BLUEPRINTS OBSTETRICS & GYNECOLOGY ACTUAL EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS LATEST
VERSION 2024-2025
Blood pressure typically decreases during pregnancy until which point? - CORRECT
ANSWER✔✔About the middle of the second trimester
Is preeclampsia more common in primiparous or multiparous women? - CORRECT
ANSWER✔✔Primiparous - 8x more common
What does HELLP syndrome stand for? - CORRECT ANSWER✔✔Hemolysis
Elevated Liver enzymes
Low Platelets
What are the typical medical treatments indicated in severe preeclampsia? -
CORRECT ANSWER✔✔Magnesium sulfate for seizure prophylaxis
and Hydalazine for HTN
, Page 2 of 122
What is the recurrence rate for preeclamspia in subsequent pregnancies? -
CORRECT ANSWER✔✔25-33%
What is the treatment for overdose with Magnesium sulfate during pregnancy? -
CORRECT ANSWER✔✔10mL of calcium chloride or calcium gluconate
In eclamptic patients, do seizures typically occur before, during or after delivery? -
CORRECT ANSWER✔✔25% before
50% during labor
25% after
What percentage of patients with chronic hypertension will develop
superimposed preeclampsia during pregnancy? - CORRECT ANSWER✔✔33% or
more
In which trimester is the onset of carbohydrate metabolism abnormalities in
gestational diabetes most common? - CORRECT ANSWER✔✔Usually they do not
occur until the third trimeseter
, Page 3 of 122
What blood glucose level qualifies as a positive glucose challenge test? - CORRECT
ANSWER✔✔140mg/dL after 1 hour following a 50g dose of glucose
What are the cutoff blood glucose levels during the glucose tolerance test at
1 hour?
2 hours?
3 hours? - CORRECT ANSWER✔✔1 - 180mg/dL
2 - 155mg/dL
3 - 140mg/dL
What are the common signs of chorioamnionitis? - CORRECT
ANSWER✔✔Maternal fever and high WBC
Uterine tenderness
Fetal tachycardia
How is chorioamnionitis treated? - CORRECT ANSWER✔✔Antibiotics and
DELIVERY
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Without treatment, what percentage of infants who are born to HIV infected
mothers are born with infection? - CORRECT ANSWER✔✔About 25%
What is required to diagnose hyperemesis gravidarum in a pregnant woman? -
CORRECT ANSWER✔✔Vomiting that leads to dehydration and possibly electrolyte
disturbances
Does elevated estrogen increase or decrease the likelihood of developing
seizures? What about progesterone? - CORRECT ANSWER✔✔Estrogen - increases
seizures
Progesterone - decreases seizures
What is the drug of choice to control seizures for epileptic patients who become
pregnant? - CORRECT ANSWER✔✔Phenytoin
Mg sulfate is good for seizures due to preeclampsia, but phenytoin is usually use
for patients with known seizure disorder
Single drug treatment is optimal
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