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ACOG Practice Bulletins Questions With
Complete Solutions 2025
Anemia Criteria per Trimester - ....ANSWER ....✔✔
First and third trimester: <11/33%; Second trimester
<10.5/32%
iron deficiency anemia labs - ....ANSWER ....✔✔
what does ACOG advise for iron def anemia screening?
- ....ANSWER ....✔✔ screen ALL pregnant patients
and supplement all patients on PO Iron
Iron Def Anemia has been associated with.. -
....ANSWER ....✔✔ increased risk of low birth rate,
preterm delivery and perinatal mortality
Iron requirements in pregnancy - ....ANSWER ....✔✔
27 mg/day
Iron requirements in breast feeding - ....ANSWER
....✔✔ 9 mg/dL
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Folic acid requirements during pregnancy - ....ANSWER
....✔✔ 400 MICROg/day (up to 4 mg/day)
Folic acid requirements during pregnancy with total
gastrectomy - ....ANSWER ....✔✔ 1,000
micrograms/day
Severe maternal anemia has been associated with... -
....ANSWER ....✔✔ abnormal fetal oxygenation,
reduced AFI, fetal cerebral vasodilation, fetal death
Transfuse if <6
Factors that increase risk for fibroids - ....ANSWER
....✔✔ ○ Premenopausal status
○ Family hx
○ Increasing interval since last birth
○ Hypertension
○ Obesity
Factors that decrease risk of fibroids - ....ANSWER
....✔✔ increased parity, use of OCP or Depo
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FIGO grading - ....ANSWER ....✔✔
Rx that reduces AUB-L but NOT uterine size -
....ANSWER ....✔✔ GnRH Antagonist
LNG IUD
TXA
OCP/Progestin
GnRH antagonists can be used for how long -
....ANSWER ....✔✔ 2 years with add back therapy
Rx that reduces AUB-L AND uterine size - ....ANSWER
....✔✔ GnRH Agonist
selective progesterone receptor modulators (Ulipristal,
Mifepristone)** not approved in US
Recommended for short term therapy for to bridge until
surgery for fibroids - ....ANSWER ....✔✔ gnRH
agonists (Lupron = Leuprolide)
Lupron - ....ANSWER ....✔✔ Leuprolide (GnRH
agonist) that can use used for up to 3 months for AUB-L
and to reduce fibroid size
, 4|Page
uterine artery embolization - ....ANSWER ....✔✔
placement of small gelatin beads into both uterine
arteries to stop blood flow supplying uterine fibroids
Can control symptoms for up to 5 years
○Limited data on fertility: possible increase in ovarian
failure, higher risk of pregnancy loss, CSN, PPH
Higher risk of reintervention compared to myomectomy
or hyst
radiofrequency ablation - ....ANSWER ....✔✔ ○
Laparoscopic, transvaginal or transcervical approach
using ultrasound to target fibroids for coagulative
necrosis
○ Laparoscopic most studied w/ FDA approved device
(Acessa)
○ Studies ongoing, inconsistent minor complications and
still limited data on reproductive effects
T or F: Recurrence rates are similar for hysteroscopic
myomectomy and open myomectomy - ....ANSWER
....✔✔ T
ACOG Practice Bulletins Questions With
Complete Solutions 2025
Anemia Criteria per Trimester - ....ANSWER ....✔✔
First and third trimester: <11/33%; Second trimester
<10.5/32%
iron deficiency anemia labs - ....ANSWER ....✔✔
what does ACOG advise for iron def anemia screening?
- ....ANSWER ....✔✔ screen ALL pregnant patients
and supplement all patients on PO Iron
Iron Def Anemia has been associated with.. -
....ANSWER ....✔✔ increased risk of low birth rate,
preterm delivery and perinatal mortality
Iron requirements in pregnancy - ....ANSWER ....✔✔
27 mg/day
Iron requirements in breast feeding - ....ANSWER
....✔✔ 9 mg/dL
,2|Page
Folic acid requirements during pregnancy - ....ANSWER
....✔✔ 400 MICROg/day (up to 4 mg/day)
Folic acid requirements during pregnancy with total
gastrectomy - ....ANSWER ....✔✔ 1,000
micrograms/day
Severe maternal anemia has been associated with... -
....ANSWER ....✔✔ abnormal fetal oxygenation,
reduced AFI, fetal cerebral vasodilation, fetal death
Transfuse if <6
Factors that increase risk for fibroids - ....ANSWER
....✔✔ ○ Premenopausal status
○ Family hx
○ Increasing interval since last birth
○ Hypertension
○ Obesity
Factors that decrease risk of fibroids - ....ANSWER
....✔✔ increased parity, use of OCP or Depo
,3|Page
FIGO grading - ....ANSWER ....✔✔
Rx that reduces AUB-L but NOT uterine size -
....ANSWER ....✔✔ GnRH Antagonist
LNG IUD
TXA
OCP/Progestin
GnRH antagonists can be used for how long -
....ANSWER ....✔✔ 2 years with add back therapy
Rx that reduces AUB-L AND uterine size - ....ANSWER
....✔✔ GnRH Agonist
selective progesterone receptor modulators (Ulipristal,
Mifepristone)** not approved in US
Recommended for short term therapy for to bridge until
surgery for fibroids - ....ANSWER ....✔✔ gnRH
agonists (Lupron = Leuprolide)
Lupron - ....ANSWER ....✔✔ Leuprolide (GnRH
agonist) that can use used for up to 3 months for AUB-L
and to reduce fibroid size
, 4|Page
uterine artery embolization - ....ANSWER ....✔✔
placement of small gelatin beads into both uterine
arteries to stop blood flow supplying uterine fibroids
Can control symptoms for up to 5 years
○Limited data on fertility: possible increase in ovarian
failure, higher risk of pregnancy loss, CSN, PPH
Higher risk of reintervention compared to myomectomy
or hyst
radiofrequency ablation - ....ANSWER ....✔✔ ○
Laparoscopic, transvaginal or transcervical approach
using ultrasound to target fibroids for coagulative
necrosis
○ Laparoscopic most studied w/ FDA approved device
(Acessa)
○ Studies ongoing, inconsistent minor complications and
still limited data on reproductive effects
T or F: Recurrence rates are similar for hysteroscopic
myomectomy and open myomectomy - ....ANSWER
....✔✔ T
