LATEST OB/GYN – COMPLEX FAMILY
PLANNING CERTIFICATION EXAM OFFERED BY
AMERICAN BOARD OF OBSTETRICS &
GYNECOLOGY (ABOG) | COMPLETE EXAM Q&A
WITH RATIONALES
1. A 28-year-old G2P1 at 10 weeks gestation requests
a medication abortion. She has a history of asthma
controlled with albuterol. What is the most
appropriate regimen?
A) Mifepristone 200 mg orally followed by misoprostol
800 mcg buccally 24-48 hours later
B) Methotrexate 50 mg/m² IM followed by misoprostol
800 mcg vaginally 5-7 days later
C) Misoprostol 800 mcg alone
D) Mifepristone 600 mg orally followed by misoprostol
400 mcg
Correct answer: A
Rationale: The FDA-approved regimen for medication
abortion up to 70 days is mifepristone 200 mg orally
followed by misoprostol 800 mcg buccally (or
vaginally) 24-48 hours later.
,2. A 32-year-old G3P2 at 8 weeks gestation requests
a medication abortion. She has a history of an
intrauterine device (IUD) in place. What is the most
appropriate next step?
A) Remove the IUD before administering mifepristone
B) Administer mifepristone with IUD in place
C) Perform aspiration abortion (IUD must be
removed)
D) Administer misoprostol alone
Correct answer: A
Rationale: An IUD must be removed before
medication abortion to reduce the risk of infection
and failed abortion.
3. A 25-year-old G1P0 at 6 weeks gestation is
undergoing a medication abortion with mifepristone
and misoprostol. She calls 3 days later reporting
heavy bleeding (soaking 2 pads per hour) and
passing clots. She has no fever or severe pain. What
is the most appropriate next step?
A) Reassure that this is expected and advise
monitoring
B) Send to the emergency department for evaluation
C) Administer a second dose of misoprostol
,D) Perform immediate aspiration
Correct answer: B
Rationale: Heavy bleeding (soaking 2 pads per hour
for 2 hours) requires evaluation to rule out
hemorrhage or incomplete abortion.
4. A 30-year-old G4P3 at 18 weeks gestation requests
a dilation and evacuation (D&E). She has a history of
two prior cesarean deliveries. Which of the following
is the most appropriate cervical preparation?
A) Osmotic dilators (laminaria or Dilapan) 24-48
hours before procedure
B) Misoprostol 400 mcg vaginally 3 hours before
procedure
C) Mifepristone 200 mg 24 hours before procedure
D) No cervical preparation needed
Correct answer: A
Rationale: For D&E at 14-20 weeks, osmotic dilators
(laminaria or Dilapan) placed 24-48 hours before are
standard for cervical preparation, especially with
prior cesarean.
5. A 22-year-old G1P0 at 12 weeks gestation requests
a medication abortion. What is the maximum
, gestational age for medication abortion per FDA
approval?
A) 70 days (10 weeks)
B) 49 days (7 weeks)
C) 63 days (9 weeks)
D) 84 days (12 weeks)
Correct answer: A
Rationale: The FDA-approved regimen for
mifepristone-misoprostol medication abortion is up to
70 days (10 weeks) of gestation.
6. A 35-year-old G4P2 at 9 weeks gestation requests
a medication abortion. She has a history of a bleeding
disorder (von Willebrand disease). What is the most
appropriate next step?
A) Medication abortion is contraindicated; proceed
with aspiration abortion
B) Administer medication abortion with additional
tranexamic acid
C) Administer medication abortion alone
D) Administer desmopressin before medication
abortion
Correct answer: A
PLANNING CERTIFICATION EXAM OFFERED BY
AMERICAN BOARD OF OBSTETRICS &
GYNECOLOGY (ABOG) | COMPLETE EXAM Q&A
WITH RATIONALES
1. A 28-year-old G2P1 at 10 weeks gestation requests
a medication abortion. She has a history of asthma
controlled with albuterol. What is the most
appropriate regimen?
A) Mifepristone 200 mg orally followed by misoprostol
800 mcg buccally 24-48 hours later
B) Methotrexate 50 mg/m² IM followed by misoprostol
800 mcg vaginally 5-7 days later
C) Misoprostol 800 mcg alone
D) Mifepristone 600 mg orally followed by misoprostol
400 mcg
Correct answer: A
Rationale: The FDA-approved regimen for medication
abortion up to 70 days is mifepristone 200 mg orally
followed by misoprostol 800 mcg buccally (or
vaginally) 24-48 hours later.
,2. A 32-year-old G3P2 at 8 weeks gestation requests
a medication abortion. She has a history of an
intrauterine device (IUD) in place. What is the most
appropriate next step?
A) Remove the IUD before administering mifepristone
B) Administer mifepristone with IUD in place
C) Perform aspiration abortion (IUD must be
removed)
D) Administer misoprostol alone
Correct answer: A
Rationale: An IUD must be removed before
medication abortion to reduce the risk of infection
and failed abortion.
3. A 25-year-old G1P0 at 6 weeks gestation is
undergoing a medication abortion with mifepristone
and misoprostol. She calls 3 days later reporting
heavy bleeding (soaking 2 pads per hour) and
passing clots. She has no fever or severe pain. What
is the most appropriate next step?
A) Reassure that this is expected and advise
monitoring
B) Send to the emergency department for evaluation
C) Administer a second dose of misoprostol
,D) Perform immediate aspiration
Correct answer: B
Rationale: Heavy bleeding (soaking 2 pads per hour
for 2 hours) requires evaluation to rule out
hemorrhage or incomplete abortion.
4. A 30-year-old G4P3 at 18 weeks gestation requests
a dilation and evacuation (D&E). She has a history of
two prior cesarean deliveries. Which of the following
is the most appropriate cervical preparation?
A) Osmotic dilators (laminaria or Dilapan) 24-48
hours before procedure
B) Misoprostol 400 mcg vaginally 3 hours before
procedure
C) Mifepristone 200 mg 24 hours before procedure
D) No cervical preparation needed
Correct answer: A
Rationale: For D&E at 14-20 weeks, osmotic dilators
(laminaria or Dilapan) placed 24-48 hours before are
standard for cervical preparation, especially with
prior cesarean.
5. A 22-year-old G1P0 at 12 weeks gestation requests
a medication abortion. What is the maximum
, gestational age for medication abortion per FDA
approval?
A) 70 days (10 weeks)
B) 49 days (7 weeks)
C) 63 days (9 weeks)
D) 84 days (12 weeks)
Correct answer: A
Rationale: The FDA-approved regimen for
mifepristone-misoprostol medication abortion is up to
70 days (10 weeks) of gestation.
6. A 35-year-old G4P2 at 9 weeks gestation requests
a medication abortion. She has a history of a bleeding
disorder (von Willebrand disease). What is the most
appropriate next step?
A) Medication abortion is contraindicated; proceed
with aspiration abortion
B) Administer medication abortion with additional
tranexamic acid
C) Administer medication abortion alone
D) Administer desmopressin before medication
abortion
Correct answer: A
