Gynecology Board Exam Started: Jul 13, 2026 02:34 Page 10 of 29 Attempt #1704 Overall: 0 / 143 questions answered Question 46 / 143 Not answered Question 133: At a primary-care follow-up visit: A 26-year-old has amenorrhea, positive pregnancy test, unilateral pelvic pain, and no intrauterine pregnancy on transvaginal ultrasound with high beta-hCG. What must be suspected? A. Normal pregnancy always B. Endometriosis only C. Ectopic pregnancy D. Appendicitis excluded E. Ovarian cancer proven Show Answer & Explanation Correct Answer: C Explanation: [Obstetrics & Gynecology] Positive pregnancy test with pain and no intrauterine pregnancy above discriminatory level raises concern for ectopic pregnancy. Reference: NICE Ectopic Pregnancy and Miscarriage Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 47 / 143 Not answered Question 134: At a primary-care follow-up visit: A woman at 28 weeks has 75-g OGTT fasting 5.4 mmol/L and 2-hour 9.0 mmol/L. What is the likely diagnosis? A. Type 1 diabetes always B. Normal pregnancy glucose C. Hypoglycemia D. Gestational diabetes mellitus E. Pheochromocytoma Show Answer & Explanation Correct Answer: D Explanation: [Obstetrics & Gynecology] OGTT values above diagnostic thresholds at 24-28 weeks support gestational diabetes. Reference: IADPSG/WHO Criteria; ADA Standards of Care in Diabetes. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 48 / 143 Not answered Question 135: At a primary-care follow-up visit: A postpartum woman has heavy bleeding, boggy enlarged uterus, and tachycardia. What is first-line immediate management? A. Wait for spontaneous resolution B. Oral iron only C. Magnesium sulfate as uterotonic D. Methotrexate E. Uterine massage and uterotonic such as oxytocin Show Answer & Explanation Correct Answer: E Explanation: [Obstetrics & Gynecology] Uterine atony is the commonest cause of postpartum hemorrhage; massage and oxytocin are first-line. Reference: WHO Recommendations for Prevention and Treatment of Postpartum Haemorrhage. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 49 / 143 Not answered Question 136: At a primary-care follow-up visit: A 30-year-old has infertility, irregular cycles, hirsutism, and polycystic ovarian morphology after excluding mimics. What is the diagnosis? A. Polycystic ovary syndrome B. Premature ovarian insufficiency always C. Asherman syndrome D. Endometrial cancer proven E. Normal variant only Show Answer & Explanation Correct Answer: A Explanation: [Obstetrics & Gynecology] PCOS is diagnosed using oligo/anovulation, hyperandrogenism, and polycystic ovarian morphology after excluding related disorders. Reference: International Evidence-based PCOS Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Question 50 / 143 Not answered Question 137: At a primary-care follow-up visit: A pregnant patient is exposed to chickenpox and has no history of infection or vaccination. What is the next step? A. Give live varicella vaccine during pregnancy B. Check varicella immunity and give VZIG/antiviral management if susceptible according to timing C. Ignore all exposures D. Give MMR vaccine E. Terminate pregnancy routinely Show Answer & Explanation Correct Answer: B Explanation: [Obstetrics & Gynecology] Varicella exposure in pregnancy requires immunity assessment; susceptible patients may need VZIG depending on timing; live vaccine is contraindicated in pregnancy. Reference: RCOG Chickenpox in Pregnancy Guideline. Reference: Comments & Discussion No comments yet. Be the first to comment! Your Name * Your Comment * (Max 200 chars) 200 characters remaining Post Comment Comments remaining this hour: 10/10 Cancel « ← Previous Page 10 of 29 Next → »