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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, but is still having seizures, what 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 exam. Cause? ANSWER Prostaglandin production (constricts blood vessels in uterus and made muscle layer contract, NSAIDS help) When someone has uterine 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
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