FAMILY MEDICINE PAEA (OBGYN)
EXAM ACTUAL EXAM NEWEST
PRACTICE QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALE
| 2024-2025
A 16 year-old G0P0 patient presents complaining of lower
pelvic pain that alternates from right to left side of her
pelvis. She states that it is related to her cycle and occurs
most commonly midcycle. She denies sexual activity. She
reports that she has taken ibuprofen at the time of the
discomfort with some relief. Her pelvic examination is
unremarkable. Which of the following is the most likely
diagnosis?
Endometriosis
Mittelschmerz
Functional ovarian cyst
Pelvic inflammatory disease Correct Answer
Mittleschmerz
(Women may experience pain at the time of ovulation,
may alternate side to side)
You are performing a routine gynecological examination
on a 49 year-old female. She states that for the last six
months her periods have been getting heavier and lasting
for seven days duration. She also tells you that she has
,been experiencing urinary frequency and constipation. Her
abdominal exam is unremarkable. On pelvic examination
you feel a slightly enlarged uterus and a left adnexal mass
that moves with the uterine fundus. Which of the following
is the most likely diagnosis?
Adenomyosis
Uterine fibroids
Ovarian neoplasm
D. Diverticular disease in the colon Correct Answer
(Patients with uterine fibroids often have menorrhagia and/
or metrorrhagia. On examination, the uterus will be larger,
and irregularly-shaped. If a mass is present and it moves
with the uterus, it is suggestive of a fibroid)
Post-menopausal atrophic vaginitis is best treated with
vaginal
podophyllin solution
estrogen cream
corticosteroid cream
boric acid solution Correct Answer (Intravaginal estrogen
cream is the treatment of choice for post menopausal
atrophic vaginitis)
Which of the following signs and symptoms is common in
candidal vulvovaginitis?
, purulent discharge Correct Answer A
(Candida infection presents with pruritus, vulvovaginal
erythema, and white, cheese-like (curd) discharge that is
malodorous)
Human papilloma virus has been strongly associated with
the development of which of the following?
Cervical carcinoma
Ovarian carcinoma
Pelvic inflammatory disease
Vaginitis Correct Answer ( Human papilloma virus (types
16, 18, and 31) has been linked to the development of
cervical carcinoma)
A 30 year-old presents with persistent vaginal discharge
and vulvar pruritus. The discharge is profuse, frothy,
greenish, and foul smelling. pH of the vagina is 6.0. Which
of the following is the most likely diagnosis?
Vulvovaginal candidiasis
Bacterial vaginosis
Trichomoniasis
Atrophic vaginitis Correct Answer (Trichomoniasis
presents with vulvar pruritus and a profuse, frothy,
greenish, foul-smelling vaginal discharge with a pH usually
exceeding 5.0)
A 24 year-old female presents with complaints of dysuria
associated with fever, malaise, myalgias and headache for
the past 3 days. Today she noticed some lesions on her
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 TUTORWAC. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $22.99. You're not tied to anything after your purchase.
