uWISE ACOG – Gynecology UPDATED
ACTUAL Questions and CORRECT
Answers
Side effects of Depo-Provera injection - CORRECT ANSWER - Unpredictable bleeding
(resolves after 2-3 months)
Contraindications to OCPs - CORRECT ANSWER - Hx of thromboembolic disease,
women who are lactating, women over 35 that smoke or women that develop severe nausea after
OCPs
Contraceptive type that decreases risk of gynecological cancer - CORRECT ANSWER -
OCPs
Cancer type reduced with female sterilization - CORRECT ANSWER - Ovarian
Most effective form of permanent sterilization - CORRECT ANSWER - Vasectomy
Contraindication to using the patch for contraception - CORRECT ANSWER - Excessive
weight
Findings in spetic abortion - CORRECT ANSWER - Fever, bleeding and dilated cervix
with positive pregnancy test
Management of septic abortion - CORRECT ANSWER - Broad-spectrum Abx and uterine
evacuation
Workup for antiphospholipid syndrome - CORRECT ANSWER - Anticardiolipin Abs,
Beta-2 glycoprotein antibody status, PTT< and Russell viper venom time
, Tx for antiphospholipid Ab syndrome in a woman attempting to get pregnant - CORRECT
ANSWER - Aspirin + heparin
Complication associated with medical abortion over surgical abortion - CORRECT
ANSWER - Blood loss
Gestational age indicated for manual vacuum aspiration - CORRECT ANSWER - Less
than 8 wks
Management of pt at 20 wks desiring abortion - CORRECT ANSWER - Induction with
intravaginal prostaglandins
Management of pt with heavy bleeding after medical termination of pregnancy - CORRECT
ANSWER - Dilation and curettage
Management for pt with postop endometritis - CORRECT ANSWER - IV Abx, CBC and
cultures
Diagnosis - extreme vulvar pruritus, vulvar burning, pain, introital dyspareunia with loss of labia
minor and resorption of the clitoris - CORRECT ANSWER - Lichen sclerosus
Diagnosis - diffuse, malodorous, yellow-green discharge with vulvar irritation - CORRECT
ANSWER - Trichomoniasis
Diagnosis - severe pain on vestibular touch or attempted vaginal entry, tenderness to pressure
and erythema - CORRECT ANSWER - Vulvar vestibulitis
Diagnosis - vulvar pruritus, thick, lichenified, enlarged and rugose labia - CORRECT
ANSWER - Lichen simplex chronicus
First step in tx of pelvic prolapse - CORRECT ANSWER - Pessary fitting
ACTUAL Questions and CORRECT
Answers
Side effects of Depo-Provera injection - CORRECT ANSWER - Unpredictable bleeding
(resolves after 2-3 months)
Contraindications to OCPs - CORRECT ANSWER - Hx of thromboembolic disease,
women who are lactating, women over 35 that smoke or women that develop severe nausea after
OCPs
Contraceptive type that decreases risk of gynecological cancer - CORRECT ANSWER -
OCPs
Cancer type reduced with female sterilization - CORRECT ANSWER - Ovarian
Most effective form of permanent sterilization - CORRECT ANSWER - Vasectomy
Contraindication to using the patch for contraception - CORRECT ANSWER - Excessive
weight
Findings in spetic abortion - CORRECT ANSWER - Fever, bleeding and dilated cervix
with positive pregnancy test
Management of septic abortion - CORRECT ANSWER - Broad-spectrum Abx and uterine
evacuation
Workup for antiphospholipid syndrome - CORRECT ANSWER - Anticardiolipin Abs,
Beta-2 glycoprotein antibody status, PTT< and Russell viper venom time
, Tx for antiphospholipid Ab syndrome in a woman attempting to get pregnant - CORRECT
ANSWER - Aspirin + heparin
Complication associated with medical abortion over surgical abortion - CORRECT
ANSWER - Blood loss
Gestational age indicated for manual vacuum aspiration - CORRECT ANSWER - Less
than 8 wks
Management of pt at 20 wks desiring abortion - CORRECT ANSWER - Induction with
intravaginal prostaglandins
Management of pt with heavy bleeding after medical termination of pregnancy - CORRECT
ANSWER - Dilation and curettage
Management for pt with postop endometritis - CORRECT ANSWER - IV Abx, CBC and
cultures
Diagnosis - extreme vulvar pruritus, vulvar burning, pain, introital dyspareunia with loss of labia
minor and resorption of the clitoris - CORRECT ANSWER - Lichen sclerosus
Diagnosis - diffuse, malodorous, yellow-green discharge with vulvar irritation - CORRECT
ANSWER - Trichomoniasis
Diagnosis - severe pain on vestibular touch or attempted vaginal entry, tenderness to pressure
and erythema - CORRECT ANSWER - Vulvar vestibulitis
Diagnosis - vulvar pruritus, thick, lichenified, enlarged and rugose labia - CORRECT
ANSWER - Lichen simplex chronicus
First step in tx of pelvic prolapse - CORRECT ANSWER - Pessary fitting
