Obstetrics Clinical Questions &
Answers 100% Correct!!
History & Physical/Obstetrics/Gynecology
On examination of a pregnant patient the physician assistant notes a bluish or purplish discoloration
of the vagina and cervix. This is called
Answers
A. Hegar's sign.
B. McDonald's sign.
C. Cullen's sign
D. Chadwick's sign - ANSWER Explanations
(u) A. Hegar's sign is the softening of the cervix that often occurs with pregnancy.
(u) B. McDonald's sign is when the uterus becomes flexible at the uterocervical junction at 7-8
weeks.
(u) C. Cullen's sign is a purplish discoloration periumbilical and noted in pancreatitis.
(c) D. Chadwick's sign is a bluish or purplish discoloration of the vagina and cervix.
History & Physical/Obstetrics/Gynecology
On examination of a pregnant patient the physician assistant notes the fundal height is at the level of
the umbilicus. This corresponds to what gestational age?
Answers
A. 16 weeks
B. 20 weeks
C. 24 weeks
D. 28 weeks - ANSWER Explanations
(u) A. See B for explanation.
(c) B. At 20-22 weeks the fundal height is typically at the level of the umbilicus.
(u) C. See B for explanation.
(u) D. See B for explanation.
Diagnosis/Obstetrics/Gynecology
,A 30-week pregnant patient presents with sudden onset of profuse, painless vaginal bleeding. Which
of the following is the most likely diagnosis?
Answers
A. Abruptio placentae
B. Uterine rupture
C. Placenta previa
D. Disseminated intravascular coagulation - ANSWER Explanations
(u) A. Abruptio placentae presents with abdominal pain and vaginal bleeding.
(u) B. Uterine rupture presents with vaginal bleeding or hematuria with suprapubic pain and
tenderness.
(c) C. Placenta previa presents with sudden, painless, profuse bleeding in the third trimester. (u) D.
Disseminated intravascular coagulation presents with systemic signs of bleeding and thrombosis and
typically presents at the time of delivery.
Health Maintenance/Obstetrics/Gynecology
Which of the following prenatal vitamins has been shown to decrease the risk of neural tube
defects?
Answers
A. Riboflavin
B. Niacin
C. Thiamine
D. Folic acid - ANSWER Explanations
(u) A. See D for explanation.
(u) B. See D for explanation.
(u) C. See D for explanation.
(c) D. Folic acid given daily has been shown to effectively reduce the risk of neural tube defects. It
should be started 1-3 months prior to pregnancy.
Diagnostic Studies/Obstetrics/Gynecology
A 25 year-old presents with pelvic pain and uterine bleeding. Her Beta-HCG was 1200 mIU/L six days
ago. Her current Beta-HCG is 1600 mIU/L. What is the next best test in the evaluation of this patient?
Answers
A. Laparoscopy
B. Culdocentesis
, C. Dilation and curettage
D. Transvaginal ultrasound - ANSWER Explanations
(u) A. The use of laparoscopy in the diagnosis of an ectopic pregnancy has decreased, but is still
useful when a definitive diagnosis is difficult.
(u) B. Culdocentesis is used in the diagnosis of intraperitoneal bleeding, which may or may not be
present in an ectopic pregnancy.
(u) C. Dilation and curettage may confirm or exclude intrauterine pregnancy but is not the next best
test in the evaluation of ectopic pregnancy.
(c) D. Transvaginal ultrasound is the best test to separate ectopic from intrauterine pregnancy.
Clinical Therapeutics/Obstetrics/Gynecology
A female patient presents with a vaginal discharge that has a fishy odor. On wet mount examination
of the discharge a few white blood cells and many stippled epithelial cells are noted. Which of the
following is the treatment of choice for this patient?
Answers
A. Nonoxynol-9
B. Ceftriaxone
C. Metronidazole
D. Clotrimazole - ANSWER Explanations
(u) A. Nonoxynol-9 is a spermicidal agent and not used to treat bacterial vaginosis.
(u) B. Ceftriaxone is used in the treatment of Neisseria gonorrhoeae.
(c) C. Metronidazole is the treatment of choice for bacterial vaginosis. Bacterial vaginosis presents
with a vaginal discharge with a fishy odor and clue cells on wet mount exam.
(u) D. Clotrimazole is used in the treatment of candidiasis.
History & Physical/Obstetrics/Gynecology
On examination of a pregnant patient the physician assistant notes a bluish or purplish discoloration
of the vagina and cervix. This is called
A. Hegar's sign.
B. McDonald's sign.
C. Cullen's sign
D. Chadwick's sign - ANSWER Explanations
Answers 100% Correct!!
History & Physical/Obstetrics/Gynecology
On examination of a pregnant patient the physician assistant notes a bluish or purplish discoloration
of the vagina and cervix. This is called
Answers
A. Hegar's sign.
B. McDonald's sign.
C. Cullen's sign
D. Chadwick's sign - ANSWER Explanations
(u) A. Hegar's sign is the softening of the cervix that often occurs with pregnancy.
(u) B. McDonald's sign is when the uterus becomes flexible at the uterocervical junction at 7-8
weeks.
(u) C. Cullen's sign is a purplish discoloration periumbilical and noted in pancreatitis.
(c) D. Chadwick's sign is a bluish or purplish discoloration of the vagina and cervix.
History & Physical/Obstetrics/Gynecology
On examination of a pregnant patient the physician assistant notes the fundal height is at the level of
the umbilicus. This corresponds to what gestational age?
Answers
A. 16 weeks
B. 20 weeks
C. 24 weeks
D. 28 weeks - ANSWER Explanations
(u) A. See B for explanation.
(c) B. At 20-22 weeks the fundal height is typically at the level of the umbilicus.
(u) C. See B for explanation.
(u) D. See B for explanation.
Diagnosis/Obstetrics/Gynecology
,A 30-week pregnant patient presents with sudden onset of profuse, painless vaginal bleeding. Which
of the following is the most likely diagnosis?
Answers
A. Abruptio placentae
B. Uterine rupture
C. Placenta previa
D. Disseminated intravascular coagulation - ANSWER Explanations
(u) A. Abruptio placentae presents with abdominal pain and vaginal bleeding.
(u) B. Uterine rupture presents with vaginal bleeding or hematuria with suprapubic pain and
tenderness.
(c) C. Placenta previa presents with sudden, painless, profuse bleeding in the third trimester. (u) D.
Disseminated intravascular coagulation presents with systemic signs of bleeding and thrombosis and
typically presents at the time of delivery.
Health Maintenance/Obstetrics/Gynecology
Which of the following prenatal vitamins has been shown to decrease the risk of neural tube
defects?
Answers
A. Riboflavin
B. Niacin
C. Thiamine
D. Folic acid - ANSWER Explanations
(u) A. See D for explanation.
(u) B. See D for explanation.
(u) C. See D for explanation.
(c) D. Folic acid given daily has been shown to effectively reduce the risk of neural tube defects. It
should be started 1-3 months prior to pregnancy.
Diagnostic Studies/Obstetrics/Gynecology
A 25 year-old presents with pelvic pain and uterine bleeding. Her Beta-HCG was 1200 mIU/L six days
ago. Her current Beta-HCG is 1600 mIU/L. What is the next best test in the evaluation of this patient?
Answers
A. Laparoscopy
B. Culdocentesis
, C. Dilation and curettage
D. Transvaginal ultrasound - ANSWER Explanations
(u) A. The use of laparoscopy in the diagnosis of an ectopic pregnancy has decreased, but is still
useful when a definitive diagnosis is difficult.
(u) B. Culdocentesis is used in the diagnosis of intraperitoneal bleeding, which may or may not be
present in an ectopic pregnancy.
(u) C. Dilation and curettage may confirm or exclude intrauterine pregnancy but is not the next best
test in the evaluation of ectopic pregnancy.
(c) D. Transvaginal ultrasound is the best test to separate ectopic from intrauterine pregnancy.
Clinical Therapeutics/Obstetrics/Gynecology
A female patient presents with a vaginal discharge that has a fishy odor. On wet mount examination
of the discharge a few white blood cells and many stippled epithelial cells are noted. Which of the
following is the treatment of choice for this patient?
Answers
A. Nonoxynol-9
B. Ceftriaxone
C. Metronidazole
D. Clotrimazole - ANSWER Explanations
(u) A. Nonoxynol-9 is a spermicidal agent and not used to treat bacterial vaginosis.
(u) B. Ceftriaxone is used in the treatment of Neisseria gonorrhoeae.
(c) C. Metronidazole is the treatment of choice for bacterial vaginosis. Bacterial vaginosis presents
with a vaginal discharge with a fishy odor and clue cells on wet mount exam.
(u) D. Clotrimazole is used in the treatment of candidiasis.
History & Physical/Obstetrics/Gynecology
On examination of a pregnant patient the physician assistant notes a bluish or purplish discoloration
of the vagina and cervix. This is called
A. Hegar's sign.
B. McDonald's sign.
C. Cullen's sign
D. Chadwick's sign - ANSWER Explanations
