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Category: Obstetrics & Gynecology--->Medical and Surgical Complications of Pregnancy
Page: 3

Question 11# Print Question

A 30-year-old G1 at 6 weeks’ gestation by last menstrual period presents for prenatal care. Her past medical history is significant for type 1 diabetes, which was diagnosed at the age of 14.

Which of the following is the most common birth defect associated with diabetes?

A. Anencephaly
B. Encephalocele
C. Meningomyelocele
D. Sacral agenesis
E. Ventricular septal defect


Question 12# Print Question

A 30-year-old G1 at 6 weeks’ gestation by last menstrual period presents for prenatal care. Her past medical history is significant for type 1 diabetes, which was diagnosed at the age of 14.

Which of the following diabetic complications is most likely to be permanently worsened by pregnancy?

A. Coronary artery disease (CAD)
B. Gastroparesis
C. Nephropathy
D. Neuropathy
E. Proliferative retinopathy


Question 13# Print Question

A 33-year-old woman at 10 weeks’ gestation presents for her first prenatal visit. Routine laboratory findings are drawn, and her hepatitis B surface antigen is positive. Liver function tests are normal and her hepatitis B core and surface antibody tests are negative.

Which of the following is the best way to prevent neonatal infection?

A. Provide immune globulin to the mother
B. Provide hepatitis B vaccine to the mother
C. Perform a cesarean delivery at term
D. Provide hepatitis B vaccine to the neonate
E. Provide immune globulin and the hepatitis B vaccine to the neonate


Question 14# Print Question

A 38-year-old G1P0 presents to the obstetrician’s office at 37 weeks’ gestation complaining of a rash on her abdomen that is becoming increasingly pruritic. The rash started on her abdomen, and is starting to spread downward to her thighs. She reports no previous history of any skin disorders or problems, and she reports no malaise or fever. On physical examination, she is afebrile and her physician notes that her abdomen, and most notably her stretch marks, is covered with red papules and plaques. No excoriations or bullae are present. The patient’s face, arms, and legs are unaffected by the rash.

Which of the following is this patient’s most likely diagnosis?

A. Herpes gestationis
B. Pruritic urticarial papules and plaques of pregnancy (PUPPP)
C. Prurigo gravidarum
D. Intrahepatic cholestasis of pregnancy
E. Impetigo herpetiformis


Question 15# Print Question

A 25-year-old G2P0 at 30 weeks’ gestation presents with the complaint of intense itching that is worse on the palms and soles of her feet, and is worse at night. Her physical examination does not show any evidence of rash, but she has obvious excoriations from scratching on her abdomen.

Which of the following tests would be most likely to confirm your suspected diagnosis?

A. Skin biopsy demonstrating evidence of bile acids in the dermis
B. Elevated serum liver function enzymes
C. Elevated total serum bile acids
D. Liver biopsy demonstrating cholestasis without inflammation
E. Liver ultrasound showing normal liver parenchyma and biliary ducts




Category: Obstetrics & Gynecology--->Medical and Surgical Complications of Pregnancy
Page: 3 of 8