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Question 1 of 50
1. Question
1. Lochia, in its various forms, typically resolves after how many weeks postpartum?
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Question 2 of 50
2. Question
2. Secondary postpartum hemorrhage is defined as bleeding from 24 hours to 12 weeks postpartum. It may be caused by all EXCEPT which of the following?
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Question 3 of 50
3. Question
3. Your patient had a vaginal delivery yesterday complicated by a first-degree perineal laceration after a 12hours labor. She is asymptomatic, afebrile, and has less normal vital signs.her uterus is firm and nontender. Her remaining physical examination is unremarkable. She has voided several times, and total urine output for the past 12 hours is 1400mL. her complete blood count from this morning reveals the following: white blood cell count 16000/mm3 platelet count 118000/mm3 Which of the following is next best management step?
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Question 4 of 50
4. Question
4. To minimize neonatal drug exposure from maternal medication, which drug quality is preferred during selection?
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Question 5 of 50
5. Question
5. Which of the following is not associated with postpartum urinary retention?
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Question 6 of 50
6. Question
6. Which of the following anticoagulants is not compatible with breast feeding?
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Question 7 of 50
7. Question
7. Which of the following has been shown to prevent puerperal pelvic infections following cesarean delivery?
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Question 8 of 50
8. Question
8. When is an infected episiotomy ready for early repair?
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Question 9 of 50
9. Question
9. During insertion, which of the following increases IUD-related perforation?
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Question 10 of 50
10. Question
10. Your patient complains of lower abdominal ache in the months following placement of her IUD. During examination, no IUD strings are seen. Which of the following is the most appropriate next management step?
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Question 11 of 50
11. Question
11. A new patient request removal of her Implanon implant. You are unable to locate the device by palpation. What is the best next management step?
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Question 12 of 50
12. Question
12. Drugs whose efficacy may be diminished by combination oral contraceptive pill use include which of the following?
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Question 13 of 50
13. Question
13. The relative risk of which of the following cancers has been associated with current combination oral contraceptive pill use?
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Question 14 of 50
14. Question
14. A proven benefit of combination oral contraceptive pills includes which of the following?
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Question 15 of 50
15. Question
15. Latex condom efficacy is enhanced by which of the following?
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Question 16 of 50
16. Question
16. The incidence of which of the following is increased with diaphragm use
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Question 17 of 50
17. Question
17. Which of the following aspect of normal postpartum maternal anatomy are not advantageous for puerperal sterilization?
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Question 18 of 50
18. Question
18. Puerperal sterilization failure results most commonly from which of the following?
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Question 19 of 50
19. Question
19. During vasectomy, which of the following structures is ligated?
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Question 20 of 50
20. Question
20. With the parkland method of female tubal sterilization, it is recommended that approximately what length of tubal segment be excised to allow adequate separation of tubal stumps?
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Question 21 of 50
21. Question
21. Studies support that tubal ligation is a risk for which of the following psychological or sexual side effects?
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Question 22 of 50
22. Question
22. What is the underlying etiology for proteinuria that is seen with preeclampsia?
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Question 23 of 50
23. Question
23. Which of the following physiological responses is typically seen in preeclamptic patients?
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Question 24 of 50
24. Question
24. In patient with preeclampsia, limited blood volume expansion during pregnancy affects maternal cardiac function by which mechanism?
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Question 25 of 50
25. Question
25. Which of the following leads to increased uric acid level in patients with preeclampsia?
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Question 26 of 50
26. Question
26. What salutary effect does dexamethasone possibly have when used in the treatment of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome?
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Question 27 of 50
27. Question
27. Antenatal use of nitroglycerin to control severe maternal hypertension can lead to whichof the following complication?
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Question 28 of 50
28. Question
28. Which of the following is highest associated relative risk for placental abruption?
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Question 29 of 50
29. Question
29. Which obstetrical condition can lead to significant consumptive coagulation?
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Question 30 of 50
30. Question
30. All except which of the following are electrocardiogram changes seen in normal pregnancy?
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Question 31 of 50
31. Question
31. A pregnant patient of 13 weeks gestation has known heart disease. All except which of following are predictive of poor outcomes in pregnancy?
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Question 32 of 50
32. Question
32. In a pregnant women with a mechanical heart valve, which of the following anticoagulation regimens would be considered inadequate for prevention of thromboembolism involving the prosthesis?
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Question 33 of 50
33. Question
33. a patient in labor gives a history of mitral stenosis. She is asymptomatic and currently taking a beta blocker, but she is not sure why her doctor recommended it. What complication is the prophylactic beta blocker trying to prevent in these patients?
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Question 34 of 50
34. Question
34. With infective endocarditis, what is the most common causative organism in intravenous drug users?
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Question 35 of 50
35. Question
35. All except which of the following support the diagnosis of superimposed preeclampsia
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Question 36 of 50
36. Question
36. Which of the following medications is preferred for intrapartum prevention of eclampsia
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Question 37 of 50
37. Question
37. d-Dimer concentration can be elevated in which of the following pregnancy related complications?
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Question 38 of 50
38. Question
38. In women who are fully anticoagulated with low molecular weight heparin, periodic monitoring of anti-factor Xa levels is particularly important when which of the following comorbidities is present?
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Question 39 of 50
39. Question
39. What is the most common presenting symptoms in patients with a pulmonary embolus?
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Question 40 of 50
40. Question
40. An asymptomatic 17year old G1P0 at 16 weeks gestation presents for her first prenatal visit, and a urine culture is sent as part of routine care. The result show > 100,000 gram- negative rods. The diagnosis is which of the following?
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Question 41 of 50
41. Question
41. After discharge from the hospital for acute pyelonephritis, patient should receive oral antimicrobial treatment for how long?
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Question 42 of 50
42. Question
42. Which of the following viral infection has been associated with a marked increase in the risk for intrahepatic cholestasis of pregnancy
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Question 43 of 50
43. Question
43. All except which of the following clinical findings would indicate a severe course of acute hepatitis that should promote hospitalization?
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Question 44 of 50
44. Question
44. Which of the following findings on hemoglobin electrophoresis would be the most consistent with a diagnosis of β-thalassemia minor
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Question 45 of 50
45. Question
45. Which of the following infections is increased in gravidas with overt diabetes?
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Question 46 of 50
46. Question
46. Subclinical hyperthyroidism is characterized by which of the following changes in serum hormone level?
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Question 47 of 50
47. Question
47. All expect which of the following are associated with primary uterine rupture?
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Question 48 of 50
48. Question
48. Morbidity from volume replacement with only packed red blood cells and crystalloid infusion would include which of the following
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Question 49 of 50
49. Question
49. Evaluation of abnormal bleeding for more than 6 weeks following any pregnancy may include which of following?
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Question 50 of 50
50. Question
50. As a new, young obstetrician-gynecologist, you strive to avoid post cesarean infection in your patients. Which of the following interventions would be most helpful in this pursuit?
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