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Ob-Gyn NBME Form 4 Exam with Questions and Answers, Exams of Gynecology

New York Medical College (NYMC)Gynecology

Ob-Gyn NBME Form 4 Exam with Questions and Answers 42 yo - 1 yr of vag bleeding 2-5 days q2 wks flow: light to heavy w/ clots menses previously: reg 25-29 days; lasting 7 days w/ heavy flow no PMHx; no meds sex active w/ 1 partner; condoms inconsistently FHx: mom died of colon ca; mat grandma died of breast ca BMI: 29 uterus normal sized ovaries can't be palp occult blood in stool: neg endometrial biopsy: grade I adenoCA w/ atypical endometrial hyperplasia next step in mgnt? ANSWER hysterectomy for endometrial ca: simple hyperplasia: progesterone atypical hyperplasia or adenoCA: hysterectomy + BSO mets: add chemo to TAH + BSO 27 yo primigravid - 30 wks gest - 3 wks of pain in arms/numbness in hands PE: mild weakness of thumb ABduction BL; sens dec to pinprick in index finger on R most likely dx? ANSWER carpal tunnel syndrome very common for pregnant women to get this

Typology: Exams

2024/2025

Available from 01/10/2025

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42 yo - 1 yr of vag bleeding 2-5 days q2 wks flow: light to heavy w/ clots menses previously: reg 25-29 days: lasting 7 days w/ heavy flow no PMHx; no meds sex active w/ | partner; condomis inconsistently FHx: mom died of colon ca; mat grandma died of breast ca BMI: 29 uterus normal sized ovaries can't be palp occult blood in stool: neg endometrial biopsy: grade I adenoCA w/ atypical endometrial hyperplasia next step in mgnt? ANSWER hysterectomy for endometrial ca: simple hyperplasia: progesterone atypical hyperplasia or adenoCA: hysterectomy | BSO mets: add chemo to TAH + BSO 27 yo primigravid - 30 wks gest - 3 wks of pain in arms/numbness in hands PE: mild weakness of thumb ARduction BL; sens dee to pinprick in index finger on R most likely dx? ANSWER carpal tunnel syndrome very common for pregnant women to get this due to compression of median nerve