PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST UP
g g g g g g g g
DATED 2024 Exam,,,
g g
1. G2gP1001
2. G4gP1111
3. G3gP2103g-g✅✅✅1.gcurrentlygpregnant,g1gtermgdelivery,g1glivinggchild
2. currentlygpregnant,g1gtermgdelivery,g1gpretermgdelivery,g1gabortion/miscarriage,g1glivinggchildg(cannotgtellgif
gitgisgtermgorgpretermgchildgbygformula)
3. currentlygpregnant,gtwinsgatgterm,g1gatgpreterm,g3glivinggchildren,,
Gg(#gpregnancies)
Tg(#gtermgdeliveriesgatg37gweeksgorgmoregincludinggstillbirth
s)gPg(#gpretermgdeliveriesgatg20-37gweeks)
Ag(abortionsg<20gweeksgincludinggmiscarriages
)gLg(#glivinggchildren)
agpreviablegfetusgisgdefinedgasg-g✅✅✅<24gweeksgoldg(variesgw/gguidelines)
whatgaregthegroutinegtestgduringgthegfirstgprenatalgvisit?g-
g✅✅✅bloodgpressure,gbloodgtypeg&gRh,gCBC,gUAg(glucoseg&gprotein),grandomgglucose,gHBsAg,gHepgC,gHIV,gs
yphilis,grubellagtiter,gVZVgtiter,gpap,gsicklegcellg&gCFgscreening
diagnosisgofgpregnancygcangbegdetectedgbygserumgB-hCGgatg daysgaftergconceptiongandgbygurinegB-hCGgatg
gdaysgaftergconceptiong-g✅✅✅serumgB-
hCG:g5gdaysgaftergconception
urinegB-hCG:g14gdaysgaftergconception
howgisgestimatedgdategofgdeliveryg(EDD)gdetermined?g-g✅✅✅Naegele'sgRule:gfromg1stgdaygofgLMP
1. subtractg3gmos,gaddg7gdays,gaddg1gyear
2. addg9gmosg&g7gdays
ex:gLMPgstartedg8/7/16g=gEDD:g5/14/17
whengestimatingggestationalgagegongUSgwhatgmeasurementsgcangyouguse?g-
g✅✅✅1.gcrowngrumpglengthg(CRL)
Pgagggeg 1g|g56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST UP
g g g g g g g g
DATED 2024 Exam,,,
g g
2. biparietalgdiameter
3. headgcircumference
4. abdominalgcircumference
5. femurglength
whatgphysicalgexamgandglabgtestsgshouldgbegperformedgonginitialgvisitgofgagpregnantgpatient?g-
g✅✅✅fullgphysicalgexam,gBP,gpelvicgexamgw/gpapgsmearg(unlessgdoneginglastg6gmos),gG/CgCx's,gbimanualgex
amgtogcheckgsizegofguterusgandghelpgestimateg#gweeksgintogpregnancy,gUSgifgunsuregofgLMPgtogdateg#gweeks
labs:gCBCg(r/oganemia),gbloodgtypeg&gAbgscreeng+gRhgstatus,gRPR,gHBSAg,grubellagAbgscreen,gVZVgAbgscreengifgn
ogh/ogchickenpox,gUAgw/gCx,gbloodgglucose,gHIV,gsicklegcell/CFgscreen,gPPDginghighgriskgpts,gscreeninggforganeup
loidygofferedg(incgorgdecgfreegB-hCG,gPAPP-Aglowgw/gdowngsyndrome,gincgnuchalgtranslucencyg@10-
13gweeksgUS)
whatgaregthegscreeninggtestsgforganeuploidyg(includinggdowngsyndrome)?gwhengaregtheygperformed?g-
✅✅✅ALLgofferedgaroundg10-13gweeks
1. freegB-hCGg(highgorglowgcangbegindicativegofgabnormalities)
2. PAPP-Ag(usuallyglowgw/gDS)
3. nuchalgtranslucencyg(incgthicknessgongUS)
4. ifganygaboveg+gcangbegofferedgchorionicgvillusgsamplingg(orgifgtheyghaveganygRFgforganeuploidygsuchgasgadva
ncedgmaternalgage/AMA,gpreviousgchildgw/gchromosomalgabnmlity,gabnmlgUS,gpriorgpregnancyglosses)gbutgin
cgr/ogspontaneousgabortiongw/gprocedure
*amniocentesisgofferedgaroundg15-
18gweeksgw/gsamegindicationsgasgCVSg(bothgcangdiagnosegchromosomalgabnormalitiesgandghavegriskgofgspontan
eousgabortion)
theguterusgsofteninggatg6gweeksgisgwhatgsign?g-g✅✅✅Ladin'sgsign
theguterinegisthmusgsofteninggafterg6-8gweeksggestationgisgwhatgsign?g-g✅✅✅Hegar'sgsign
bluishgcolorationgofgthegcervixg&gvulvagaroundg8-12gweeksgisgwhatgsign?g-g✅✅✅Chadwick'sgsign
Pgagggeg 2g|g56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST UP
g g g g g g g g
DATED 2024 Exam,,,
g g
agpalpableglateralgbulgegorgsofteninggofgtheguterinegcornusg(whereguterusgmeetsgfallopiangtubes)gatg7-
8gweeksggestationgisgwhatgsign?g-g✅✅✅Piskacek'sgsign
cervicalgsofteninggofgthegcervixgandgvulvagaroundg8-12gwksg-g✅✅✅Goodell'sgsign
whatgaregtheg#gweeksgingeachgtrimester?g-g✅✅✅1stgtri:g1-
12g2ndgtri:g13-27
3rdgtri:g28-birth
whatgshouldgbegcheckedgatgroutinegfirstgtrimestergvisits?g-
g✅✅✅BP,gweight,gurinegdipstick,gmeasurementgofguterus/fundalgheight,gauscultationgofgfetalgheartgsoundsga
tg10-12gweeksg(nmlg120-160)
whatgweekgshouldgtheguterus/fundalgheightgmeasuregabovegthegpubicgsymphysis?gmidwaygbetweengpubicgsymphysis
/umbilicus?gatgumbilicus?g2-3cmgbelowgxiphoidgprocess?g-g✅✅✅-abovegthegpubicgsymphysis?g12gwks
-midwaygbetweengpubicgsymphysis/umbilicus?g14-16gwks
-atgumbilicus?g20gwks
-2-3cmgbelowgxiphoidgprocess?g38gwks
afterg20gweeksggestation,gthegfundalgheightgshouldgmeasureg+/-g cmgfromgtheg#gofgweeksg-g✅✅✅+/-g2gcm
whengaregfetalgheartgtonesgaudiblegwithgdopplergUS?gwhatgrategisgnml?g-g✅✅✅10-
12gweeksg(endgofg1stgtrimester)gatg120-160gbpm
whatgisgthegquadgscreengtestgfor?gwhatgaregthegtests?gwhengisgitgperformed?g-g✅✅✅-
togscreengforgtrisomyg21g(downgsyndrome),gtrisomyg18,gandgNTDglikegspinagbifida
-tests:galpha-fetogprotein,gB-hCG,gestradiol,gandginhibin-A
-performedgatg15-20gweeks
-cangbegperformedgw/g1stgtrimestergscreeningg-gcalledg"integratedgscreening"
whatgwouldgyougexpectgwithgthegquadgscreengifgagbabyghadgdowngsyndrome?g-g✅✅✅a-FP:glow
Pgagggeg 3g|g56
, PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST UP
g g g g g g g g
DATED 2024 Exam,,,
g g
B-
hCG:ghighges
tradiol:glow
inhibin-A:ghighg(alwaysghighgingchromosomalgabnormalities)
whengcangagfetusgbegdetectedgbygpelvicgUS?g-g✅✅✅5-6gweeks
whatgwouldgyougexpectgwithgthegquadgscreengifgagbabyghadgagneuralgtubegdefect?g-g✅✅✅a-
FP:g*high*gB-hCG:gN/A
estradiol:gN/A
inhibin-A:ghighg(alwaysghighgingchromosomalgabnormalities)
whatgwouldgyougexpectgwithgthegquadgscreengifgagbabyghadgtrisomyg18?g-g✅✅✅a-
FP:glowgB-hCG:glow
estradiol:glow
inhibin-A:ghighg(alwaysghighgingchromosomalgabnormalities)
theganatomygultrasoundg(checkinggforgamnioticgfluidglevel,gfetalgviability,ggrowth,gandganatomy)gisgperformedga
tghowgmanygweeks?g-g✅✅✅18-22gweeks
whengisggestationalgdiabetesgscreenedgfor?gwhatgisgthegscreeninggtestg&gBSglimit?gwhatgisgthegdiagnosticgtestgan
dg&gBSglimits?g-g✅✅✅-24-28gweeks
-glucosegloadinggtestg(GLT):g50gggivengandgserumgglucosegcheckedg1ghrglater-gfailedgifgBSg≥140
-
glucosegtolerancegtestg(GTT):gfastinggBSgcheckedg(≥95)gtheng100ggglucoseggivengandgBSgcheckedgatg1ghrg(≥180),g2ghrg(
≥155),g3ghrg(≥140);gfailureg=gatgleastg2/4
whengisg"quickening"gakagfetalgmovementgfelt?g-g✅✅✅16-20gweeks
howgoftengaregOBgvisitsgscheduled?g-g✅✅✅Q4gweeksgfirstg2gtrimesters,g1-
28gwksgQ2gweeksg28-36gwks
Qwkg36-birth
Pgagggeg 4g|g56
g g g g g g g g
DATED 2024 Exam,,,
g g
1. G2gP1001
2. G4gP1111
3. G3gP2103g-g✅✅✅1.gcurrentlygpregnant,g1gtermgdelivery,g1glivinggchild
2. currentlygpregnant,g1gtermgdelivery,g1gpretermgdelivery,g1gabortion/miscarriage,g1glivinggchildg(cannotgtellgif
gitgisgtermgorgpretermgchildgbygformula)
3. currentlygpregnant,gtwinsgatgterm,g1gatgpreterm,g3glivinggchildren,,
Gg(#gpregnancies)
Tg(#gtermgdeliveriesgatg37gweeksgorgmoregincludinggstillbirth
s)gPg(#gpretermgdeliveriesgatg20-37gweeks)
Ag(abortionsg<20gweeksgincludinggmiscarriages
)gLg(#glivinggchildren)
agpreviablegfetusgisgdefinedgasg-g✅✅✅<24gweeksgoldg(variesgw/gguidelines)
whatgaregthegroutinegtestgduringgthegfirstgprenatalgvisit?g-
g✅✅✅bloodgpressure,gbloodgtypeg&gRh,gCBC,gUAg(glucoseg&gprotein),grandomgglucose,gHBsAg,gHepgC,gHIV,gs
yphilis,grubellagtiter,gVZVgtiter,gpap,gsicklegcellg&gCFgscreening
diagnosisgofgpregnancygcangbegdetectedgbygserumgB-hCGgatg daysgaftergconceptiongandgbygurinegB-hCGgatg
gdaysgaftergconceptiong-g✅✅✅serumgB-
hCG:g5gdaysgaftergconception
urinegB-hCG:g14gdaysgaftergconception
howgisgestimatedgdategofgdeliveryg(EDD)gdetermined?g-g✅✅✅Naegele'sgRule:gfromg1stgdaygofgLMP
1. subtractg3gmos,gaddg7gdays,gaddg1gyear
2. addg9gmosg&g7gdays
ex:gLMPgstartedg8/7/16g=gEDD:g5/14/17
whengestimatingggestationalgagegongUSgwhatgmeasurementsgcangyouguse?g-
g✅✅✅1.gcrowngrumpglengthg(CRL)
Pgagggeg 1g|g56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST UP
g g g g g g g g
DATED 2024 Exam,,,
g g
2. biparietalgdiameter
3. headgcircumference
4. abdominalgcircumference
5. femurglength
whatgphysicalgexamgandglabgtestsgshouldgbegperformedgonginitialgvisitgofgagpregnantgpatient?g-
g✅✅✅fullgphysicalgexam,gBP,gpelvicgexamgw/gpapgsmearg(unlessgdoneginglastg6gmos),gG/CgCx's,gbimanualgex
amgtogcheckgsizegofguterusgandghelpgestimateg#gweeksgintogpregnancy,gUSgifgunsuregofgLMPgtogdateg#gweeks
labs:gCBCg(r/oganemia),gbloodgtypeg&gAbgscreeng+gRhgstatus,gRPR,gHBSAg,grubellagAbgscreen,gVZVgAbgscreengifgn
ogh/ogchickenpox,gUAgw/gCx,gbloodgglucose,gHIV,gsicklegcell/CFgscreen,gPPDginghighgriskgpts,gscreeninggforganeup
loidygofferedg(incgorgdecgfreegB-hCG,gPAPP-Aglowgw/gdowngsyndrome,gincgnuchalgtranslucencyg@10-
13gweeksgUS)
whatgaregthegscreeninggtestsgforganeuploidyg(includinggdowngsyndrome)?gwhengaregtheygperformed?g-
✅✅✅ALLgofferedgaroundg10-13gweeks
1. freegB-hCGg(highgorglowgcangbegindicativegofgabnormalities)
2. PAPP-Ag(usuallyglowgw/gDS)
3. nuchalgtranslucencyg(incgthicknessgongUS)
4. ifganygaboveg+gcangbegofferedgchorionicgvillusgsamplingg(orgifgtheyghaveganygRFgforganeuploidygsuchgasgadva
ncedgmaternalgage/AMA,gpreviousgchildgw/gchromosomalgabnmlity,gabnmlgUS,gpriorgpregnancyglosses)gbutgin
cgr/ogspontaneousgabortiongw/gprocedure
*amniocentesisgofferedgaroundg15-
18gweeksgw/gsamegindicationsgasgCVSg(bothgcangdiagnosegchromosomalgabnormalitiesgandghavegriskgofgspontan
eousgabortion)
theguterusgsofteninggatg6gweeksgisgwhatgsign?g-g✅✅✅Ladin'sgsign
theguterinegisthmusgsofteninggafterg6-8gweeksggestationgisgwhatgsign?g-g✅✅✅Hegar'sgsign
bluishgcolorationgofgthegcervixg&gvulvagaroundg8-12gweeksgisgwhatgsign?g-g✅✅✅Chadwick'sgsign
Pgagggeg 2g|g56
,PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST UP
g g g g g g g g
DATED 2024 Exam,,,
g g
agpalpableglateralgbulgegorgsofteninggofgtheguterinegcornusg(whereguterusgmeetsgfallopiangtubes)gatg7-
8gweeksggestationgisgwhatgsign?g-g✅✅✅Piskacek'sgsign
cervicalgsofteninggofgthegcervixgandgvulvagaroundg8-12gwksg-g✅✅✅Goodell'sgsign
whatgaregtheg#gweeksgingeachgtrimester?g-g✅✅✅1stgtri:g1-
12g2ndgtri:g13-27
3rdgtri:g28-birth
whatgshouldgbegcheckedgatgroutinegfirstgtrimestergvisits?g-
g✅✅✅BP,gweight,gurinegdipstick,gmeasurementgofguterus/fundalgheight,gauscultationgofgfetalgheartgsoundsga
tg10-12gweeksg(nmlg120-160)
whatgweekgshouldgtheguterus/fundalgheightgmeasuregabovegthegpubicgsymphysis?gmidwaygbetweengpubicgsymphysis
/umbilicus?gatgumbilicus?g2-3cmgbelowgxiphoidgprocess?g-g✅✅✅-abovegthegpubicgsymphysis?g12gwks
-midwaygbetweengpubicgsymphysis/umbilicus?g14-16gwks
-atgumbilicus?g20gwks
-2-3cmgbelowgxiphoidgprocess?g38gwks
afterg20gweeksggestation,gthegfundalgheightgshouldgmeasureg+/-g cmgfromgtheg#gofgweeksg-g✅✅✅+/-g2gcm
whengaregfetalgheartgtonesgaudiblegwithgdopplergUS?gwhatgrategisgnml?g-g✅✅✅10-
12gweeksg(endgofg1stgtrimester)gatg120-160gbpm
whatgisgthegquadgscreengtestgfor?gwhatgaregthegtests?gwhengisgitgperformed?g-g✅✅✅-
togscreengforgtrisomyg21g(downgsyndrome),gtrisomyg18,gandgNTDglikegspinagbifida
-tests:galpha-fetogprotein,gB-hCG,gestradiol,gandginhibin-A
-performedgatg15-20gweeks
-cangbegperformedgw/g1stgtrimestergscreeningg-gcalledg"integratedgscreening"
whatgwouldgyougexpectgwithgthegquadgscreengifgagbabyghadgdowngsyndrome?g-g✅✅✅a-FP:glow
Pgagggeg 3g|g56
, PAEA OBGYN EOR TOPICS, QUESTIONS AND ANSWERS LATEST UP
g g g g g g g g
DATED 2024 Exam,,,
g g
B-
hCG:ghighges
tradiol:glow
inhibin-A:ghighg(alwaysghighgingchromosomalgabnormalities)
whengcangagfetusgbegdetectedgbygpelvicgUS?g-g✅✅✅5-6gweeks
whatgwouldgyougexpectgwithgthegquadgscreengifgagbabyghadgagneuralgtubegdefect?g-g✅✅✅a-
FP:g*high*gB-hCG:gN/A
estradiol:gN/A
inhibin-A:ghighg(alwaysghighgingchromosomalgabnormalities)
whatgwouldgyougexpectgwithgthegquadgscreengifgagbabyghadgtrisomyg18?g-g✅✅✅a-
FP:glowgB-hCG:glow
estradiol:glow
inhibin-A:ghighg(alwaysghighgingchromosomalgabnormalities)
theganatomygultrasoundg(checkinggforgamnioticgfluidglevel,gfetalgviability,ggrowth,gandganatomy)gisgperformedga
tghowgmanygweeks?g-g✅✅✅18-22gweeks
whengisggestationalgdiabetesgscreenedgfor?gwhatgisgthegscreeninggtestg&gBSglimit?gwhatgisgthegdiagnosticgtestgan
dg&gBSglimits?g-g✅✅✅-24-28gweeks
-glucosegloadinggtestg(GLT):g50gggivengandgserumgglucosegcheckedg1ghrglater-gfailedgifgBSg≥140
-
glucosegtolerancegtestg(GTT):gfastinggBSgcheckedg(≥95)gtheng100ggglucoseggivengandgBSgcheckedgatg1ghrg(≥180),g2ghrg(
≥155),g3ghrg(≥140);gfailureg=gatgleastg2/4
whengisg"quickening"gakagfetalgmovementgfelt?g-g✅✅✅16-20gweeks
howgoftengaregOBgvisitsgscheduled?g-g✅✅✅Q4gweeksgfirstg2gtrimesters,g1-
28gwksgQ2gweeksg28-36gwks
Qwkg36-birth
Pgagggeg 4g|g56
