Reproductive Health
Latest Midterm Exam Review
(With Solutions)
2026
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,1. Case: A 32-year-old woman presents with secondary infertility after
pelvic inflammatory disease.
Question: Which structure is most likely damaged?
- A. Ovaries
- B. Fallopian tubes
- C. Endometrium
- D. Cervix
Answer: B
Rationale: PID often causes tubal scarring, leading to infertility.
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2. Case: A patient with preeclampsia develops seizures.
Question: What is the drug of choice?
- A. Diazepam
- B. Magnesium sulfate
- C. Oxytocin
- D. Hydralazine
Answer: B
Rationale: Magnesium sulfate prevents and treats eclamptic seizures.
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3. Case: A woman with recurrent miscarriages is found to have
antiphospholipid syndrome.
Question: Which therapy improves pregnancy outcomes?
- A. Aspirin and heparin
- B. Progesterone only
- C. Estrogen therapy
- D. Clomiphene citrate
Answer: A
Rationale: Anticoagulation reduces clotting risk and miscarriage.
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4. Case: A patient requests emergency contraception within 72 hours of
unprotected intercourse.
Question: Which option is most effective?
- A. Copper IUD
- B. Levonorgestrel pill
- C. Progesterone injection
- D. Combined oral contraceptives
Answer: A
Rationale: Copper IUD is the most effective emergency contraception.
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5. Case: A pregnant woman at 28 weeks presents with painless vaginal
bleeding.
Question: What is the likely diagnosis?
- A. Placenta previa
- B. Placental abruption
- C. Uterine rupture
- D. Cervical polyp
Answer: A
Rationale: Placenta previa causes painless bleeding in the second/third
trimester.
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6. Case: A newborn has ambiguous genitalia.
Question: Which test is most appropriate initially?
- A. Karyotype analysis
- B. Serum progesterone
- C. Pelvic ultrasound
- D. Amniocentesis
Answer: A
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