Women's Health and Obstetrics Flashcards

Which contraceptive method has the highest typical-use failure rate?

Answer: Male condom

Male condoms have a typical-use failure rate of approximately 13% per year due to inconsistent and incorrect use.

A woman presents with a 3-cm simple ovarian cyst found incidentally on pelvic ultrasound. She is premenopausal. What is the recommended management?

Answer: Repeat ultrasound in 6–12 weeks

Simple ovarian cysts under 5 cm in premenopausal women are typically benign and warrant follow-up ultrasound to confirm resolution.

Which antihypertensive is preferred for treating hypertension during pregnancy?

Answer: Labetalol

Labetalol is a preferred antihypertensive in pregnancy; ACE inhibitors like lisinopril are teratogenic and contraindicated.

What defines severe preeclampsia apart from hypertension?

Answer: Severe-range BP (≥160/110) plus end-organ damage

Severe preeclampsia is defined by BP ≥160/110 mmHg or evidence of end-organ damage (renal, hepatic, neurologic, hematologic).

A 22-year-old sexually active woman presents with mucopurulent cervical discharge, cervical motion tenderness, and uterine tenderness. The most likely diagnosis is:

Answer: Pelvic inflammatory disease

The combination of cervical motion tenderness, uterine tenderness, and mucopurulent discharge meets criteria for pelvic inflammatory disease.

Which vaccine is routinely recommended in the third trimester of every pregnancy?

Answer: Tdap

Tdap is recommended at 27–36 weeks gestation each pregnancy to provide passive immunity to the newborn against pertussis.