OB/GYN NBME Exam with Questions and Answers, Exams of Gynecology

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OB/GYN NBME Exam with Questions and Answers If a women is pregnant and is taking an anticonvulsant medication that is contraindicated in pregnancy, bul is still having seizures, whal is the management? ANSWER Increase this patients anticonvulsant medication. 14yo has painful episodes of menstrual cramping for 5 mo, menarche at 12, LMP 5 days. No abnormal cxam. Cause’? ANSWER Prostaglandin production (constricts blood vessels in uterus and made muscle layer contract, NSAIDS help) ‘When someone has ulerine tenderness and cervical motion tenderness, what should always be your first thoughts as what the cause is? ANSWER Cervicitis from Chlamydia/Neisseria A previously healthy 5y/o girl is brought to the physician because of a 2 day hx of foul smelling, yellow discharge and vaginal spotting on her underpants. She has not had pn with urination. Physical exam shows no abnormalities. Pelvic exam shows mild erythema and a purulent discharge at the vaginal opening. What is the most likely cause? A) Allergic rxn B) Candidal vaginitis C)Rhabdomyosarcoma D) Sexual abuse E) Vaginal foreign body ANSWER E---Little girls commonly put foreign bodies in their vagina. A 15-year-old girl is brought to the physician because of a 3-day history of fever, abdominal pain, and nausea. She also has had a thick, white vaginal discharge. Menarche was at the age of 13 years, and her menses occur at irregular 28- to 40-day intervals. She became sexually active | month ago and uses condoms inconsistently. [ler temperature is 39.6°C (103.2°F),