OBGYN COMAT Review Exam, Most Recent Exam 2025/
2026 || Actual Complete Real Exam Questions And Correct
Answers with Rationales (Verified Answers) Already Graded
A+ | Newest Exam | Just Released!!
What are the variants of malignant gestational
trophoblastic disease? -
ANSWER-invasive moles &
choriocarcinoma
Complete mole - ANSWER-Sperm fertilizes empty ovum; 46 XX;
no fetal tissue
Partial mole - ANSWER-2 sperm fertilize ovum; 46 XXY;
contains fetal tissue.
how does gestational trophoblastic dz present? - ANSWER-
Uterine bleeding
hyperemesis
gravidarum
preeclampsia/eclampsia at
<24 weeks
uterine size greater than
dates
What is a "reactive" NST (normal response) - ANSWER-2
accelerations >15 bpm above baseline (if >32 weeks, >10 bpm if
,<32 weeks GA) lasting for at least 15 seconds over a 20 minute
period.
What's a "nonreactive" NST? - ANSWER-Fewer than 2
accelerations over a 20
minute
period.
When is umbilical artery Doppler velocimetry done? -
ANSWER-Only when
IGUR is
suspected!
(w/IGUR, there's a reduction & even reversal of umbilical artery
diastolic flow).
What's the definition of oligohydramnios? - ANSWER-AFI<5 cm
What are the parameters of BPP? - ANSWER-"Test Baby, MAN!"
T= fetal Tone
B=fetal Breathing
M=fetal Movement
A=Amniotic fluid volume (5-23)
N=Nonstress test
Note: each parameter is given a score of 2 (normal) or 0
(abnormal).
what are the score interpretations for BPP - ANSWER-8-10=
reassuring: fetal
,well-
being
6=
equivocal
0-4= very worrisome for fetal
asphyxia
What's the first step in the diagnosis of hyperemesis
gravidarum? - ANSWER-
Rule out molar pregnancy w/ultrasound +/-
beta-hCG
**How is gestational diabetes diagnosed? - ANSWER-**At 24-
28 weeks**= 1
hour 50g glucose
challenge test .
values> 140 mg/dL are
abnormal.
Confirm with oral 3 hour (100 g) glucose tolerance test
showing any *2* of the
following:
Fasting >95
mg/dL
1-hr>180
mg/dL
2-hr>155
mg/dL
, 3-hr>140
mg/dL
What are the keys to managing gestational diabetes? -
ANSWER-1. ADA
(American Diabetes Association) diet
2) Insulin if needed
3) ultrasound for fetal growth
4) NST beginning at 30-32 weeks if GDMA2 (gestational diabetes
mellitus A2: aka requiring insulin or an oral hypoglycemic).
what are the glycemic goals for mother's
w/pregestational diabetes? -
ANSWER-Fasting
morning <90
2-hour postprandial
<120
When should a c-section be considered in a pregestational
diabetes? - ANSWER-In setting of an estimated fetal weight
(EFW) >4500 grams
What's the difference between gestational HTN & chronic
hypertension in
pregnancy? - ANSWER-Gestational HTN develops at
>20 weeks.
What must be avoided when treating pregnant women
w/HTN? - ANSWER-
2026 || Actual Complete Real Exam Questions And Correct
Answers with Rationales (Verified Answers) Already Graded
A+ | Newest Exam | Just Released!!
What are the variants of malignant gestational
trophoblastic disease? -
ANSWER-invasive moles &
choriocarcinoma
Complete mole - ANSWER-Sperm fertilizes empty ovum; 46 XX;
no fetal tissue
Partial mole - ANSWER-2 sperm fertilize ovum; 46 XXY;
contains fetal tissue.
how does gestational trophoblastic dz present? - ANSWER-
Uterine bleeding
hyperemesis
gravidarum
preeclampsia/eclampsia at
<24 weeks
uterine size greater than
dates
What is a "reactive" NST (normal response) - ANSWER-2
accelerations >15 bpm above baseline (if >32 weeks, >10 bpm if
,<32 weeks GA) lasting for at least 15 seconds over a 20 minute
period.
What's a "nonreactive" NST? - ANSWER-Fewer than 2
accelerations over a 20
minute
period.
When is umbilical artery Doppler velocimetry done? -
ANSWER-Only when
IGUR is
suspected!
(w/IGUR, there's a reduction & even reversal of umbilical artery
diastolic flow).
What's the definition of oligohydramnios? - ANSWER-AFI<5 cm
What are the parameters of BPP? - ANSWER-"Test Baby, MAN!"
T= fetal Tone
B=fetal Breathing
M=fetal Movement
A=Amniotic fluid volume (5-23)
N=Nonstress test
Note: each parameter is given a score of 2 (normal) or 0
(abnormal).
what are the score interpretations for BPP - ANSWER-8-10=
reassuring: fetal
,well-
being
6=
equivocal
0-4= very worrisome for fetal
asphyxia
What's the first step in the diagnosis of hyperemesis
gravidarum? - ANSWER-
Rule out molar pregnancy w/ultrasound +/-
beta-hCG
**How is gestational diabetes diagnosed? - ANSWER-**At 24-
28 weeks**= 1
hour 50g glucose
challenge test .
values> 140 mg/dL are
abnormal.
Confirm with oral 3 hour (100 g) glucose tolerance test
showing any *2* of the
following:
Fasting >95
mg/dL
1-hr>180
mg/dL
2-hr>155
mg/dL
, 3-hr>140
mg/dL
What are the keys to managing gestational diabetes? -
ANSWER-1. ADA
(American Diabetes Association) diet
2) Insulin if needed
3) ultrasound for fetal growth
4) NST beginning at 30-32 weeks if GDMA2 (gestational diabetes
mellitus A2: aka requiring insulin or an oral hypoglycemic).
what are the glycemic goals for mother's
w/pregestational diabetes? -
ANSWER-Fasting
morning <90
2-hour postprandial
<120
When should a c-section be considered in a pregestational
diabetes? - ANSWER-In setting of an estimated fetal weight
(EFW) >4500 grams
What's the difference between gestational HTN & chronic
hypertension in
pregnancy? - ANSWER-Gestational HTN develops at
>20 weeks.
What must be avoided when treating pregnant women
w/HTN? - ANSWER-
