COMPLETE REAL EXAM QUESTIONS WITH DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+ /2025 BRAND NEW EXAM!!
An 18 year-old female presents with 2-day duration of
dysuria, vulvovaginal pruritis, and a frothy clear to white
discharge. Which of the following results would be
expected?
A. clue cells on normal saline preparation
B. hyphae and budding yeast on a KOH preparation
C. intracellular gram negative diplococci on Gram stain
D. mobile flagellated protozoa on a normal saline preparation -
ANSWER-(u) A. Clue cells are seen in Gardnerella vaginalis
infections, but the vaginal discharge is grayish and has an
unpleasant fishy odor.
(u) B. Candida infections are diagnosed by demonstrating
hyphae and budding yeast on KOH and usually present with a
white cottage cheese discharge.
(u) C. Gonorrhea presents with a purulent discharge. Gram
negative diplococci are not diagnostic in females.
(c) D. Trichomonas presents with a frothy discharge, irritative
symptoms of pruritus, dysuria, and frequency, and the
,flagellated protozoa are demonstrated on a saline preparation.
A 23 year-old female is in active labor and has progressed from
3 cm to 6 cm in the last six hours. Fetal monitoring
demonstrates mild repetitive late decelerations. Which of the
following is the most likely cause of this finding?
A. Fetal hypoxia
B. Head compression
C. Cord compression
D. Uteroplacental insufficiency - ANSWER-(u) A. Fetal hypoxia
would be a concern if deep late FHR decelerations were
present with absent beat-to-beat variability.
(u) B. Early decelerations are due to head compression of the
fetus. Pressure on the fetal head causes an alteration
in cerebral blood flow causing a central vagal stimulation and
subsequent FHR deceleration. The deceleration is a mirror
image of the contraction.
(u) C. Variable decelerations are from cord compression.
The decelerations have a sharp, angular, decline in FHR
with duration less than 2 minutes.
(c) D. Late decelerations are from uteroplacental insufficiency.
The decelerations
,A 16 year-old G0P0 patient presents complaining of lower
pelvic pain that
alternates from right to left
side of her
pelvis. She states that it is related to her cycle and occurs most
commonly midcycle. She denies sexual activity. She
reports that she has taken ibuprofen at the time of the
discomfort with some relief. Her pelvic examination is
unremarkable. Which of the following is the most likely
diagnosis?
A. Endometriosis
B. Mittelschmerz
C. Functional ovarian cyst
D. Pelvic inflammatory disease - ANSWER-Explanations
(u) A. With endometriosis, the uterus is often fixed and
retroflexed in the pelvis.
The palpable mass is an
endometrioma or "chocolate cyst". The patient with
endometriosis also often has dysmenorrhea, dyspareunia,
and dyschezia.
(c) B. Women may experience pain at the time of ovulation, may
alternate side to side.
(u) C. Functional ovarian cysts occur from ovulation and are
not usually symptomatic.
, (u) D. Patients with pelvic inflammatory disease often present
with fever, pain, and more acute symptoms.
A patient with preterm labor may be given
corticosteroids to A. decrease uterine activity.
B. prevent chorioamnionitis.
C. enhance fetal lung maturity.
D. prevent the development of gestational diabetes. - ANSWER-
(u) A. Tocolytics are given to decrease uterine activity with
preterm labor.
(u) B. IV antibiotics are given to patients with chorioamnionitis.
(c) C. Corticosteroids may be given from 24-34 weeks in
patients with preterm labor or who have pregnancy
complications which may cause premature birth. The
corticosteroids enhance pulmonary maturity.
(u) D. There are no medications to prevent the development of
gestational diabetes, however, patients who have
gestational diabetes may be treated with a diabetic diet
and/or insulin to manage the condition and decrease
complications.
An 18 year-old female comes to the clinic with the complaint of
increased vaginal discharge and vaginal odor. She
also complains of urinary frequency. On physical examination
there is evidence of thin, gray, frothy discharge in the vagina.