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OB/GYN APGO Exam Questions and Detailed Answers | Actual Exam | Already Verified Answers

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2/17/25, 2:08 PM OB/GYN APGO Exam Questions and Detailed Answers | Actual Exam | Already Verified Answers Flashcards | Quizlet




OB/GYN APGO Exam Questions and Detailed
Answers | Actual Exam | Already Verified Answers

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,2/17/25, 2:08 PM OB/GYN APGO Exam Questions and Detailed Answers | Actual Exam | Already Verified Answers Flashcards | Quizlet



An 18-year-old G1P0 B. There is normally a 36% increase in maternal blood
woman is seen in the clinic volume; the maximum is reached around 34 weeks.
for a routine prenatal visit The plasma volume increases 47% and the RBC mass
at 28 weeks gestation. Her increases only 17%. This relative dilutional effect
prenatal course has been lowers the hemoglobin, but causes no change in the
unremarkable. She has not MCV. Folate deficiency results in a macrocytic anemia.
been taking prenatal Iron deficiency and thalassemias are associated with
vitamins. Her pre- microcytic anemia.
pregnancy weight was 120
pounds. Initial hemoglobin
at the first visit at eight
weeks gestation was 12.3
g/dL. Current weight is 138
pounds. After performing
a screening complete
blood count (CBC), the
results are notable for a
white blood count
9,700/mL, hemoglobin 10.6
g/dL, mean corpuscular
volume 88.2 fL (80.8 -
96.4) and platelets
215,000/mcL. The patient
denies vaginal or rectal
bleeding. Which of the
following is the best
explanation for this
patient's anemia?
A. Folate deficiency
B. Relative hemodilution of
pregnancy
C. Iron deficiency
D. Beta thalassemia trait
E. Alpha thalassemia trait




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,2/17/25, 2:08 PM OB/GYN APGO Exam Questions and Detailed Answers | Actual Exam | Already Verified Answers Flashcards | Quizlet


A 34-year-old G3P1 Correct answer is C. Physical examination findings are
woman at 26 weeks not consistent with pulmonary embolus (e.g
gestation reports tachycardia, tachypnea, hypoxia, chest pain, signs of a
"difficulty catching her DVT) or mitral stenosis (diastolic murmur, signs of
breath," especially after heart failure). Physiologic dyspnea of pregnancy is
exertion for the last two present in up to 75% of women by the third trimester.
months. She is a non- Peripartum cardiomyopathy is an idiopathic
smoker. She does not have cardiomyopathy that presents with heart failure
any history of pulmonary secondary to left ventricular systolic function towards
or cardiac disease. She the end of pregnancy or in the several months
denies fever, sputum, following delivery. Symptoms include fatigue,
cough or any recent shortness of breath, palpitations, and edema. The
illnesses. On physical history and physical do not suggest a pathologic
examination, her vital signs process, nor does her hemoglobin level.
are: blood pressure
108/64, pulse 88,
respiratory rate 15, and she
is afebrile. Pulse oximeter
is 98% on room air. Lungs
are clear to auscultation.
Heart is regular rate and
rhythm with II/VI systolic
murmur heard at the
upper left sternal border.
She has no lower
extremity edema. A
complete blood count
reveals a hemoglobin of
10.0 g/dL. What is the most
likely explanation for this
woman's symptoms?
A. Pulmonary embolism
B. Mitral valve stenosis
C. Physiologic dyspnea of
pregnancy
D. Peripartum


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, 2/17/25, 2:08 PM OB/GYN APGO Exam Questions and Detailed Answers | Actual Exam | Already Verified Answers Flashcards | Quizlet


cardiomyopathy
E. Anemia




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