OB/GYN APGO LATEST EXAM 2025 QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) | A+ GRADE
STUDY GUIDE
A 30-year-old G0 woman presents with her husband for preconception
counseling. The patient is of Ashkenazi Jewish descent. Her husband is Irish. The
patient has a brother who has a child diagnosed with attention deficit
hyperactivity disorder. Which of the following genetic diseases is the most likely
to affect their future children?
(a) Canavan disease
(b) Bloom syndrome
(c) Cystic fibrosis
(d) Tay-Sachs disease
(e) Gaucher's disease - ANS -(c) Cystic fibrosis
A 37-year-old G3P2 woman presents with her husband at 11 weeks gestation for
genetic counseling due to advanced maternal age. The patient and her husband
are interested in chorionic villus sampling (CVS). In addition to obtaining a
karyotype, which of the following can be detected with this procedure?
(a) Spina bifida
(b) Fetal omphalocele
(c) Cystic fibrosis
(d) Anencephaly
(e) Fetal cardiac anomaly - ANS -(c) Cystic fibrosis
How do you diagnose someone with GDM?
- ANS -- Positive 1 hr screening glucose tolerance test
- 2 or more of 4 values are elevated for the 3 hr glucose tolerance test
Ibuprofen is safe to take until around _____ gestation - ANS -32 wks
Which medication should be immediately discontinued after finding out about a
pregnancy in 1st trimester?
(a) Metformin
(b) Docusate sodium
,(c) Ibuprofen
(d) Oxycodone
(e) Warfarin - ANS -(e) Warfarin
If the fetal heart rate cannot be confirmed using external methods, then the most
reliable way to document fetal well-being is to... - ANS -apply a fetal scalp
electrode.
If a patient is delivering a fetus at station +2 and the fetus is in distress, what is
the most appropriate next step in mgmt?
(a) Emergent Cesarean delivery
(b) Amnioinfusion
(c) Assisted operative vaginal delivery
(d) Confirm the fetal heart rate with an internal fetal scalp electrode
(e) Use ultrasound to assess the fetal heart rate
- ANS -(c) Assisted operative vaginal delivery
After you see an umbilical prolapse in a patient's vagina, what is the next step in
mgmt?
(a) Allow for passive descent of the fetal head with continuous fetal monitoring
(b) Have the patient start pushing with the contractions
(c) Gently attempt to replace the umbilical cord segment back up into the uterus
(d) Perform a forceps assisted vaginal delivery
(e) Elevate the fetal head with a vaginal hand and perform a Cesarean delivery
- ANS -(e) Elevate the fetal head with a vaginal hand and perform a Cesarean
delivery
Which features are more associated with down's syndrome?
(a) Wide-spaced nipples and lymphedema
(b) Sandal gap toes and hypotonia
- ANS -(b) Sandal gap toes and hypotonia
If a fetus coming out has meconium-stained amniotic fluid, what is the next step
in mgmt?
(a) Initiate amnioinfusion with sterile saline to dilute the meconium-stained
amniotic fluid
, (b) Suction the oropharynx and nasopharynx on the perineum after the delivery of
the head but before the delivery of the shoulders
(c) Suction the oropharynx and nasopharynx on the perineum immediately after
delivery before the baby takes his first breath
(d) Intubate the trachea and suction meconium and other aspirated material from
beneath the glottis immediately after delivery
(e) Intubate the trachea and suction meconium and other aspirated material from
beneath the glottis immediately after delivery only if the infant is depressed
- ANS -(e) Intubate the trachea and suction meconium and other aspirated
material from beneath the glottis immediately after delivery only if the infant is
depressed
____ babies are more common with type 1 diabetes than with gestational
diabetes
(a) Small
(b) Large - ANS -(a) Small
_____ is the correct position for application of positive pressure ventilation in a
newborn infant - ANS -The sniffing position
What color is acrocyanosis - ANS -Bluish or purple
Postpartum blues usually last for ____ - ANS -2 wks
What is the safest method to suppress breast lactation?
(a) Bromocriptine
(b) Breast binding, ice packs and analgesics
(c) Medroxyprogesterone acetate
(d) Oral contraceptives
(e) Manual milk expression
- ANS -(b) Breast binding, ice packs and analgesics
Breastfeeding decreases the risk of which of the following for this patient?
(a) Type 2 diabetes
(b) Coronary artery disease
(c) Cervical cancer
(d) Ovarian cancer
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