OB GYN ROSH REVIEW QUESTION
AND EXPERT VERIFIED ANSWERS
LATEST UPDATED VERSION
GRADED A+
Which of the following combination of lab findings is most suggestive
of hemolysis, elevated liver enzymes, and low platelet count syndrome
of pregnancy?
A. Decreased total bilirubin, elevated aspartate aminotransferse and
alanine aminotransferase > 500 U/L, decreased hemoglobin
B. Increased total bilirubin, elevated aspartate aminotransferase and
alanine aminotransferase levels < 500 U/L
C. Schistocytes, thrombocytopenia, and elevated aspartate
aminotransferase and alanine aminotransferase > 500 U/L
D. Schistocytes, thrombocytopenia, elevated aspartate aminotransferase
and alanine aminotransferase levels < 500 U/L - ANSWER- C.
The patients present with nonspecific symptoms of weight gain,
right upper quadrant pain, nausea, and vomitting. Jaundice may or
may not be present.
,What does the management of HELLP syndrome include? - ANSWER-
Best rest, blood pressure management, and mag sulfate for
prevention of eclamptic seizures.
What is the definitive treatment of HELLP syndrome? - ANSWER-
Delivery of the fetus
What complication should be suspected in a patient with HELLP
syndrome with clinically significant bleeding and elevated prothrombin
time (PT), partial thromboplastin time (PTT) and decreased fibrinogen?
- ANSWER- disseminated intravascular coagulation (DIC)
A 41 year old woman suffers from heavy and irregular menses, which at
time leads to fatigue, lightheadedness and dyspnea. She had three
hospitalizations in the past year for such episodes. Her gynecological
evaluation has not revealed any pathological cause. The heavy menses
continue despite hormonal therapy. Which of the following treatment
options should be considered next?
A. Colposcopy
B. Hysterectomy
C. Hysteroscopy
D. Uterine ablation - ANSWER- D.
What is the most common cause of dysfunctional uterine bleeding in a
post menopausal woman? - ANSWER- Exogenous estrogens and or
progesterone ( hormonal replacement therapy)
,A 23 year old woman presents with vulvular itching and vaginal
discharge. She in not currently sexually active, and does not use
contraceptives. She works in an office, drinks 3 alcoholic beverages a
week and recently took up long-distance running. Physical examination
reveals reddened vulva without surface ulcerations, the absence of lice
or nits, normal appearing vaginal secretions and an unremarkable
vaginal cavity. There is no adnexal tenderness. Which important item is
missing from this patient's history?
A. Age of menarche
B. Family history of endometrial cancer
C. Prior deliveries
D. Use of local irritants - ANSWER- D.
Name two treatments for secondary allergic vulvitis? - ANSWER-
Remove offending agent
1% hydrocortisone cream
A 14 year old woman presents to clinic with some frustration over never
having a menstrual period. She is short in stature and has Tanner stage 2
breast development. As you begin a gynecological exam, you realize
that you cannot pass a speculum into the vagina. Which of the following
is the most likely diagnosis?
A. DUB
B. Primary amenorrhea
C. Secondary dysmenorrhea
D. Sheehan's syndrome - ANSWER- B.
, What is the initial work up of a patient with primary amenorrhea? -
ANSWER- Breast and pelvic exam, pregnancy test, pelvic
ultrasound and serum follicle-stimulating hormone
A 39 year old woman in her third trimester presents with two days of
bloody "spotting" on her underwear. This is her third pregnancy, which
thus far has been uncomplicated. Her initial delivery was vaginal and her
second delivery was via cesarean section. She is currently sexually
active, and has a history of trichomoniasis. She denies any pelvic pain.
Lab examination reveals hematocrit of 32%, white blood cell count of
10,000, platelet count of 260,000 INR of 1.1 and aPTT of 32 seconds.
Pelvic examination show a nonerythematous cervix with clear mucus.
Vaginal examination is normal, and there is no discharge present. Which
of the following is the most likely diagnosis?
A. Cervicitis
B. HELLP syndrome
C. Maternal Coagulopathy
D. Placenta Previa - ANSWER- D.
MC cause of 3rd trimester bleeding is placenta previa
Other than peri peri partum hemorrhage, name a fetal complications of
placenta previa? - ANSWER- Congenital malformations doubles with
placenta previa
Which of the following is the most common cause of post-partum
hemorrhage?
AND EXPERT VERIFIED ANSWERS
LATEST UPDATED VERSION
GRADED A+
Which of the following combination of lab findings is most suggestive
of hemolysis, elevated liver enzymes, and low platelet count syndrome
of pregnancy?
A. Decreased total bilirubin, elevated aspartate aminotransferse and
alanine aminotransferase > 500 U/L, decreased hemoglobin
B. Increased total bilirubin, elevated aspartate aminotransferase and
alanine aminotransferase levels < 500 U/L
C. Schistocytes, thrombocytopenia, and elevated aspartate
aminotransferase and alanine aminotransferase > 500 U/L
D. Schistocytes, thrombocytopenia, elevated aspartate aminotransferase
and alanine aminotransferase levels < 500 U/L - ANSWER- C.
The patients present with nonspecific symptoms of weight gain,
right upper quadrant pain, nausea, and vomitting. Jaundice may or
may not be present.
,What does the management of HELLP syndrome include? - ANSWER-
Best rest, blood pressure management, and mag sulfate for
prevention of eclamptic seizures.
What is the definitive treatment of HELLP syndrome? - ANSWER-
Delivery of the fetus
What complication should be suspected in a patient with HELLP
syndrome with clinically significant bleeding and elevated prothrombin
time (PT), partial thromboplastin time (PTT) and decreased fibrinogen?
- ANSWER- disseminated intravascular coagulation (DIC)
A 41 year old woman suffers from heavy and irregular menses, which at
time leads to fatigue, lightheadedness and dyspnea. She had three
hospitalizations in the past year for such episodes. Her gynecological
evaluation has not revealed any pathological cause. The heavy menses
continue despite hormonal therapy. Which of the following treatment
options should be considered next?
A. Colposcopy
B. Hysterectomy
C. Hysteroscopy
D. Uterine ablation - ANSWER- D.
What is the most common cause of dysfunctional uterine bleeding in a
post menopausal woman? - ANSWER- Exogenous estrogens and or
progesterone ( hormonal replacement therapy)
,A 23 year old woman presents with vulvular itching and vaginal
discharge. She in not currently sexually active, and does not use
contraceptives. She works in an office, drinks 3 alcoholic beverages a
week and recently took up long-distance running. Physical examination
reveals reddened vulva without surface ulcerations, the absence of lice
or nits, normal appearing vaginal secretions and an unremarkable
vaginal cavity. There is no adnexal tenderness. Which important item is
missing from this patient's history?
A. Age of menarche
B. Family history of endometrial cancer
C. Prior deliveries
D. Use of local irritants - ANSWER- D.
Name two treatments for secondary allergic vulvitis? - ANSWER-
Remove offending agent
1% hydrocortisone cream
A 14 year old woman presents to clinic with some frustration over never
having a menstrual period. She is short in stature and has Tanner stage 2
breast development. As you begin a gynecological exam, you realize
that you cannot pass a speculum into the vagina. Which of the following
is the most likely diagnosis?
A. DUB
B. Primary amenorrhea
C. Secondary dysmenorrhea
D. Sheehan's syndrome - ANSWER- B.
, What is the initial work up of a patient with primary amenorrhea? -
ANSWER- Breast and pelvic exam, pregnancy test, pelvic
ultrasound and serum follicle-stimulating hormone
A 39 year old woman in her third trimester presents with two days of
bloody "spotting" on her underwear. This is her third pregnancy, which
thus far has been uncomplicated. Her initial delivery was vaginal and her
second delivery was via cesarean section. She is currently sexually
active, and has a history of trichomoniasis. She denies any pelvic pain.
Lab examination reveals hematocrit of 32%, white blood cell count of
10,000, platelet count of 260,000 INR of 1.1 and aPTT of 32 seconds.
Pelvic examination show a nonerythematous cervix with clear mucus.
Vaginal examination is normal, and there is no discharge present. Which
of the following is the most likely diagnosis?
A. Cervicitis
B. HELLP syndrome
C. Maternal Coagulopathy
D. Placenta Previa - ANSWER- D.
MC cause of 3rd trimester bleeding is placenta previa
Other than peri peri partum hemorrhage, name a fetal complications of
placenta previa? - ANSWER- Congenital malformations doubles with
placenta previa
Which of the following is the most common cause of post-partum
hemorrhage?
