1|Page
OBGYN ACOG 1 Questions With Complete
Solutions
Anatomy scan gestational age - ....ANSWER ....✔✔
18-22 weeks.
Recommended weight gain for normal BMI in pregnancy
- ....ANSWER ....✔✔ 25-35 pounds.
Supplement that reduces neural tube defects -
....ANSWER ....✔✔ Folic acid (0.4-0.8 mg daily).
Group B Strep screening timing - ....ANSWER ....✔✔
36 0/7 - 37 6/7 weeks.
First-line medication for gestational diabetes -
....ANSWER ....✔✔ Insulin.
Vaccines contraindicated in pregnancy - ....ANSWER
....✔✔ MMR, varicella, and live influenza.
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Recommended daily iron intake during pregnancy -
....ANSWER ....✔✔ 27 mg/day.
Timing for gestational diabetes screening - ....ANSWER
....✔✔ 24-28 weeks with 1-hour GCT.
Definition of fetal viability - ....ANSWER ....✔✔
Generally ≥24 weeks gestation with appropriate weight
and lung maturity.
Term for delivery between 37 0/7 and 41 6/7 weeks -
....ANSWER ....✔✔ Term delivery.
Definition of preterm labor - ....ANSWER ....✔✔
Regular contractions with cervical change <37 weeks.
Medication for fetal lung maturity before 34 weeks -
....ANSWER ....✔✔ Betamethasone.
Role of progesterone in preterm birth prevention -
OBGYN ACOG 1 Questions With
Complete Solutions
,3|Page
Most common cause of 1st-trimester pregnancy loss -
....ANSWER ....✔✔ Chromosomal abnormalities.
Timing for Rho(D) immune globulin administration -
....ANSWER ....✔✔ 28 weeks and within 72 hours
postpartum if baby is Rh-positive.
Timing for cell-free fetal DNA testing - ....ANSWER
....✔✔ As early as 10 weeks, especially in high-risk
pregnancies.
Signs of fetal distress on FHR - ....ANSWER ....✔✔
Late decelerations, minimal variability, bradycardia.
First step in evaluating decreased fetal movement -
....ANSWER ....✔✔ Non-stress test (NST).
Normal reactive NST criteria - ....ANSWER ....✔✔ ≥2
accelerations in 20 minutes, lasting ≥15 sec and rising
≥15 bpm.
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Definition of intrauterine growth restriction (IUGR) -
....ANSWER ....✔✔ Fetal weight <10th percentile for
gestational age.
First-line imaging for pelvic pain or abnormal uterine
bleeding - ....ANSWER ....✔✔ Transvaginal
ultrasound.
ACOG recommendation for cervical cancer screening
initiation - ....ANSWER ....✔✔ Age 21, regardless of
sexual activity.
Management for asymptomatic adnexal mass in
premenopausal woman <10 cm - ....ANSWER ....✔✔
Observation with repeat imaging in 6-12 weeks.
First-line treatment for primary dysmenorrhea -
....ANSWER ....✔✔ NSAIDs and hormonal
contraceptives.
Recommended first-line antibiotic regimen for pelvic
inflammatory disease (PID) - ....ANSWER ....✔✔
Ceftriaxone IM + doxycycline ± metronidazole.
OBGYN ACOG 1 Questions With Complete
Solutions
Anatomy scan gestational age - ....ANSWER ....✔✔
18-22 weeks.
Recommended weight gain for normal BMI in pregnancy
- ....ANSWER ....✔✔ 25-35 pounds.
Supplement that reduces neural tube defects -
....ANSWER ....✔✔ Folic acid (0.4-0.8 mg daily).
Group B Strep screening timing - ....ANSWER ....✔✔
36 0/7 - 37 6/7 weeks.
First-line medication for gestational diabetes -
....ANSWER ....✔✔ Insulin.
Vaccines contraindicated in pregnancy - ....ANSWER
....✔✔ MMR, varicella, and live influenza.
,2|Page
Recommended daily iron intake during pregnancy -
....ANSWER ....✔✔ 27 mg/day.
Timing for gestational diabetes screening - ....ANSWER
....✔✔ 24-28 weeks with 1-hour GCT.
Definition of fetal viability - ....ANSWER ....✔✔
Generally ≥24 weeks gestation with appropriate weight
and lung maturity.
Term for delivery between 37 0/7 and 41 6/7 weeks -
....ANSWER ....✔✔ Term delivery.
Definition of preterm labor - ....ANSWER ....✔✔
Regular contractions with cervical change <37 weeks.
Medication for fetal lung maturity before 34 weeks -
....ANSWER ....✔✔ Betamethasone.
Role of progesterone in preterm birth prevention -
OBGYN ACOG 1 Questions With
Complete Solutions
,3|Page
Most common cause of 1st-trimester pregnancy loss -
....ANSWER ....✔✔ Chromosomal abnormalities.
Timing for Rho(D) immune globulin administration -
....ANSWER ....✔✔ 28 weeks and within 72 hours
postpartum if baby is Rh-positive.
Timing for cell-free fetal DNA testing - ....ANSWER
....✔✔ As early as 10 weeks, especially in high-risk
pregnancies.
Signs of fetal distress on FHR - ....ANSWER ....✔✔
Late decelerations, minimal variability, bradycardia.
First step in evaluating decreased fetal movement -
....ANSWER ....✔✔ Non-stress test (NST).
Normal reactive NST criteria - ....ANSWER ....✔✔ ≥2
accelerations in 20 minutes, lasting ≥15 sec and rising
≥15 bpm.
, 4|Page
Definition of intrauterine growth restriction (IUGR) -
....ANSWER ....✔✔ Fetal weight <10th percentile for
gestational age.
First-line imaging for pelvic pain or abnormal uterine
bleeding - ....ANSWER ....✔✔ Transvaginal
ultrasound.
ACOG recommendation for cervical cancer screening
initiation - ....ANSWER ....✔✔ Age 21, regardless of
sexual activity.
Management for asymptomatic adnexal mass in
premenopausal woman <10 cm - ....ANSWER ....✔✔
Observation with repeat imaging in 6-12 weeks.
First-line treatment for primary dysmenorrhea -
....ANSWER ....✔✔ NSAIDs and hormonal
contraceptives.
Recommended first-line antibiotic regimen for pelvic
inflammatory disease (PID) - ....ANSWER ....✔✔
Ceftriaxone IM + doxycycline ± metronidazole.
