UWISE OBGYN BUNDLED EXAMS
CERTIFICATION EXAM PACKAGE 2026
VERIFIED QUESTIONS AND ANSWERS
⩥ A 24-year-old G1P0 woman at 34 weeks gestation presents to triage
for decreased fetal movement. Her pregnancy has been complicated by
severe acute respiratory syndrome coronavirus 2 diagnosed at 22 weeks
gestation that required prolonged admission to the ICU for hypoxemic
respiratory failure. She does not have contractions or leakage of
amniotic fluid. Vital signs are: temperature 98.6, RR 18, pulse 92, BP
110/65. Fundal height is 30 cm. Cervical examination is 1 cm, 50%
effaced, and 0 station. Ultrasound today is consistent with 31 weeks,
EFW 1800 g, 3rd percentile, and the amniotic fluid index is 1. Fetal
heart rate tracing has absent variability and is non-reassuring. What is
the next best step in management of this patient? Answer: Delivery
⩥ A 24-year-old G1P0 woman presents to labor and delivery with
ruptured membranes at 39 weeks gestation. Upon admission to the
hospital, she underwent routine testing for COVID-19. She is
asymptomatic and her pregnancy has been uncomplicated. Her COVID-
19 test returned as positive. Her care team is notified and appropriate
personal protective equipment (PPE) is gathered. Prior to entering her
room, PPE should be donned in which of the following steps? Answer:
Hand hygiene, isolation gown, N95 face mask, face shield/goggles,
gloves
,⩥ A physician works in a part of the country that is experiencing a surge
in positive COVID-19 patients. The hospital has reported a limited
capacity of gowns in their store of personal protective equipment (PPE).
For which of the following patient care situations should gowns be
prioritized for health care workers? Answer: Assistance with/care during
delivery
⩥ A 34-year-old G3P3 woman delivered a healthy term infant. She is
positive for COVID-19 with mild symptoms and desires rooming in with
her baby. What is the most appropriate recommendation for this patient?
Answer: Rooming-in as usual
⩥ A 24-year-old G1P1 woman delivered a healthy baby. As per protocol,
she was tested for COVID-19 upon admission to the labor and delivery
unit. Her test result was positive for COVID-19. She has no symptoms.
Her plan was to breastfeed, but she is concerned about transmitting the
infection to the infant. What is the most appropriate recommendation for
this patient? Answer: Mother should nurse infant wearing a mask and
only after hand washing
⩥ A 33-year-old G1 woman presents to the Emergency Department with
signs and symptoms of a ruptured ectopic pregnancy. Her last menstrual
period was six weeks ago, and she notes increased abdominal pain. She
has no cough or other respiratory symptoms. Her pulse is 110
beats/minute, blood pressure is 90/60, and temperature is 98.60 F
(370C). Ultrasound confirms a ruptured ectopic pregnancy. COVID-19
swabs are collected in the Emergency Department, but her status is listed
as a PUI (person under investigation). Which of the following is the next
,best step in the timing of her surgery? Answer: Proceed with full special
respiratory precautions
⩥ A 49-year-old G2P2 woman with symptomatic uterine prolapse
presents for a preoperative visit. She is healthy, with mild hypertension
managed with diet and exercise. She is scheduled for a vaginal
hysterectomy in three days. She does not have cough, fever, or other
symptoms. Her pulse is 60 beats/minute, blood pressure is 130/80, and
her temperature is 98.60 F (37oC). As part of her preoperative workup,
she tests positive for COVID-19. Which of the following is the next best
step in the management of this patient? Answer: Delay surgery until
COVID-19 test is negative
⩥ The medical director of the labor floor in a busy urban hospital is
concerned about reports in the community of COVID-19 cases
increasing. The labor and delivery unit is only equipped with two
negative airflow rooms, and the medical director is concerned that too
many new cases of COVID-19 positive women in labor will overwhelm
the capacity of the unit to safely care for them. Which of the following
measures is most likely to reduce the number of COVID-19 positive
pregnant women admitted to the hospital? Answer: Encouraging
pregnant women to get the COVID-19 vaccine
⩥ A hospital administrator is allocating hospital beds needed for surgical
patients after resuming elective operative cases once the number of
COVID-19 infections decreases. The hospital administrator asks the
chief of the gynecology service to put together a task force to determine
the number of patients likely to be on the service and what lengths of
, admission are likely to be. In addition to including gynecological
surgeons and postoperative nurses on the task force, which specialists
are most likely to be needed for their expertise? Answer:
Epidemiologists
⩥ A 22-year-old GO woman presents with multiple vulvar lesions. She
is in a new relationship of 2 months with a male partner and consistently
uses condoms for contraception. On exam there are multiple, flat
verrucous plaques over the labia majora and minora. What is the primary
reason for the development of these external skin lesions? Answer:
Production of viral proteins that stimulate the proliferation of
keratinocytes
⩥ A 20-year-old GOPO woman presents for her first gynecologic
examination. She has recently begun having sexual intercourse with her
boyfriend and they are using condoms for contraception. She has no
gynecologic concerns. She is healthy and takes no medications. What is
the best next step in management for this patient? Answer: Chlamydia
and gonorrhea test
⩥ A 31-year-old G5P5 woman presents for follow up of an abnormal
Pap test she had at her post-partum visit 6 months ago. The Pap test
result was HSIL and HPV 16 positive and her last Pap test a year prior
was LSIL. She has no significant past medical history and had a bilateral
salpingectomy after the birth of her last child. She has 5 children, they
live in a rural area, and they do not own a car. Her husband is a long-
range truck driver away from home for extended time periods. What is
CERTIFICATION EXAM PACKAGE 2026
VERIFIED QUESTIONS AND ANSWERS
⩥ A 24-year-old G1P0 woman at 34 weeks gestation presents to triage
for decreased fetal movement. Her pregnancy has been complicated by
severe acute respiratory syndrome coronavirus 2 diagnosed at 22 weeks
gestation that required prolonged admission to the ICU for hypoxemic
respiratory failure. She does not have contractions or leakage of
amniotic fluid. Vital signs are: temperature 98.6, RR 18, pulse 92, BP
110/65. Fundal height is 30 cm. Cervical examination is 1 cm, 50%
effaced, and 0 station. Ultrasound today is consistent with 31 weeks,
EFW 1800 g, 3rd percentile, and the amniotic fluid index is 1. Fetal
heart rate tracing has absent variability and is non-reassuring. What is
the next best step in management of this patient? Answer: Delivery
⩥ A 24-year-old G1P0 woman presents to labor and delivery with
ruptured membranes at 39 weeks gestation. Upon admission to the
hospital, she underwent routine testing for COVID-19. She is
asymptomatic and her pregnancy has been uncomplicated. Her COVID-
19 test returned as positive. Her care team is notified and appropriate
personal protective equipment (PPE) is gathered. Prior to entering her
room, PPE should be donned in which of the following steps? Answer:
Hand hygiene, isolation gown, N95 face mask, face shield/goggles,
gloves
,⩥ A physician works in a part of the country that is experiencing a surge
in positive COVID-19 patients. The hospital has reported a limited
capacity of gowns in their store of personal protective equipment (PPE).
For which of the following patient care situations should gowns be
prioritized for health care workers? Answer: Assistance with/care during
delivery
⩥ A 34-year-old G3P3 woman delivered a healthy term infant. She is
positive for COVID-19 with mild symptoms and desires rooming in with
her baby. What is the most appropriate recommendation for this patient?
Answer: Rooming-in as usual
⩥ A 24-year-old G1P1 woman delivered a healthy baby. As per protocol,
she was tested for COVID-19 upon admission to the labor and delivery
unit. Her test result was positive for COVID-19. She has no symptoms.
Her plan was to breastfeed, but she is concerned about transmitting the
infection to the infant. What is the most appropriate recommendation for
this patient? Answer: Mother should nurse infant wearing a mask and
only after hand washing
⩥ A 33-year-old G1 woman presents to the Emergency Department with
signs and symptoms of a ruptured ectopic pregnancy. Her last menstrual
period was six weeks ago, and she notes increased abdominal pain. She
has no cough or other respiratory symptoms. Her pulse is 110
beats/minute, blood pressure is 90/60, and temperature is 98.60 F
(370C). Ultrasound confirms a ruptured ectopic pregnancy. COVID-19
swabs are collected in the Emergency Department, but her status is listed
as a PUI (person under investigation). Which of the following is the next
,best step in the timing of her surgery? Answer: Proceed with full special
respiratory precautions
⩥ A 49-year-old G2P2 woman with symptomatic uterine prolapse
presents for a preoperative visit. She is healthy, with mild hypertension
managed with diet and exercise. She is scheduled for a vaginal
hysterectomy in three days. She does not have cough, fever, or other
symptoms. Her pulse is 60 beats/minute, blood pressure is 130/80, and
her temperature is 98.60 F (37oC). As part of her preoperative workup,
she tests positive for COVID-19. Which of the following is the next best
step in the management of this patient? Answer: Delay surgery until
COVID-19 test is negative
⩥ The medical director of the labor floor in a busy urban hospital is
concerned about reports in the community of COVID-19 cases
increasing. The labor and delivery unit is only equipped with two
negative airflow rooms, and the medical director is concerned that too
many new cases of COVID-19 positive women in labor will overwhelm
the capacity of the unit to safely care for them. Which of the following
measures is most likely to reduce the number of COVID-19 positive
pregnant women admitted to the hospital? Answer: Encouraging
pregnant women to get the COVID-19 vaccine
⩥ A hospital administrator is allocating hospital beds needed for surgical
patients after resuming elective operative cases once the number of
COVID-19 infections decreases. The hospital administrator asks the
chief of the gynecology service to put together a task force to determine
the number of patients likely to be on the service and what lengths of
, admission are likely to be. In addition to including gynecological
surgeons and postoperative nurses on the task force, which specialists
are most likely to be needed for their expertise? Answer:
Epidemiologists
⩥ A 22-year-old GO woman presents with multiple vulvar lesions. She
is in a new relationship of 2 months with a male partner and consistently
uses condoms for contraception. On exam there are multiple, flat
verrucous plaques over the labia majora and minora. What is the primary
reason for the development of these external skin lesions? Answer:
Production of viral proteins that stimulate the proliferation of
keratinocytes
⩥ A 20-year-old GOPO woman presents for her first gynecologic
examination. She has recently begun having sexual intercourse with her
boyfriend and they are using condoms for contraception. She has no
gynecologic concerns. She is healthy and takes no medications. What is
the best next step in management for this patient? Answer: Chlamydia
and gonorrhea test
⩥ A 31-year-old G5P5 woman presents for follow up of an abnormal
Pap test she had at her post-partum visit 6 months ago. The Pap test
result was HSIL and HPV 16 positive and her last Pap test a year prior
was LSIL. She has no significant past medical history and had a bilateral
salpingectomy after the birth of her last child. She has 5 children, they
live in a rural area, and they do not own a car. Her husband is a long-
range truck driver away from home for extended time periods. What is
