COMLEX 3 OB/GYN Exam Questions &
Answers (Grade A+)
Preeclampsia, Eclampsia -
correct answer ✅Pregnant women SBP >= 140, DBP >= 90 after 20
weeks gestation with previous normal BP.
Eclampsia with proteinuria 300mg or more or urine dipstick 1+ or
greater
Treatment for Preeclampsia -
correct answer ✅Delivery of fetus and placenta.
When to use corticosteroids for treatment of preeclampsia? -
correct answer ✅between 24 to 34 weeks of gestation. 2 12 mg
doses of betamethasone given IM 24 hours apart or four 6mg doses
dexamethsone given IM 12 hours apart.
Hypermagnesemia during Mg treatment for Preeclampsia -
correct answer ✅Neurotoxicity is most consistently observed
complication of hypermagnesemia, increase Mg decrease impulse
transmission across NMJ resulting in diminished deep tendon
reflexes that usually fist noted when plasma Mg 4 to 6 meq/L.
Other SE: respiratory paralysis, pulmonary edema, hypocalcemia,
hyperkalemia, flushing.
,COMLEX 3 OB/GYN Exam Questions &
Answers (Grade A+)
Magnesium Toxicity during treatment for preeclampsia
Management -
correct answer ✅Calcium gluconate because Respiratory Paralsysi
at Mg =12 to 18mg/dL and cardiac arrest at 24 to 30 mg/dL.
Twin-to-twin Transfusion Presentation Donor VS Recipient -
correct answer ✅Occurs in Monochorionic twins and result of
intrauterine blood transfusion form one twin to another. Donor
Twin: small for gestational age, hypovolemia, anemia,
oligohydramnios, oliguric. Recipient: large for gestational age,
hypervolemia, polyhydramnios, jaundice plethoric, ruddy,
hypertension, congestive failure.
Next step to workout a irregular calcification finding on
mammogram -
correct answer ✅Stereotactic core biopsy
Not able to visualize IUD string on speculum exam -
correct answer ✅Should always be visible on speculum exam if it
has been properly placed. If not visible, either moved into cervical
canal or uterine cavity, or has been expelled. Pregnancy Test, U/S
done to see if move into cavity, contraception provided until U/S
performed.
,COMLEX 3 OB/GYN Exam Questions &
Answers (Grade A+)
What are the risk factors of conjugated estrogen pill for oral
contraception? -
correct answer ✅DVT
Lichen Sclerosis Presentation, Treatment -
correct answer ✅White plaques, thinning of skin, pruritus, pain of
above anogenital region for post menopausal women. D.x biopsy
no atypia. Tx topical steroids.
Stepwise investigation for Secondary Amenorrhea -
correct answer ✅First Thyroid Function and Pregnancy Test, then
Prolactin level, then Progrstin challenge, then FSH and LH. And if
those are negative then Estrogen and Progrsterone challenge, and
negative as Sherman syndrome.
Way of preventing Ovarian Cancer -
correct answer ✅Oral Contraceptive pill - taken more than 5 years
decrease risk by 50%. Other ways: pregnancy full term and
breastfeeding.
Contraindications to Oral Contraceptives -
correct answer ✅Uncontrolled Hypertension and Headache,
, COMLEX 3 OB/GYN Exam Questions &
Answers (Grade A+)
smoking and age > 35, previous thromboembolic event or
hypercoagulable states
Trazadone Use, SE -
correct answer ✅Antidepressant, use for insomnia. Risk of
priapism. A-adrenergic antagonistic effect.
How to diagnose CHF? -
correct answer ✅Framingham Criteria: at least 2 major or 1 major
and 2 minor criteria.
What contraception method for a woman done with pregnancy and
has heavy menstrual bleeding? -
correct answer ✅Levonorgestrel releasing intrauterine system -
decrease or even stop menstrual bleeding
Diagnosis for Trichomoniasis -
correct answer ✅Saline wet mount with microscopy
Most common abuse of Postpartum Hemorrhage > 500cc loss
vaginal and > 1000 for c section -
Answers (Grade A+)
Preeclampsia, Eclampsia -
correct answer ✅Pregnant women SBP >= 140, DBP >= 90 after 20
weeks gestation with previous normal BP.
Eclampsia with proteinuria 300mg or more or urine dipstick 1+ or
greater
Treatment for Preeclampsia -
correct answer ✅Delivery of fetus and placenta.
When to use corticosteroids for treatment of preeclampsia? -
correct answer ✅between 24 to 34 weeks of gestation. 2 12 mg
doses of betamethasone given IM 24 hours apart or four 6mg doses
dexamethsone given IM 12 hours apart.
Hypermagnesemia during Mg treatment for Preeclampsia -
correct answer ✅Neurotoxicity is most consistently observed
complication of hypermagnesemia, increase Mg decrease impulse
transmission across NMJ resulting in diminished deep tendon
reflexes that usually fist noted when plasma Mg 4 to 6 meq/L.
Other SE: respiratory paralysis, pulmonary edema, hypocalcemia,
hyperkalemia, flushing.
,COMLEX 3 OB/GYN Exam Questions &
Answers (Grade A+)
Magnesium Toxicity during treatment for preeclampsia
Management -
correct answer ✅Calcium gluconate because Respiratory Paralsysi
at Mg =12 to 18mg/dL and cardiac arrest at 24 to 30 mg/dL.
Twin-to-twin Transfusion Presentation Donor VS Recipient -
correct answer ✅Occurs in Monochorionic twins and result of
intrauterine blood transfusion form one twin to another. Donor
Twin: small for gestational age, hypovolemia, anemia,
oligohydramnios, oliguric. Recipient: large for gestational age,
hypervolemia, polyhydramnios, jaundice plethoric, ruddy,
hypertension, congestive failure.
Next step to workout a irregular calcification finding on
mammogram -
correct answer ✅Stereotactic core biopsy
Not able to visualize IUD string on speculum exam -
correct answer ✅Should always be visible on speculum exam if it
has been properly placed. If not visible, either moved into cervical
canal or uterine cavity, or has been expelled. Pregnancy Test, U/S
done to see if move into cavity, contraception provided until U/S
performed.
,COMLEX 3 OB/GYN Exam Questions &
Answers (Grade A+)
What are the risk factors of conjugated estrogen pill for oral
contraception? -
correct answer ✅DVT
Lichen Sclerosis Presentation, Treatment -
correct answer ✅White plaques, thinning of skin, pruritus, pain of
above anogenital region for post menopausal women. D.x biopsy
no atypia. Tx topical steroids.
Stepwise investigation for Secondary Amenorrhea -
correct answer ✅First Thyroid Function and Pregnancy Test, then
Prolactin level, then Progrstin challenge, then FSH and LH. And if
those are negative then Estrogen and Progrsterone challenge, and
negative as Sherman syndrome.
Way of preventing Ovarian Cancer -
correct answer ✅Oral Contraceptive pill - taken more than 5 years
decrease risk by 50%. Other ways: pregnancy full term and
breastfeeding.
Contraindications to Oral Contraceptives -
correct answer ✅Uncontrolled Hypertension and Headache,
, COMLEX 3 OB/GYN Exam Questions &
Answers (Grade A+)
smoking and age > 35, previous thromboembolic event or
hypercoagulable states
Trazadone Use, SE -
correct answer ✅Antidepressant, use for insomnia. Risk of
priapism. A-adrenergic antagonistic effect.
How to diagnose CHF? -
correct answer ✅Framingham Criteria: at least 2 major or 1 major
and 2 minor criteria.
What contraception method for a woman done with pregnancy and
has heavy menstrual bleeding? -
correct answer ✅Levonorgestrel releasing intrauterine system -
decrease or even stop menstrual bleeding
Diagnosis for Trichomoniasis -
correct answer ✅Saline wet mount with microscopy
Most common abuse of Postpartum Hemorrhage > 500cc loss
vaginal and > 1000 for c section -
