OBGYN NBME Form 6 Exam with Questions and Answers 1

OBGYN NBME Form 6 Exam with Questions and Answers 1 1. A 38-year-old G2P2 is BRCA-1 positive. What is the best way for her to lower her risk of cancer? A. Begin oral contraceptive pills B. Begin tamoxifen daily C. Perform BSO now D. Plan hysterectomy and BSO at time of menopause E. Schedule an MRI and Mammograms every 6 months ANSWER C 2. A 28-year-old G1P0 at 38 weeks gestation presents with sudden onset of painful vaginal bleeding and abdominal tenderness. Fetal heart rate monitoring shows late decelerations. What is the most likely diagnosis? A. Placenta previa B. Vasa previa C. Abruptio placentae D. Uterine rupture E. Cervical insufficiency ANSWER C 3. A 24-year-old nulligravida presents with a 3-month history of irregular menstrual cycles, acne, and hirsutism. Her BMI is 32 kg/m2. Laboratory tests show elevated testosterone and LH:FSH ratio. What is the most likely diagnosis? A. Hypothyroidism