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OB GYN NBME Questions and answers latest update
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OB GYN NBME Questions and answers latest update
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Solution 2024/2025Pepper
OB/GYN: NBME Questions and answers latest
update
Answer to the Previous Question ANS✔✔ -B
-we don't know which aspect the problem is with ...passenger, pelvis or
power.....she is in stage 1 active phase....and no prolongation or arrest is
evident...just do US and wait
-C,d,e not indicated....u don't do x ray...so only option left is b
-The baby is not very big, her cervix is dilated to 6cm which means she is
almost in active phase, you should be able to feel the head. This could be a
breech, do an U/S
-Unless you can feel a head on sterile vaginal exam, all patients should be
scanned for vertex positioning before allowing them to continue laboring
Image is the Question ANS✔✔
Answer to the Previous Question ANS✔✔ -A
-cervical stenosis. secondary dysmenorrhea or amenorrhea after cervical
procedures strongly suggests cervical stenosis has developed
, Solution 2024/2025
Pepper
Image is the Question ANS✔✔
Answer to the Previous Question ANS✔✔ -D
-D - cone biopsy (diagnostic excisional procedure)
-- this pt's entire SCJ cannot be visualized meaning inadequate colposcopy
result
-- In such case, diagnostic excisional procedure (LEEP or conization) shud be
done
-- Then cotest --> then colposcopy if abn cotest
Xif the question gives pt with adequate colposcopy, you can choose ablation
or excision (LEEP, conization, cryo or laser) and even if so, excisional
procedures like LEEP are preferred
Image is the Question ANS✔✔
Answer to the Previous Question ANS✔✔ -H
-Wt and ht is normal. Amenorrhea is less than 6 mths
-Yes, H confirmed online. In those UWorld questions, the patients were
older, previously had regular menses, and trained a lot (gymnastics
, Solution 2024/2025
Pepper
champion, collegiate athlete). This girl had menarche only one year ago,
has had irregular cycles since menarche, and does not do significant
exercise. In the first few years after menarche, the hypothalamic-pituitary-
ovarian axis is not well developed, so cycles are irregular, but it's normal
development.
Image is the Question ANS✔✔
Answer to the Previous Question ANS✔✔ -D
-he has moderate lower abdominal pain (still menstruating just blood is
blocked so can't flow out), vaginal canal can't be visualized (hymen is
blocking it), and rectal examination shows an anterior tender, central mass
which all indicate imperforate hymen
-AIS (46 X,Y). MRKH syndrome (complete mullerian agenesis, 46 X,X). AIS
(testes present, defective T receptor) and MRKH syndrome both have
normal breast development, either absent/rudimentary uterus and upper
vagina. Pubic/axillary hair is absent in AIS, but present in MRKH syndrome.
Image is the Question ANS✔✔
Answer to the Previous Question ANS✔✔ -D
-Bartholin cysts are painLESS inflammation of the DUCT.
-Bartholin abscesses are painFUL infections of the GLAND.
, Solution 2024/2025
Pepper
-Bartholinitis (cellulitis) is a painful complication of Bartholin cysts, and more
commonly, Bartholin abscesses.
-Necrotizing fasciitis is a severe complication of Bartholinitis. (Fournier
Gangrene aka Nec fascitis of the perineum, associated with diabetics)
Image is the Question ANS✔✔
Answer to the Previous Question ANS✔✔ -B
-aub workup: 1. rule out pregnancy 2. look for anatomical causes by
examination,if u get any do workup 3. coagulopathy if suspected 4.
anovulation which is most common cause of aub, diagnose it by
progesterone challange test by cyclic progesterone
-"For women with AUB-O (Ovulatory Dysfunction), estrogen-progestin
contraceptives, oral progestin therapy, or the LNg52/5 are first-line
treatment options, as these approaches reduce bleeding and decrease the
risk of endometrial hyperplasia or cancer"
Image is the Question ANS✔✔
Answer to the Previous Question ANS✔✔ -K
-Parvovirus B19 causing hydrops
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