OBGYN COMAT EXAM fully solved &
updated (latest version verified for
accuracy)
When do you screen for gestational diabetes? - (ANSWER)24-28 weeks
Alternative medication to insulin in pregnant patient - (ANSWER)glyburide
Most common timing for ovarian torsion in pregnancy - (ANSWER)14 weeks
when ascending above brim or immediately postpartum
Management of patient with eclampsia after seizures have stopped -
(ANSWER)Magnesium sulfate
next step if low grade squamous intraepithelial or high grade lesion is seen on
Pap? - (ANSWER)colposcopy and endocervical curettage if not pregnant
uterine atony treatment - (ANSWER)massage, oxytocin then misoprostol if not
responding
Drug for reducing breast cancer risk in high risk women - (ANSWER)Tamoxifen
Most common cause of Down Syndrome - (ANSWER)meiotic nondisjunction
,2
When should you offer a C-section? - (ANSWER)5,000 g or larger baby
What do you do if baby is mentum anterior? - (ANSWER)Expectant management
If baby is in mentum posterior facing? - (ANSWER)c-section
Absolute contraindication to trial of labor - (ANSWER)Classic uterine scar
Most common type of ovarian neoplasm - (ANSWER)cystic teratoma
Most classic complication of teratoma - (ANSWER)torsion
Risk factors for placenta previa - (ANSWER)twin pregnancy, smoking, grand
multiparity
Diagnosis of placenta previa - (ANSWER)* ultra sound OUTSIDE Of the vagina *
digital exam is contraindicated in 3rd trimester vaginal bleeding
management of dysfunctional uterine bleeding - (ANSWER)cyclic progestins
diagnosis after an endometrial biopsy with pain during procedure, bleeding, and
fluid collection posterior to the uterus - (ANSWER)uterine perforation
, 3
Oxybutynin absolute contraindication - (ANSWER)acute angle glaucoma
Compound presentation management - (ANSWER)vaginal delivery. The
compound ligament (usually arm) will move out of the way
Twin delivery modalities - (ANSWER)vertex/vertex = vaginal
vertex/breech = either vaginal or c-section
non-vertex presenting = c-section
Chancroid - (ANSWER)painful genital ulcers, not indurated, irregular borders,
lymph node inflammation,
Discharge criteria - (ANSWER)alert, ambulate, tolerate oral intake, stable vitals,
satisfactory bowel and urinary function
Androgen insensitivity syndrome - (ANSWER)XY but phenotypically female, scant
pubic hair, breast development at puberty, tall, big hands, long arms, testes
should be removed-can cause cancer
PMDD most common symptom - (ANSWER)abdominal bloating