PAEA OBGYN EOR Topics EXAM (2025) ACTUAL
EXAM COMPREHENSIVE QUESTIONS AND
VERIFIED ACCURATE SOLUTION (DETAILED &
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1. currently pregnant, 1 term delivery, 1 living child
2. currently pregnant, 1 term delivery, 1 preterm
delivery, 1 abortion/miscarriage, 1 living child (cannot
tell if it is term or preterm child by formula)
3. currently pregnant, twins at term, 1 at preterm, 3
1. G2 P1001 living children
2. G4 P1111
3. G3 P2103 G (# pregnancies)
T (# term deliveries at 37 weeks or more including
stillbirths)
P (# preterm deliveries at 20-37 weeks)
A (abortions <20 weeks including miscarriages)
L (# living children)
a previable fetus is <24 weeks old (varies w/ guidelines)
defined as
blood pressure, blood type & Rh, CBC, UA (glucose &
what are the routine test
protein), random glucose, HBsAg, Hep C, HIV,
during the first prenatal
syphilis, rubella titer, VZV titer, pap, sickle cell & CF
visit?
screening
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,7/28/25, 9:37 PM PAEA OBGYN EOR Topics EXAM (2025) ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ACCURATE SOLUTI…
diagnosis of pregnancy serum B-hCG: 5 days after conception
can be detected by serum urine B-hCG: 14 days after conception
B-hCG at ____ days after
conception and by urine
B-hCG at ____ days after
conception
Naegele's Rule: from 1st day of LMP
how is estimated date of
1. subtract 3 mos, add 7 days, add 1 year
delivery (EDD)
2. add 9 mos & 7 days
determined?
ex: LMP started 8/7/16 = EDD: 5/14/17
1. crown rump length (CRL)
when estimating
2. biparietal diameter
gestational age on US
3. head circumference
what measurements can
4. abdominal circumference
you use?
5. femur length
full physical exam, BP, pelvic exam w/ pap smear
(unless done in last 6 mos), G/C Cx's, bimanual exam
to check size of uterus and help estimate # weeks into
pregnancy, US if unsure of LMP to date # weeks
what physical exam and
labs: CBC (r/o anemia), blood type & Ab screen + Rh
lab tests should be
status, RPR, HBSAg, rubella Ab screen, VZV Ab screen
performed on initial visit
if no h/o chickenpox, UA w/ Cx, blood glucose, HIV,
of a pregnant patient?
sickle cell/CF screen, PPD in high risk pts, screening
for aneuploidy offered (inc or dec free B-hCG, PAPP-
A low w/ down syndrome, inc nuchal translucency
@10-13 weeks US)
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, 7/28/25, 9:37 PM PAEA OBGYN EOR Topics EXAM (2025) ACTUAL EXAM COMPREHENSIVE QUESTIONS AND VERIFIED ACCURATE SOLUTI…
ALL offered around 10-13 weeks
1. free B-hCG (high or low can be indicative of
abnormalities)
2. PAPP-A (usually low w/ DS)
3. nuchal translucency (inc thickness on US)
what are the screening
4. if any above + can be offered chorionic villus
tests for aneuploidy
sampling (or if they have any RF for aneuploidy such
(including down
as advanced maternal age/AMA, previous child w/
syndrome)? when are they
chromosomal abnmlity, abnml US, prior pregnancy
performed?
losses) but inc r/o spontaneous abortion w/
procedure
*amniocentesis offered around 15-18 weeks w/ same
indications as CVS (both can diagnose chromosomal
abnormalities and have risk of spontaneous abortion)
the uterus softening at 6 Ladin's sign
weeks is what sign?
Hegar's sign
the uterine isthmus
softening after 6-8 weeks
gestation is what sign?
bluish coloration of the Chadwick's sign
cervix & vulva around 8-12
weeks is what sign?
a palpable lateral bulge or Piskacek's sign
softening of the uterine
cornus (where uterus
meets fallopian tubes) at
7-8 weeks gestation is
what sign?
cervical softening of the Goodell's sign
cervix and vulva around 8-
12 wks
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