EXAM – LATEST UPDATE 2025/2026 | 200
QUESTIONS WITH CORRECT ANSWERS
Question 1
In a woman who is 20 weeks pregnant, the fundus is typically the same height as:
A. The symphysis pubis
B. The umbilicus
C. The xiphoid process
D. None of the above
• CORRECT ANSWER✔ B. The umbilicus
Question 2
The following are risk factors for breast cancer except:
A. Menarche after the age of 12
B. Nulliparity
C. Menopause at age 55 years or older
D. First full-term pregnancy after age 30
• CORRECT ANSWER✔ A. Menarche after the age of 12
Question 3
Your patient is pregnant and has three cats. You educate her that she should have
someone else clean the litter box as there is an infection that can spread through cat
feces that can be harmful to the unborn baby. The infection is called:
A. Toxoplasmosis
B. Listeriosis
C. Cytomegalovirus
D. Salmonellosis
• CORRECT ANSWER✔ A. Toxoplasmosis
Question 4
Which of the following is a disadvantage of combined oral contraceptives?
A. The need for daily pill taking
B. Reduction in the risk of ovarian cancer
,C. Improvement in acne
D. Lighter menstrual bleeding
• CORRECT ANSWER✔ A. The need for daily pill taking
Question 5
With irritable bowel syndrome (IBS), typically defecation:
A. Makes the pain more intense
B. Provides relief from the pain
C. Makes no difference in the pain
D. Causes intense cramping
• CORRECT ANSWER✔ B. Provides relief from the pain
Question 6
The Tanner scale divides sexual physical maturity into ______ stages.
A. Three
B. Five
C. Seven
D. Nine
• CORRECT ANSWER✔ B. Five
Question 7
Nonlatex condoms:
A. Are more effective than latex condoms at preventing pregnancy
B. Provide better protection against sexually transmitted infections
C. Are less effective than latex condoms at preventing STIs
D. Do not require lubrication
• CORRECT ANSWER✔ C. Are less effective than latex condoms at
preventing STIs
Question 8
A potentially toxic environmental substance is lead. In pregnancy, lead is a
neurotoxin and can cause learning deficits and developmental delays. Lead is
found in all of the following except:
A. Fish
B. Older homes with lead paint
C. Certain types of pottery
D. Some stained glass
, • CORRECT ANSWER✔ A. Fish
Question 9
Prior to giving semen for an analysis, a male should be abstinent for:
A. 24 hours prior to the test
B. 2-5 days prior to the test
C. 2 weeks prior to the test
D. None of the above
• CORRECT ANSWER✔ B. 2-5 days prior to the test
Question 10
When medical therapy for heavy menstrual bleeding fails, the following surgical
management option(s) are available:
A. Dilation and curettage
B. Endometrial ablation
C. Hysterectomy
D. All of the above
• CORRECT ANSWER✔ D. All of the above
Question 11
A 25-year-old female presents with dysmenorrhea that has worsened over the past
year. She reports pain with intercourse and chronic pelvic pain. On bimanual exam,
there is tenderness with palpation of the uterosacral ligaments. The most likely
diagnosis is:
A. Pelvic inflammatory disease
B. Endometriosis
C. Ovarian cyst
D. Irritable bowel syndrome
• CORRECT ANSWER✔ B. Endometriosis
Question 12
Which of the following is a first-line treatment for heavy menstrual bleeding in a
woman who desires future fertility?
A. Levonorgestrel intrauterine device (IUD)
B. Endometrial ablation
C. Hysterectomy
D. Oral contraceptives
, • CORRECT ANSWER✔ A. Levonorgestrel intrauterine device (IUD)
Question 13
A 32-year-old G2P1 at 28 weeks gestation presents with painless vaginal bleeding.
The abdomen is nontender and the fetal heart rate is reassuring. The most likely
diagnosis is:
A. Placenta previa
B. Abruptio placentae
C. Uterine rupture
D. Vasa previa
• CORRECT ANSWER✔ A. Placenta previa
Question 14
A 30-year-old woman presents with galactorrhea, amenorrhea, and headaches.
Prolactin level is markedly elevated. The most appropriate initial imaging study is:
A. MRI of the pituitary
B. CT of the head without contrast
C. Ultrasound of the breasts
D. Transvaginal ultrasound
• CORRECT ANSWER✔ A. MRI of the pituitary
Question 15
Which of the following is a contraindication to the use of combined oral
contraceptives?
A. Age 35 and smoking 10 cigarettes per day
B. History of migraine with aura
C. History of gestational diabetes
D. Body mass index of 30 kg/m²
• CORRECT ANSWER✔ B. History of migraine with aura
Question 16
A 22-year-old female presents with acute pelvic pain, fever, and cervical motion
tenderness. She is sexually active with multiple partners. The most appropriate
initial treatment is:
A. Oral doxycycline alone
B. Ceftriaxone IM plus doxycycline PO