Evolve Maternity Women’s Health/Disorders Exam QUESTIONS AND CORRECT
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Evolve OB Exam 2025 Qs And Answers (Bran
C. IM procaine penicillin
D. Hospitalization with parenteral doxycycline and cefoxitin - ANSWERD. This patient has pelvic
inflammatory disease and most likely a tubo-ovarian abscess. It is recommended that
the patient be hospitalized and treated with high-dose IV antibiotic therapy. For patients with tubo-
ovarian
abscesses, surgical drainage is often necessary.
Dysmenorrhea would most likely occur in which of the following patients?
A. A young teenager who just started having her menses
B. A woman on birth control pills
C. A marathon runner with one menses per year
D. A 35 year-old woman with regular cycles - ANSWER(u) A. Young teenagers who have just started their
menses are unlikely to have dysmenorrhea, because they
usually are anovulatory for up to one year.
(u) B. Women on birth control pills do not have dysmenorrhea because they do not ovulate on oral
contraceptives
and OCPs are used to treat dysmenorrhea.
(u) C. Marathon runners are often amenorrheic or have oligoamenorrhea. They do not have
dysmenorrhea because
dysmenorrhea is a function of ovulatory cycles.
CORRECT: D. Women with regular menstrual cycles are most likely to have dysmenorrhea.
Dysmenorrhea is caused by a
excess of prostaglandin F 2 alpha. Prostaglandin production increases under the influence of
progesterone,
reaching a peak at, or soon after, the start of menstruation.
,CORRECT: C. In a 25 year-old an ultrasound is the best choice because of the density of the breast tissue
in young
women.
(u) D. Mammographies are not recommended in women prior to the age of 35 without family history of
breast
cancer or BRCA positive.
A 26 year-old woman requests screening after her boyfriend was treated for a sexually transmitted
infection recently.
On examination you find a painless vulvar ulcer. Which of the following is the most likely diagnosis?
A. Herpes
B. Syphilis
C. Chancroid
D. Granuloma inguinale - ANSWER(u) A. The classic presentation of herpes is a painful vesicle.
CORRECT: B. The primary lesion of syphilis presents as a painless ulcer or chancre. Secondary syphilis
presents with a
skin rash lymphadenopathy and mucocutaneous lesions.
(u) C. Chancroid presents with a painful genital ulcer and tender suppurative inguinal adenopathy.
(u) D. Granuloma inguinale presents with raised, red lesions that bleed easily.
The fundus is at the umbilicus at approximately how many weeks? - ANSWER20
At how many weeks is the test for gestational diabetes performed - ANSWER24-28
At what point during a normal pregnancy should exams go from every 4 weeks to every 3 weeks? -
ANSWER28 weeks
A women whose LMP was on June 6th will have what estimated due date according to Nägele's rule -
ANSWER3/13
A blueish cervix seen at early pregnancy is known as whose sign? - ANSWERChadwick's
,A 25 year-old female, G2 P1001, presents to your office at 11-weeks gestation with vaginal bleeding,
mild lower
abdominal cramping, and bilateral lower pelvic discomfort. On examination, blood is noted at the
dilated cervical os.
No tissue is protruding from the cervical os. The uterus by palpation is 8-9 weeks gestation. No other
abnormalities
are found. Which of the following is the most likely diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Incomplete abortion
D. Complete abortion - ANSWER(u) A. Threatened abortion is characterized by bleeding in the first
trimester without loss of fluid or tissue.
CORRECT: B. Inevitable abortion is the gross rupture of membranes in the presence of cervical dilation.
(u) C. Incomplete abortion is when the cervical os is open and allows passage of blood. The products of
conception
may remain in utero or may partially extrude through the open os.
(u) D. Complete abortion refers to a documented pregnancy that spontaneously passes all of the
products of
conception.
When can chronic villus sampling be performed? - ANSWER10-12 weeks
What is quickening and when does it occur? - ANSWERWhen mother first starts feeling movement for
first time. Typically around 20 weeks, may be earlier for multiparous women.
abnormal placenta development covering the cervix? - ANSWERPlacenta Previa
The umbilical vein carries _____ blood? - ANSWEROxygenated
Which of the following Lab studies would be seen in menopause-
a. high estradiol, low fsh and LH
b. low estradiol, high fsh and lh
, c. high estradiol, high fsh and lh
d. low estradiol, low fsh and lh - ANSWERb. low estradiol, high fsh and lh
24 year old female presents with complaint of inability to get pregnant over the last year and is
concerened about the growth of dark hair along her chin and jawline. Her last menstrual period was 6
months ago, she is overweight. From the description what is the most likely etiology of the patient's
complaint- - ANSWERPCOS
A hard, immobile, irregularly shaped solitary mass, with positive LAD is indicative of? - ANSWERbreast
cancer
Which of the following best describes the purpose of intravenous magnesium sulfate in patients with
preeclampsia?
A. Prevention of convulsions
B. Prevention of HELLP syndrome
C. Lowering of blood pressure
D. Reversal of proteinuria - ANSWERA. Magnesium sulfate is used to prevent and treat eclamptic
seizures. Magnesium sulfate is not sufficient to treat
hypertension, therefore antihypertensives must be added. Magnesium sulfate is excreted solely from
the
kidneys and urine output must be preserved to prevent accumulation of the drug. Magnesium sulfate
does
nothing to prevent HELLP syndrome.
A 25 year-old female presents for a routine gynecological examination. You palpate a 2 cm breast mass
in her right
breast. Her menstrual period was last week. She has no family history of breast cancer. What is the
modality of
choice to further evaluate her breast mass?
A. Magnetic resonance imaging (MRI)
B. Excisional biopsy
C. Ultrasound
D. Mammography - ANSWER(u) A. MRI's of the breast are done in patients with prior breast cancer or
who have BRCA 1 or 2 positivity.
ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED QUESTIONS|ALREADY A
GRADED|GUARANTEED PASS|LATEST UPDATE 2025/ Obstetric Evolve Hesi Exam/
Evolve OB Exam 2025 Qs And Answers (Bran
C. IM procaine penicillin
D. Hospitalization with parenteral doxycycline and cefoxitin - ANSWERD. This patient has pelvic
inflammatory disease and most likely a tubo-ovarian abscess. It is recommended that
the patient be hospitalized and treated with high-dose IV antibiotic therapy. For patients with tubo-
ovarian
abscesses, surgical drainage is often necessary.
Dysmenorrhea would most likely occur in which of the following patients?
A. A young teenager who just started having her menses
B. A woman on birth control pills
C. A marathon runner with one menses per year
D. A 35 year-old woman with regular cycles - ANSWER(u) A. Young teenagers who have just started their
menses are unlikely to have dysmenorrhea, because they
usually are anovulatory for up to one year.
(u) B. Women on birth control pills do not have dysmenorrhea because they do not ovulate on oral
contraceptives
and OCPs are used to treat dysmenorrhea.
(u) C. Marathon runners are often amenorrheic or have oligoamenorrhea. They do not have
dysmenorrhea because
dysmenorrhea is a function of ovulatory cycles.
CORRECT: D. Women with regular menstrual cycles are most likely to have dysmenorrhea.
Dysmenorrhea is caused by a
excess of prostaglandin F 2 alpha. Prostaglandin production increases under the influence of
progesterone,
reaching a peak at, or soon after, the start of menstruation.
,CORRECT: C. In a 25 year-old an ultrasound is the best choice because of the density of the breast tissue
in young
women.
(u) D. Mammographies are not recommended in women prior to the age of 35 without family history of
breast
cancer or BRCA positive.
A 26 year-old woman requests screening after her boyfriend was treated for a sexually transmitted
infection recently.
On examination you find a painless vulvar ulcer. Which of the following is the most likely diagnosis?
A. Herpes
B. Syphilis
C. Chancroid
D. Granuloma inguinale - ANSWER(u) A. The classic presentation of herpes is a painful vesicle.
CORRECT: B. The primary lesion of syphilis presents as a painless ulcer or chancre. Secondary syphilis
presents with a
skin rash lymphadenopathy and mucocutaneous lesions.
(u) C. Chancroid presents with a painful genital ulcer and tender suppurative inguinal adenopathy.
(u) D. Granuloma inguinale presents with raised, red lesions that bleed easily.
The fundus is at the umbilicus at approximately how many weeks? - ANSWER20
At how many weeks is the test for gestational diabetes performed - ANSWER24-28
At what point during a normal pregnancy should exams go from every 4 weeks to every 3 weeks? -
ANSWER28 weeks
A women whose LMP was on June 6th will have what estimated due date according to Nägele's rule -
ANSWER3/13
A blueish cervix seen at early pregnancy is known as whose sign? - ANSWERChadwick's
,A 25 year-old female, G2 P1001, presents to your office at 11-weeks gestation with vaginal bleeding,
mild lower
abdominal cramping, and bilateral lower pelvic discomfort. On examination, blood is noted at the
dilated cervical os.
No tissue is protruding from the cervical os. The uterus by palpation is 8-9 weeks gestation. No other
abnormalities
are found. Which of the following is the most likely diagnosis?
A. Threatened abortion
B. Inevitable abortion
C. Incomplete abortion
D. Complete abortion - ANSWER(u) A. Threatened abortion is characterized by bleeding in the first
trimester without loss of fluid or tissue.
CORRECT: B. Inevitable abortion is the gross rupture of membranes in the presence of cervical dilation.
(u) C. Incomplete abortion is when the cervical os is open and allows passage of blood. The products of
conception
may remain in utero or may partially extrude through the open os.
(u) D. Complete abortion refers to a documented pregnancy that spontaneously passes all of the
products of
conception.
When can chronic villus sampling be performed? - ANSWER10-12 weeks
What is quickening and when does it occur? - ANSWERWhen mother first starts feeling movement for
first time. Typically around 20 weeks, may be earlier for multiparous women.
abnormal placenta development covering the cervix? - ANSWERPlacenta Previa
The umbilical vein carries _____ blood? - ANSWEROxygenated
Which of the following Lab studies would be seen in menopause-
a. high estradiol, low fsh and LH
b. low estradiol, high fsh and lh
, c. high estradiol, high fsh and lh
d. low estradiol, low fsh and lh - ANSWERb. low estradiol, high fsh and lh
24 year old female presents with complaint of inability to get pregnant over the last year and is
concerened about the growth of dark hair along her chin and jawline. Her last menstrual period was 6
months ago, she is overweight. From the description what is the most likely etiology of the patient's
complaint- - ANSWERPCOS
A hard, immobile, irregularly shaped solitary mass, with positive LAD is indicative of? - ANSWERbreast
cancer
Which of the following best describes the purpose of intravenous magnesium sulfate in patients with
preeclampsia?
A. Prevention of convulsions
B. Prevention of HELLP syndrome
C. Lowering of blood pressure
D. Reversal of proteinuria - ANSWERA. Magnesium sulfate is used to prevent and treat eclamptic
seizures. Magnesium sulfate is not sufficient to treat
hypertension, therefore antihypertensives must be added. Magnesium sulfate is excreted solely from
the
kidneys and urine output must be preserved to prevent accumulation of the drug. Magnesium sulfate
does
nothing to prevent HELLP syndrome.
A 25 year-old female presents for a routine gynecological examination. You palpate a 2 cm breast mass
in her right
breast. Her menstrual period was last week. She has no family history of breast cancer. What is the
modality of
choice to further evaluate her breast mass?
A. Magnetic resonance imaging (MRI)
B. Excisional biopsy
C. Ultrasound
D. Mammography - ANSWER(u) A. MRI's of the breast are done in patients with prior breast cancer or
who have BRCA 1 or 2 positivity.
