Lebanese Medical Colloquium (Colloquium Liban) · Surgery and Obstetrics & Gynecology

Obstetrics, Gynecology and Reproductive Health

78 practice questions, each with the answer and an explanation.

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Random questions from this topic, one at a time. You see the answer and the explanation straight after each one.

All 78 questions

  1. A 28-year-old primigravida at 34 weeks gestation presents with headache, visual blurring, BP 165/110 mmHg, and 3+ proteinuria on dipstick. Platelet count is 140,000/mm3. What is the first-line medicat…
  2. A 32-year-old multipara at 32 weeks gestation presents with sudden, painless, bright red vaginal bleeding. The uterus is soft, relaxed, and non-tender. Fetal heart rate is reassuring at 140 bpm. What…
  3. A 26-year-old female at 35 weeks gestation presents with sudden continuous severe abdominal pain, dark vaginal bleeding, and painful uterine hypertonicity. Fetal heart rate tracing shows persistent la…
  4. Immediately following an uncomplicated vaginal delivery of a 4.1 kg infant, a mother develops massive continuous vaginal bleeding. The uterine fundus is soft, boggy, and palpated above the umbilicus.…
  5. A 24-year-old female presents with 6 weeks of amenorrhea, right lower quadrant pelvic pain, and vaginal spotting. Serum beta-hCG is 2,800 mIU/mL. Transvaginal ultrasound shows an empty uterine cavity…
  6. A 55-year-old postmenopausal female presents with painless light vaginal bleeding for 2 weeks. She has been in menopause for 4 years and takes no hormone replacement therapy. What is the mandatory nex…
  7. A 22-year-old female presents with acute severe left lower quadrant pain, nausea, and vomiting. Physical examination reveals exquisite left adnexal tenderness and a palpable 6 cm mass. Color Doppler u…
  8. A 29-year-old female presents with bilateral purulent cervical discharge, pelvic pain, fever, and cervical motion tenderness ('chandelier sign') on bimanual pelvic examination. What empirical antimicr…
  9. A 25-year-old female presents with irregular oligomenorrhea, severe hirsutism, cystic acne, and difficulty conceiving. Pelvic ultrasound reveals enlarged ovaries with multiple small subcapsular follic…
  10. What high-risk oncogenic Human Papillomavirus (HPV) genotypes are responsible for approximately 70% of all invasive cervical carcinomas worldwide?
  11. A 30-year-old female presents with chronic pelvic pain, severe dysmenorrhea, deep dyspareunia, and painful defecation during menses (dyschezia). Bimanual examination reveals a fixed, retroverted uteru…
  12. A 26-year-old primigravida at 28 weeks gestation undergoes a 75 g 2-hour oral glucose tolerance test (OGTT). Fasting glucose is 98 mg/dL, 1-hour is 185 mg/dL, and 2-hour is 158 mg/dL. All three values…
  13. A 32-year-old female presents with frothy, yellow-green, malodorous vaginal discharge and vulvar pruritus. Speculum examination reveals diffuse vaginal erythema and punctate hemorrhages on the cervix…
  14. A 28-year-old female presents with thin, homogeneous, off-white vaginal discharge with a characteristic 'fishy' odor that worsens after intercourse. Microscopic examination of vaginal wet mount demons…
  15. A 40-year-old multipara at 40 weeks gestation experiences sudden cephalic delivery, but the infant's anterior shoulder becomes impacted behind the maternal symphysis pubis (shoulder dystocia). What is…
  16. During routine prenatal care, a 28-year-old primigravida is found to be Rh-negative (D-negative) with a negative indirect Coombs antibody screen. At what gestational age is routine prophylactic anti-D…
  17. A 35-year-old pregnant female at 36 weeks gestation undergoes universal screening to prevent early-onset neonatal sepsis. What organism is screened for via rectovaginal culture between 36 0/7 and 37 6…
  18. A 31-year-old pregnant female at 38 weeks gestation has spontaneous rupture of membranes. The nurse observes a pulsating loop of umbilical cord protruding through the cervix into the vagina (umbilical…
  19. A 48-year-old female presents with heavy, prolonged menstrual bleeding (menorrhagia) and pelvic pressure. Physical examination reveals an enlarged, irregularly contoured, firm, non-tender uterus. What…
  20. What is the definition of primary amenorrhea in an adolescent female?
  21. A 29-year-old female at 7 weeks gestation with an unruptured tubal ectopic pregnancy has a beta-hCG of 1,800 mIU/mL and no fetal cardiac activity. She is hemodynamically stable. What medical therapy i…
  22. A 62-year-old female presents with an enlarging, firm pelvic mass, early satiety, and ascites. Serum CA-125 is significantly elevated at 450 U/mL. What is the most common histological subtype of malig…
  23. What is the most effective and reliable form of reversible contraception, possessing a typical-use failure rate of less than 1% per year?
  24. A 30-year-old female presents with vulvar pruritus and thick, white, curdy vaginal discharge resembling 'cottage cheese'. Vaginal pH is 4.0. Microscopic evaluation with 10% KOH reveals pseudohyphae an…
  25. A 26-year-old pregnant female at 39 weeks gestation in active labor undergoes electronic fetal monitoring. The tracing shows repetitive late decelerations characterized by gradual deceleration of feta…
  26. A 34-year-old primigravida presents with severe continuous lower abdominal pain and vaginal bleeding at 37 weeks gestation. Complete blood count reveals progressive thrombocytopenia (platelets 60,000/…
  27. A woman's last menstrual period started on 1 January 2025. What is her gestational age in completed weeks on 9 April 2025?
  28. A woman's last menstrual period started on 10 March 2025. What is her gestational age in completed weeks on 28 July 2025?
  29. A woman's last menstrual period started on 5 May 2025. What is her gestational age in completed weeks on 28 July 2025?
  30. A woman's last menstrual period started on 20 February 2025. What is her gestational age in completed weeks on 1 May 2025?
  31. A woman's last menstrual period started on 1 June 2025. What is her gestational age in completed weeks on 21 September 2025?
  32. A woman's last menstrual period started on 15 July 2025. What is her gestational age in completed weeks on 18 November 2025?
  33. On vaginal examination, the Bishop score components are: dilatation 2, effacement 1, station 0, consistency 1, position 1. What is the total Bishop score?
  34. On vaginal examination, the Bishop score components are: dilatation 3, effacement 3, station 1, consistency 2, position 2. What is the total Bishop score?
  35. On vaginal examination, the Bishop score components are: dilatation 1, effacement 0, station -1, consistency 1, position 0. What is the total Bishop score?
  36. On vaginal examination, the Bishop score components are: dilatation 2, effacement 2, station 0, consistency 2, position 1. What is the total Bishop score?
  37. On vaginal examination, the Bishop score components are: dilatation 3, effacement 2, station 1, consistency 1, position 2. What is the total Bishop score?
  38. On vaginal examination, the Bishop score components are: dilatation 0, effacement 1, station 0, consistency 0, position 1. What is the total Bishop score?
  39. A woman has regular cycles of 28 days. Assuming a constant 14-day luteal phase, on which cycle day does ovulation usually occur?
  40. A woman has regular cycles of 30 days. Assuming a constant 14-day luteal phase, on which cycle day does ovulation usually occur?
  41. A woman has regular cycles of 26 days. Assuming a constant 14-day luteal phase, on which cycle day does ovulation usually occur?
  42. A woman has regular cycles of 35 days. Assuming a constant 14-day luteal phase, on which cycle day does ovulation usually occur?
  43. A woman has regular cycles of 24 days. Assuming a constant 14-day luteal phase, on which cycle day does ovulation usually occur?
  44. Between 24 and 36 weeks, the symphysis-fundal height in centimetres approximately equals the gestational age in weeks. What height is expected at 24 weeks?
  45. Between 24 and 36 weeks, the symphysis-fundal height in centimetres approximately equals the gestational age in weeks. What height is expected at 28 weeks?
  46. Between 24 and 36 weeks, the symphysis-fundal height in centimetres approximately equals the gestational age in weeks. What height is expected at 32 weeks?
  47. Between 24 and 36 weeks, the symphysis-fundal height in centimetres approximately equals the gestational age in weeks. What height is expected at 36 weeks?
  48. What is the first stage of labour defined as?
  49. Which drug is used to induce labour by cervical ripening?
  50. What is the recommended antibiotic for preterm prelabour rupture of membranes?
  51. A woman in labour has fever, maternal tachycardia, fetal tachycardia and foul-smelling liquor. What is the diagnosis?
  52. Which complication is most likely with a macrosomic baby in a diabetic mother?
  53. Which drug class is first-line for gestational diabetes not controlled with diet and exercise?
  54. What is the most common cause of anaemia in pregnancy?
  55. What is the most common indication for caesarean section in many settings?
  56. Which finding on ultrasound suggests intrauterine growth restriction?
  57. What is the term for a miscarriage where the cervical os is open and products are partly passed?
  58. Which drug is used for medical management of missed miscarriage?
  59. Which contraceptive is most effective and lasts several years after a single insertion?
  60. What is a known adverse effect of long-term depot medroxyprogesterone acetate?
  61. Which condition is characterised by endometrial tissue outside the uterus, causing cyclical pelvic pain and infertility?
  62. Which symptom is typical of uterine fibroids?
  63. Which virus type is most associated with cervical cancer?
  64. Which tumour marker is most used in ovarian cancer follow-up?
  65. Which risk factor increases the risk of endometrial cancer?
  66. Which therapy is contraindicated in a woman with a history of oestrogen-dependent breast cancer?
  67. Which investigation is used to screen for osteoporosis in postmenopausal women?
  68. What is the earliest sign of puberty in girls?
  69. A woman has oligomenorrhoea, hirsutism, acne and obesity. Which diagnosis is most likely?
  70. Which drug is used to induce ovulation in women with anovulatory infertility from polycystic ovary syndrome?
  71. A woman with primary amenorrhoea, short stature and webbed neck is most likely to have which karyotype?
  72. Which finding on semen analysis is called azoospermia?
  73. Which drug is used to suppress lactation if required for medical reasons?
  74. What is the main reason to give vitamin K to newborns?
  75. Which test screens for fetal chromosomal abnormalities in the first trimester?
  76. Which condition describes a placenta that covers the internal cervical os?
  77. What is the most common cause of secondary postpartum haemorrhage?
  78. Which drug is first-line to treat severe hypertension in pregnancy when oral treatment is not feasible?

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