FMCLA Women's Health and Obstetrics

Question 1

At what gestational age is a fetus considered viable by US obstetric standards?

Accepted Answer

22–24 weeks

Answer

Fetal viability is generally accepted at 22–24 weeks gestation, though survival rates significantly improve with advancing gestational age.

Question 2

A 26-year-old woman presents with a positive pregnancy test and sharp unilateral pelvic pain with vaginal spotting. Which diagnosis must be ruled out first?

Accepted Answer

Ectopic pregnancy

Answer

Ectopic pregnancy is a life-threatening emergency and must be excluded immediately with transvaginal ultrasound and quantitative hCG.

Question 3

Which screening test is recommended at 24–28 weeks gestation to detect gestational diabetes?

Accepted Answer

1-hour 50g glucose challenge test

Answer

The 1-hour 50g glucose challenge test (GCT) is the standard screening tool for gestational diabetes between 24–28 weeks.

Question 4

What is the first-line pharmacologic treatment for moderate-to-severe menopausal vasomotor symptoms in a woman without contraindications?

Accepted Answer

Hormone therapy (estrogen ± progesterone)

Answer

Hormone therapy remains the most effective treatment for menopausal vasomotor symptoms in appropriate candidates.

Question 5

Which organism is most commonly responsible for bacterial vaginosis?

Accepted Answer

Gardnerella vaginalis

Answer

Gardnerella vaginalis drives the disruption of normal vaginal flora that characterizes bacterial vaginosis.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA Women's Health and Obstetrics