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Obstetrics and Gynecology Flashcards

7 cards from real PANRE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Obstetrics and Gynecology flashcards as text

  1. A 27-year-old woman at 12 weeks gestation is Rh-negative. Her partner is Rh-positive. She has no antibodies on indirect Coombs test. When should she receive Rh immunoglobulin (RhoGAM)?

    Answer: At 28 weeks and within 72 hours of delivery

    Unsensitized Rh-negative women receive RhoGAM at 28 weeks gestation and again within 72 hours of delivery to prevent alloimmunization.

  2. A 48-year-old woman presents with hot flashes, night sweats, and irregular menses for 14 months. FSH is 58 mIU/mL. She denies a history of VTE or breast cancer. What is the most effective treatment for her vasomotor symptoms?

    Answer: Menopausal hormone therapy

    Menopausal hormone therapy remains the most effective treatment for vasomotor symptoms in menopausal women without contraindications.

  3. A 30-year-old G2P1 at 38 weeks presents in active labor. On exam, the presenting part is at +2 station. After 2 hours of adequate pushing, the fetal head is visible and crowning. Suddenly you note the turtle sign. What does this indicate?

    Answer: Shoulder dystocia

    The turtle sign (retraction of the fetal head against the perineum after delivery) is pathognomonic for shoulder dystocia.

  4. A 23-year-old woman develops a new breast mass during pregnancy at 22 weeks. Ultrasound shows a solid, irregular hypoechoic lesion. What is the next appropriate step?

    Answer: Core needle biopsy

    A suspicious solid breast mass during pregnancy requires tissue diagnosis via core needle biopsy, which is safe in pregnancy.

  5. A 16-year-old girl has never had a menstrual period. Physical exam shows normal secondary sexual characteristics and a blind vaginal pouch. Karyotype is 46,XY. What is the diagnosis?

    Answer: Androgen insensitivity syndrome

    Complete androgen insensitivity syndrome (46,XY) presents with primary amenorrhea, normal female phenotype, breast development, and absent uterus/upper vagina.

  6. A 35-year-old G0 woman is found to have a 6 cm simple ovarian cyst on transvaginal ultrasound performed for pelvic pain. CA-125 is normal. What is the most appropriate management?

    Answer: Repeat ultrasound in 6-12 weeks

    Simple ovarian cysts ≤10 cm in premenopausal women with normal CA-125 can be followed with repeat ultrasound in 6-12 weeks.

  7. During a routine prenatal visit at 28 weeks, a patient's fundal height measures 24 cm. Ultrasound confirms fetal growth restriction with estimated fetal weight at the 8th percentile. What is the most important next step?

    Answer: Umbilical artery Doppler velocimetry

    Umbilical artery Doppler velocimetry is the primary surveillance tool for fetal growth restriction, assessing placental resistance and guiding delivery timing.