OB-GYN NBME Comprehensive
Questions (Frequently Tested) with
Verified Answers Graded A+
-we don't know which aspect the problem is with ...passenger, pelvis or power.....she is in stage
1 active phase....and no prolongation or arrest is evident...just do US and wait
-C,d,e not indicated....u don't do x ray...so only option left is b
-The baby is not very big, her cervix is dilated to 6cm which means she is almost in active phase,
you should be able to feel the head. This could be a breech, do an U/S
-Unless you can feel a head on sterile vaginal exam, all patients should be scanned for vertex
positioning before allowing them to continue laboring
Image is the Question - Answer:
Answer to the Previous Question - Answer: -A
-cervical stenosis. secondary dysmenorrhea or amenorrhea after cervical procedures strongly
suggests cervical stenosis has developed
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
-D - cone biopsy (diagnostic excisional procedure)
,-- this pt's entire SCJ cannot be visualized meaning inadequate colposcopy result
-- In such case, diagnostic excisional procedure (LEEP or conization) shud be done
-- Then cotest --> then colposcopy if abn cotest
Xif the question gives pt with adequate colposcopy, you can choose ablation or excision (LEEP,
conization, cryo or laser) and even if so, excisional procedures like LEEP are preferred
Image is the Question - Answer:
Answer to the Previous Question - Answer: -H
-Wt and ht is normal. Amenorrhea is less than 6 mths
-Yes, H confirmed online. In those UWorld questions, the patients were older, previously had
regular menses, and trained a lot (gymnastics champion, collegiate athlete). This girl had
menarche only one year ago, has had irregular cycles since menarche, and does not do
significant exercise. In the first few years after menarche, the hypothalamic-pituitary-ovarian
axis is not well developed, so cycles are irregular, but it's normal development.
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
,-he has moderate lower abdominal pain (still menstruating just blood is blocked so can't flow
out), vaginal canal can't be visualized (hymen is blocking it), and rectal examination shows an
anterior tender, central mass which all indicate imperforate hymen
-AIS (46 X,Y). MRKH syndrome (complete mullerian agenesis, 46 X,X). AIS (testes present,
defective T receptor) and MRKH syndrome both have normal breast development, either
absent/rudimentary uterus and upper vagina. Pubic/axillary hair is absent in AIS, but present in
MRKH syndrome.
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
-Bartholin cysts are painLESS inflammation of the DUCT.
-Bartholin abscesses are painFUL infections of the GLAND.
-Bartholinitis (cellulitis) is a painful complication of Bartholin cysts, and more commonly,
Bartholin abscesses.
-Necrotizing fasciitis is a severe complication of Bartholinitis. (Fournier Gangrene aka Nec
fascitis of the perineum, associated with diabetics)
Image is the Question - Answer:
Answer to the Previous Question - Answer: -B
, -aub workup: 1. rule out pregnancy 2. look for anatomical causes by examination,if u get any do
workup 3. coagulopathy if suspected 4. anovulation which is most common cause of aub,
diagnose it by progesterone challange test by cyclic progesterone
-"For women with AUB-O (Ovulatory Dysfunction), estrogen-progestin contraceptives, oral
progestin therapy, or the LNg52/5 are first-line treatment options, as these approaches reduce
bleeding and decrease the risk of endometrial hyperplasia or cancer"
Image is the Question - Answer:
Answer to the Previous Question - Answer: -K
-Parvovirus B19 causing hydrops
-she is primigravid, plus she works in a preschool--> increase likelihood of obtaining infection
from kids--> hinting parvovirus B19 causing the fetal hydrops.
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
-Even though meth seems to increase HTN more than cocaine in pregnancy, cocaine still proves
to carry a higher risk of abruptio. The risk of cocaine abuse and abruptio is up around 20% and
meth the risk goes down to 10%. A little paradoxical but it seems that all of the Q banks want us
to differentiate smoking vs. cocaine rather than meth vs. cocaine. Had a Q on this, so hope it
helps!
Image is the Question - Answer:
Questions (Frequently Tested) with
Verified Answers Graded A+
-we don't know which aspect the problem is with ...passenger, pelvis or power.....she is in stage
1 active phase....and no prolongation or arrest is evident...just do US and wait
-C,d,e not indicated....u don't do x ray...so only option left is b
-The baby is not very big, her cervix is dilated to 6cm which means she is almost in active phase,
you should be able to feel the head. This could be a breech, do an U/S
-Unless you can feel a head on sterile vaginal exam, all patients should be scanned for vertex
positioning before allowing them to continue laboring
Image is the Question - Answer:
Answer to the Previous Question - Answer: -A
-cervical stenosis. secondary dysmenorrhea or amenorrhea after cervical procedures strongly
suggests cervical stenosis has developed
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
-D - cone biopsy (diagnostic excisional procedure)
,-- this pt's entire SCJ cannot be visualized meaning inadequate colposcopy result
-- In such case, diagnostic excisional procedure (LEEP or conization) shud be done
-- Then cotest --> then colposcopy if abn cotest
Xif the question gives pt with adequate colposcopy, you can choose ablation or excision (LEEP,
conization, cryo or laser) and even if so, excisional procedures like LEEP are preferred
Image is the Question - Answer:
Answer to the Previous Question - Answer: -H
-Wt and ht is normal. Amenorrhea is less than 6 mths
-Yes, H confirmed online. In those UWorld questions, the patients were older, previously had
regular menses, and trained a lot (gymnastics champion, collegiate athlete). This girl had
menarche only one year ago, has had irregular cycles since menarche, and does not do
significant exercise. In the first few years after menarche, the hypothalamic-pituitary-ovarian
axis is not well developed, so cycles are irregular, but it's normal development.
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
,-he has moderate lower abdominal pain (still menstruating just blood is blocked so can't flow
out), vaginal canal can't be visualized (hymen is blocking it), and rectal examination shows an
anterior tender, central mass which all indicate imperforate hymen
-AIS (46 X,Y). MRKH syndrome (complete mullerian agenesis, 46 X,X). AIS (testes present,
defective T receptor) and MRKH syndrome both have normal breast development, either
absent/rudimentary uterus and upper vagina. Pubic/axillary hair is absent in AIS, but present in
MRKH syndrome.
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
-Bartholin cysts are painLESS inflammation of the DUCT.
-Bartholin abscesses are painFUL infections of the GLAND.
-Bartholinitis (cellulitis) is a painful complication of Bartholin cysts, and more commonly,
Bartholin abscesses.
-Necrotizing fasciitis is a severe complication of Bartholinitis. (Fournier Gangrene aka Nec
fascitis of the perineum, associated with diabetics)
Image is the Question - Answer:
Answer to the Previous Question - Answer: -B
, -aub workup: 1. rule out pregnancy 2. look for anatomical causes by examination,if u get any do
workup 3. coagulopathy if suspected 4. anovulation which is most common cause of aub,
diagnose it by progesterone challange test by cyclic progesterone
-"For women with AUB-O (Ovulatory Dysfunction), estrogen-progestin contraceptives, oral
progestin therapy, or the LNg52/5 are first-line treatment options, as these approaches reduce
bleeding and decrease the risk of endometrial hyperplasia or cancer"
Image is the Question - Answer:
Answer to the Previous Question - Answer: -K
-Parvovirus B19 causing hydrops
-she is primigravid, plus she works in a preschool--> increase likelihood of obtaining infection
from kids--> hinting parvovirus B19 causing the fetal hydrops.
Image is the Question - Answer:
Answer to the Previous Question - Answer: -D
-Even though meth seems to increase HTN more than cocaine in pregnancy, cocaine still proves
to carry a higher risk of abruptio. The risk of cocaine abuse and abruptio is up around 20% and
meth the risk goes down to 10%. A little paradoxical but it seems that all of the Q banks want us
to differentiate smoking vs. cocaine rather than meth vs. cocaine. Had a Q on this, so hope it
helps!
Image is the Question - Answer:
