ACOG Notes Verified Exam Questions and Answers Latest update
2026/2027
Question:
what is delayed puberty?
Answer:
no secondary sex characteristics age 14, no amenorrhea age 16
Question:
workup for delayed puberty?
Answer:
TSH prolactin bone scan
*add FSH to distinguish between brain and ovarian causes of delayed puberty
Question:
most important for androgen insensitivity?
Answer:
remove gonads to prevent cancer
Question:
what precocious puberty causes DELAYED bone age?
Answer:
hypothyroid (all others cause advanced)
Question:
trx precocious puberty?
Answer:
GnRH agonist CONTINUOUS
Question:
causes hypogonadotrophic hypogonadism
Answer:
eating disorder stress hypothyroid cushing putuitary adenoma craniopharyngeoma
,Question:
associations with BV?
Answer:
preterm delivery postpartum endometritis PID
*trx = metronidazole
Question:
gold standard herpes diagnosis?
Answer:
NRT and culture
Question:
which syphilis antibody test will be positive for the rest of life?
Answer:
specific (not VDRL or RPR)
Question:
what is trx for woman who had sex with HepB+ partner?
Answer:
give immunization but ALSO give immunoglobulins
Question:
when does blindness present gonorrhea? chlamydia?
Answer:
gonorrhea within first 5 days, chlamydia after 5 days topical erythromycin only protects from
gonorrhea
Question:
inpatient trx PID?
Answer:
IV cefotetan/cefoxitin + doxycycline OR clindamycin + gentamicin
*continue doxycyline as outpt for 14 days
Question:
outpt trx PID?
Answer:
Ceftriaxone, cefoxitin or other 3rd gen cephalosporin (single injection IM) AND doxycycline for 2
weeks, with or without metronidazole for 2 weeks. Follow up in 48 hrs!
,Question:
signs TOA
Answer:
abdominal pain diarrhea nausea fever complex cysts on US
Question:
trx TOA
Answer:
clinda or metronidazole
Question:
what is differential for culture - urinalysis?
Answer:
gonorrhea/chlamydia/trich
Question:
when do paps start
Answer:
21 regardless of sexual activity every 3 years cytology only until 30 30-65 cotesting every 5 years
Question:
when can paps stop?
Answer:
3 consecutive - paps after 65 OR 2 consecutive cotestings NO HISTORY OF HIGH GRADE OR
CANCER
*still need bimanual
Question:
what is done with ASGUS?
Answer:
do an HPV screen or repeat in 12 months, if positive do colpo
Question:
recommendations mammograms
Answer:
ACOG: yearly starting at 40 USPSTF: every 2 years starting at 50
, Question:
colonoscopy ages
Answer:
start age 50 every 10 years (or sigmoidioscopy at 50 every 5 years)
Question:
DEXA age
Answer:
65 or early alcohol, smoking, hyperthyroid, family hx, etc
*osteopenia = -1 to -2.5
*osteoporosis = less than -2.5
Question:
trx osteoporosis?
Answer:
bisphosphonates and repeat DEXA every 2 years
Question:
when do CV labs start?
Answer:
age 45 every 5 years through 75
Question:
when are fasting blood glucose levels drawn?
Answer:
starting at 45 every 3 years
Question:
when is urinalysis screening done?
Answer:
over age 65 because risk of urosepsis
Question:
when do elderly get varicella vaccine?
Answer:
age 60 (even if they already have shingles)
2026/2027
Question:
what is delayed puberty?
Answer:
no secondary sex characteristics age 14, no amenorrhea age 16
Question:
workup for delayed puberty?
Answer:
TSH prolactin bone scan
*add FSH to distinguish between brain and ovarian causes of delayed puberty
Question:
most important for androgen insensitivity?
Answer:
remove gonads to prevent cancer
Question:
what precocious puberty causes DELAYED bone age?
Answer:
hypothyroid (all others cause advanced)
Question:
trx precocious puberty?
Answer:
GnRH agonist CONTINUOUS
Question:
causes hypogonadotrophic hypogonadism
Answer:
eating disorder stress hypothyroid cushing putuitary adenoma craniopharyngeoma
,Question:
associations with BV?
Answer:
preterm delivery postpartum endometritis PID
*trx = metronidazole
Question:
gold standard herpes diagnosis?
Answer:
NRT and culture
Question:
which syphilis antibody test will be positive for the rest of life?
Answer:
specific (not VDRL or RPR)
Question:
what is trx for woman who had sex with HepB+ partner?
Answer:
give immunization but ALSO give immunoglobulins
Question:
when does blindness present gonorrhea? chlamydia?
Answer:
gonorrhea within first 5 days, chlamydia after 5 days topical erythromycin only protects from
gonorrhea
Question:
inpatient trx PID?
Answer:
IV cefotetan/cefoxitin + doxycycline OR clindamycin + gentamicin
*continue doxycyline as outpt for 14 days
Question:
outpt trx PID?
Answer:
Ceftriaxone, cefoxitin or other 3rd gen cephalosporin (single injection IM) AND doxycycline for 2
weeks, with or without metronidazole for 2 weeks. Follow up in 48 hrs!
,Question:
signs TOA
Answer:
abdominal pain diarrhea nausea fever complex cysts on US
Question:
trx TOA
Answer:
clinda or metronidazole
Question:
what is differential for culture - urinalysis?
Answer:
gonorrhea/chlamydia/trich
Question:
when do paps start
Answer:
21 regardless of sexual activity every 3 years cytology only until 30 30-65 cotesting every 5 years
Question:
when can paps stop?
Answer:
3 consecutive - paps after 65 OR 2 consecutive cotestings NO HISTORY OF HIGH GRADE OR
CANCER
*still need bimanual
Question:
what is done with ASGUS?
Answer:
do an HPV screen or repeat in 12 months, if positive do colpo
Question:
recommendations mammograms
Answer:
ACOG: yearly starting at 40 USPSTF: every 2 years starting at 50
, Question:
colonoscopy ages
Answer:
start age 50 every 10 years (or sigmoidioscopy at 50 every 5 years)
Question:
DEXA age
Answer:
65 or early alcohol, smoking, hyperthyroid, family hx, etc
*osteopenia = -1 to -2.5
*osteoporosis = less than -2.5
Question:
trx osteoporosis?
Answer:
bisphosphonates and repeat DEXA every 2 years
Question:
when do CV labs start?
Answer:
age 45 every 5 years through 75
Question:
when are fasting blood glucose levels drawn?
Answer:
starting at 45 every 3 years
Question:
when is urinalysis screening done?
Answer:
over age 65 because risk of urosepsis
Question:
when do elderly get varicella vaccine?
Answer:
age 60 (even if they already have shingles)
