OB/Gyn NBME/
UWORLD
(Updated Question Bank)
100% Verified Exam Sets
,OB/GYN UWORLD & NBME
20y F G2P2, 8hrs postpartum w/ fatigue, perineal discomfort and bloody vaginal d/c. diff to
initiate urination, 30minutes of rigor & chills, 500mL blood loss, T100.2F, blood d/c & blood
clots on her perineal pad, firm uterus, uterine fundus at umbilicus. NBS?
provide routine postpartum care. normal findings of postpartum period
32y AAF multiparous, at 18 wks prx with new facial hair, weight gain & acne (signs of
hyperadrogenism). US shows normal gestational age w/ b/l solid masses in ovaries. NBS?
observation and expectant management. inc androgens in pregnant f, PCOS unlikely. most likely
luteoma (solid mass) or theca lutein cysts (cystic mass)
38y F w/ abdominal discomfort, constipation, cramping w/menses, regular periods w/no bleeding
or spotting between. Fhx of breast & ovarian Ca. pelvic exam: enlarged irregular uterus w/
prominent posterior mass. NBS
Pelvic U/S. uterine fibroids
19y F w/ no sxm is +ve for chlamydia on NAAT but -ve for gonorrhea. NBS
azithromycin only.
29y F prx w/ CP & dyspnea. CP is b/l dull persistent not worsened by exertion. 3 mos
postpartum. Dark bloody vaginal d/c. Pelvic exam: enlarged uterus, closed cervix, blood in
vagina CXR: xle b/l infitrates. Establish dx
quantitative bhcG test. Choriocarcinoma.
29f @ 37wks prx with fetus in breech postion on US. Hx pf low transverse CS, prefers to deliver
vaginally. Closed cervix, but fetal presenting part is not engaged. NBS
External cephalic version
42f prx with atypical glandular cells on pap smear. No fhx of cancer. NBS
endometrial bx
23f @ 38wks prx w/ sp rupture of membranes & painful contractions. Despite adequate
contractions (200MVU every 10mins) no change in cervix after 4 hours. NBS
,cesarean delivery
24f @ 28 wks prx w/ no fetal movement for 3 days. No fetal tones on doppler and absence of
fetal cardiac activity. SGA fetus in breech position. NBS
labor can be induced in the hospital when you feel ready
29f obese G1P0 @ 16wks w. hx of cold knife conization for CIN. NBS to evaluate her risk for
preterm delivery
transvaginal US
Transvaginal US @ 18 wks shows short cervix in pt w/ hx of cervical surgery. NBS
progesterone-mediated maintenance of uterine quiescence and protects amniotic mb against
premature rupture.
Lithium in first trimester associated with which congenital anomalities
cardiac defects (ebstien anomaly & septal defects)
36f G2P1 @ 35 wks prx w/ vaginal bleeding & constant back pain. Hx of HTN, smooth firm
distended uterus. Fetal HR shows 3 late decelerations and minimal variability. Closed cervix on
speculum exam. Uterine contractions every 102 mins. Dx
Abruptio placentae
60yF G3P3 prx w/ SOB, DIB, weight gain, dec appetite, bausea, fhx of breast Ca, BRCA +ve.
PE: distended abdomen, dec bowel sounds, clear lungs. Pelvic exam: firm, nodular, non mobile
mass in L adnexa also seen on US. NBS
Exploratory laparotomy. Epithelial ovarian carcinoma.
58 f G1P1 w/fhx of breast cancer worried about her risk. Greatest risk for breast cancer
chronological age.
24f G2P1 @ 37 wks requests for labor induction. Exhaustion and SOB when walking, b/l leg
swelling, b/l calves' cramps at night relieved by massage, UA shows trace protein, 2/6 SEM,
clear lungs. NBS
Reassurance and routine f/u
, 32f @ 28 wks dx w/ GDM @ 25 wks managed w/diet, prx w/ FBGL of 110-130 mg/dL & 2 hr
postprandial of >140mg/dL. NBS
Insulin. Target for GDM; GBGL < 95, 1hr postprandial <140, 2hr postprandial <120.
GDM at 37wks and fetus of 4000g, at 38 wks prx w/ spontaneous labor, ant shoulder cant be
delievered w. standard maneuvers. Next maneuver
Flex the hips against the abdomen. Shoulder dystocia
Tamoxifen therapy could lead to
hyperplasia of endometrium
33 G3P3 prx w/ amenorrhea for 9 mos. Tubal ligation 2 yrs ago. BMI > 35. Morbid obesity. LH
& FSH normal. Etiology
Anovulation dt obesity
24f G1P0 @ 8wks prx w/ dec TSH and inc T4 & T3 compared with values 6 mos ago. Cause
Normal physiologic changes. Dt hCG & Estrogen.
26f G1P0 prx for prenatal visit. Most accurate method to estimate current gestational age
First trimester ultrasound ~ fetal crown-rump length
risk factors for shoulder dystocia
Fetal macrosomia dt GDM, maternal obesity, excessive pregnant weight gain, post-term
pregnancy
pt prx w/ irregular uterine contractions and closed cervix at 35 weeks. NBS
Reassure pt and d/c home. False labor. Preterm is <37wks
31f w/high-grgade squamous intraepithelial lesion on pap test. Bx shows CIN grade 3. NBS
Cervical conization
27f @ 28wks hasn't felt fetal movement in 2 days, fetal heart tones not heard by Doppler. NBS
UWORLD
(Updated Question Bank)
100% Verified Exam Sets
,OB/GYN UWORLD & NBME
20y F G2P2, 8hrs postpartum w/ fatigue, perineal discomfort and bloody vaginal d/c. diff to
initiate urination, 30minutes of rigor & chills, 500mL blood loss, T100.2F, blood d/c & blood
clots on her perineal pad, firm uterus, uterine fundus at umbilicus. NBS?
provide routine postpartum care. normal findings of postpartum period
32y AAF multiparous, at 18 wks prx with new facial hair, weight gain & acne (signs of
hyperadrogenism). US shows normal gestational age w/ b/l solid masses in ovaries. NBS?
observation and expectant management. inc androgens in pregnant f, PCOS unlikely. most likely
luteoma (solid mass) or theca lutein cysts (cystic mass)
38y F w/ abdominal discomfort, constipation, cramping w/menses, regular periods w/no bleeding
or spotting between. Fhx of breast & ovarian Ca. pelvic exam: enlarged irregular uterus w/
prominent posterior mass. NBS
Pelvic U/S. uterine fibroids
19y F w/ no sxm is +ve for chlamydia on NAAT but -ve for gonorrhea. NBS
azithromycin only.
29y F prx w/ CP & dyspnea. CP is b/l dull persistent not worsened by exertion. 3 mos
postpartum. Dark bloody vaginal d/c. Pelvic exam: enlarged uterus, closed cervix, blood in
vagina CXR: xle b/l infitrates. Establish dx
quantitative bhcG test. Choriocarcinoma.
29f @ 37wks prx with fetus in breech postion on US. Hx pf low transverse CS, prefers to deliver
vaginally. Closed cervix, but fetal presenting part is not engaged. NBS
External cephalic version
42f prx with atypical glandular cells on pap smear. No fhx of cancer. NBS
endometrial bx
23f @ 38wks prx w/ sp rupture of membranes & painful contractions. Despite adequate
contractions (200MVU every 10mins) no change in cervix after 4 hours. NBS
,cesarean delivery
24f @ 28 wks prx w/ no fetal movement for 3 days. No fetal tones on doppler and absence of
fetal cardiac activity. SGA fetus in breech position. NBS
labor can be induced in the hospital when you feel ready
29f obese G1P0 @ 16wks w. hx of cold knife conization for CIN. NBS to evaluate her risk for
preterm delivery
transvaginal US
Transvaginal US @ 18 wks shows short cervix in pt w/ hx of cervical surgery. NBS
progesterone-mediated maintenance of uterine quiescence and protects amniotic mb against
premature rupture.
Lithium in first trimester associated with which congenital anomalities
cardiac defects (ebstien anomaly & septal defects)
36f G2P1 @ 35 wks prx w/ vaginal bleeding & constant back pain. Hx of HTN, smooth firm
distended uterus. Fetal HR shows 3 late decelerations and minimal variability. Closed cervix on
speculum exam. Uterine contractions every 102 mins. Dx
Abruptio placentae
60yF G3P3 prx w/ SOB, DIB, weight gain, dec appetite, bausea, fhx of breast Ca, BRCA +ve.
PE: distended abdomen, dec bowel sounds, clear lungs. Pelvic exam: firm, nodular, non mobile
mass in L adnexa also seen on US. NBS
Exploratory laparotomy. Epithelial ovarian carcinoma.
58 f G1P1 w/fhx of breast cancer worried about her risk. Greatest risk for breast cancer
chronological age.
24f G2P1 @ 37 wks requests for labor induction. Exhaustion and SOB when walking, b/l leg
swelling, b/l calves' cramps at night relieved by massage, UA shows trace protein, 2/6 SEM,
clear lungs. NBS
Reassurance and routine f/u
, 32f @ 28 wks dx w/ GDM @ 25 wks managed w/diet, prx w/ FBGL of 110-130 mg/dL & 2 hr
postprandial of >140mg/dL. NBS
Insulin. Target for GDM; GBGL < 95, 1hr postprandial <140, 2hr postprandial <120.
GDM at 37wks and fetus of 4000g, at 38 wks prx w/ spontaneous labor, ant shoulder cant be
delievered w. standard maneuvers. Next maneuver
Flex the hips against the abdomen. Shoulder dystocia
Tamoxifen therapy could lead to
hyperplasia of endometrium
33 G3P3 prx w/ amenorrhea for 9 mos. Tubal ligation 2 yrs ago. BMI > 35. Morbid obesity. LH
& FSH normal. Etiology
Anovulation dt obesity
24f G1P0 @ 8wks prx w/ dec TSH and inc T4 & T3 compared with values 6 mos ago. Cause
Normal physiologic changes. Dt hCG & Estrogen.
26f G1P0 prx for prenatal visit. Most accurate method to estimate current gestational age
First trimester ultrasound ~ fetal crown-rump length
risk factors for shoulder dystocia
Fetal macrosomia dt GDM, maternal obesity, excessive pregnant weight gain, post-term
pregnancy
pt prx w/ irregular uterine contractions and closed cervix at 35 weeks. NBS
Reassure pt and d/c home. False labor. Preterm is <37wks
31f w/high-grgade squamous intraepithelial lesion on pap test. Bx shows CIN grade 3. NBS
Cervical conization
27f @ 28wks hasn't felt fetal movement in 2 days, fetal heart tones not heard by Doppler. NBS
