Gynecology Board Exam Started: Jul 13, 2026 05:15 Page 18 of 29 Attempt #2040 Overall: 0 / 143 questions answered Question 86 / 143 Not answered 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. Pheochromocytoma E. Gestational diabetes mellitus Show Answer & Explanation Correct Answer: E 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 87 / 143 Not answered 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. Uterine massage and uterotonic such as oxytocin B. Wait for spontaneous resolution C. Oral iron only D. Magnesium sulfate as uterotonic E. Methotrexate Show Answer & Explanation Correct Answer: A 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 88 / 143 Not answered 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. Ignore all exposures C. Check varicella immunity and give VZIG/antiviral management if susceptible according to timing D. Give MMR vaccine E. Terminate pregnancy routinely Show Answer & Explanation Correct Answer: C 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 Question 89 / 143 Not answered During an emergency department assessment: 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. Gestational diabetes mellitus C. Normal pregnancy glucose D. Hypoglycemia E. Pheochromocytoma Show Answer & Explanation Correct Answer: B 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 90 / 143 Not answered During an emergency department assessment: 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. Ectopic pregnancy B. Normal pregnancy always C. Endometriosis only D. Appendicitis excluded E. Ovarian cancer proven Show Answer & Explanation Correct Answer: A 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 Cancel « ← Previous Page 18 of 29 Next → »