ALSO Pre test 2025 with 100%ct answers

ALSO Pre test 2025 with 100% correct
answers

Am26myear-
oldmgravidam2mparam1mfemalematm9mweeks'mestimatedmgestationalmagem(bymlastmnormalmmenstrualmperiod)
mpresentsmtomthemEmergencymDepartmentmcomplainingmofmheavymvaginalmbleedingmwhichmbeganmtwomho

ursmearlier.mShemdeniesmhavingmanymsexualmintercourseminmthempastmsevenmdays.mHermvitalmsignsmaremstabl
e.mAmquantitativemserummhCGmreturnsmatmamvaluemofm3200mmIU/mLmandmamtransvaginalmultrasoundmrevea
lsmammeanmgestationalmsacmdiametermofm30mmmandmnomembryo.mShemreportsmpassingmnomtissuemandmams
peculummexaminationmrevealsmthemcervixmismvisuallymclosed.mInmcounselingmthempatientmaboutmhermoption
s,mwhichmofmthemfollowingmstatementsmismtrue?m-
mcorrectmanswer-Medicalmmanagementmwithmmisoprostolmismmoremeffectivemthanmexpectantmmanagemen

tmCorrect



Whichmofmthemfollowingmismamcontraindicationmformmedicalmmanagementmofmanmectopicmpregnancymwithm
methotrexate?m-mcorrectmanswer-PresencemofmembryonicmcardiacmactivitymCorrect



Am19-
yomprimigravidamatmapproximatelym40mweeks'mestimatedmgestationalmagemcomesmtomthemhospitalmwithmpa
infulmcontractions.mShemhasmreceivedmnomprenatalmcare.mExamination:mCervixmism4mcmmdilatedmandm80%me
ffacedmatmstationm-
1.mBloodmpressuremism164/111mmmmHg,mandmamurinemdipstickmshowsm3+mprotein.mShemreportsmhavingmhad
mseveremheadachesmformthreemdaysmandmhasmnoticedmswellingminmhermhandsmandmfeet.mMomentsmaftermhe

rmbloodmismdrawnmandmIVmaccessmismobtained,mshemhasmamgeneralizedmtonic-
clonicmseizure.mWhichmofmthemfollowingmismthemmostmappropriatemimmediatemcoursemofmaction?m-
mcorrectmanswer-AdministermmagnesiummsulfatemsixmgramsmIVmoverm15-20mminutesmCorrect




Am29myear-
oldmgravidam3mparam2mfemalematm28mweeks'mestimatedmgestationalmagemismfoundmtomhavemampulmonaryme
mbolus.mShemismhemodynamicallymstablemandmyoumaremdiscussingmtherapeuticmanticoagulationmwithmher.m
Accordingmtomthem2012mAmericanmCollegemofmChestmPhysiciansmGuidelines,mthemtreatmentmofmchoicemform
venousmthromboembolismminmpregnancymismwhichmonemofmthemfollowing?m-mcorrectmanswer-Low-
molecularmweightmheparinmCorrect



AccordingmtomthemNICHDmFetalmHeartmRatemClassificationmSystem,mwhichmcategorymtracingmrequiresmprom
ptmevaluationmandmexpedientminterventionsmtomaddressmthempatternm(asmthemtracingminmthismcategorymismc

, onsideredmabnormalmandmpredictivemofmabnormalmfetalmacid-basemstatusmatmthemtimemofmobservation)?m-
mcorrectmanswer-CategorymIIImelectronicmfetalmmonitoringmtracingmCorrect




Amcesareanmdeliverymmaymbemconsideredmduemtomfailedminductionmaftermarrestmofmlaborminmwhichmofmthem
followingmprimiparousmlabormscenarios?m-mcorrectmanswer-
Aftermmaximummoxytocinmdosingmformsixmhoursmwithmrupturedmmembranes,mtheremismfailuremtomgeneratem
adequatemcontractionsmormprogressmatm7mcmmCorrect



Whichmofmthemfollowingmdefinesmanmocciputmposteriormposition?m-mcorrectmanswer-
FetalmocciputmtowardmthemmaternalmspinemCorrect



AllmofmthemfollowingmaremtruemstatementsmregardingmmultiplemgestationmpregnanciesmEXCEPT:m-
mcorrectmanswer-TheremismamdecreasedmincidencemofmcongenitalmanomaliesmCorrect




Am32-year-
oldmgravidam2mparam1mfemalematm40m6/7mweeks'mestimatedmgestationalmagemhasmbeenmfullymdilatedmformfo
urmhours,mandmhasmnowmbeenmpushingmformtwomhours.mShemismphysicallymandmemotionallymexhausted,msom
youmhavemamdiscussionmwithmhermregardingmassistedmvaginalmdelivery.mWhichmofmthemfollowingmaremprere
quisitesmtomanminstrumentedmdelivery?m-mcorrectmanswer-
LackmofmsuspicionmofmseveremcephalopelvicmdisproportionmCorrect



Whichmofmthemfollowingmismanmantenatalmriskmfactormformshouldermdystocia?m-mcorrectmanswer-
MaternalmobesitymCorrect



Documentationminmthemmedicalmrecordmaftermamdeliverymwithmamshouldermdystociamismanmessentialmriskmm
anagementmtool.mWhichmofmthemfollowingmshouldmbemdocumentedminmthemmedicalmrecordmpertainingmtom
themcircumstancesmthatmtookmplacemduringmthemshouldermdystocia?m-mcorrectmanswer-
ThemelapsedmamountmofmtimemfrommdeliverymofmthemfetalmheadmuntilmcompletemdeliverymofmthembabymCor
rect



Postpartummhemorrhagemismamcommonmmaternalmmorbidityminmhighmresourcemcountriesmandmismonmthemri
se.mWhichmonemofmthemfollowingmismthemmostmcommonmcausemofmpostpartummhemorrhage?m-
mcorrectmanswer-AtonicmuterusmCorrect