OB/GYN SHELF EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Nifedipine [CCB]
Indocin [NSAID]
Magnesium Sulfate [Myosin light chain blocker] - ANS Tocolytics
= Labor repressant/ Anti contraction
Pitocin
Methergine
Hemabate - ANS Uterotonics
=
Screening recommendations for women 30-65 - ANS 1. Cytology [Pap] Only every 3 years
2. Cytology [Pap] + HPV every 5 years
Mucupurulent d/c with exacerbation of symptoms before and after menstruation -
ANS Gonorrhea
For a woman that is CHOOSING to have a C-Section, when should you plan for the operation? -
ANS 39 weeks
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Molar pregnancy risks - ANS 1. Asian Race
2. Young than 20, Older than 40
3. Low beta carotene and low folate diet
4. Two or more miscarriages
Characteristics of Molar Pregnancy - ANS 1. Uterus with snowstorm appearance on U/S due
to multiple hydrophic villi
2. Vaginal Bleeding
3. Uterus size greater than dates
4. No fetus [complete mole]
5. Abn fetus [partial mole]
6. Higher Beta hcg than normal pregnancy (sometimes)
7. Tachycardia from Hyperthyroidism
8. HTN from preeclampsia
Management of Molar pregnancy - ANS Suction Curretage
Partial Moles vs. Complete Moles - ANS 69 XXY, XXX, XYY, two sperm fertilize one egg
1. Lower Beta HCG
2. Older patients
3. Longer gestation
4. Often misdiagnosed as missed or incomplete abortions
5. May contain fetal parts
Complete Moles vs. Partial Moles - ANS 46 XX most common [two sperm no egg or one
sperm empty egg]
1. Larger uterus
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, 2. Preeclampsia
3. Post Molar GTD more common
How long after a D & C for Molar pregnancy, should a woman wait before attempting to get
pregnant again? - ANS Serial Beta HCG level until normalize/ regressed
At least 6 months
GTD/ Choriocarcinoma - ANS Diagnosis confirmed via Beta HCG; Do not biopsy suspicious
metastatic lesions bc highly vascular
Rx for microinvasive Squamous cell carcinoma of the vulva - ANS Wide Local Excision
Rx for invasive Squamous cell carcinoma of the vulva [from Lichen Sclerosis] - ANS Radical
vulvectomy and groin node dissection
Califlower like lesion on vulva - ANS Verrucous Carcinoma
Lichen Sclerosis vs. Paget's Disease of the Vulva - ANS Paget's= white, plaque like lesions with
poorly demarcated erythema- not associated with a mass
LS= Thin, inelastic and white; Tissue paper/crinkled appearance
Multicentric brown pigmented papules on the perineum, No induration or groin nodularity -
ANS HPV Related Vulvular Intraepithelial Neoplasia
Bartholin's Gland Neoplasm - ANS - Adenocarcinoma
-post menopausal woman who smokes
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
QUESTIONS AND ANSWERS 100% PASS
Nifedipine [CCB]
Indocin [NSAID]
Magnesium Sulfate [Myosin light chain blocker] - ANS Tocolytics
= Labor repressant/ Anti contraction
Pitocin
Methergine
Hemabate - ANS Uterotonics
=
Screening recommendations for women 30-65 - ANS 1. Cytology [Pap] Only every 3 years
2. Cytology [Pap] + HPV every 5 years
Mucupurulent d/c with exacerbation of symptoms before and after menstruation -
ANS Gonorrhea
For a woman that is CHOOSING to have a C-Section, when should you plan for the operation? -
ANS 39 weeks
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Molar pregnancy risks - ANS 1. Asian Race
2. Young than 20, Older than 40
3. Low beta carotene and low folate diet
4. Two or more miscarriages
Characteristics of Molar Pregnancy - ANS 1. Uterus with snowstorm appearance on U/S due
to multiple hydrophic villi
2. Vaginal Bleeding
3. Uterus size greater than dates
4. No fetus [complete mole]
5. Abn fetus [partial mole]
6. Higher Beta hcg than normal pregnancy (sometimes)
7. Tachycardia from Hyperthyroidism
8. HTN from preeclampsia
Management of Molar pregnancy - ANS Suction Curretage
Partial Moles vs. Complete Moles - ANS 69 XXY, XXX, XYY, two sperm fertilize one egg
1. Lower Beta HCG
2. Older patients
3. Longer gestation
4. Often misdiagnosed as missed or incomplete abortions
5. May contain fetal parts
Complete Moles vs. Partial Moles - ANS 46 XX most common [two sperm no egg or one
sperm empty egg]
1. Larger uterus
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, 2. Preeclampsia
3. Post Molar GTD more common
How long after a D & C for Molar pregnancy, should a woman wait before attempting to get
pregnant again? - ANS Serial Beta HCG level until normalize/ regressed
At least 6 months
GTD/ Choriocarcinoma - ANS Diagnosis confirmed via Beta HCG; Do not biopsy suspicious
metastatic lesions bc highly vascular
Rx for microinvasive Squamous cell carcinoma of the vulva - ANS Wide Local Excision
Rx for invasive Squamous cell carcinoma of the vulva [from Lichen Sclerosis] - ANS Radical
vulvectomy and groin node dissection
Califlower like lesion on vulva - ANS Verrucous Carcinoma
Lichen Sclerosis vs. Paget's Disease of the Vulva - ANS Paget's= white, plaque like lesions with
poorly demarcated erythema- not associated with a mass
LS= Thin, inelastic and white; Tissue paper/crinkled appearance
Multicentric brown pigmented papules on the perineum, No induration or groin nodularity -
ANS HPV Related Vulvular Intraepithelial Neoplasia
Bartholin's Gland Neoplasm - ANS - Adenocarcinoma
-post menopausal woman who smokes
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
