Your-Doctor Multiple Choice Questions (MCQ)

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Category: Obstetrics & Gynecology--->The Puerperium, Lactation, and Immediate Care of the Newborn
Page: 7

Question 31#Print Question

A 35-year-old G2P2 presents for her routine postpartum visit. Her pregnancy was complicated by gestational diabetes, which was diagnosed in the second trimester during routine screening. She has no other medical problems, and she has no family history of diabetes. She gained 25 pounds during her pregnancy, and her gestational diabetes was managed with diet modification. 

How should this patient be managed postpartum?

a. She should have a fasting glucose on postpartum day 1, and if normal, no other evaluation is needed
b. She should have a glucose tolerance test performed on postpartum day 1
c. She should have a glucose tolerance test performed 6 to 12 weeks’ postpartum
d. She should be referred back to her primary care provider for further evaluation
e. . She does not need any further evaluation


Question 32#Print Question

A 30-year-old G3P3, who is 8 weeks’ postpartum and regularly breastfeeding calls you and is very concerned because she is having pain with intercourse secondary to vaginal dryness.

Which of the following should you recommend to help her with this problem?

a. Instruct her to stop breastfeeding
b. Apply hydrocortisone cream to the perineum
c. Apply testosterone cream to the vulva and vagina
d. Apply estrogen cream to the vagina and vulva
e. Apply petroleum jelly to the perineum


Question 33#Print Question

A 34-year-old G1P1 comes to see you 6 weeks after an uncomplicated vaginal delivery for a routine postpartum examination. She reports no problems, and has been breastfeeding her newborn without any difficulties since leaving the hospital. During the bimanual examination, you note that her uterus is irregular, firm, nontender, and about a 15-week size.

Which of the following is the most likely etiology for this enlarged uterus?

a. Subinvolution of the uterus
b. The uterus is appropriate size for 6 weeks’ postpartum
c. Fibroid uterus
d. Adenomyosis
e. Endometritis


Question 34#Print Question

A 39-year-old G3P3 comes to see you on day 5 after a repeat cesarean delivery. During the surgery she received two units of packed red blood cells for a hemorrhage related to uterine atony. Her past medical history is significant for type 2 diabetes mellitus and chronic hypertension. She weighs 110 kg. She is concerned because her incision has become very red and tender, and pus started draining from a small opening in the incision this morning. She has been experiencing general malaise and reports a fever of 38.8°C (102°F). Her vital signs are: temperature 37.8°C (100.1°F), pulse 69 beats per minute, respiratory rate 18 breaths per minute, and blood pressure is 143/92 mm Hg. Physical examination shows erythema around the incision, and a 1-cm defect at the left corner of the skin incision, which is draining a small amount of purulent liquid. There is tenderness along the wound edges.

Which of the following is the best next step in the management of this patient?

a. Apply Steri-Strips to close the wound
b. Administer local antibiotic ointment
c. Probe the fascia
d. Take the patient to the OR for debridement and closure of the skin
e. Reapproximate the wound edge under local analgesia


Question 35#Print Question

A 39-year-old G3P3 comes to see you on day 5 after a repeat cesarean delivery. During the surgery she received two units of packed red blood cells for a hemorrhage related to uterine atony. Her past medical history is significant for type 2 diabetes mellitus and chronic hypertension. She weighs 110 kg. She is concerned because her incision has become very red and tender, and pus started draining from a small opening in the incision this morning. She has been experiencing general malaise and reports a fever of 38.8°C (102°F). Her vital signs are: temperature 37.8°C (100.1°F), pulse 69 beats per minute, respiratory rate 18 breaths per minute, and blood pressure is 143/92 mm Hg. Physical examination shows erythema around the incision, and a 1-cm defect at the left corner of the skin incision, which is draining a small amount of purulent liquid. There is tenderness along the wound edges.

Which of the following is her greatest risk factor for her complication?

a. Anemia
b. Corticosteroid therapy
c. Diabetes
d. Hypertension
e. Obesity




Category: Obstetrics & Gynecology--->The Puerperium, Lactation, and Immediate Care of the Newborn
Page: 7 of 7