PENNY BOOK - OBSTETRICS &
GYNECOLOGY EXAM 2025 BRAND NEW
ACTUAL EXAM WITH ANSWERS.
1. All of the following are associated with a thin placenta except:
a. preeclampsia
b. IUGR
c. fetal hydrops
d. long standing diabetes - correct answer -c. fetal
hydrops
2. What would be most likely confused for a uterine leiomyoma?
a. placental infarct
b. chorioangioma
c. myometrial contraction
d. placenta previa - correct answer -c. myometrial
contraction
3. When the placenta completely covers the internal os, it is
referred to as:
a. low-lying previa
b. marginal previa
c. partial previa
d. total previa - correct answer -d. total previa
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4. One of the most common causes of painless vaginal bleeding
in the 2nd and 3rd trimesters is:
a. spontaneous abortion
b. abruptio placentae
c. placenta previa
d. placenta accreta - correct answer -c. placenta previa
5. All of the following are associated with a thick placenta except:
a. fetal infections
b. RH isoimmunization
c. placental insufficiency
d. multiple gestations - correct answer -c. placental
insufficiency
6. Placenta accrete denotes:
a. the abnormal attachment of the placenta to the
myometrium
b. the premature separation of the placenta from the
uterine wall
c. the invasion of the placenta into the myometrium
d. the condition of having the fetal vessels rest over the
internal os - correct answer -a. the abnormal
attachment of the placenta to the myometrium
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7. Doppler sonography reveals vascular structures coursing over
the internal os of the cervix. This finding is indicative of:
a. vasa previa
b. placenta previa
c. placenta increta
d. abruptio placentae - correct answer -a. vasa previa
8. All of the following are clinical features of placental abruption
except:
a. vaginal bleeding
b. uterine tenderness
c. abdominal pain
d. funneling of the cervix - correct answer -d. funneling of
the cervix
9. Penetration of the placenta beyond the uterine wall would be
referred to as:
a. placenta accrete
b. placenta increta
c. placenta previa
d. placenta percreta - correct answer -d. placenta percreta
10. All of the following are associated with oligohydramnios
except:
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a. bilateral renal agenesis
b. infantile polycystic kidney disease
c. premature rupture of membranes
d. duodenal atresia - correct answer -d. duodenal atresia
11. The most common placental tumor is the:
a. choriocarcinoma
b. maternal lake
c. chorioangioma
d. allantoic cyst - correct answer -c. chorioangioma
12. The normal umbilical cord has:
a. 1 vein, 1 artery
b. 2 veins, 2 arteries
c. 2 veins, 1 artery
d. 2 arteries, 1 vein - correct answer -d. 2 arteries, 1 vein
13. Insertion of the umbilical cord at the edge of the placenta is
referred to as:
a. velamentous cord insertion
b. partial cord insertion
c. marginal cord insertion
d. nuchal cord insertion - correct answer -c. marginal cord
insertion