ENAM Practice (Peru National Medical Examination) · Paediatrics, Obstetrics and Public Health

Obstetrics and gynaecology

14 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 14 questions

  1. A 25-year-old woman at 32 weeks has a blood pressure of 160/110 mmHg, headache and proteinuria. What is the treatment to prevent seizures?
  2. At what gestational age is screening for gestational diabetes usually performed?
  3. A 30-year-old woman at 34 weeks has painless bright red vaginal bleeding with a soft, relaxed uterus. What is the most likely diagnosis?
  4. A woman at 36 weeks with hypertension has sudden abdominal pain, a rigid tender uterus and dark vaginal bleeding. What is the diagnosis?
  5. What is the most common cause of postpartum haemorrhage?
  6. What is the first-line drug for uterine atony after delivery?
  7. A 24-year-old woman with a positive pregnancy test has lower abdominal pain, vaginal spotting and an empty uterus on ultrasound with beta-hCG of 2,500 IU/L. What is the most likely diagnosis?
  8. A 22-year-old woman at 10 weeks has severe vomiting, uterine size greater than dates and a very high beta-hCG, with a snowstorm pattern on ultrasound. What is the diagnosis?
  9. What is the recommended daily dose of folic acid before conception to prevent neural tube defects?
  10. A Rh-negative woman has a Rh-positive baby. What should be given within 72 hours of delivery?
  11. A woman at 37 weeks with group B streptococcus on screening is in labour. What should be given?
  12. A 30-year-old woman has pelvic pain, cervical motion tenderness and mucopurulent discharge. What is the diagnosis?
  13. A 28-year-old woman has dysmenorrhoea, dyspareunia and infertility, with chocolate cysts on ultrasound. What is the diagnosis?
  14. A 25-year-old woman has oligomenorrhoea, hirsutism and polycystic ovaries. What is the likely diagnosis?

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