OB GYN ROSH REVIEW EXAM QUESTIONS
AND ANSWERS
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 -
correct 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? -
correct answer ✅Best rest, blood pressure management, and mag
sulfate for prevention of eclamptic seizures.
What is the definitive treatment of HELLP syndrome? -
correct answer ✅Delivery of the fetus
,OB GYN ROSH REVIEW EXAM QUESTIONS
AND ANSWERS
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? -
correct 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 -
correct answer ✅D.
What is the most common cause of dysfunctional uterine bleeding
in a post menopausal woman? -
,OB GYN ROSH REVIEW EXAM QUESTIONS
AND ANSWERS
correct 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 -
correct answer ✅D.
Name two treatments for secondary allergic vulvitis? -
correct answer ✅Remove offending agent
1% hydrocortisone cream
, OB GYN ROSH REVIEW EXAM QUESTIONS
AND ANSWERS
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 -
correct answer ✅B.
What is the initial work up of a patient with primary amenorrhea? -
correct 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
AND ANSWERS
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 -
correct 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? -
correct answer ✅Best rest, blood pressure management, and mag
sulfate for prevention of eclamptic seizures.
What is the definitive treatment of HELLP syndrome? -
correct answer ✅Delivery of the fetus
,OB GYN ROSH REVIEW EXAM QUESTIONS
AND ANSWERS
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? -
correct 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 -
correct answer ✅D.
What is the most common cause of dysfunctional uterine bleeding
in a post menopausal woman? -
,OB GYN ROSH REVIEW EXAM QUESTIONS
AND ANSWERS
correct 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 -
correct answer ✅D.
Name two treatments for secondary allergic vulvitis? -
correct answer ✅Remove offending agent
1% hydrocortisone cream
, OB GYN ROSH REVIEW EXAM QUESTIONS
AND ANSWERS
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 -
correct answer ✅B.
What is the initial work up of a patient with primary amenorrhea? -
correct 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
