PACKRAT – OBGYN ExamQuestions with Correct Answers/Already Grade A+/ latest 2024/2025

1. History & Physical/Obstetrics/Gynecology A 26 year-old monogamous female presents with cyclic pelvic pain that has been increasing over the last 6 months. She complains of significant dysmenorrhea and dyspareunia. She uses condoms for birth control. On physical examination her uterus is retroverted and nonmobile, and she has a palpable adnexal mass on the left side. Her serum pregnancy test is negative. Which of the following is the most likely diagnosis? A. Ovarian cancer B. Endometriosis C. Functional ovarian cyst D. Pelvic inflammatory disease - Answer (u) A. It is important to consider ovarian cancer in a patient with a pelvic mass however, ovarian cancer usually occurs in older women over age 55 and patients are often asymptomatic until the disease is more advanced (c) B. With endometriosis, the uterus is often fixed and retroflexed in the pelvis. The palpable mass is an endometrioma or "chocolate cyst". The patient with endometriosis also often has dysmenorrhea, dyspareunia, and dyschezia. (u) C. Functional ovarian cysts occur from ovulation and usually are not symptomatic. (u) D. With PID the patient will have abdominal tenderness, adnexal tenderness, cervical motion tenderness and an elevated temperature. 2. Health Maintenance/Obstetrics/Gynecology What is the recommended method for screening pregnant women for gestational diabetes? A. Fasting blood sugar and 2 hour post prandial B. 50 gram glucose load followed by a blood sugar in 1 hour C. 75 gram glucose load followed by a blood sugar in 2 hours D. 100 gram glucose load followed by a blood sugar at 1 hour, 2 hours, and 3 hours - Answer (u) A. Fasting blood sugar and 2 hour postprandial blood test is used to follow patient with gestational diabetes.