National Health Regulatory Authority Licensure Examination (NHRA Bahrain) · Pediatrics And Obgyn

Obstetrics, Gynecology and Maternal-Fetal Medicine

31 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 31 questions

  1. A 28-year-old primigravida at 34 weeks gestation presents with a blood pressure of 165/110 mmHg, persistent severe frontal headache, visual scotomata, and epigastric tenderness. Urinalysis demonstrate…
  2. A 26-year-old female presents with 7 weeks of amenorrhea, severe acute right lower quadrant pelvic pain, and light vaginal bleeding. On physical examination, her blood pressure is 85/55 mmHg, heart ra…
  3. A 32-year-old gravida 3 para 2 at 32 weeks gestation presents with sudden, painless, bright red vaginal bleeding. She denies abdominal pain or uterine contractions. The uterus is soft, relaxed, and no…
  4. A 36-year-old multigravida at 38 weeks gestation presents with sudden severe, continuous abdominal pain, dark vaginal bleeding, and high uterine resting tone (board-like rigidity). Fetal monitoring sh…
  5. Following an uncomplicated vaginal delivery of a 4.0 kg infant, a 28-year-old mother experiences heavy continuous vaginal bleeding. The placenta was delivered intact 10 minutes ago. Palpation of the a…
  6. What is the first-line medication administered routinely for active management of the third stage of labor to prevent postpartum hemorrhage?
  7. A 30-year-old female presents with severe cyclic pelvic pain, dysmenorrhea, deep dyspareunia, and painful defecation (dyschezia) for 2 years. Physical examination reveals nodularity and tenderness alo…
  8. A 24-year-old female presents with acute bilateral lower abdominal pain, purulent cervical discharge, and post-coital bleeding. Bimanual pelvic examination elicits marked cervical motion tenderness (t…
  9. A 22-year-old female presents with oligomenorrhea (3 periods per year), severe acne, and coarse facial hair on her chin. Physical examination reveals a body mass index of 31 kg/m^2 and acanthosis nigr…
  10. At what gestational age is the routine universal screening for gestational diabetes mellitus (GDM) performed using an oral glucose tolerance test (OGTT) in pregnant women without prior risk factors?
  11. A 31-year-old Rh(D)-negative pregnant woman at 28 weeks gestation has a negative indirect Coombs test (unsensitized). What prophylactic medication is routinely administered to prevent Rh alloimmunizat…
  12. A 56-year-old postmenopausal female presents with a single episode of painless vaginal spotting. She has been menopause-free for 5 years and takes no hormone replacement therapy. Physical examination…
  13. A 29-year-old pregnant woman at 35 weeks gestation presents with sudden rupture of membranes. On sterile speculum examination, loop of pulsating umbilical cord is visualized protruding through the ext…
  14. What is the causative organism of bacterial vaginosis (BV), characterized by a thin, grayish-white, homogenous vaginal discharge with a characteristic 'fishy' amine odor upon addition of 10% KOH (posi…
  15. A 33-year-old female presents for routine cervical cancer screening. Liquid-based cytology demonstrates high-grade squamous intraepithelial lesion (HSIL). What is the mandatory next step in clinical m…
  16. A 24-year-old female presents with thick, white, clumpy 'cottage cheese' vaginal discharge accompanied by intense vulvar itching, erythema, and dysuria. Vaginal pH is measured at 4.2. Wet mount micros…
  17. A 30-year-old primigravida at 41 weeks gestation is in active labor. After delivery of the fetal head, the head retracts tightly against the perineum ('turtle sign'), and gentle downward traction fail…
  18. A 48-year-old female presents with heavy, prolonged menstrual bleeding (menorrhagia) and pelvic fullness. Bimanual examination reveals an enlarged, irregularly contoured, non-tender, firm uterus equiv…
  19. Which of the following maternal infections comprises the 'TORCH' acronym associated with severe congenital anomalies, microcephaly, intracranial calcifications, and sensorineural hearing loss?
  20. A 28-year-old female presents with sudden onset of severe, sharp, left lower quadrant pelvic pain accompanied by nausea and repeated vomiting. Pelvic ultrasound reveals an enlarged, edematous left ova…
  21. A 34-year-old pregnant woman at 30 weeks gestation experiences spontaneous rupture of membranes. Speculum examination confirms pooling of fluid in the posterior fornix with positive ferning pattern an…
  22. What clinical criterion defines prolonged second stage of labor in a nulliparous woman without epidural anesthesia according to modern ACOG guidelines?
  23. A 45-year-old female presents with secondary amenorrhea of 8 months duration, accompanied by severe hot flushes, night sweats, sleep disruption, and vaginal dryness. Serum FSH level is measured at 65…
  24. A 23-year-old primigravida presents at 6 weeks gestation with persistent nausea and vomiting, inability to keep down oral fluids, and a 6% loss of pre-pregnancy body weight. Urinalysis demonstrates 3+…
  25. Which contraceptive method provides the highest theoretical and typical-use efficacy for pregnancy prevention among reversible modalities, lasting 3 to 5 years?
  26. What is the classic diagnostic triad of complete hydatidiform mole on first-trimester pelvic ultrasound?
  27. A 3-year-old girl is brought to clinic due to a painless, smooth abdominal mass discovered by her mother while bathing. Physical examination confirms a firm, non-tender right flank mass that does not…
  28. A 15-month-old boy presents with high fever for 3 days followed by abrupt defervescence and the sudden emergence of a rose-pink maculopapular blanching rash starting on the trunk. The child is playful…
  29. A 26-year-old female presents at 8 weeks gestation with lower abdominal cramping and vaginal spotting. Pelvic examination reveals a closed internal cervical os with dark blood in the vault. Transvagin…
  30. A 6-year-old boy presents with sudden palpable purpuric lesions across both lower extremities, colicky periumbilical abdominal pain, and bilateral knee arthralgias. Complete blood count shows platelet…
  31. A 30-year-old G2P1 at 38 weeks gestation presents with acute onset of severe continuous abdominal pain and dark vaginal bleeding. On examination, the uterus is hypertonic and tender to palpation, and…

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