ALSO PRE test 2024/2025 with 100% correct
answers
AH26Hyear-
oldHgravidaH2HparaH1HfemaleHatH9Hweeks'HestimatedHgestationalHageH(byHlastHnormalHmenstrualHperiod)Hpr
esentsHtoHtheHEmergencyHDepartmentHcomplainingHofHheavyHvaginalHbleedingHwhichHbeganHtwoHhoursHea
rlier.HSheHdeniesHhavingHanyHsexualHintercourseHinHtheHpastHsevenHdays.HHerHvitalHsignsHareHstable.HAHquan
titativeHserumHhCGHreturnsHatHaHvalueHofH3200HmIU/mLHandHaHtransvaginalHultrasoundHrevealsHaHmeanHge
stationalHsacHdiameterHofH30mmHandHnoHembryo.HSheHreportsHpassingHnoHtissueHandHaHspeculumHexamin
ationHrevealsHtheHcervixHisHvisuallyHclosed.HInHcounselingHtheHpatientHaboutHherHoptions,HwhichHofHtheHfoll
owingHstatementsHisHtrue?H-
HcorrectHanswer-MedicalHmanagementHwithHmisoprostolHisHmoreHeffectiveHthanHexpectantHmanagementH
Correct
WhichHofHtheHfollowingHisHaHcontraindicationHforHmedicalHmanagementHofHanHectopicHpregnancyHwithHme
thotrexate?H-HcorrectHanswer-PresenceHofHembryonicHcardiacHactivityHCorrect
AH19-
yoHprimigravidaHatHapproximatelyH40Hweeks'HestimatedHgestationalHageHcomesHtoHtheHhospitalHwithHpainf
ulHcontractions.HSheHhasHreceivedHnoHprenatalHcare.HExamination:HCervixHisH4HcmHdilatedHandH80%Heffaced
HatHstationH-
1.HBloodHpressureHisH164/111HmmHHg,HandHaHurineHdipstickHshowsH3+Hprotein.HSheHreportsHhavingHhadHse
vereHheadachesHforHthreeHdaysHandHhasHnoticedHswellingHinHherHhandsHandHfeet.HMomentsHafterHherHbloo
dHisHdrawnHandHIVHaccessHisHobtained,HsheHhasHaHgeneralizedHtonic-
clonicHseizure.HWhichHofHtheHfollowingHisHtheHmostHappropriateHimmediateHcourseHofHaction?H-
HcorrectHanswer-AdministerHmagnesiumHsulfateHsixHgramsHIVHoverH15-20HminutesHCorrect
AH29Hyear-
oldHgravidaH3HparaH2HfemaleHatH28Hweeks'HestimatedHgestationalHageHisHfoundHtoHhaveHaHpulmonaryHembo
lus.HSheHisHhemodynamicallyHstableHandHyouHareHdiscussingHtherapeuticHanticoagulationHwithHher.HAccord
ingHtoHtheH2012HAmericanHCollegeHofHChestHPhysiciansHGuidelines,HtheHtreatmentHofHchoiceHforHvenousHth
romboembolismHinHpregnancyHisHwhichHoneHofHtheHfollowing?H-HcorrectHanswer-Low-
molecularHweightHheparinHCorrect
AccordingHtoHtheHNICHDHFetalHHeartHRateHClassificationHSystem,HwhichHcategoryHtracingHrequiresHpromptH
evaluationHandHexpedientHinterventionsHtoHaddressHtheHpatternH(asHtheHtracingHinHthisHcategoryHisHconsid
, eredHabnormalHandHpredictiveHofHabnormalHfetalHacid-baseHstatusHatHtheHtimeHofHobservation)?H-
HcorrectHanswer-CategoryHIIIHelectronicHfetalHmonitoringHtracingHCorrect
AHcesareanHdeliveryHmayHbeHconsideredHdueHtoHfailedHinductionHafterHarrestHofHlaborHinHwhichHofHtheHfoll
owingHprimiparousHlaborHscenarios?H-HcorrectHanswer-
AfterHmaximumHoxytocinHdosingHforHsixHhoursHwithHrupturedHmembranes,HthereHisHfailureHtoHgenerateHad
equateHcontractionsHorHprogressHatH7HcmHCorrect
WhichHofHtheHfollowingHdefinesHanHocciputHposteriorHposition?H-HcorrectHanswer-
FetalHocciputHtowardHtheHmaternalHspineHCorrect
AllHofHtheHfollowingHareHtrueHstatementsHregardingHmultipleHgestationHpregnanciesHEXCEPT:H-
HcorrectHanswer-ThereHisHaHdecreasedHincidenceHofHcongenitalHanomaliesHCorrect
AH32-year-
oldHgravidaH2HparaH1HfemaleHatH40H6/7Hweeks'HestimatedHgestationalHageHhasHbeenHfullyHdilatedHforHfourHh
ours,HandHhasHnowHbeenHpushingHforHtwoHhours.HSheHisHphysicallyHandHemotionallyHexhausted,HsoHyouHha
veHaHdiscussionHwithHherHregardingHassistedHvaginalHdelivery.HWhichHofHtheHfollowingHareHprerequisitesHto
HanHinstrumentedHdelivery?H-HcorrectHanswer-
LackHofHsuspicionHofHsevereHcephalopelvicHdisproportionHCorrect
WhichHofHtheHfollowingHisHanHantenatalHriskHfactorHforHshoulderHdystocia?H-HcorrectHanswer-
MaternalHobesityHCorrect
DocumentationHinHtheHmedicalHrecordHafterHaHdeliveryHwithHaHshoulderHdystociaHisHanHessentialHriskHmana
gementHtool.HWhichHofHtheHfollowingHshouldHbeHdocumentedHinHtheHmedicalHrecordHpertainingHtoHtheHcir
cumstancesHthatHtookHplaceHduringHtheHshoulderHdystocia?H-HcorrectHanswer-
TheHelapsedHamountHofHtimeHfromHdeliveryHofHtheHfetalHheadHuntilHcompleteHdeliveryHofHtheHbabyHCorrec
t
PostpartumHhemorrhageHisHaHcommonHmaternalHmorbidityHinHhighHresourceHcountriesHandHisHonHtheHrise.
HWhichHoneHofHtheHfollowingHisHtheHmostHcommonHcauseHofHpostpartumHhemorrhage?H-HcorrectHanswer-
AtonicHuterusHCorrect
answers
AH26Hyear-
oldHgravidaH2HparaH1HfemaleHatH9Hweeks'HestimatedHgestationalHageH(byHlastHnormalHmenstrualHperiod)Hpr
esentsHtoHtheHEmergencyHDepartmentHcomplainingHofHheavyHvaginalHbleedingHwhichHbeganHtwoHhoursHea
rlier.HSheHdeniesHhavingHanyHsexualHintercourseHinHtheHpastHsevenHdays.HHerHvitalHsignsHareHstable.HAHquan
titativeHserumHhCGHreturnsHatHaHvalueHofH3200HmIU/mLHandHaHtransvaginalHultrasoundHrevealsHaHmeanHge
stationalHsacHdiameterHofH30mmHandHnoHembryo.HSheHreportsHpassingHnoHtissueHandHaHspeculumHexamin
ationHrevealsHtheHcervixHisHvisuallyHclosed.HInHcounselingHtheHpatientHaboutHherHoptions,HwhichHofHtheHfoll
owingHstatementsHisHtrue?H-
HcorrectHanswer-MedicalHmanagementHwithHmisoprostolHisHmoreHeffectiveHthanHexpectantHmanagementH
Correct
WhichHofHtheHfollowingHisHaHcontraindicationHforHmedicalHmanagementHofHanHectopicHpregnancyHwithHme
thotrexate?H-HcorrectHanswer-PresenceHofHembryonicHcardiacHactivityHCorrect
AH19-
yoHprimigravidaHatHapproximatelyH40Hweeks'HestimatedHgestationalHageHcomesHtoHtheHhospitalHwithHpainf
ulHcontractions.HSheHhasHreceivedHnoHprenatalHcare.HExamination:HCervixHisH4HcmHdilatedHandH80%Heffaced
HatHstationH-
1.HBloodHpressureHisH164/111HmmHHg,HandHaHurineHdipstickHshowsH3+Hprotein.HSheHreportsHhavingHhadHse
vereHheadachesHforHthreeHdaysHandHhasHnoticedHswellingHinHherHhandsHandHfeet.HMomentsHafterHherHbloo
dHisHdrawnHandHIVHaccessHisHobtained,HsheHhasHaHgeneralizedHtonic-
clonicHseizure.HWhichHofHtheHfollowingHisHtheHmostHappropriateHimmediateHcourseHofHaction?H-
HcorrectHanswer-AdministerHmagnesiumHsulfateHsixHgramsHIVHoverH15-20HminutesHCorrect
AH29Hyear-
oldHgravidaH3HparaH2HfemaleHatH28Hweeks'HestimatedHgestationalHageHisHfoundHtoHhaveHaHpulmonaryHembo
lus.HSheHisHhemodynamicallyHstableHandHyouHareHdiscussingHtherapeuticHanticoagulationHwithHher.HAccord
ingHtoHtheH2012HAmericanHCollegeHofHChestHPhysiciansHGuidelines,HtheHtreatmentHofHchoiceHforHvenousHth
romboembolismHinHpregnancyHisHwhichHoneHofHtheHfollowing?H-HcorrectHanswer-Low-
molecularHweightHheparinHCorrect
AccordingHtoHtheHNICHDHFetalHHeartHRateHClassificationHSystem,HwhichHcategoryHtracingHrequiresHpromptH
evaluationHandHexpedientHinterventionsHtoHaddressHtheHpatternH(asHtheHtracingHinHthisHcategoryHisHconsid
, eredHabnormalHandHpredictiveHofHabnormalHfetalHacid-baseHstatusHatHtheHtimeHofHobservation)?H-
HcorrectHanswer-CategoryHIIIHelectronicHfetalHmonitoringHtracingHCorrect
AHcesareanHdeliveryHmayHbeHconsideredHdueHtoHfailedHinductionHafterHarrestHofHlaborHinHwhichHofHtheHfoll
owingHprimiparousHlaborHscenarios?H-HcorrectHanswer-
AfterHmaximumHoxytocinHdosingHforHsixHhoursHwithHrupturedHmembranes,HthereHisHfailureHtoHgenerateHad
equateHcontractionsHorHprogressHatH7HcmHCorrect
WhichHofHtheHfollowingHdefinesHanHocciputHposteriorHposition?H-HcorrectHanswer-
FetalHocciputHtowardHtheHmaternalHspineHCorrect
AllHofHtheHfollowingHareHtrueHstatementsHregardingHmultipleHgestationHpregnanciesHEXCEPT:H-
HcorrectHanswer-ThereHisHaHdecreasedHincidenceHofHcongenitalHanomaliesHCorrect
AH32-year-
oldHgravidaH2HparaH1HfemaleHatH40H6/7Hweeks'HestimatedHgestationalHageHhasHbeenHfullyHdilatedHforHfourHh
ours,HandHhasHnowHbeenHpushingHforHtwoHhours.HSheHisHphysicallyHandHemotionallyHexhausted,HsoHyouHha
veHaHdiscussionHwithHherHregardingHassistedHvaginalHdelivery.HWhichHofHtheHfollowingHareHprerequisitesHto
HanHinstrumentedHdelivery?H-HcorrectHanswer-
LackHofHsuspicionHofHsevereHcephalopelvicHdisproportionHCorrect
WhichHofHtheHfollowingHisHanHantenatalHriskHfactorHforHshoulderHdystocia?H-HcorrectHanswer-
MaternalHobesityHCorrect
DocumentationHinHtheHmedicalHrecordHafterHaHdeliveryHwithHaHshoulderHdystociaHisHanHessentialHriskHmana
gementHtool.HWhichHofHtheHfollowingHshouldHbeHdocumentedHinHtheHmedicalHrecordHpertainingHtoHtheHcir
cumstancesHthatHtookHplaceHduringHtheHshoulderHdystocia?H-HcorrectHanswer-
TheHelapsedHamountHofHtimeHfromHdeliveryHofHtheHfetalHheadHuntilHcompleteHdeliveryHofHtheHbabyHCorrec
t
PostpartumHhemorrhageHisHaHcommonHmaternalHmorbidityHinHhighHresourceHcountriesHandHisHonHtheHrise.
HWhichHoneHofHtheHfollowingHisHtheHmostHcommonHcauseHofHpostpartumHhemorrhage?H-HcorrectHanswer-
AtonicHuterusHCorrect