At her routine annual pelvic exam, a 39-year-old female presents to the clinic complaining of pelvic pressure and bloating for
several months. She is a G3P2 who delivered vaginally. She is a nonsmoker. Her maternal aunt had a history of ovarian cancer. Her pelvic exam reveals an 8-cm ovarian mass ...
OB GYN PA Easy Questions With Verified Answers
At her routine annual pelvic exam, a 39-year-old female presents to the clinic complaining of pelvic pressure and bloating for
several months. She is a G3P2 who delivered vaginally. She is a nonsmoker. Her maternal aunt had a history of ovarian cancer. Her pelvic exam reveals an 8-cm ovarian
mass in the right adnexal area. What is the most appropriate evaluation of the ovarian
mass?
A. Pelvic ultrasound
B. Pelvic CT scan
C. Surgical evaluation
D. CA 125 level
E. Repeat pelvic exam 1 month -ANSWER- C. Surgical evaluation
A 25-year-old female presents for an ultrasound after having a positive home pregnancy
test. She has an unremarkable past
medical history and physical exam. She states she has been feeling fine without any abdominal discomfort or vaginal bleeding
noted. On ultrasound you determine she is 10 weeks pregnant. You note a noncomplex unilateral mass on her left ovary
measuring 2 cm in diameter. Which treatment option would be best for your suspected diagnosis?
A. Salpingo-oophorectomy
B. Termination of pregnancy
C. Surgical exploration
D. Biopsy of the mass
E. Observation -ANSWER- E. Observation
A 19-year-old G1P0 presents for her routine obstetric exam. She is at 34 weeks gestation. When completing the physical
assessment you perform a Leopold maneuver. What does this maneuver assess?
A. Fetal lie and station
B. Fetal position and presentation
C. Fetal lie and position
D. Fetal lie and presentation
E. Fetal position and station -ANSWER- C. Fetal lie and position
A 19 year old female presents for her first pelvic examination and is noted to have a palpable, non-tender right ovary. She is sexually active, and uses condoms for birth control and protection from STDs. Her LMP was 20 days ago. She underwent
transvaginal ultrasound and was found to have a 3-cm follicular cyst. What does this right ovarian mass represent?
A. Retained hemorrhagic products
B. Intrafollicular fluids
C. Solid intracellular material
D. Germ cell layers
E. Keratinized squamous epithelium -ANSWER- B. Intrafollicular fluids
A 27-year-old female is 8 weeks postpartum with her first child and has been exclusively
nursing since discharge at the hospital.
She has a 5-day history of engorgement in her right breast, which is red, tender, and feels warm to the touch. She states she is
feverish but has not taken her temperature. On physical examination you see the breast
as shown below. What is the usual
causative agent of your suspected diagnosis?
A. Staphylococcus aureus
B. Streptococcus pyogenes
C. Group A Beta-hemolytic streptococcus
D. Fungal
E. Group B streptococci -ANSWER- A. Staphylococcus aureus
A 26-year-old athlete presents complaining of scant menses x 4 months. She is a G0P0, menarche was at age 13, and her
menses have been mostly regular. She is a non-smoker and non-drinker, and has been trying to achieve pregnancy x 8 months.
Physical exam reveals a thin, white female in no distress. Vitals are normal, BMI is 17.5,
her pelvic exam is normal, and STD
cultures are negative. A pregnancy test is negative in clinic. What is the most likely cause for her amenorrhea?
A. Idiopathic
B. Hypothalamic
C. Hypothyroid
D. Polycystic ovarian syndrome
E. Androgenic -ANSWER- B. Hypothalamic
A 21-year-old female presents to clinic complaining of mild, low abdominal ache and intermittent dysuria. She denies N/V/D, and
she is sexually active and uses condoms some of the time. Her LMP was 10 days ago, and she is a G0P0. Physical exam reveals a
healthy female in no acute distress. Vitals are as follows: P 70, BP 120/80, T 99.9°F. Lungs are clear, CV RRR, abd soft non- tender, + BS. Pelvic exam reveals normal external genitalia, scant discharge, moderate cervical motion tenderness, and no
adnexal masses. What is her most likely diagnosis?
A. Tubo-ovarian abscess
B. Gastroenteritis
C. Ectopic pregnancy
D. Cervicitis
E. Pelvic inflammatory disease -ANSWER- E. Pelvic inflammatory disease
A 27-year-old G3P2 at 39 weeks gestation has been in labor for 6 hours. Her membranes ruptured 3 hours ago and revealed a
large amount of clear fluid. She has previously delivered a 7 pound 2 ounce infant. She is having good quality contractions, and
has been completely dilated and pushing for 55 minutes. The fetal head is +4, FHT 128.
What would be the most appropriate
management at this time?
A. Continue pushing
B. Instrument delivery
C. Emergency caesarean section
D. Non emergent caesarean section
E. Epidural pain control -ANSWER- A. Continue pushing
A patient presents to the office at 5 weeks gestation. She has been spotting for several days, and the flow is increasing slightly.
She has mild, crampy pain; no fetal heart tones are auscultated. Ultrasound reveals an intrauterine gestational sac with a fetal
pole. What is the most likely diagnosis?
A. Threatened abortion
B. Spontaneous abortion
C. Incomplete abortion
D. Septic abortion
E. Ectopic pregnancy -ANSWER- A. Threatened abortion
A 19-year-old presents complaining of vaginal discharge and itching for 3 days. She is sexually active and uses condoms most of
the time. A physical exam reveals the following: vitals are normal, abdomen is soft and non-tender, + bowel sounds, the pelvic
exam is notable for moderate discharge with no masses or tenderness. Her wet mount/KOH prep reveals 20 wbcs, 2+ bacteria,
no hyphae, 5 to 7 clue cells. What is the most appropriate treatment?
A. Terconazole vaginal cream daily x 3 days
B. Cefixime 400 mg x one dose
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller IMORA. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.39. You're not tied to anything after your purchase.
