The posterior rectus fascia (sheath) ends at the which part of the abdominal wall?

The pelvis includes which of the following bones?

The plane from the sacral promontory to the inner posterior surface of the superior symphysis is referred to as which of the following?

Most female pelves in the adult human have an inlet that would be classified as which of the following in the Caldwell-Moloy definitions?

The joint between the two pubic bones is called which of the following?

Which of the following foramen or canal where the piriformis muscle, gluteal vessels and posterior femoral cutaneous nerves pass through?

Ligaments that are attached to the uterus include all of the following, EXCEPT:

Nabothian cysts results from which of the following?

Which of the following describes the urogenital diaphragm in the female?

Which of the following statements regarding the vessels of the vagina is FALSE?

Which of the following is the main blood supply of the vulva?

Which of the following correctly describes the chorion lavae?

The femoral sheath (canal) contains all of the following structures, EXCEPT:

The deep perineal space in women contains which of the following?

Which of the following is NOT a presumptive sign/symptom of pregnancy?

Probable signs of pregnancy include

Which of the followinf describes the changes of the vagina that occur during pregnancy?

The softening of the cervical isthmus that occurs early in the gestation is called which of the following?

During early pregnancy a pelvic examination may reveal that one adnexa is slightly enlarged. This is most likely due to which of the following?

This refers to the symptoms of excessive salivation that may occur during pregnancy?

Which of the following gatrointestinal changes occur during pregnancy

Which of the following statement describes the changes in the urinary tract during pregnancy?

If an intravenous pyelogram were performed in the third trimester of normal pregnancy, you would be likely to find which of the following findings?

A lowered hemoglobin during normal pregnancy is a physiologic finding. This is mainly due to which of the following statements?

During pregnancy and labor, which of the following is FALSE regading the maternal leukocytes?

The supine position is important during late pregnancy because it may cause all of the following, EXCEPT

The average woman can expect to retain as much as 7 L of water during normal gestation. Which of the following statements plays a role in the retention?

Which of the following is probably responsible for the physiologic hyperventilation during pregnancy?

Women often complain of shortness of breath during normal pregnancy. Which of the following statement physiologically describes this condition?

Which of the following cardiorespiratory changes is abnormal during pregnancy?

Which of the following physiologic changes does NOT accompany pregnancy?

Which of the following statements regarding immunity in pregnancy is TRUE?

Pregnancy induces which of the following changes in adrenal hormones?

Women who become hypertensive during late pregnancy have a decreased resistance to which of the following in early pregnancy?

Prior to labor, uterine contractions results to which of the following?

Three of the following are transferred by the placenta to the fetal circulation in concentrations higher than those found in the maternal blood, EXCEPT:

Which of the following statements regarding the placenta is TRUE?

A diabetic patient with an amniotic fluid lecithin/sphingomyelin (L/S) ratio of 2:1 delivered a small infant who developed infant respiratory distress syndrome (IRDS). which of the following statement most likely the reason?

The smallest circumference of the normal fetal head corresponds to the plane of which diameter?

The oxygen dissociation curve of fetal blood lies to the right of the curve of maternal blood. This implies to which statement below?

In what blood vessel from the umbilical vein enters the fetal circulation?

At what blood vessel in the fetal circulation has the highest oxygen content?

At what age of gestation does local stimuli evoke squinting, opening of mouth and flexion?

Which of the following statements is TRUE regarding fetal organ system?

The last menstrual period was June 30. The expected date of confinement (EDC) is approximately

Occassionally, while taking history, one discovers that the pregnant patient has a craving for and eats great deal of certain undesirable and inedible substances. Such habit is called?

A woman in early pregnancy is worried because of several small raised nodules on the areola of both breasts. There are no other findings. Your immediate management should be

A pregnant woman at 4 weeks gestation had an upper GI series and is worried about possible fetal effects from radiation. You inform her that the risk for mental retardation to the fetus is greatest during what age of gestation?

Which of the following statements is TRUE about the risk of chromosomal defects in the fetus?

Which of the following factors is NOT measured as part of a biophysicalbprofile (BPP)?

Which of the following statements about CST and NSTs is/are TRUE

An Rh-negative pregnant woman at 18 weeks gestation was found to have a titer of 1:32 anti Lewis antibodies and no other evidence of sensitization to red cell antigens. You should

The side effects of oral iron that often cause patients to complain seem related most to which factor?

Sounds heard by Doppler examination of the fundus may include all of the following, EXCEPT

An 18 year old single, obese G1 is first seen in the clinic for prenatal check up at 16 weeks aog. Her history is unremarkable and she claims to be in good health. Her physical examination is within normal limits except that she is somewhat pale. Suggested nutritional counseling should include

Multiple gestation is frequently associated with all of the following, EXCEPT

Repeated second trimester abortions especially when associated with a lack of paiful uterine contractions suggest most strongly of which of the following?

This medication when taken during pregnancy can cause aplastic anemia

An unconcious obstetric patient was admitted to the ER in the 8th month of pregnancy with BP of 60/20 and a pulse of 120 without vaginal bleeding would be LEAST likely to have which of the following?

Which of the following maternal complications associated with hydramnios?

A 28 year old woman presents to the emergency room with abdominal pain since the past days. She reports that her LMP was 4 weeks ago but was lighter than normal. On PE, she had a stable vital signs. She has a direct tenderness at the suprapubic area, no rebound tenderness or guarding. On IE cervix closed without blood on examining finger. Pregnancy test, POSITIVE. What is the test you should order first?

A 38 year old G3P0 0020 woman on her 9 weeks AOG presents in the hospital with vaginal bleeding and abdominal pain. She appears pale and states that she feels light-headed when sitting or standing. On PE, temp 37C, BP 90/60, pulse rate 98 bpm and respiratory rate 18 breaths per min. On PE, abdomen reveals rigid with rebound tenderness on palpation. Pelvic examination reveals a small amount of vaginal bleeding, 6 weeks size uterus and fullness at the right adnexa. Urine beta hCG confirms +pregnancy. What is you first step?

A 25 year old G1P0 presents in the clinic for annual examination. Her LMP was 5 weeks prior. Her menses has been irregular since menarche and she is sexually ative. On PE, uterus is slightly enlarge, anteverted nontender uterus with normal bilateral adnexa. The patient consented for pregnancy test which reveals positive. You perform a transvaginal ultrasound revealing neither ectopic or intrauterine. What will be your next step?

A 35 year old G3P0 0020 woman on her 8 weeks AOG presents to your clinic for prenatal check up. On PE she is afebrile, normotensive with normal pulse. Pelvic examination reveals a 7 to 8 week sized uterus with normal adnexa. Cervix is closed with no active bleeding. A TVS done revealing an intrauterine pregnancy with a CRL consistent with 7 weeks and 2 days. No FHT appreciated. What is your diagnosis?

A 25 year obese woman G1P0 at 16 weeks AOG came for PNCU. This is her first prenatal check up. She undergoes the quad screen and has an elevated levels of maternal serum alpha fetoprotein (MSAFP). Given the elevated MSAFP, her pregnancy is at increased risk for which of the following?

Which of the following is TRUE about first trimester screening?

Which of the following statements correctly describes the first stage of labor?

On examination, you attempt to determine the presentation of the fetus. Which of the following presentation and positions would be most favorable to achieve vaginal delivery?

Which of the following statements describe the secod degree laceration?

Which of the following cervical examinations is the most favorable for induction of labor?

For women undergoing induction of labor with Bishop score of 5 or less, which of the following is commonly used first step?

An uncomplicated vaginal delivery typically includes which maneuver?

Stage 3 begins following the delivery of the infant and typically involves which of the following?

Which of the following is a contraindication of trial of labor after cesarean(TOLAC)?

Which of the following is the most common complication of vacuum extraction?

A 33 year old woman presents her anatomy ultrasound at 18 weeks by IVF dating. On ultrasound, the fetus is noted to have an anterior placenta with a posterior succenturiate lobe. She has no cerns. Her pregnancy is otherwise uncomplicated at this time. What does the finding an anterior placenta with posterior succenturiate lobe on ultrasound put this patient at risk for?

What does the sinusoidal pattern on the fetal monitoring strip suggest?

A 24 year old G2P1 1001 woman at 38 weeks AOG by LMP came in due to labor pains occuring every 4 to 5 mins. She had a previous one low transverse cesarean section for breech at 39 weeks gestation. On IE, cervix is 2 cm open, 50% dilted st -3. The patient strongly desires to have a vaginal delivery if at all possible. What is the BEST initial management for this case?

A 24 year old G1P0 on her 36 weeks AOG with limited prenatal care presents via ambulance to labor and delivery unit complaining of severe abdominal pain and profuse vaginal bleeding. The patient is unstable and unable to communicate coherently. The emergency medical technician (EMT) reports that initially her BP was 180/100 mmHg and pulse rate was 110 BPM, but she has lost at least 500 ml of blood in route. On examination, her BP is 90/50 mmHg, pulse rate is 120 BPM, she appears to vbe in significant pain to answewr questions and her abdomen is rigid. What is the BEST next step?

What is the most important laboratory test to order for patient diagnosed with placental abruption emergently?

Which of the following is the mechanism of action of MgS04 on cellular calcium?

A 27-year-old primigravid woman presents for her first prenatal care visit. Her last menstrual period was three months ago. She reports having regular periods that come every 28 days and lasts for about five days. Her prenatal blood work reveals an enzyme-linked immunosorbent assay, and Western blot is positive for human immunodeficiency virus (HIV). The CD4+ count is 800 cells/mm3, HIV viral load is 60,000 copies/mL, and hemoglobin is 10 g/dL. Which of the following is true about highly active antiretroviral therapy (HAART)?

A 30-year-old primigravida woman presents to the clinic at 20 weeks of gestation for a prenatal visit. She currently has no complaints. Her vitals are pulse 70/min, blood pressure of 150/100 mm Hg, the temperature of 98 F, and respiratory rate of 18/min. Ultrasound of the uterus done during the visit shows diverging horns of the uterus. Which of the following is very important to assess during her visit to determine the cause for the high blood pressure of this patient?

A 17-year-old female gravida 2 para 1 presents to the office at 28 weeks gestation with complaints of left-sided vulvar pain. The patient reports having difficulties sitting and pain in the vaginal region. On examination of the patient, there appears to be an enlarged left vulvar mass with signs of erythema, swelling, and tenderness to palpation. The patient denies any fever and any history of sexually transmitted diseases. The patient is diagnosed with a Bartholin abscess. What is the most likely pathogen

A 29-year-old patient presents with complaints of vaginal discharge for a few days. The patient reports no itching or pain and describes the discharge as foul-smelling. She is sexually active with one male partner and uses condoms inconsistently. Her exam is remarkable for a grey discharge present in the vaginal vault that is confirmed to be bacterial vaginosis, and the clinician prescribes appropriate treatment. Her pap smear comes back significant for atypical squamous cells, and can not exclude high-grade intraepithelial lesion. Which of the following is the best next best step in her management?

33y.o G1P1 (1001) underwent right salpingo-oophorectomy due to an ovarian new growth. Histopath result showed below. What is the structure pointed?

A 47 year old G4P4 consulted due to intermenstrual and coital bleeding. A mass is noted protruding from her cervix. What is the diagnosis?

This type of tumor surface appears solid, yellowish white, andlobulated with absence of significant hemorrhage and necrosis

The classic finding of granular debris in background, degenerating parabasal cells, and polymorphonuclear leukocytes As well as Blue blobs and andpseudoparakeratosisare seen in

Hysterectomy was done on the previous patient. Gross specimen revealed the following. What FIGO grade is with mark X ?

45 y.o G3P3 (3003) consulted for routine Pap Smear. She is a known hypertensive and diabetic for 8 years. Pap smear result showed below. What is your management?

23y.o G1P0 22 weeks AOG, came in due to vulvar pruritus with no associated vaginal discharge. On physical examination revealed small, flesh-colored, cauliflower-like lesion near the urethra. What is your diagnosis?

31y.o G6P6 (6006) came in due to post coital bleeding. Pap smear was done which revealed the following result. What is the diagnosis?

What phenomenon is depicted in the photo on the left?

A 40 year old G3P3underwent an adnexal surgery. Specimen shown on the left. What is the diagnosis?

A 30-year-old woman complains of vaginal discharge. Wet mount preparation revealed the following. What is the diagnosis?

This tumor was removed from the left ovary of a 10 year old. What is the diagnosis?

22y.o Nulligravid came in due to vaginal pruritus with white grey copious discharge. On wet smear revealed the following. What medication will you give this patient?

37 years old, multigravid, came in due to heavy menstrual bleeding for 4 months. Endometrial curettage was done which showed below. The following structures can be seen histologically EXCEPT:

Which of the following methods of contraception has the least efficacy?

The following contraceptive method are considered “long term”, EXCEPT:

What test might you perform to determine wether this patient is ovulatory in any given month?

Which protein is deficient in a patient with classic “salt wasting’ congenital adrenal hyperplasia?

A 22year old woman presents to your colposcopy clinic after HSIL, moderate dysplasia was reported on her Pap test at her family medical clinic. She is a heavy smoker with four lifetime sexual partners. She had negative STD testing at her annual examination, and she has no other complaints. What is the recommended management for this case?

A 30 yo G0 comes in for her annual examination and tells you that she plans to become pregnant sometime in the next year. She had LEEP procedure 7 years ago for moderate dysplasia, CIN II. She states her Pap testing has been negative since LEEP and her last pap was 3 years ago, but you do not have any records documeting these results. What is the recommended cervbical cancer screening for this patient, assuming she has given an accurate history?

You did a colposcopic evaluation in a patient with an abnormal pap result. Her colposcopy showed minimal abnormalities and the SCJ is seen its entirety. The biopsy is negative for CIN. What is the next step?

A 56 years old G3 P3 consulted because of urinary urgency and frequency that requires her to wear sanitary napkins. Which of the following urodynamic test should you perform to confirm the diagnosis?

A 65 years old G4P4 was brought to the emergency room because of hesitancy, frequency and decrease urine output for 4 days. Last voiding was just 30 minutes ago. Patient is coherent, ambulatory and on physical examination, there was a soft, nontender palpable mass over the hypogastric area. Which of the following must be done initially to provide information on the possible diagnosis?

You prescribed to a 51 years old post-menopausal woman for one year cyclic low dose MHT (Estrogen-Progestin). Which of the following progesterone preparation is a safer alternative?

A 54 years old G2P2, menopause for two years consulted because of hot flushes and sleep disturbances. She was recently diagnosed to have hypeternsion and elevated triglycerides and LDL levels. BMI is 28 and she had a previous history of fracture of the wrist. Which of the following MHT is best considered for her?

Breast bud development is the beginning of what stage of puberty?

What is the acceptable indication for MHT use?

The patient still has her uterus. If the patient is started on estrogen therapy (ET), what other hormone also need to be prescribed?

Cervical conization is indicated in which of the following patients?