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A young woman comes in for a routine wellness examination. You notice that her vaginal walls
have deep rugae and are slightly bluish in color. She also has a thicker white discharge. What
should you suspect?
A) Hypoxia
B) Varicosities
C) Pregnancy
D) Sexually transmitted infection - Correct Answer -C
Mrs. Kelly comes to you for her usual prenatal check-up. You measure the fundal height at 24
cm. What would you estimate the length of her gestation to be?
A) 20 weeks
B) 24 weeks
C) 28 weeks
D) 32 weeks - Correct Answer -B
A pregnant woman is concerned by the recent onset of a midline swelling. It is soft and
nontender. What does this represent?
A) Linea nigra
B) Chadwick's sign
C) Round ligament pain
,D) Diastasis recti - Correct Answer -D
A young mother presents with a pregnancy confirmed by urine HCG. Her LMP was June 20.
Using Naegele's rule, you estimate what day of delivery?
A) March 27
B) April 13
C) February 20
D) February 13 - Correct Answer -A
A pregnant woman finally comes in for her prenatal checkup. She complains today of headache
and abdominal pain of several months' duration. She appears somewhat hurried or nervous.
What question would you ask next?
A) Do you have a family history of thyroid disease?
B) Have you been eating properly and taking a prenatal vitamin?
C) Do you feel safe at home?
D) How much activity have you been able to fit into your schedule? - Correct Answer -C
A woman in her 24th week of pregnancy notices she feels faint when lying down for a period.
What would you suspect as a cause for this?
A) Adrenal insufficiency
B) Orthostatic hypotension
C) Supine hypotensive syndrome
D) Hypoglycemia - Correct Answer -C
,Lucille is in her 24th week. You notice a new onset of high blood pressure readings. Today's
value is 168/96. Her urine is normal. What do you suspect?
A) Preeclampsia
B) Chronic hypertension
C) Supine hypotensive syndrome
D) Gestational hypertension - Correct Answer -D
Which of the following is worrisome in Melissa, a woman in her 26th week of pregnancy?
A) Generalized hair loss
B) A hyperpigmented rash over the maxillary region bilaterally
C) Nosebleeds
D) Facial edema - Correct Answer -D
A woman in her third trimester complains of shortness of breath on occasion, without other
symptoms. She has a normal examination. The most likely cause of this symptom is:
A) Hormonal
B) Asthma
C) Pulmonary embolus
D) Infection - Correct Answer -A
During cardiac examination you notice a new parasternal systolic murmur of 2/6 intensity. On
palpation, the PMI is slightly higher than usual. What do you suspect?
A) Mammary souffle
, B) Mitral stenosis
C) Mitral regurgitation
D) Aortic insufficiency - Correct Answer -A
You are examining for fetal heart tones with a fetoscope and are unable to hear any. Using a
Doptone, you measure the rate as 164. Which gestational age is most likely?
A) 8 weeks
B) 14 weeks
C) 20 weeks
D) 26 weeks - Correct Answer -B
A woman in her 30th week has a cervical length estimated at 1 cm. Should you be concerned?
A) Yes; she may be at risk for preterm labor.
B) Yes; she most likely has a bicornuate uterus.
C) No; this is a normal measurement for this gestational age.
D) Yes; it likely indicates the fetus is in the breech position. - Correct Answer -A
A woman has a positive pregnancy test and comes to you with left lower quadrant pain. On
bimanual examination, you feel a tender mass. Which of the following should you suspect?
A) Threatened abortion
B) Appendicitis
C) Ovarian cyst
D) Tubal pregnancy - Correct Answer -D