OB/GYN SHELF EXAM (ACTUAL 2025/2026) QUESTIONS AND
VERIFIED CORRECT ANSWERS
Rx for advanced (Stages II ) ovarian cancer - ---
Answers_____Surgical removal, followed by adjuvant chemo
(taxane carboplatin)
When is IOL used for a missed abortion? - ---
Answers_____After the 16th week of gestation
Management of inevitable abortion - ---
Answers_____Hospitalization, analgesics, observation (same
as for incomplete abortion to monitor for sepsis, DIC,
hemorrhage) suction curettage
Dull, ill-defined pelvic ache worse prior to menstruation and
relieved by menses; Hx of sexual problems - ---
Answers_____Pelvic congestion syndrome
5 aspects of a BPP - ---Answers_____NST, tone, movements,
breathing, amniotic fluid volume
BPP of 4 or less - ---Answers_____Delivery if fetus is >26wks
pH of amniotic fluid - ---Answers_____7-7.5
,Definition of maternal leukocytosis - ---Answers_____>15,000
Amenorrhea eval - ---Answers_____Uterus on pelvic U/S: if
FSH increased --> karyotype; if FSH decreased --> cranial MRI
Uterus absent on U/S: if 46,XX/ nml testosterone, indicates
abnormal Mullerian dev't; if 46,XY/male testosterone levels,
indicates androgen insensitivity
How does FSH aid in the diagnosis of amenorrhea - ---
Answers_____If increased, is hypergonadotropic amenorrhea:
peripheral problem
If decreased, is hypogonadotropic amenorrhea: central
problem
Cause of amenorrhea in female athlete's trial - ---
Answers_____Decreased GnRH/LH --> estrogen deficiency
Test to determine whether vaginal bleeding is from a fetal
hemorrhage - ---Answers_____Apt test
Rx for gonorrhea or chlamydia - ---Answers_____Ceftriaxone
and azithro (or doxy)
,Most common cause of a nonreactive NST - ---
Answers_____Sleeping baby: wake up with vibroacoustic
stimulation
Cause of vaginismus - ---Answers_____Involuntary
contraction of perineal musculature (psychological)
Rx for vaginismus - ---Answers_____Relaxation, Kegels,
gradual dilation w/ dilators, fingers, etc.
Rx for primary anorgasmia - ---Answers_____Self-stimulation
After what point are breech presentations attempted to be
converted? - ---Answers_____37wks (b/c most self-resolve by
then)
When are fetuses at highest risk from ionizing radiation
exposure? - ---Answers_____8-15wks
Effects of ionizing radiation - ---Answers_____Mental
retardation, microcephaly, abnormal genitalia, growth
restriction, microphthalmia, cataracts
Test when suspect anovulation as cause of infertility - ---
Answers_____Mid-luteal phase serum progesterone (should be
increased to >10)
, Monomorphous pink papules, absence of comedones - ---
Answers_____Steroid-induced folliculitis (steroid acne)
Most preventable cause of fetal growth restriction in the US -
---Answers_____Smoking (causes 1 in 3 cases)
Most common infection leading to IUGR - ---Answers_____CMV
DES exposure in utero increases the risk for - ---
Answers_____Adenocarcinoma of the vagina
pH of vaginitis infections - ---Answers_____Normal (4-4.5) in
yeast infections; elevated (5-6) in BV and trich
How to distinguish BV and tric clinically? - ---
Answers_____Pruritis and inflammation seen only in
trichomonas
Decreased long-term variability can be due to this benign
condition - ---Answers_____Fetal sleep
Yellow mucopurulent discharge from the cervix - ---
Answers_____Most commonly chlamydia
Dyspareunia, dysmenorrhea, dyschezia - ---
Answers_____Endometriosis
VERIFIED CORRECT ANSWERS
Rx for advanced (Stages II ) ovarian cancer - ---
Answers_____Surgical removal, followed by adjuvant chemo
(taxane carboplatin)
When is IOL used for a missed abortion? - ---
Answers_____After the 16th week of gestation
Management of inevitable abortion - ---
Answers_____Hospitalization, analgesics, observation (same
as for incomplete abortion to monitor for sepsis, DIC,
hemorrhage) suction curettage
Dull, ill-defined pelvic ache worse prior to menstruation and
relieved by menses; Hx of sexual problems - ---
Answers_____Pelvic congestion syndrome
5 aspects of a BPP - ---Answers_____NST, tone, movements,
breathing, amniotic fluid volume
BPP of 4 or less - ---Answers_____Delivery if fetus is >26wks
pH of amniotic fluid - ---Answers_____7-7.5
,Definition of maternal leukocytosis - ---Answers_____>15,000
Amenorrhea eval - ---Answers_____Uterus on pelvic U/S: if
FSH increased --> karyotype; if FSH decreased --> cranial MRI
Uterus absent on U/S: if 46,XX/ nml testosterone, indicates
abnormal Mullerian dev't; if 46,XY/male testosterone levels,
indicates androgen insensitivity
How does FSH aid in the diagnosis of amenorrhea - ---
Answers_____If increased, is hypergonadotropic amenorrhea:
peripheral problem
If decreased, is hypogonadotropic amenorrhea: central
problem
Cause of amenorrhea in female athlete's trial - ---
Answers_____Decreased GnRH/LH --> estrogen deficiency
Test to determine whether vaginal bleeding is from a fetal
hemorrhage - ---Answers_____Apt test
Rx for gonorrhea or chlamydia - ---Answers_____Ceftriaxone
and azithro (or doxy)
,Most common cause of a nonreactive NST - ---
Answers_____Sleeping baby: wake up with vibroacoustic
stimulation
Cause of vaginismus - ---Answers_____Involuntary
contraction of perineal musculature (psychological)
Rx for vaginismus - ---Answers_____Relaxation, Kegels,
gradual dilation w/ dilators, fingers, etc.
Rx for primary anorgasmia - ---Answers_____Self-stimulation
After what point are breech presentations attempted to be
converted? - ---Answers_____37wks (b/c most self-resolve by
then)
When are fetuses at highest risk from ionizing radiation
exposure? - ---Answers_____8-15wks
Effects of ionizing radiation - ---Answers_____Mental
retardation, microcephaly, abnormal genitalia, growth
restriction, microphthalmia, cataracts
Test when suspect anovulation as cause of infertility - ---
Answers_____Mid-luteal phase serum progesterone (should be
increased to >10)
, Monomorphous pink papules, absence of comedones - ---
Answers_____Steroid-induced folliculitis (steroid acne)
Most preventable cause of fetal growth restriction in the US -
---Answers_____Smoking (causes 1 in 3 cases)
Most common infection leading to IUGR - ---Answers_____CMV
DES exposure in utero increases the risk for - ---
Answers_____Adenocarcinoma of the vagina
pH of vaginitis infections - ---Answers_____Normal (4-4.5) in
yeast infections; elevated (5-6) in BV and trich
How to distinguish BV and tric clinically? - ---
Answers_____Pruritis and inflammation seen only in
trichomonas
Decreased long-term variability can be due to this benign
condition - ---Answers_____Fetal sleep
Yellow mucopurulent discharge from the cervix - ---
Answers_____Most commonly chlamydia
Dyspareunia, dysmenorrhea, dyschezia - ---
Answers_____Endometriosis
