Women's Health and Obstetrics Flashcards

What is the recommended interval for Pap smear screening in a 30-year-old woman with no prior abnormalities using co-testing?

Answer: Every 5 years

Women aged 30–65 who undergo co-testing (Pap + HPV) should be screened every 5 years if both tests are negative.

Which HPV types are responsible for the majority of cervical cancer cases?

Answer: HPV 16 and 18

HPV types 16 and 18 account for approximately 70% of all cervical cancers worldwide.

A woman presents with cyclic pelvic pain, dysmenorrhea, and dyspareunia. The most likely diagnosis is:

Answer: Endometriosis

The triad of dysmenorrhea, dyspareunia, and cyclic pelvic pain is classic for endometriosis, a common gynecologic condition.

Which medication is used to treat postpartum hemorrhage due to uterine atony as first-line?

Answer: Oxytocin

IV oxytocin is the first-line uterotonic agent for postpartum hemorrhage due to uterine atony.

What is the most common site of ectopic pregnancy implantation?

Answer: Fallopian tube ampulla

Approximately 70% of ectopic pregnancies implant in the ampullary portion of the fallopian tube.

A pregnant woman at 36 weeks is found to have GBS colonization on vaginal-rectal culture. What is the appropriate management?

Answer: IV penicillin G during labor

Intrapartum IV penicillin G is given to GBS-positive mothers during labor to prevent neonatal early-onset GBS disease.