Ob/Gyn Shelf Exam Questions &
Answers (Grade A+)
Rx for advanced (Stages II ) ovarian cancer -
correct answer ✅Surgical removal, followed by adjuvant chemo
(taxane carboplatin)
When is magnesium sulfate given for preeclampsia? -
correct answer ✅During delivery and 24 hours postpartum
Therapeutic level of mag sulfate -
correct answer ✅4-7
Mag sulfate levels associated with respiratory depression and
cardiac arrest -
correct answer ✅>12 and >15
Contraindications to expectant management of severe
preeclampsia (e.g. indications for delivery) -
correct answer ✅Thrombocytopenia < 100,000,
Inability to control BP w/ max doses of 2 antihypertensives, Non-
reassuring fetal surveillance,
LFTs < 2x nml,
Eclampsia
Persistent CNS Sx
,Ob/Gyn Shelf Exam Questions &
Answers (Grade A+)
Oliguria
How fast should hCG rise in a normal pregnancy? -
correct answer ✅Should double (or increase by 66%) every 48
hours
Inappropriately rising (e.g. too low) beta-hCG levels indicate -
correct answer ✅Abnormal pregnancy (e.g. ectopic, incomplete
abortion, or resolving complete abortion)
Distinction btwn a normal gestational sac and a pseudogestational
sac -
correct answer ✅Pseudo is located in the midline
Serum progesterone <5 indicates -
correct answer ✅Specific for nonviable pregnancy
What is the Arias-Stella reaction? -
correct answer ✅Hypersecretory endometrium of prengnacy on
histology that occurs w/ BOTH ectopic and intrauterine pregnancies
,Ob/Gyn Shelf Exam Questions &
Answers (Grade A+)
Culdocentesis is looking for -
correct answer ✅Blood in peritoneal cavity, e.g. from ruptured
ectopic (or purulent fluid from infection)
Medical Rx for ectopic -
correct answer ✅Methotrexate
Relative contraindications to MTX for ectopic -
correct answer ✅Cardiac activity
Mass >3.5cm (often correlates with b-hCG > 15,000)
Absolute contraindications to MTX -
correct answer ✅Breastfeeding, immunodeficient, alcoholic, blood
dyscrasia, pulmonary disease, PUD, hepatic/renal/hematology
dysfxn
When is more than one dose of MTX needed? -
correct answer ✅If beta-hCG levels plateau or increase after 7
days
Asherman's Syndrome includes the presence of what? -
correct answer ✅Uterine synechiae (intrauterine adhesions)
, Ob/Gyn Shelf Exam Questions &
Answers (Grade A+)
What is threatened abortion, what is the risk of subsequent
spontaneous abortion, and what are the risks if carry to viability? -
correct answer ✅Bleeding in the first trimester without tissue or
fluid loss
50%
Greater risk of preterm and low birth weight
What is inevitable abortion? -
correct answer ✅Gross rupture of membranes w/ cervical dilation
(contractions typically begin soon afterward)
After what time are the fetus and placenta typically expelled
separately? -
correct answer ✅10wks
After how many days should surgical abortion be performed instead
of medical? -
correct answer ✅49 days since LMP
Answers (Grade A+)
Rx for advanced (Stages II ) ovarian cancer -
correct answer ✅Surgical removal, followed by adjuvant chemo
(taxane carboplatin)
When is magnesium sulfate given for preeclampsia? -
correct answer ✅During delivery and 24 hours postpartum
Therapeutic level of mag sulfate -
correct answer ✅4-7
Mag sulfate levels associated with respiratory depression and
cardiac arrest -
correct answer ✅>12 and >15
Contraindications to expectant management of severe
preeclampsia (e.g. indications for delivery) -
correct answer ✅Thrombocytopenia < 100,000,
Inability to control BP w/ max doses of 2 antihypertensives, Non-
reassuring fetal surveillance,
LFTs < 2x nml,
Eclampsia
Persistent CNS Sx
,Ob/Gyn Shelf Exam Questions &
Answers (Grade A+)
Oliguria
How fast should hCG rise in a normal pregnancy? -
correct answer ✅Should double (or increase by 66%) every 48
hours
Inappropriately rising (e.g. too low) beta-hCG levels indicate -
correct answer ✅Abnormal pregnancy (e.g. ectopic, incomplete
abortion, or resolving complete abortion)
Distinction btwn a normal gestational sac and a pseudogestational
sac -
correct answer ✅Pseudo is located in the midline
Serum progesterone <5 indicates -
correct answer ✅Specific for nonviable pregnancy
What is the Arias-Stella reaction? -
correct answer ✅Hypersecretory endometrium of prengnacy on
histology that occurs w/ BOTH ectopic and intrauterine pregnancies
,Ob/Gyn Shelf Exam Questions &
Answers (Grade A+)
Culdocentesis is looking for -
correct answer ✅Blood in peritoneal cavity, e.g. from ruptured
ectopic (or purulent fluid from infection)
Medical Rx for ectopic -
correct answer ✅Methotrexate
Relative contraindications to MTX for ectopic -
correct answer ✅Cardiac activity
Mass >3.5cm (often correlates with b-hCG > 15,000)
Absolute contraindications to MTX -
correct answer ✅Breastfeeding, immunodeficient, alcoholic, blood
dyscrasia, pulmonary disease, PUD, hepatic/renal/hematology
dysfxn
When is more than one dose of MTX needed? -
correct answer ✅If beta-hCG levels plateau or increase after 7
days
Asherman's Syndrome includes the presence of what? -
correct answer ✅Uterine synechiae (intrauterine adhesions)
, Ob/Gyn Shelf Exam Questions &
Answers (Grade A+)
What is threatened abortion, what is the risk of subsequent
spontaneous abortion, and what are the risks if carry to viability? -
correct answer ✅Bleeding in the first trimester without tissue or
fluid loss
50%
Greater risk of preterm and low birth weight
What is inevitable abortion? -
correct answer ✅Gross rupture of membranes w/ cervical dilation
(contractions typically begin soon afterward)
After what time are the fetus and placenta typically expelled
separately? -
correct answer ✅10wks
After how many days should surgical abortion be performed instead
of medical? -
correct answer ✅49 days since LMP
