1|Page
CSOWM PREGNANCY QUESTIONS WITH DETAILED ANSWERS
LATEST VERSION GRADED A+
CSOWM Pregnancy Questions
1. What percentage of weight loss over 6 months can restore ovulation in women
with obesity and anovulatory infertility?
A) 1–2%
B) 5–10%
C) 15–20%
D) 25–30%
Answer: B
Modest weight loss of 5–10% over six months can restore ovulation in women with
obesity. This is a key preconception recommendation from the EASO position
statement.
2. Which medication may benefit women with PCOS and obesity for ovulation
induction?
A) Metformin
B) Orlistat
C) Levothyroxine
D) Amoxicillin
Answer: A
Women with PCOS may benefit from lifestyle changes, metformin, or GLP-1 receptor
agonists. Metformin improves insulin sensitivity and can restore ovulatory cycles.
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3. What is the recommended minimum delay before conception following bariatric
surgery?
A) 3–6 months
B) 6–12 months
C) 12–18 months
D) 24–36 months
Answer: C
The American Society for Metabolic and Bariatric Surgery and ACOG recommend that
patients avoid pregnancy for 12–18 months postoperatively following bariatric surgery.
4. Which contraceptive method is preferred for women with obesity undergoing
pharmacological or surgical obesity management?
A) Oral contraceptive pills
B) Long-acting reversible contraceptives (LARCs)
C) Condoms only
D) Withdrawal method
Answer: B
Contraception with long-acting reversible contraceptives (LARCs) is recommended
before surgery until the optimal time of pregnancy, as LARCs do not require
gastrointestinal absorption.
5. What is the recommended daily folic acid supplementation for women with
obesity planning pregnancy?
A) 200 mcg
B) 400 mcg
C) 600 mcg
D) 5 mg
Answer: D
Women with obesity may require higher doses of folic acid (up to 5 mg daily) due to
increased risk of neural tube defects and potential impaired absorption.
6. Which of the following is NOT a recommended preconception assessment for
women with obesity?
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A) Screening for comorbidities
B) Folate supplementation
C) Routine thyroidectomy
D) Contraception planning
Answer: C
Routine thyroidectomy is not a preconception recommendation. The EASO statement
calls for routine screening of comorbidities, folate supplementation, and contraception
for women undertaking pharmacological or surgical obesity management.
7. What is the primary reason for optimizing weight before pregnancy in women
with obesity?
A) To reduce the need for prenatal vitamins
B) To improve maternal and fetal outcomes
C) To eliminate the need for gestational diabetes screening
D) To guarantee vaginal delivery
Answer: B
Optimizing weight before pregnancy improves outcomes. Preconception optimization
through lifestyle interventions and, in select cases, bariatric surgery improves
outcomes.
8. Which of the following is a risk of pregnancy within 12 months after bariatric
surgery?
A) Nutritional deficiencies
B) Excessive weight gain
C) Gestational diabetes
D) All of the above
Answer: A
Pregnancy within 12 months after bariatric surgery is associated with nutritional
deficiencies due to rapid weight loss and malabsorption.
9. What is the recommended approach to gestational diabetes screening in women
with prior bariatric surgery?
A) Standard 75g OGTT
B) Modified screening instead of glucose tolerance tests
, 4|Page
C) No screening required
D) Fasting glucose only
Answer: B
Modified screening for gestational diabetes is recommended instead of glucose
tolerance tests to prevent post-bariatric hypoglycemia.
10. Which of the following is a contraindicated medication class during pregnancy?
A) Insulin
B) Metformin
C) Phentermine/topiramate
D) Levothyroxine
Answer: C
Phentermine/topiramate should be avoided before and during pregnancy. This is a key
CSOWM exam point regarding medications to avoid during pregnancy.
11. What is the recommended weight loss target before pregnancy for women with
obesity and PCOS?
A) 1–2% of body weight
B) 5–10% of body weight
C) 15–20% of body weight
D) 25–30% of body weight
Answer: B
Modest weight loss (5–10%) over six months can restore ovulation. This is the
recommended target for women with obesity and PCOS.
12. Which supplement should be started before conception to reduce the risk of
neural tube defects in women with obesity?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
Answer: C
CSOWM PREGNANCY QUESTIONS WITH DETAILED ANSWERS
LATEST VERSION GRADED A+
CSOWM Pregnancy Questions
1. What percentage of weight loss over 6 months can restore ovulation in women
with obesity and anovulatory infertility?
A) 1–2%
B) 5–10%
C) 15–20%
D) 25–30%
Answer: B
Modest weight loss of 5–10% over six months can restore ovulation in women with
obesity. This is a key preconception recommendation from the EASO position
statement.
2. Which medication may benefit women with PCOS and obesity for ovulation
induction?
A) Metformin
B) Orlistat
C) Levothyroxine
D) Amoxicillin
Answer: A
Women with PCOS may benefit from lifestyle changes, metformin, or GLP-1 receptor
agonists. Metformin improves insulin sensitivity and can restore ovulatory cycles.
,2|Page
3. What is the recommended minimum delay before conception following bariatric
surgery?
A) 3–6 months
B) 6–12 months
C) 12–18 months
D) 24–36 months
Answer: C
The American Society for Metabolic and Bariatric Surgery and ACOG recommend that
patients avoid pregnancy for 12–18 months postoperatively following bariatric surgery.
4. Which contraceptive method is preferred for women with obesity undergoing
pharmacological or surgical obesity management?
A) Oral contraceptive pills
B) Long-acting reversible contraceptives (LARCs)
C) Condoms only
D) Withdrawal method
Answer: B
Contraception with long-acting reversible contraceptives (LARCs) is recommended
before surgery until the optimal time of pregnancy, as LARCs do not require
gastrointestinal absorption.
5. What is the recommended daily folic acid supplementation for women with
obesity planning pregnancy?
A) 200 mcg
B) 400 mcg
C) 600 mcg
D) 5 mg
Answer: D
Women with obesity may require higher doses of folic acid (up to 5 mg daily) due to
increased risk of neural tube defects and potential impaired absorption.
6. Which of the following is NOT a recommended preconception assessment for
women with obesity?
,3|Page
A) Screening for comorbidities
B) Folate supplementation
C) Routine thyroidectomy
D) Contraception planning
Answer: C
Routine thyroidectomy is not a preconception recommendation. The EASO statement
calls for routine screening of comorbidities, folate supplementation, and contraception
for women undertaking pharmacological or surgical obesity management.
7. What is the primary reason for optimizing weight before pregnancy in women
with obesity?
A) To reduce the need for prenatal vitamins
B) To improve maternal and fetal outcomes
C) To eliminate the need for gestational diabetes screening
D) To guarantee vaginal delivery
Answer: B
Optimizing weight before pregnancy improves outcomes. Preconception optimization
through lifestyle interventions and, in select cases, bariatric surgery improves
outcomes.
8. Which of the following is a risk of pregnancy within 12 months after bariatric
surgery?
A) Nutritional deficiencies
B) Excessive weight gain
C) Gestational diabetes
D) All of the above
Answer: A
Pregnancy within 12 months after bariatric surgery is associated with nutritional
deficiencies due to rapid weight loss and malabsorption.
9. What is the recommended approach to gestational diabetes screening in women
with prior bariatric surgery?
A) Standard 75g OGTT
B) Modified screening instead of glucose tolerance tests
, 4|Page
C) No screening required
D) Fasting glucose only
Answer: B
Modified screening for gestational diabetes is recommended instead of glucose
tolerance tests to prevent post-bariatric hypoglycemia.
10. Which of the following is a contraindicated medication class during pregnancy?
A) Insulin
B) Metformin
C) Phentermine/topiramate
D) Levothyroxine
Answer: C
Phentermine/topiramate should be avoided before and during pregnancy. This is a key
CSOWM exam point regarding medications to avoid during pregnancy.
11. What is the recommended weight loss target before pregnancy for women with
obesity and PCOS?
A) 1–2% of body weight
B) 5–10% of body weight
C) 15–20% of body weight
D) 25–30% of body weight
Answer: B
Modest weight loss (5–10%) over six months can restore ovulation. This is the
recommended target for women with obesity and PCOS.
12. Which supplement should be started before conception to reduce the risk of
neural tube defects in women with obesity?
A) Iron
B) Calcium
C) Folic acid
D) Vitamin D
Answer: C
