnancy presents with a placental mass and abnormal bleeding early in pregnancy.
26 / 50
A 25-year-old woman presents with amenorrhea, pelvic pain, and a positive pregnancy test. Ultrasound shows no intrauterine pregnancy. What is the most likely diagnosis?
Ectopic pregnancy is suspected when a pregnancy test is positive, but no intrauterine pregnancy is visible.
27 / 50
A 33-year-old woman presents with regular contractions at 36 weeks and cervical dilation of 5 cm. What is the diagnosis?
Active labor is diagnosed when regular contractions cause cervical dilation beyond 4 cm.
28 / 50
A 30-year-old woman presents with severe dysmenorrhea and a boggy uterus. What is the most likely diagnosis?
Adenomyosis presents with dysmenorrhea, heavy bleeding, and a boggy uterus.
29 / 50
A 28-year-old woman presents with fever, uterine tenderness, and foul-smelling amniotic fluid at 32 weeks gestation. What is the diagnosis?
Chorioamnionitis is an infection of the amniotic fluid, often presenting with fever and uterine tenderness.
30 / 50
A 35-year-old woman presents with new-onset hypertension and 3+ proteinuria at 32 weeks. What is the most likely diagnosis?
31 / 50
A 30-year-old woman presents with a 5 cm ovarian mass on ultrasound. What is the next best step?
Most ovarian cysts are managed expectantly unless symptomatic or complex.
32 / 50
A 26-year-old woman presents with lower abdominal pain, cervical motion tenderness, and fever. What is the most likely diagnosis?
PID presents with lower abdominal pain, fever, and cervical motion tenderness, typically from a sexually transmitted infection.
33 / 50
A 28-year-old woman presents with heavy menstrual bleeding and an enlarged, boggy uterus. What is the most likely diagnosis?
Adenomyosis presents with heavy bleeding and a boggy, enlarged uterus.
34 / 50
A 33-year-old woman presents with regular contractions and cervical dilation of 3 cm at 34 weeks. What is the diagnosis?
Preterm labor is diagnosed when regular contractions cause cervical dilation before 37 weeks.
35 / 50
A 30-year-old woman presents with sudden onset of severe pelvic pain and a positive pregnancy test. Ultrasound shows no intrauterine pregnancy. What is the most likely diagnosis?
Ectopic pregnancy is suspected with pelvic pain, a positive pregnancy test, and no intrauterine pregnancy on ultrasound.
36 / 50
A 28-year-old woman presents with amenorrhea and pelvic pain. Ultrasound shows an ovarian mass. What is the most likely diagnosis?
Ovarian cysts can cause pelvic pain and menstrual irregularities.
37 / 50
A 25-year-old woman presents with lower abdominal pain, fever, and mucopurulent cervical discharge. What is the diagnosis?
PID is diagnosed based on fever, cervical motion tenderness, and mucopurulent discharge, typically from a sexually transmitted infection.
38 / 50
A 30-year-old woman presents with severe dysmenorrhea, heavy bleeding, and a boggy uterus. What is the most likely diagnosis?
Adenomyosis typically presents with dysmenorrhea, heavy bleeding, and a boggy uterus.
39 / 50
A 28-year-old woman at 34 weeks presents with regular contractions and cervical dilation of 4 cm. What is the diagnosis?
40 / 50
A 35-year-old woman presents with hypertension and 3+ proteinuria at 30 weeks. What is the diagnosis?
41 / 50
A 28-year-old woman presents with heavy bleeding and severe pelvic pain. Ultrasound reveals a 6 cm mass in the uterine wall. What is the most likely diagnosis?
Uterine fibroids (leiomyomas) can cause heavy bleeding and pelvic pain.
42 / 50
A 33-year-old woman presents at 32 weeks with decreased fetal movement. What is the next best step?
43 / 50
A 30-year-old woman presents with regular contractions every 5 minutes at 38 weeks. Cervical dilation is 8 cm. What is the diagnosis?
The active phase of labor begins at 6 cm dilation and progresses until the cervix is fully dilated.
44 / 50
A 28-year-old woman presents with lower abdominal pain, fever, and cervical motion tenderness. What is the most likely diagnosis?
PID presents with fever, cervical motion tenderness, and lower abdominal pain, often caused by a sexually transmitted infection.
45 / 50
A 35-year-old woman at 28 weeks presents with new-onset hypertension and 3+ proteinuria. What is the diagnosis?
Preeclampsia is diagnosed when hypertension and proteinuria occur after 20 weeks gestation.
46 / 50
A 30-year-old woman presents with heavy bleeding and a boggy uterus. What is the most likely diagnosis?
Adenomyosis is characterized by heavy bleeding, dysmenorrhea, and a boggy uterus.
47 / 50
48 / 50
A 33-year-old woman presents with regular contractions every 5 minutes at 40 weeks. Cervical dilation is 7 cm. What is the diagnosis?
Active labor progresses rapidly between 6-10 cm dilation.
49 / 50
A 28-year-old woman presents with severe dysmenorrhea, heavy bleeding, and a boggy uterus. What is the most likely diagnosis?
50 / 50
A 33-year-old woman at 36 weeks presents with regular contractions every 3 minutes. Cervical dilation is 9 cm. What is the diagnosis?
Transition phase occurs at 8-10 cm cervical dilation, and labor progresses rapidly.
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