OBGYN NBME Practice Exams
10lb child born with hyaline membrane ailment. Mother had excessive glucoses.
Macrosomia and pulmonary disorder intently related with elevated awareness of what in
fetus?
Cortisol
GH
human placental lactogen
insulin
opposite T3 - ANS-insulin --> hyaline membrane sickness = ARDS, due to the fact surfactant
manufacturing inhibited by insulin
10wk gestation lady HIV +. Feels nicely and lungs clear, no LAD, PPD 9mm. Subsequent
step?
Second PPD in 2 mo
2nd PPD after delivery
Cx sputum for acid rapid bacilli
xray chest
spiral CT chest - ANS-xray chest --> excessive RF b/c HIV and PPD pos
14 yo w/ 10 days profuse green, foul smelling d/c. Numerous unexcused absences from
school. Breast and pubic hair advanced. Petechiae on vaginal mucosa and ample foul
smelling frothy green d/c. Large ectropion on cervix. Next step?
Cx vaginal fluid
cytological examination vaginal fluid
moist mount prep fluid
cervical bx - ANS-wet mount prep --> exams for fungus (hyphae), trich (motile) , and
bacterial vaginosis (clue cells)
15 yo w/o period yet excessive abd pain. Beyond year had 10 episodes of cramping for
three-5 days. Has a temp, HR a hundred and twenty, RR sixteen, BP ninety/50. Abd
tenderness, mass in suprapubic area. Cant see cervix b.C bluish bulging vaginal tissue.
Adenomysosi
ectopic being pregnant
hematocolopos
fibroid
ruptured corpus luteum cyst - ANS-hematocolpos: imperforate hymen = have length by
means of cant get out and builds up in vagina
sixteen yo no length. Level III breast, no pubic or axillary hair. Vagina 2cm. No uterus.
AIS
mullerian agenesis - ANS-AIS --> no uterus and no pubic hair
agenesis = remnants of uterus and full secondary intercourse traits b/c have ovaries
, 18 hrs after c/s girl has F. HR 94, RR 18, BP 112/seventy four, decreased breath sounds
bilaterally w/ no crackles or rhonchi. No r/m/g on cardiac. Uterus nontender, incision c/d/i. 2+
pitting edema of calves. Foley in place
atelectasis
endometritis
pyelo
thrombophlebitis
wound contamination - ANS-atelectasis is most common cause of F w/in 24 hrs of surgical
procedure
19yo 1 wk N and V. LMP 15 wks ago, each day vaginal bleeding 1 mo, no prenatal care.
140/90, RR 20, pedal edema. Uterus 20wk gestation, no adnexal tenderness, being
pregnant +, bilateral multilocular ovarian cysts and echogenic structures in uterus.
Combined ectopic and intrauterine being pregnant
hydatidiform mole
multiple gestatin
ovarian hyperstimulation syn
placenta accreta
polyhydramnios - ANS-hydatidiform mole: hyperemesis gravid arum with bleeding and huge
uterus, presence of theca lutein ovarian cysts
19yo at 31wks with extreme uterine contractions 1-2 min. Tender uterus. Fetal HR one
hundred sixty five. Dark blood from vagina, cervix effaced at 7cm dilated, vertex 0 station
abruptio placenta
cervicitis
chorioamnionitis
idiopathic preterm hard work
placenta previa
polyhydramnios - ANS-abruptio placenta
20 yo has three yr hs of hirsutism. Menses ordinary. FSH 10, LH 12, DHEAS 1.5 (norm),
17alpha OH progesterone 25 (norm), testosterone 2.Eight (norm)
reduced aromatase hobby
reduced progesterone awareness
expanded E2
accelerated 5alpha reductase
elevated testosterone concentration - ANS-improved 5 alpha reductase --> converts check to
active form: DHT
everyday DHEAS = adrenals everyday
21 yo with 2 wk hx small amp vaginal dc and itching. Had 2 sexual companions final 2 mo
and makes use of OCPs. 1 mo ago had UTI rx with Abs. PE shows red introitus and vulva,
crimson vaginal partitions, everyday vaginal and cervical dc, vaginal ph 4.Five, KOH = no
scent, moist mount indicates no motile organisms.
Candida
chlamdyia
10lb child born with hyaline membrane ailment. Mother had excessive glucoses.
Macrosomia and pulmonary disorder intently related with elevated awareness of what in
fetus?
Cortisol
GH
human placental lactogen
insulin
opposite T3 - ANS-insulin --> hyaline membrane sickness = ARDS, due to the fact surfactant
manufacturing inhibited by insulin
10wk gestation lady HIV +. Feels nicely and lungs clear, no LAD, PPD 9mm. Subsequent
step?
Second PPD in 2 mo
2nd PPD after delivery
Cx sputum for acid rapid bacilli
xray chest
spiral CT chest - ANS-xray chest --> excessive RF b/c HIV and PPD pos
14 yo w/ 10 days profuse green, foul smelling d/c. Numerous unexcused absences from
school. Breast and pubic hair advanced. Petechiae on vaginal mucosa and ample foul
smelling frothy green d/c. Large ectropion on cervix. Next step?
Cx vaginal fluid
cytological examination vaginal fluid
moist mount prep fluid
cervical bx - ANS-wet mount prep --> exams for fungus (hyphae), trich (motile) , and
bacterial vaginosis (clue cells)
15 yo w/o period yet excessive abd pain. Beyond year had 10 episodes of cramping for
three-5 days. Has a temp, HR a hundred and twenty, RR sixteen, BP ninety/50. Abd
tenderness, mass in suprapubic area. Cant see cervix b.C bluish bulging vaginal tissue.
Adenomysosi
ectopic being pregnant
hematocolopos
fibroid
ruptured corpus luteum cyst - ANS-hematocolpos: imperforate hymen = have length by
means of cant get out and builds up in vagina
sixteen yo no length. Level III breast, no pubic or axillary hair. Vagina 2cm. No uterus.
AIS
mullerian agenesis - ANS-AIS --> no uterus and no pubic hair
agenesis = remnants of uterus and full secondary intercourse traits b/c have ovaries
, 18 hrs after c/s girl has F. HR 94, RR 18, BP 112/seventy four, decreased breath sounds
bilaterally w/ no crackles or rhonchi. No r/m/g on cardiac. Uterus nontender, incision c/d/i. 2+
pitting edema of calves. Foley in place
atelectasis
endometritis
pyelo
thrombophlebitis
wound contamination - ANS-atelectasis is most common cause of F w/in 24 hrs of surgical
procedure
19yo 1 wk N and V. LMP 15 wks ago, each day vaginal bleeding 1 mo, no prenatal care.
140/90, RR 20, pedal edema. Uterus 20wk gestation, no adnexal tenderness, being
pregnant +, bilateral multilocular ovarian cysts and echogenic structures in uterus.
Combined ectopic and intrauterine being pregnant
hydatidiform mole
multiple gestatin
ovarian hyperstimulation syn
placenta accreta
polyhydramnios - ANS-hydatidiform mole: hyperemesis gravid arum with bleeding and huge
uterus, presence of theca lutein ovarian cysts
19yo at 31wks with extreme uterine contractions 1-2 min. Tender uterus. Fetal HR one
hundred sixty five. Dark blood from vagina, cervix effaced at 7cm dilated, vertex 0 station
abruptio placenta
cervicitis
chorioamnionitis
idiopathic preterm hard work
placenta previa
polyhydramnios - ANS-abruptio placenta
20 yo has three yr hs of hirsutism. Menses ordinary. FSH 10, LH 12, DHEAS 1.5 (norm),
17alpha OH progesterone 25 (norm), testosterone 2.Eight (norm)
reduced aromatase hobby
reduced progesterone awareness
expanded E2
accelerated 5alpha reductase
elevated testosterone concentration - ANS-improved 5 alpha reductase --> converts check to
active form: DHT
everyday DHEAS = adrenals everyday
21 yo with 2 wk hx small amp vaginal dc and itching. Had 2 sexual companions final 2 mo
and makes use of OCPs. 1 mo ago had UTI rx with Abs. PE shows red introitus and vulva,
crimson vaginal partitions, everyday vaginal and cervical dc, vaginal ph 4.Five, KOH = no
scent, moist mount indicates no motile organisms.
Candida
chlamdyia
