OBGYN APGO UWise EXAM 2025/2026 ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
/MULTIPLE CHOICES WITH RATIONALES| GRADED A+
/ 2025 BRAND NEW!!
A 34-year-old G1 is in a motor vehicle accident. While in the
emergency department, the doctors order multiple x-rays to
evaluate her injuries. At what gestational age would the fetus
be most susceptible to developing mental retardation with
sufficient doses of radiation?
A. 0-7 weeks
B. 8-15 weeks
C. 16-25 weeks
D. 26-30 weeks
E. 31-35 weeks - ANSWER-8-15 weeks
A 22-year-old G1 currently at eight weeks gestation is noted
to have a missed abortion on ultrasound, along with a sharply
retroverted uterus. She elects to undergo suction dilation and
curettage. During the procedure, "fatty appearing tissue" is
noted to be coming through the curette. What is the next best
step in the management of this patient? A. Continuing with
the suction curettage
,B. Remove the tissue from the curette and replace it into the
uterus
C. Cut the tissue off at the cervical os
D. Proceed with laparoscopy
E. Stop the procedure and observe her the hospital for 48-hours
- ANSWER-D. Proceed with laparoscopy
The tissue is consistent with omental tissue and may include
segments of bowel. The suction should be turned off and the
tissue gently removed from the curette. Laparoscopy will allow
closer examination and should bowel appear to be involved,
the surgeon should consider laparotomy for closer evaluation
of the bowel for damage. The other options would place the
patient at increased risk of complications and delay diagnosis.
A 33-year-old G2P1 with a known twin gestation presents to
your office at 23 weeks gestation and notes that two days prior
she had a nosebleed. She has not been seen in your office for
the last seven weeks. Ultrasound today shows a demise of one
twin that has measurements consistent with 21 weeks
gestation.
What is the next step in the management of this patient?
A. Immediate delivery of the surviving twin
B. Continued management as a singleton pregnancy
C. Maternal fibrinogen level
,D. Abdominal x-ray to assess for Spalding's sign
E. Nonstress test of the surviving twin - ANSWER-C. Maternal
fibrinogen level
A 20 year-old G1P1 delivered her first baby 24 hours ago.
Delivery was uncomplicated and she had an epidural placed for
analgesia at 5 centimeters of cervical dilation. Earlier in the
afternoon, she was complaining of a headache and was given
ibuprofen. Three hours later, she complained of increasing
headache, photophobia and nausea. She denies heavy
bleeding. Vital signs are pulse 110; respirations 20;
temperature 101.5°F, 38.6°C; and blood pressure 100/50.
Physical examination reveals obvious distress, as she has her
eyes covered and pain when she moves her neck. Her lungs are
clear and heart has a regular rate. Her abdomen is nontender,
and uterine fundus is easily palpable just below the umbilicus
and is nontender. Her extremities reveal no erythema, swelling
or tenderness. Which of the following would be your next
diagnostic step?
A. Chest x-ray
B. Urinalysis
C. Lumbar puncture
D. CBC with differential
E. - ANSWER-C. Lumbar puncture
, Epidurals are used commonly for pain relief during labor.
Complications of
epidural include spinal headache, localized back pain
and meningitis.
Symptoms of meningitis progress rapidly and require
aggressive treatment with
antibiotics. Diagnosis is made with evaluation of the cerebral
spinal fluid from a
lumbar
puncture.
Thirty-six hours ago a 23 year-old G1P1 delivered vaginally and
sustained a 2nd-degree laceration. She had a prolonged first
stage of labor, ruptured membranes for 26 hours and received
penicillin for group B Strep prophylaxis. She now complains of
increasing abdominal pain, cramping and heavy foul smelling
lochia. Her vital signs reveal a temperature of 100.0° F, 37.8° C;
pulse 80; blood pressure 120/60; and respirations 18. She has a
tender uterine fundus that measures at the umbilicus. Her
extremities reveal mild bilateral edema; no erythema or
tenderness. Blood work reveals a white count of 12.2;
hematocrit of 34%; and normal chemistries. Her urinalysis is
positive for blood and negative for WBCs, leukocyte esterase
REAL EXAM QUESTIONS AND CORRECT ANSWERS
/MULTIPLE CHOICES WITH RATIONALES| GRADED A+
/ 2025 BRAND NEW!!
A 34-year-old G1 is in a motor vehicle accident. While in the
emergency department, the doctors order multiple x-rays to
evaluate her injuries. At what gestational age would the fetus
be most susceptible to developing mental retardation with
sufficient doses of radiation?
A. 0-7 weeks
B. 8-15 weeks
C. 16-25 weeks
D. 26-30 weeks
E. 31-35 weeks - ANSWER-8-15 weeks
A 22-year-old G1 currently at eight weeks gestation is noted
to have a missed abortion on ultrasound, along with a sharply
retroverted uterus. She elects to undergo suction dilation and
curettage. During the procedure, "fatty appearing tissue" is
noted to be coming through the curette. What is the next best
step in the management of this patient? A. Continuing with
the suction curettage
,B. Remove the tissue from the curette and replace it into the
uterus
C. Cut the tissue off at the cervical os
D. Proceed with laparoscopy
E. Stop the procedure and observe her the hospital for 48-hours
- ANSWER-D. Proceed with laparoscopy
The tissue is consistent with omental tissue and may include
segments of bowel. The suction should be turned off and the
tissue gently removed from the curette. Laparoscopy will allow
closer examination and should bowel appear to be involved,
the surgeon should consider laparotomy for closer evaluation
of the bowel for damage. The other options would place the
patient at increased risk of complications and delay diagnosis.
A 33-year-old G2P1 with a known twin gestation presents to
your office at 23 weeks gestation and notes that two days prior
she had a nosebleed. She has not been seen in your office for
the last seven weeks. Ultrasound today shows a demise of one
twin that has measurements consistent with 21 weeks
gestation.
What is the next step in the management of this patient?
A. Immediate delivery of the surviving twin
B. Continued management as a singleton pregnancy
C. Maternal fibrinogen level
,D. Abdominal x-ray to assess for Spalding's sign
E. Nonstress test of the surviving twin - ANSWER-C. Maternal
fibrinogen level
A 20 year-old G1P1 delivered her first baby 24 hours ago.
Delivery was uncomplicated and she had an epidural placed for
analgesia at 5 centimeters of cervical dilation. Earlier in the
afternoon, she was complaining of a headache and was given
ibuprofen. Three hours later, she complained of increasing
headache, photophobia and nausea. She denies heavy
bleeding. Vital signs are pulse 110; respirations 20;
temperature 101.5°F, 38.6°C; and blood pressure 100/50.
Physical examination reveals obvious distress, as she has her
eyes covered and pain when she moves her neck. Her lungs are
clear and heart has a regular rate. Her abdomen is nontender,
and uterine fundus is easily palpable just below the umbilicus
and is nontender. Her extremities reveal no erythema, swelling
or tenderness. Which of the following would be your next
diagnostic step?
A. Chest x-ray
B. Urinalysis
C. Lumbar puncture
D. CBC with differential
E. - ANSWER-C. Lumbar puncture
, Epidurals are used commonly for pain relief during labor.
Complications of
epidural include spinal headache, localized back pain
and meningitis.
Symptoms of meningitis progress rapidly and require
aggressive treatment with
antibiotics. Diagnosis is made with evaluation of the cerebral
spinal fluid from a
lumbar
puncture.
Thirty-six hours ago a 23 year-old G1P1 delivered vaginally and
sustained a 2nd-degree laceration. She had a prolonged first
stage of labor, ruptured membranes for 26 hours and received
penicillin for group B Strep prophylaxis. She now complains of
increasing abdominal pain, cramping and heavy foul smelling
lochia. Her vital signs reveal a temperature of 100.0° F, 37.8° C;
pulse 80; blood pressure 120/60; and respirations 18. She has a
tender uterine fundus that measures at the umbilicus. Her
extremities reveal mild bilateral edema; no erythema or
tenderness. Blood work reveals a white count of 12.2;
hematocrit of 34%; and normal chemistries. Her urinalysis is
positive for blood and negative for WBCs, leukocyte esterase
