2026年妇科英语试题库及答案

2026年妇科英语试题库及答案PartI:SingleBestAnswerQuestions(1-60)1.A28-year-oldwomanpresentswithsecondaryamenorrhea.Shereportsahistoryofgalactorrheaandvisualfielddefects.Whichofthefollowingisthemostappropriateinitialdiagnostictest?A.Serumfollicle-stimulatinghormone(FSH)levelB.Serumthyroid-stimulatinghormone(TSH)levelC.SerumprolactinlevelD.Serumbeta-hCGlevelE.Magneticresonanceimaging(MRI)ofthesellaturcica2.A32-year-oldfemalepresentswithacuteonsetofseverelowerabdominalpain.Herlastmenstrualperiodwas6weeksago.Atransvaginalultrasoundrevealsanadnexalmasswithfreefluidinthecul-de-sac.Whichofthefollowingserummarkersismostspecificfordiagnosingarupturedectopicpregnancy?A.Alpha-fetoprotein(AFP)B.Cancerantigen125(CA-125)C.Beta-humanchorionicgonadotropin(beta-hCG)D.Lactatedehydrogenase(LDH)E.InhibinB3.A45-year-oldwoman,G3P3,presentswithcomplaintsofheavymenstrualbleedingandpelvicpressure.Pelvicexaminationrevealsanenlarged,irregularuterusconsistentwith16weeks'gestationsize.Ultrasoundconfirmsmultipleuterinefibroids.Shedesiresfuturefertilitypreservation.Whichofthefollowingisthemostappropriatemanagement?A.CombinedoralcontraceptivepillsB.Gonadotropin-releasinghormone(GnRH)agonistsC.UterinearteryembolizationD.MyomectomyE.Hysterectomy4.A22-year-oldnulligravidwomanpresentswithvulvarpruritusandathick,white,curdyvaginaldischarge.Microscopicexaminationofthewetmountpreparationrevealsbuddingyeastandpseudohyphae.Whichofthefollowingisthemostappropriatetreatment?A.Metronidazole500mgorallytwicedailyfor7daysB.Clindamycincream2%intravaginallyfor7daysC.Fluconazole150mgorallyasasingledoseD.Azithromycin1gorallyasasingledoseE.Estrogencreamintravaginally5.A60-year-oldwomanpresentswithpostmenopausalbleeding.Transvaginalultrasoundshowsanendometrialthicknessof12mm.Whichofthefollowingisthegoldstandardfordiagnosisinthispatient?A.EndometrialbiopsyB.SerumCA-125levelC.HysterosonographyD.Dilatationandcurettage(D&C)undergeneralanesthesiaE.Magneticresonanceimaging(MRI)6.A25-year-oldwomanpresentswithapainfululceronthelabiamajora.Shealsoreportstenderinguinallymphadenopathy.Whichofthefollowingisthemostlikelycausativeorganism?A.TreponemapallidumB.Herpessimplexvirus(HSV)C.HaemophilusducreyiD.CalymmatobacteriumgranulomatisE.Humanpapillomavirus(HPV)7.ApatientwithstageIB1cervicalcancer(squamouscellcarcinoma)undergoesaradicalhysterectomy.Thepathologyreportshowspositivepelviclymphnodes.AccordingtotheFIGO2026stagingsystem,whatistherevisedstage?A.StageIB2B.StageIIAC.StageIIIC1D.StageIIIC2E.StageIVB8.A30-year-oldwomanpresentswithhirsutism,acne,andoligomenorrhea.Serumtestosteronelevelisslightlyelevated.Pelvicultrasoundshowspolycysticovaries.Whichofthefollowingisthefirst-linepharmacologictreatmentforhermenstrualirregularityifshedoesnotdesirepregnancy?A.ClomiphenecitrateB.LetrozoleC.CombinedoralcontraceptivesD.MetforminE.Spironolactone9.A35-year-oldwoman,G1P0,at32weeksofgestation,presentswithpainlessvaginalbleeding.Ultrasoundconfirmsaplacentapreviacoveringtheinternalcervicalos.Sheishemodynamicallystable.Whichofthefollowingisthemostappropriateimmediatemanagement?A.ImmediatevaginaldeliveryB.ImmediatecesareansectionC.DigitalexaminationtoassesscervicaldilationD.HospitaladmissionwithpelvicrestE.Administrationoftocolytics10.Whichofthefollowingistheprimarymechanismofactionofcombinedoralcontraceptivepills?A.InhibitionofovulationB.ThickeningofcervicalmucusonlyC.ThinningoftheendometriumonlyD.SpermicidaleffectE.Preventionofimplantationonly11.A40-year-oldwomanpresentswithapalpablebreastmass.Mammographyshowsadensemasswithmicrocalcifications.Coreneedlebiopsyrevealsductalcarcinomainsitu(DCIS).Whichofthefollowingreceptorsistypicallyassessedtodetermineadjuvanttherapypotential,eventhoughDCISisnon-invasive?A.Estrogenreceptor(ER)B.Progesteronereceptor(PR)C.HumanEpidermalGrowthFactorReceptor2(HER2)D.AlloftheaboveE.Noneoftheabove12.A19-year-oldwomanpresentswithlowerabdominalpainandfever.Pelvicexaminationrevealscervicalmotiontendernessandadnexaltenderness.WhichofthefollowingistheminimumdiagnosticcriterionforPelvicInflammatoryDisease(PID)?A.CervicalmotiontendernessonlyB.AdnexaltendernessonlyC.Oraltemperature>38.3°CD.CervicalmotiontendernessORadnexaltendernessE.PositivecervicalcultureforNeisseriagonorrhoeae13.A52-year-oldpostmenopausalwomanpresentswithacomplaintofvaginaldrynessanddyspareunia.Shehasahistoryofbreastcancer.Whichofthefollowingisthemostappropriatetreatmentforhersymptoms?A.SystemicestrogentherapyB.Systemiccombinedestrogen-progestintherapyC.IntravaginalestrogentherapyD.Selectiveestrogenreceptormodulators(SERMs)E.Testosteronetherapy14.Apatientisundergoingevaluationforinfertility.Ahysterosalpingography(HSG)isperformed.WhichofthefollowingfindingsonHSGismostsuggestiveoftubalfactorinfertility?A.T-shapeduterusB.ArcuateuterusC.FillandspillofcontrastbilaterallyD.DistaltubalocclusionwithhydrosalpinxE.Intramuralfillingdefects15.WhichofthefollowingcytogeneticabnormalitiesismostcommonlyassociatedwithTurnersyndrome?A.45,XB.47,XXYC.47,XXXD.46,XX/47,XXYmosaicismE.Trisomy2116.A29-year-oldwomanat12weeksgestationcomplainsofnauseaandvomitingmultipletimesaday.Shehaslost5%ofherpre-pregnancyweight.Urinalysisshowsketones2+.Whatisthediagnosis?A.HyperemesisgravidarumB.GastroenteritisC.PyelonephritisD.CholecystitisE.Normalpregnancy17.A24-year-oldwomanpresentswithachiefcomplaintofinabilitytoconceivefor18months.Herpartner'ssemenanalysisisnormal.Hermenstrualcyclesareregular.Shehasseveredysmenorrheaanddyspareunia.Whichofthefollowingisthemostlikelydiagnosis?A.PolycysticovarysyndromeB.PrematureovarianinsufficiencyC.EndometriosisD.UterinefibroidsE.Pelvicinflammatorydisease18.Whichofthefollowingisthemostsignificantriskfactorforthedevelopmentofovariancancer?A.NulliparityB.UseoforalcontraceptivesC.BreastfeedingD.TuballigationE.BRCA1orBRCA2mutation19.A33-year-oldwoman,G2P1,presentsforaroutineprenatalvisitat28weeks.Herbloodpressureis150/95mmHg,andshehas2+proteinuriaondipstick.Shereportsheadacheandvisualdisturbances.Whichofthefollowingisthemostappropriatepharmacologicmanagement?A.MagnesiumsulfateforseizureprophylaxisB.HydralazineforbloodpressurecontrolC.InductionoflaborimmediatelyD.Low-doseaspirinE.Corticosteroidsforfetallungmaturity20.A21-year-oldcollegestudentpresentswithasuddenonsetofleft-sidedlowerquadrantpain.Ultrasoundshowsa5cmcomplexleftadnexalmass.Whichofthefollowingisthemostlikelydiagnosis?A.OvariandermoidcystB.OvariantorsionC.EctopicpregnancyD.Tubo-ovarianabscessE.Hemorrhagicovariancyst21.A50-year-oldwomanpresentswithasensationof"somethingfallingout"ofhervagina.ExaminationrevealsaGrade2cystoceleandrectocele.Theuterusiswell-supported.Whichofthefollowingisthemostappropriateinitialconservativemanagement?A.PessaryfittingB.AnteriorandposteriorcolporrhaphyC.VaginalhysterectomyD.KegelexercisesonlyE.Sacrocolpopexy22.A15-year-oldgirlpresentswithprimaryamenorrhea.Shehasdevelopedbreastbuds(TannerB3)buthasnoaxillaryorpubichair.Karyotypeis46,XY.Whichofthefollowingisthemostlikelydiagnosis?A.TurnersyndromeB.AndrogeninsensitivitysyndromeA.MullerianagenesisD.AshermansyndromeE.Hypothalamicamenorrhea23.Whichofthefollowinghormonesisprimarilyresponsiblefortheproliferationoftheendometriumduringthefollicularphaseofthemenstrualcycle?A.ProgesteroneB.EstrogenC.Luteinizinghormone(LH)D.Follicle-stimulatinghormone(FSH)E.Inhibin24.A38-year-oldwoman,G4P3,at39weeksgestationisinactivelabor.Thefetalheartratetracingshowsrepetitivelatedecelerations.Whichofthefollowingisthefirststepinmanagement?A.AdministeroxygenviafacemaskB.IncreaseintravenousfluidsC.PerformanimmediatecesareansectionD.ChangematernalpositiontolateralE.Administerterbutaline25.A26-year-oldwomanpresentswithavesicularrashinadermatomaldistributiononthevulva.Shereportsseverepaininthearea.Whichofthefollowingisthemostappropriatetreatment?A.AcyclovirB.MetronidazoleC.DoxycyclineD.CeftriaxoneE.Fluconazole26.Awomanwithaknownhistoryofuterinefibroidsundergoesamyomectomy.Postoperatively,shedevelopsafeverof38.5°Candpelvicpainonday3.Whatisthemostlikelydiagnosis?A.AtelectasisB.UrinarytractinfectionC.WoundinfectionD.PelvicabscessE.Deepveinthrombosis27.Whichofthefollowingisthemethodofactionofthelevonorgestrel-releasingintrauterinesystem(LNG-IUS)?A.PrimarilypreventionofovulationB.Thickeningofcervicalmucus,suppressionofendometrialproliferation,andlocalspermicidaleffectC.CreationofasterileinflammatoryreactiontoxictospermD.SystemichormonalsuppressionE.Inhibitionoftubalmotility28.A42-year-oldwomanpresentswithirregularmensesandmoodswings.HerFSHlevelis45mIU/mL(elevated).Sheislikelyexperiencing:A.HypothyroidismB.HyperprolactinemiaC.PerimenopauseD.PregnancyE.Ashermansyndrome29.ApatientisdiagnosedwithstageIIICepithelialovariancancer.Optimalcytoreductivesurgeryisperformed.Whichofthefollowingisthestandardadjuvantchemotherapyregimen?A.SingleagentcarboplatinB.PaclitaxelandcarboplatinC.Cyclophosphamide,doxorubicin,andcisplatinD.BevacizumabonlyE.Tamoxifen30.A30-year-oldwomanpresentswithamissedabortion.Sheoptsformedicalmanagement.Whichcombinationofmedicationsistypicallyused?A.MifepristoneandmisoprostolB.MethotrexateandmisoprostolC.MisoprostolaloneD.OxytocinandergometrineE.Dinoprostone31.A17-year-oldgirlpresentswithheavymenstrualbleedingsincemenarche.Herhemoglobinis9.0g/dL.Shehasnohistoryofsexualintercourse.CoagulationstudiesrevealalowvonWillebrandfactor.Whatisthemostappropriatetreatment?A.CombinedoralcontraceptivesB.Intravenousimmunoglobulin(IVIG)C.Desmopressin(DDAVP)D.IronsupplementationonlyE.Hysterectomy32.A25-year-oldwomanpresentswithavaginaldischargethathasa"fishy"odor.Theodorworsensafterintercourse.Whifftestispositive.Microscopyshowscluecells.Whatisthediagnosis?A.BacterialvaginosisB.TrichomoniasisC.CandidiasisD.CytolyticvaginosisE.Gonorrhea33.Whichofthefollowingisthemostcommonhistologictypeofendometrialcancer?A.SerouscarcinomaB.EndometrioidadenocarcinomaC.ClearcellcarcinomaD.MucinousadenocarcinomaE.Squamouscellcarcinoma34.A34-year-oldwoman,G1P0,at20weeksgestation,presentswithpainless,brightredvaginalbleeding.Placentaislocated2cmfromtheinternalos.Thisisclassifiedas:A.CompleteplacentapreviaB.PartialplacentapreviaC.MarginalplacentapreviaD.Low-lyingplacentaE.Placentaaccreta35.A29-year-oldwomanpresentswithabreastlump.Ultrasoundrevealsasolid,hypoechoicmasswithirregularmargins.BI-RADScategoryis4.Whatisthenextstepinmanagement?A.Reassuranceandre-imagingin6monthsB.CoreneedlebiopsyC.ExcisionalbiopsyD.MRIbreastE.Observation36.A44-year-oldwomanpresentswithahistoryofinfertilityandchronicpelvicpain.Laparoscopyreveals"powder-burn"lesionsontheperitoneum.Whatisthestageofendometriosisifsuperficialimplantsarefoundontheovarywithoutdeepinfiltration?A.StageIB.StageIIC.StageIIID.StageIVE.Minimal37.Whichofthefollowingvaccinesisrecommendedforroutineadministrationtoallfemalesatage11or12yearstopreventcervicalcancer?A.HepatitisBvaccineB.MeningococcalvaccineC.Humanpapillomavirus(HPV)vaccineD.InfluenzavaccineE.Varicellavaccine38.A31-year-oldwoman,G2P1,at36weeksgestation,presentswithleakageoffluidpervagina.Nitrazinetestispositive.Examinationrevealspoolingoffluid.Fetalheartrateisreassuring.Whatisthemostappropriateimmediatemanagement?A.ImmediateinductionoflaborB.ExpectantmanagementwithantibioticsforGBSprophylaxislatencyC.CesareansectionD.AdministrationofbetamethasoneE.Bedrestonly39.A56-year-oldwomanpresentswitharightadnexalmass.CA-125iselevated.Ultrasoundshowsa10cmsolid-cysticmasswithpapillaryprojections.Whichofthefollowingistheriskofmalignancyindex(RMI)calculationprimarilyusedfor?A.TodistinguishbetweenbenignandmalignantovariantumorsB.TostageovariancancerC.TodeterminetheneedforchemotherapyD.ToassesstheriskofrecurrenceE.Tocalculatethesurvivalrate40.A20-year-oldwomanpresentswithprimaryamenorrhea.Shehasnormalbreastdevelopmentandpubichair.Karyotypeis46,XX.Progesteronechallengetestisnegative(nowithdrawalbleed).Whatisthenextstep?A.FSHlevelB.EstrogenlevelC.TSHlevelD.ProlactinlevelE.Karyotype41.A35-year-oldwomanpresentswithdysmenorrheaanddyschezia.RectalexaminationrevealsatendernoduleinthepouchofDouglas.Thisismostsuggestiveof:A.EndometriomaB.AdenomyosisC.UterinefibroidsD.PelvicinflammatorydiseaseE.Ovarianremnantsyndrome42.Whichofthefollowingisthemostcommoncauseofdirectmaternalmortalityindevelopedcountries?A.HemorrhageB.HypertensivedisordersC.EmbolismD.CardiacconditionsE.Infection43.A28-year-oldwomanpresentswitha6-weekhistoryofamenorrheaandlowerabdominalpain.Beta-hCGis2500mIU/mL.Transvaginalultrasoundshowsnointrauterinegestationalsacanda2.5cmmassintherightfallopiantube.Whatisthemanagement?A.MethotrexatetherapyB.LaparoscopicsalpingostomyC.LaparoscopicsalpingectomyD.ExpectantmanagementE.RU-486administration44.A50-year-oldwomanpresentswithpostmenopausalbleeding.Endometrialbiopsyshowscomplexhyperplasiawithatypia.Whatistheriskofprogressiontoadenocarcinoma?A.<1%B.3%C.10%D.30%E.50%45.A32-year-oldwomanisinlabor.Shehasahistoryofherpessimplexvirusinfection.Shereportsnoactivelesionscurrently.Howshouldthisbemanaged?A.CesareansectionisindicatedB.VaginaldeliveryispermittedC.Acyclovirsuppressivetherapyisrequiredfor10dayspostpartumD.VaginalculturesarerequiredbeforedeliveryE.Forcepsdeliveryshouldbeavoided46.A22-year-oldwomanpresentswithsuddenonsetofsevererightlowerquadrantpain.Ultrasoundshowsa7cmrightovariancyst.Whichofthefollowingfeatureswouldmoststronglysuggesttorsion?A.DopplerflowabsentintheovaryB.SimplefluidinthecystC.MultipleseptationsD.GroundglassechogenicityE.Bilateralinvolvement47.A39-year-oldwoman,G5P4,at38weeksgestation,isinactivelabor.Sherupturesmembranesspontaneously.Thefetalheartratetracingshowsaprolongeddecelerationlasting4minutes.Whatistheimmediatepriority?A.PrepareforimmediateoperativedeliveryB.AdministerIVfluidsC.ChangematernalpositionD.PerformscalpstimulationE.Administeroxygen48.Whichofthefollowingistheprimaryriskfactorforplacentaaccretaspectrum?A.AdvancedmaternalageB.MultiparityC.PreviouscesareandeliveryD.SmokingE.Pre-eclampsia49.A30-year-oldwomanpresentswithinfertilityandhirsutism.Serumtestosteroneis80ng/dL(normal10-70).DHEA-Sisnormal.Thispatternsuggests:A.OvariansourceofandrogenB.AdrenalsourceofandrogenC.PituitaryadenomaD.CushingsyndromeE.Idiopathichirsutism50.A26-year-oldwomanpresentswithavulvarmass.BiopsyrevealsaBartholinglandcyst.Whichofthefollowingisthetreatmentofchoiceifthecystisasymptomatic?A.WordcatheterplacementB.MarsupializationC.IncisionanddrainageD.AntibioticsE.Notreatmentneeded51.A33-year-oldwoman,G1P0,at28weeksgestation,isdiagnosedwithgestationaldiabetes.Dietarymodificationfailstocontrolbloodsugarlevels.Whichmedicationisthefirst-linepharmacologictreatment?A.GlyburideB.MetforminC.InsulinD.SitagliptinE.Rosiglitazone52.A45-year-oldwomanpresentswitha3cmmassintheleftbreast.Corebiopsyshowsinvasiveductalcarcinoma.ER+,PR+,HER2-.Whatistheadjuvanthormonaltherapyofchoice?A.TamoxifenB.AromataseinhibitorC.TrastuzumabD.ChemotherapyE.Radiotherapy53.A21-year-oldwomanpresentswithlowerabdominalpainandfever.PIDisdiagnosed.Whichofthefollowingoutpatientregimensisrecommended?A.Ceftriaxone250mgIM+Doxycycline100mgBIDx14daysB.Azithromycin1g+Metronidazole2gC.Ciprofloxacin500mgBIDx7daysD.Ampicillin+GentamicinE.PenicillinG54.A14-year-oldgirlpresentswithheavy,irregularmenstrualbleeding.Sheisnotsexuallyactive.Whatisthemostlikelycause?A.HypothyroidismB.PregnancycomplicationC.Immaturehypothalamic-pituitary-ovarianaxisD.VonWillebranddiseaseE.PCOS55.A30-year-oldwomanpresentswithahistoryoftwofirst-trimestermiscarriages.Workupforantiphospholipidsyndromeispositive.Whatistherecommendedtreatmentforhernextpregnancy?A.Low-doseaspirinonlyB.Low-doseaspirinandlowmolecularweightheparinC.PrednisoneD.IntravenousimmunoglobulinE.Notreatmentneeded56.A62-year-oldwomanpresentswithapelvicmass.Ultrasoundshowsa15cmmultiloculatedcysticmasswithsolidareas.CA-125is600U/mL.Whatisthemostlikelydiagnosis?A.SerousovariancarcinomaB.MucinousovariancarcinomaC.BenignserouscystadenomaD.MaturecysticteratomaE.Metastaticcancer(Krukenbergtumor)57.A29-year-oldwoman,G1P0,at34weeksgestation,presentswithsevereheadache,blurredvision,andepigastricpain.Bloodpressureis170/110mmHg.Whatisthediagnosis?A.GestationalhypertensionB.PreeclampsiawithseverefeaturesC.EclampsiaD.ChronichypertensionE.HELLPsyndrome58.Whichofthefollowingisthemostappropriatemethodforscreeningforgestationaldiabetesmellitus?A.FastingplasmaglucoseatfirstprenatalvisitB.50-gglucosechallengetestat24-28weeksC.75-goralglucosetolerancetestat12weeksD.HemoglobinA1Cat24weeksE.Urinedipstickforglucose59.A25-year-oldwomanpresentswithapainlessinduratedulceronthecervix.Serologictestingforsyphilisispositive.Whatisthenextstep?A.PenicillinGbenzathine2.4millionunitsIMB.Doxycycline100mgBIDx14daysC.Ceftriaxone250mgIMD.Azithromycin1gorallyE.Darkfieldmicroscopy60.A38-year-oldwoman,G3P2,presentswithstressurinaryincontinence.Urodynamictestingconfirmsurethralhypermobilitywithoutintrinsicsphincterdeficiency.Whatisthefirst-linesurgicaltreatment?A.BurchcolposuspensionB.Mid-urethralsling(retropubicortransobturator)C.BladderneckinjectionD.ArtificialurinarysphincterE.AnteriorcolporrhaphyPartII:ExtendedMatchingQuestions(61-70)Foreachoption,selectthesinglemostappropriateanswerfromthelistbelow.Eachoptionmaybeusedonce,morethanonce,ornotatall.Options:A.MifepristoneB.MisoprostolC.DinoprostoneD.OxytocinE.MethylergonovineF.MagnesiumsulfateG.NifedipineH.IndomethacinI.TerbutalineJ.Betamethasone61.A32-year-oldwomanat30weeksgestationpresentswithregularcontractionsandcervicaldilationof2cm.Thisisherfirstpregnancy.Thegoalistostoplabor.Whichtocolyticagentisoftenusedasfirst-lineforacutetocolysis?62.A26-year-oldwomanundergoesinductionoflaborat39weeksforpostdates.AftercervicalripeningwithaFoleybulb,sherequiresoxytocinaugmentation.63.A28-year-oldwomanat34weeksgestationpresentswithpretermlabor.Thephysiciandecidestoadministerantenatalcorticosteroidsforfetallungmaturity.64.A29-year-oldwomanat33weeksgestationhaspretermlabor.Shehasahistoryofcardiacdisease.Whichcalciumchannelblockercanbeusedfortocolysis?65.A35-year-oldwomanhasaseverepostpartumhemorrhageduetouterineatony.Theuterusisboggydespitemassageandoxytocin.Whichergotalkaloidiscontraindicatedinhypertensivepatientsbuteffectiveforatony?66.A30-year-oldwomanat31weeksgestationpresentswithpretermlabor.Shealsohasseverepreeclampsiawithseverefeatures.Whichmedicationisgivenforseizureprophylaxis?67.A22-year-oldwomanat8weeksgestationdesiresamedicalabortion.68.A24-year-oldwomanat20weeksgestationrequiresmid-trimesterterminationofpregnancyforfetalanomalies.69.Apatientwithpretermlaborisexperiencingpolyhydramnios.Whichprostaglandininhibitormightbeusedtoreduceamnioticfluidvolumeandprovidetocolysis?70.Awomanwitharetainedplacentarequiresmanualextraction.PartIII:ClinicalCaseScenarios(71-80)71.A40-year-oldwoman,G2P2,presentswitha6-monthhistoryofincreasingmenstrualbleeding.Pelvicexamrevealsasymmetricallyenlargeduterustothesizeofa12-weekpregnancy.Anendometrialbiopsyisperformedandshowsproliferativeendometriumwithouthyperplasiaormalignancy.Ultrasoundconfirmsdiffuseadenomyosiswithnodiscretefibroids>2cm.Shedesirestoretainheruterusbutwantssignificantrelieffrombleeding.Whichofthefollowingisthemosteffectivelong-termmedicalmanagementforhercondition?A.CombinedoralcontraceptivesB.Levonorgestrel-releasingintrauterinesystem(LNG-IUS)C.GnRHagonistsD.TranexamicacidE.NSAIDs(Ibuprofen)72.A22-year-oldnulligravidwomanpresentswitha6cmleftovarianmass.Ultrasoundcharacteristicsshowacomplexcystwithafat-fluidlevelandcalcifications.Serumalpha-fetoprotein(AFP)iselevated.Whichofthefollowingisthemostlikelydiagnosis?A.SerouscystadenomaB.MucinouscystadenomaC.Maturecysticteratoma(Dermoidcyst)D.ImmatureteratomaE.Endometrioma73.A55-year-oldpostmenopausalwomanpresentswithapalpableleftaxillarylymphnode.Mammogramshowsasuspiciousmassintheupperouterquadrantoftheleftbreast.Corebiopsyofthebreastmassrevealsinvasiveductalcarcinoma.Estrogenandprogesteronereceptorsarenegative,andHER2ispositive(3+byIHC).Stagingworkuprevealsnodistantmetastasis(T2N1M0).Whichofthefollowingisatargetedtherapyessentialforhertreatment?A.TamoxifenB.LetrozoleC.TrastuzumabD.BevacizumabE.Pembrolizumab74.A30-year-oldwomanpresentswithsecondaryamenorrhea.Shereportsaweightlossof15%ofherbodyweightoverthepast6monthsduetointenseexercise.Shereportsstressaboutherjobperformance.Labresults:FSHlow,LHlow,Estradiollow,TSHnormal,Prolactinnormal.Progesteronechallengetest:nowithdrawalbleed.Whatisthemostlikelydiagnosis?A.PrematureovarianinsufficiencyB.HypothalamicamenorrheaC.PituitaryadenomaD.AshermansyndromeE.Pregnancy75.A26-year-oldwoman,G1P0,at12weeksgestation,presentswithvaginalbleedingandpelvicpain.Ultrasoundshowsagestationalsacinthecervix,withfetalcardiacactivity.Whatisthemostappropriatemanagement?A.ExpectantmanagementB.Dilatationandcurettage(D&C)C.MethotrexatetherapyD.CerclageE.Hysterectomy76.A34-year-oldwomanpresentswithchronicpelvicpainanddysmenorrhea.Shehasbeentryingtoconceivefor2yearswithoutsuccess.Laparoscopyisperformedandrevealsminimalperitonealendometriosis(StageI).Herpartner'ssemenanalysisisnormal.Tubalpatencyisconfirmed.Whichofthefollowingisthefirst-linetreatmentforherinfertilityassociatedwithendometriosis?A.GnRHagonistsfor6monthsB.Superovulationwithclomiphenecitrateplusintrauterineinsemination(IUI)C.Invitrofertilization(IVF)D.ConservativesurgicalexcisionoflesionsfollowedbyexpectantmanagementE.Ovariandrilling77.A38-year-oldwoman,G4P3,presentsat28weeksgestationwithpainlessbrightredvaginalbleeding.Thisisherfourthcesareansection.Ultrasoundisunabletovisualizetheplacentalmarginclearly,andthereislossoftheclearretroplacentalzone.Whatisthemostlikelydiagnosis?A.PlacentapreviaB.PlacentaaccretaspectrumC.VasapreviaD.UterineruptureE.Subchorionichematoma78.A19-year-oldwomanpresentswithfever,lowerabdominalpain,andvaginaldischarge.Pelvicexamshowscervicalmotiontenderness,uterinetenderness,andbilateraladnexaltenderness.APCRtestforChlamydiatrachomatisispositive.Sheisnotpregnantandisstableforoutpatienttreatment.Whichofthefollowingisthecorrectantibioticregimen?A.Doxycycline100mgPOBIDx7daysB.Ceftriaxone250mgIMonce+Doxycycline100mgPOBIDx14days+Metronidazole500mgPOBIDx14daysC.Azithromycin1gPOonceD.Levofloxacin500mgPOdailyx7daysE.Ampicillin/Sulbactam3gIVq6h79.A45-year-oldwomanpresentswitharapidlyenlargingabdominalmass.UltrasoundandCTscanreveala20cmsolidandcysticpelvicmassarisingfromtherightovary.CA-125is800U/mL.Thepatientundergoesexploratorylaparotomy,totalabdominalhysterectomy,bilateralsalpingo-oophorectomy,omentectomy,andlymphnodesampling.Pathologyconfirmshigh-gradeserousovariancarcinoma.WhichFIGOstageisassignediftherearepositivepelviclymphnodesbutnogrossresidualdisease?A.StageIIIC1B.StageIIIC2C.StageIVD.StageIIIBE.StageIIIA80.A25-year-oldwomanpresentswithahistoryofirregularmensesevery2-3months.Sheisobese(BMI32kg/m^2)andhashirsutismonthechinandupperlip.Serumtestosteroneis60ng/dL.DHEA-Sisnormal.Shedesirespregnancy.Whichofthefollowingisthemostappropriateinitialpharmacologictreatmenttoinduceovulation?A.MetforminB.ClomiphenecitrateC.LetrozoleD.GonadotropinsE.DexamethasonePartIV:Calculation&Application(81-85)81.Apatientisundergoingchemotherapyforovariancancer.Herheightis165cmandherweightis70kg.CalculateherBodySurfaceArea(BSA)usingtheMostellerformula.Formula:BA.1.65m^2B.1.72m^2C.1.78m^2D.1.82m^2E.1.55m^282.A30-year-oldwomaninlaborhasacervicaldilationof6cm.Sheis90%effacedandthefetalstationis-1.Thefetalheartratebaselineis140bpmwithmoderatevariability.Shehashadthreecontractionsinthelast10minutes,eachlasting60seconds.Accordingtothelaborcurve(Friedman),whichphaseoflaborisshein?A.LatentphaseB.ActivephaseC.DescentphaseD.TransitionSecondStageE.ThirdStage83.Apregnantwomanat20weeksgestationhasafundalheightmeasuredat22cm.At24weeks,thefundalheight