Ob/gyn ACOG Verified Exam Questions and Answers Latest update
2026/2027
Question:
Brownish rash on palms and soles, elvated olaques eith rolled edges on vulva
Answer:
Syphilis
Question:
Start screening dexa, colonoscopy, mammo
Answer:
Dexa- 65 Colonoscopy- 50 Mammo - 40-55 every year, 55-70 every other year (minimum every other
year 50-74)
Question:
Side effect of mag sulf and nifedipine
Answer:
Plum edema with inc rr and needed O2
Question:
Why do murmurs get louder in prego
Answer:
CO inc by 33% due to inc HR and SV
Question:
Why inc hydronephrosis in prego, which side more common?
Answer:
Compression of the ureter by the uterus and ovarian vein- R side more common bc L has the sigmoid
colon as cushion
Question:
Except molar prego, do what tests?
Answer:
CXR bc lung most common site for mets
,Question:
Appropriate weight gain based on BMI
Answer:
BMI >18: 28-40 18-24 normal: 25-35 35-30 overweight: 15-25 >30: 11-20
Question:
Black couple with no family history was a preconception blood test, what would you get?
Answer:
Hemoglobin electrophoresis and Cbc
Question:
Ashkenazi Jews increase risk of what disease
Answer:
Fanconi Tay- Sachs cystic fibrosis niemann pick
Question:
Valproic acid inc fetal risk of
Answer:
Neural tube defects
Question:
Poorly controlled diabetics right before conception, baby has inc risk of what
Answer:
Neural tube and cardio issues bc affects organogenesis
Question:
CVS gives what info
Answer:
Karotype and mutations like CF
Question:
Highest detection rate for trisomy 21
Answer:
Cell free DNa
, Question:
Fetal loss associated with CVS
Answer:
1%
Question:
Dose of folic acid needed
Answer:
4 mg
Question:
Most common reason for elevated AFP
Answer:
Under estimation of GA
Question:
Prego who needs anticoag, give what?
Answer:
Low molecular weight Heparin, NOT WARFIn
Question:
Women with previous early onset neonatal sepsis due to group b strep, screen?
Answer:
No! Just give antibiotic prophylaxis intrapartum no matter what
Question:
41 wks baby HR 60, fully dilated, +2 station... What to do?
Answer:
Assisted operative vaginal delivery if mom can't push baby out in 2 pushes
Question:
Umbilical cord prolapse with reassuring fetal heart rate and pt fully dilated
Answer:
Evelate fetal head to avoid cord compression do emergent C section
2026/2027
Question:
Brownish rash on palms and soles, elvated olaques eith rolled edges on vulva
Answer:
Syphilis
Question:
Start screening dexa, colonoscopy, mammo
Answer:
Dexa- 65 Colonoscopy- 50 Mammo - 40-55 every year, 55-70 every other year (minimum every other
year 50-74)
Question:
Side effect of mag sulf and nifedipine
Answer:
Plum edema with inc rr and needed O2
Question:
Why do murmurs get louder in prego
Answer:
CO inc by 33% due to inc HR and SV
Question:
Why inc hydronephrosis in prego, which side more common?
Answer:
Compression of the ureter by the uterus and ovarian vein- R side more common bc L has the sigmoid
colon as cushion
Question:
Except molar prego, do what tests?
Answer:
CXR bc lung most common site for mets
,Question:
Appropriate weight gain based on BMI
Answer:
BMI >18: 28-40 18-24 normal: 25-35 35-30 overweight: 15-25 >30: 11-20
Question:
Black couple with no family history was a preconception blood test, what would you get?
Answer:
Hemoglobin electrophoresis and Cbc
Question:
Ashkenazi Jews increase risk of what disease
Answer:
Fanconi Tay- Sachs cystic fibrosis niemann pick
Question:
Valproic acid inc fetal risk of
Answer:
Neural tube defects
Question:
Poorly controlled diabetics right before conception, baby has inc risk of what
Answer:
Neural tube and cardio issues bc affects organogenesis
Question:
CVS gives what info
Answer:
Karotype and mutations like CF
Question:
Highest detection rate for trisomy 21
Answer:
Cell free DNa
, Question:
Fetal loss associated with CVS
Answer:
1%
Question:
Dose of folic acid needed
Answer:
4 mg
Question:
Most common reason for elevated AFP
Answer:
Under estimation of GA
Question:
Prego who needs anticoag, give what?
Answer:
Low molecular weight Heparin, NOT WARFIn
Question:
Women with previous early onset neonatal sepsis due to group b strep, screen?
Answer:
No! Just give antibiotic prophylaxis intrapartum no matter what
Question:
41 wks baby HR 60, fully dilated, +2 station... What to do?
Answer:
Assisted operative vaginal delivery if mom can't push baby out in 2 pushes
Question:
Umbilical cord prolapse with reassuring fetal heart rate and pt fully dilated
Answer:
Evelate fetal head to avoid cord compression do emergent C section
