OBGYN APGO UWise EXAM, questions
answered MULTIPLE CHOICES WITH
RATIONALES| 2026 verified graded A+ already
passed!
Save
Terms in this set (70)
,An 18-year-old G1P0 woman is seen B. Relative hemodilution of pregnancy
in the clinic for a routine prenatal
visit at 28 weeks gestation. Her There is normally a 36% increase in maternal
prenatal course has been blood volume; the maximum is reached around
unremarkable. She has not been 34 weeks. The plasma volume increases 47% and
taking prenatal vitamins. Her pre- the RBC mass increases only 17%. This relative
pregnancy weight was 120 pounds. dilutional effect lowers the hemoglobin, but
Initial hemoglobin at the first visit at causes no change in the MCV. Folate deficiency
eight weeks gestation was 12.3 results in a macrocytic anemia. Iron deficiency
g/dL. Current weight is 138 pounds. and thalassemias are associated with microcytic
After performing a screening anemia.
complete blood count (CBC), the
results are notable for a white
blood count 9,700/mL, hemoglobin
10.6 g/dL, mean corpuscular volume
88.2 fL (80.8 - 96.4) and platelets
215,000/mcL. The patient denies
vaginal or rectal bleeding. Which of
the following is the best
explanation for this patient's
anemia?
A. Folate deficiency
B. Relative hemodilution of
pregnancy
C. Iron deficiency
D. Beta thalassemia trait
E. Alpha thalassemia trait
,A 34-year-old G3P1 woman at 26 C. Physiologic dyspnea of pregnancy
weeks gestation reports "difficulty
catching her breath," especially Physical examination findings are not consistent
after exertion for the last two with pulmonary embolus (e.g tachycardia,
months. She is a non-smoker. She tachypnea, hypoxia, chest pain, signs of a DVT)
does not have any history of or mitral stenosis (diastolic murmur, signs of heart
pulmonary or cardiac disease. She failure). Physiologic dyspnea of pregnancy is
denies fever, sputum, cough or any present in up to 75% of women by the third
recent illnesses. On physical trimester. Peripartum cardiomyopathy is an
examination, her vital signs are: idiopathic cardiomyopathy that presents with
blood pressure 108/64, pulse 88, heart failure secondary to left ventricular systolic
respiratory rate 15, and she is function towards the end of pregnancy or in the
afebrile. Pulse oximeter is 98% on several months following delivery. Symptoms
room air. Lungs are clear to include fatigue, shortness of breath, palpitations,
auscultation. Heart is regular rate and edema. The history and physical do not
and rhythm with II/VI systolic suggest a pathologic process, nor does her
murmur heard at the upper left hemoglobin level.
sternal border. She has no lower
extremity edema. A complete
blood count reveals a hemoglobin
of 10.0 g/dL. What is the most likely
explanation for this woman's
symptoms?
A. Pulmonary embolism
B. Mitral valve stenosis
C. Physiologic dyspnea of
pregnancy
D. Peripartum cardiomyopathy
E. Anemia
, A 24-year-old G4P2 woman at 34 B. Compensated respiratory alkalosis
weeks gestation complains of a
cough and whitish sputum for the The increased minute ventilation during
last three days. She reports that pregnancy causes a compensated respiratory
everyone in the family has been alkalosis. Hypoventilation results in increased
sick. She reports a high fever last PCO2 and the PO2 would be decreased if she
night up to 102°F (38.9°C). She was hypoxic. A metabolic acidosis would have a
denies chest pain. She smokes a decreased pH and a low HCO3. The patient's
half-pack of cigarettes per day. She symptoms are most consistent with a viral upper
has a history of asthma with no respiratory infection.
previous intubations. She uses an
albuterol inhaler, although she has
not used it this week. Vital signs are:
temperature 98.6°F (37°C);
respiratory rate 16; pulse 94; blood
pressure 114/78; peak expiratory
flow rate 430 L/min (baseline
documented in the outpatient chart
= 425 L/min). On physical
examination, pharyngeal mucosa is
erythematous and injected. Lungs
are clear to auscultation. White
blood cell count 8,700; arterial
blood gases on room air (normal
ranges in parentheses): pH 7.44
(7.36 - 7.44); PO2 103 mm Hg (>100),
PCO2 26 mm Hg (28 - 32), HCO3 19
mm Hg (22 - 26). Chest x-ray is nor
answered MULTIPLE CHOICES WITH
RATIONALES| 2026 verified graded A+ already
passed!
Save
Terms in this set (70)
,An 18-year-old G1P0 woman is seen B. Relative hemodilution of pregnancy
in the clinic for a routine prenatal
visit at 28 weeks gestation. Her There is normally a 36% increase in maternal
prenatal course has been blood volume; the maximum is reached around
unremarkable. She has not been 34 weeks. The plasma volume increases 47% and
taking prenatal vitamins. Her pre- the RBC mass increases only 17%. This relative
pregnancy weight was 120 pounds. dilutional effect lowers the hemoglobin, but
Initial hemoglobin at the first visit at causes no change in the MCV. Folate deficiency
eight weeks gestation was 12.3 results in a macrocytic anemia. Iron deficiency
g/dL. Current weight is 138 pounds. and thalassemias are associated with microcytic
After performing a screening anemia.
complete blood count (CBC), the
results are notable for a white
blood count 9,700/mL, hemoglobin
10.6 g/dL, mean corpuscular volume
88.2 fL (80.8 - 96.4) and platelets
215,000/mcL. The patient denies
vaginal or rectal bleeding. Which of
the following is the best
explanation for this patient's
anemia?
A. Folate deficiency
B. Relative hemodilution of
pregnancy
C. Iron deficiency
D. Beta thalassemia trait
E. Alpha thalassemia trait
,A 34-year-old G3P1 woman at 26 C. Physiologic dyspnea of pregnancy
weeks gestation reports "difficulty
catching her breath," especially Physical examination findings are not consistent
after exertion for the last two with pulmonary embolus (e.g tachycardia,
months. She is a non-smoker. She tachypnea, hypoxia, chest pain, signs of a DVT)
does not have any history of or mitral stenosis (diastolic murmur, signs of heart
pulmonary or cardiac disease. She failure). Physiologic dyspnea of pregnancy is
denies fever, sputum, cough or any present in up to 75% of women by the third
recent illnesses. On physical trimester. Peripartum cardiomyopathy is an
examination, her vital signs are: idiopathic cardiomyopathy that presents with
blood pressure 108/64, pulse 88, heart failure secondary to left ventricular systolic
respiratory rate 15, and she is function towards the end of pregnancy or in the
afebrile. Pulse oximeter is 98% on several months following delivery. Symptoms
room air. Lungs are clear to include fatigue, shortness of breath, palpitations,
auscultation. Heart is regular rate and edema. The history and physical do not
and rhythm with II/VI systolic suggest a pathologic process, nor does her
murmur heard at the upper left hemoglobin level.
sternal border. She has no lower
extremity edema. A complete
blood count reveals a hemoglobin
of 10.0 g/dL. What is the most likely
explanation for this woman's
symptoms?
A. Pulmonary embolism
B. Mitral valve stenosis
C. Physiologic dyspnea of
pregnancy
D. Peripartum cardiomyopathy
E. Anemia
, A 24-year-old G4P2 woman at 34 B. Compensated respiratory alkalosis
weeks gestation complains of a
cough and whitish sputum for the The increased minute ventilation during
last three days. She reports that pregnancy causes a compensated respiratory
everyone in the family has been alkalosis. Hypoventilation results in increased
sick. She reports a high fever last PCO2 and the PO2 would be decreased if she
night up to 102°F (38.9°C). She was hypoxic. A metabolic acidosis would have a
denies chest pain. She smokes a decreased pH and a low HCO3. The patient's
half-pack of cigarettes per day. She symptoms are most consistent with a viral upper
has a history of asthma with no respiratory infection.
previous intubations. She uses an
albuterol inhaler, although she has
not used it this week. Vital signs are:
temperature 98.6°F (37°C);
respiratory rate 16; pulse 94; blood
pressure 114/78; peak expiratory
flow rate 430 L/min (baseline
documented in the outpatient chart
= 425 L/min). On physical
examination, pharyngeal mucosa is
erythematous and injected. Lungs
are clear to auscultation. White
blood cell count 8,700; arterial
blood gases on room air (normal
ranges in parentheses): pH 7.44
(7.36 - 7.44); PO2 103 mm Hg (>100),
PCO2 26 mm Hg (28 - 32), HCO3 19
mm Hg (22 - 26). Chest x-ray is nor
