NBME OBGYN Shelf Comprehensive
Questions (Frequently Tested) with
Verified Answers Graded A+
32 y/o G3 P2 delivers a 9 lb baby following a 2hr second stgae of labor. following placental
delivery there is a pale mass in the lower vagina, the pt develop hypovolemic shock and uterus
cant be palpated. dx? - Answer: uterine prolapse
What is the most likely cause of a 46 XX baby born with scrotum and phallius? - Answer: ACTH
oversecretion (CAH)
What is the fisrt step in mangement of a 47 y/o with questionable menopause with 4 months
without a mentsrual period, with an enlarged uterus? - Answer: Get Beta HCG before getting
FSH
What is the most apporopriate management of a 15 y/o pt with PID and 103.5 fever? - Answer:
admission and IV abtx
What is the appropriate step for preventing group B strep sepsis in the newborn with 12 hrs of
ruptured membranes? - Answer: abtx therapy is delivery hasnt occured by 18 hours after
rupture of membranes
When should HIV + women have pap smears? - Answer: every 6 months if abnl, then every 1 yr
What is the best screening test for a 30 y/o woman with br cancer in a 58 y/o relative, a MI in
father at39 and a 36 y/o brother with T2DM and a smoking hx? - Answer: cholesterol studies
,23 y/o, acute onset of intense right sided lower abdominal pain becoming worse with irregular
mentrual intervals. 5 x 5 x 4 mass, no fever, + guarding and rebound. mass grwoing with cystic
and solid components. Dx? - Answer: ovarian torsion
fisrt step in management with ROM at term with sudden decrease in fetal HR? - Answer: pelvic
exam
What is converted peripherally in PCOS? - Answer: androstenidione to estrone
Best evaluation tool for soncern for PID infertility? - Answer: hysterosalpingogram
What type of contraceptive is contraI in a 37 y/o smoker of 2 ppd? - Answer: triphasic oral
contraceptives
LEEP is a RF for what in future pregnancy? - Answer: cervical insufficiency
A patient with a velvety pigmented skin over the axilla is at risk for? - Answer: type 2 DM
(acanthosis nigracans)
painless ulcerated lesion in 60 y/o lady with puritis. dx? - Answer: vulvar carcinoma
What might be seen in a uterus large for dates in an IVF pt? - Answer: multigestation, get an u/s
What is the most common cause of 4 months of serosanguinous breast discharge with a normal
mammogram? - Answer: intraductal papilloma
Most common birht defect of valproate? - Answer: NTD
, What is the most likely cause of a lady not having a menstrual period after her last child
required a d and C? - Answer: asherman syndrome
What is seen in amenorrhea from running (FSH and estrogen)? - Answer: low FSH and low
estrogen (hypogonadotropic hypogonadism)
What is the most likely cause of a 5 y/o without genital truma with persistant green vaginal
discharge and burning and itching? - Answer: foreign body in the vagina
what is the most likely karyotype of a pat with progressive facial hair, axillary hair, without
breast devlopment. a blind vagina, clitoromegaly and posterior labioscrotal fusion? - Answer: 46
XY (androgen insenitivty)
What do you follow a + RPR VDRL with? - Answer: FTA ABS
What should you order for an 18 y/o pt at 10 weekd with HIV and a PPD of 9mm? - Answer:
chest xray
An exquisitely tender ulcer at the introitus is most likely caused by what in an immigrant? -
Answer: H. ducreyi
A fever with wonund induration and erythema is? - Answer: wound infection
A twin gestation with a thick dividing membrane is? - Answer: dichorionic (di -di)
Urge, enuresis, with large volume is? - Answer: urge incontined, detrusor instability . tx with
meds
Questions (Frequently Tested) with
Verified Answers Graded A+
32 y/o G3 P2 delivers a 9 lb baby following a 2hr second stgae of labor. following placental
delivery there is a pale mass in the lower vagina, the pt develop hypovolemic shock and uterus
cant be palpated. dx? - Answer: uterine prolapse
What is the most likely cause of a 46 XX baby born with scrotum and phallius? - Answer: ACTH
oversecretion (CAH)
What is the fisrt step in mangement of a 47 y/o with questionable menopause with 4 months
without a mentsrual period, with an enlarged uterus? - Answer: Get Beta HCG before getting
FSH
What is the most apporopriate management of a 15 y/o pt with PID and 103.5 fever? - Answer:
admission and IV abtx
What is the appropriate step for preventing group B strep sepsis in the newborn with 12 hrs of
ruptured membranes? - Answer: abtx therapy is delivery hasnt occured by 18 hours after
rupture of membranes
When should HIV + women have pap smears? - Answer: every 6 months if abnl, then every 1 yr
What is the best screening test for a 30 y/o woman with br cancer in a 58 y/o relative, a MI in
father at39 and a 36 y/o brother with T2DM and a smoking hx? - Answer: cholesterol studies
,23 y/o, acute onset of intense right sided lower abdominal pain becoming worse with irregular
mentrual intervals. 5 x 5 x 4 mass, no fever, + guarding and rebound. mass grwoing with cystic
and solid components. Dx? - Answer: ovarian torsion
fisrt step in management with ROM at term with sudden decrease in fetal HR? - Answer: pelvic
exam
What is converted peripherally in PCOS? - Answer: androstenidione to estrone
Best evaluation tool for soncern for PID infertility? - Answer: hysterosalpingogram
What type of contraceptive is contraI in a 37 y/o smoker of 2 ppd? - Answer: triphasic oral
contraceptives
LEEP is a RF for what in future pregnancy? - Answer: cervical insufficiency
A patient with a velvety pigmented skin over the axilla is at risk for? - Answer: type 2 DM
(acanthosis nigracans)
painless ulcerated lesion in 60 y/o lady with puritis. dx? - Answer: vulvar carcinoma
What might be seen in a uterus large for dates in an IVF pt? - Answer: multigestation, get an u/s
What is the most common cause of 4 months of serosanguinous breast discharge with a normal
mammogram? - Answer: intraductal papilloma
Most common birht defect of valproate? - Answer: NTD
, What is the most likely cause of a lady not having a menstrual period after her last child
required a d and C? - Answer: asherman syndrome
What is seen in amenorrhea from running (FSH and estrogen)? - Answer: low FSH and low
estrogen (hypogonadotropic hypogonadism)
What is the most likely cause of a 5 y/o without genital truma with persistant green vaginal
discharge and burning and itching? - Answer: foreign body in the vagina
what is the most likely karyotype of a pat with progressive facial hair, axillary hair, without
breast devlopment. a blind vagina, clitoromegaly and posterior labioscrotal fusion? - Answer: 46
XY (androgen insenitivty)
What do you follow a + RPR VDRL with? - Answer: FTA ABS
What should you order for an 18 y/o pt at 10 weekd with HIV and a PPD of 9mm? - Answer:
chest xray
An exquisitely tender ulcer at the introitus is most likely caused by what in an immigrant? -
Answer: H. ducreyi
A fever with wonund induration and erythema is? - Answer: wound infection
A twin gestation with a thick dividing membrane is? - Answer: dichorionic (di -di)
Urge, enuresis, with large volume is? - Answer: urge incontined, detrusor instability . tx with
meds
