Gynecology Board Exam Started: Jul 12, 2026 23:38 Page 7 of 29 Attempt #1327 Overall: 0 / 143 questions answered Question 31 / 143 Not answered In a rural clinic with limited resources: 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 32 / 143 Not answered In a rural clinic with limited resources: 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. Uterine massage and uterotonic such as oxytocin D. Magnesium sulfate as uterotonic E. Methotrexate Show Answer & Explanation Correct Answer: C 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 33 / 143 Not answered In a rural clinic with limited resources: A 30-year-old has infertility, irregular cycles, hirsutism, and polycystic ovarian morphology after excluding mimics. What is the diagnosis? A. Premature ovarian insufficiency always B. Asherman syndrome C. Endometrial cancer proven D. Polycystic ovary syndrome E. Normal variant only Show Answer & Explanation Correct Answer: D 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 34 / 143 Not answered In a rural clinic with limited resources: 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. Give MMR vaccine D. Terminate pregnancy routinely E. Check varicella immunity and give VZIG/antiviral management if susceptible according to timing Show Answer & Explanation Correct Answer: E 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 35 / 143 Not answered During morning rounds: A patient has acute urticaria without airway, breathing, circulation, or GI compromise. What is first-line symptomatic therapy? (Variant 1584) A. IM epinephrine for every isolated wheal B. Long-term oral steroid for all C. Antibiotic D. Second-generation H1 antihistamine E. Warfarin Show Answer & Explanation Correct Answer: D Explanation: [Obstetrics & Gynecology] Acute urticaria without anaphylaxis is treated with non-sedating H1 antihistamines. Reference: EAACI/GA2LEN/EuroGuiDerm/APAAACI Urticaria 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 7 of 29 Next → »