Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->Medical and Surgical Complications of Pregnancy
Page: 1

Question 1# Print Question

A 33-year-old G3P2 at 38 weeks’ gestation develops flu-like illness and breaks out with a pruritic, vesicular lesions all over her body. Three days later she goes into spontaneous labor and delivers a healthy appearing male infant via vaginal delivery. Her lesions are beginning to heal and she feels well.

What is the most appropriate next step in the management of this patient and her baby?

A. Administer intravenous acyclovir to the mother
B. Administer intravenous acyclovir to the baby
C. Administer varicella-zoster immune globulin to the baby
D. Administer varivax (varicella vaccine) to the baby
E. Administer zostavax (herpes zoster vaccine) to the mother

Question 2# Print Question

A 29-year-old G1 at 9 weeks’ gestation presents to your office for a new OB visit. She reports a history of well-controlled hypothyroidism. She takes 88 mcg of levothyroxine daily.

How do you expect her thyroid laboratory values to change during pregnancy?

A. The thyroid-stimulating hormone (TSH) and free T4 will not change during pregnancy
B. The TSH will increase and the free T4 will decrease
C. The TSH will increase and there will be no change in the free T4
D. The TSH and the free T4 will increase
E. The free T4 will not change, and the change in TSH will vary by trimester

Question 3# Print Question

A 19-year-old P0 presents for her first OB visit at 10 weeks’ gestation. You order routine OB laboratory tests, and it returns showing a positive nucleic acid probe for Neisseria gonorrhoeae. One year ago, she was treated with ampicillin for a simple urinary tract infection and developed a severe allergic reaction.

Which of the following is the best option for treatment at this time?

A. Tetracycline
B. Doxycycline
C. Azithromycin
D. Ceftriaxone
E. Penicillin

Question 4# Print Question

A 22-year-old pregnant woman has just been diagnosed with toxoplasmosis.

Which of the following risk factors is most likely to have contributed to her diagnosis?

A. Eating raw meat
B. Eating raw fish
C. Owning a dog
D. English nationality
E. Having viral infections in early pregnancy

Question 5# Print Question

A 17-year-old woman at 22 weeks’ gestation presents to the emergency department with a 3-day history of nausea, vomiting, and abdominal pain. The pain started in the middle of the abdomen, and is now located along her mid-to-upper right side. She is noted to have a temperature of 38.4°C (101.1°F). She reports no prior medical problems or surgeries.

How does pregnancy alter the diagnosis and treatment of the disease? 

A. Owing to anatomical and physiological changes in pregnancy, diagnosis is easier to make
B. Surgical treatment should be delayed since the patient is pregnant
C. Fetal outcome is improved with delayed diagnosis
D. The incidence is unchanged in pregnancy
E. The incidence is higher in pregnancy

Category: Obstetrics & Gynecology--->Medical and Surgical Complications of Pregnancy
Page: 1 of 8