Gynecology Board Exam Started: Jul 13, 2026 03:31 Page 22 of 29 Attempt #1864 Overall: 0 / 143 questions answered Question 106 / 143 Not answered At a primary-care follow-up visit: A patient with suspected anaphylaxis has airway swelling and hypotension. What is the correct route for first-line epinephrine? (Variant 1514) A. Subcutaneous injection into forearm B. Oral tablet C. Nebulized only D. Intramuscular injection into the mid-anterolateral thigh E. Topical application Show Answer & Explanation Correct Answer: D Explanation: [Obstetrics & Gynecology] IM epinephrine into the mid-anterolateral thigh is first-line for anaphylaxis. Reference: World Allergy Organization Anaphylaxis Guidance. 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 107 / 143 Not answered At a primary-care follow-up visit: A patient with acute coronary syndrome is allergic to aspirin with true anaphylaxis. What should be considered in specialist care when aspirin is essential? (Variant 1515) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Use antihistamine as antiplatelet D. Give only paracetamol E. Aspirin desensitization if benefits outweigh risks Show Answer & Explanation Correct Answer: E Explanation: [Obstetrics & Gynecology] Aspirin desensitization may be considered when aspirin is essential and allergy is confirmed, under specialist supervision. Reference: ACC/AHA ACS guidance; AAAAI drug allergy practice parameter. 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 108 / 143 Not answered During preoperative assessment: A 28-year-old at 10 weeks gestation has vaginal bleeding and closed cervix; ultrasound shows viable intrauterine pregnancy. What is the diagnosis? A. Inevitable miscarriage B. Ectopic pregnancy proven C. Threatened miscarriage D. Molar pregnancy E. Postpartum hemorrhage Show Answer & Explanation Correct Answer: C Explanation: [Obstetrics & Gynecology] Bleeding with closed cervix and viable intrauterine pregnancy is threatened miscarriage. 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 109 / 143 Not answered During preoperative assessment: A pregnant patient at 32 weeks has BP 162/110 and proteinuria with headache. What is the diagnosis and priority? A. Normal pregnancy swelling B. Gestational diabetes only C. Hyperemesis gravidarum D. Severe pre-eclampsia needing urgent maternal assessment and treatment E. Uncomplicated UTI Show Answer & Explanation Correct Answer: D Explanation: [Obstetrics & Gynecology] Severe-range BP with proteinuria and neurologic symptoms is severe pre-eclampsia requiring urgent management. Reference: ACOG Gestational Hypertension and Preeclampsia Practice Bulletin. 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 110 / 143 Not answered During preoperative 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. Normal pregnancy always B. Endometriosis only C. Appendicitis excluded D. Ovarian cancer proven E. Ectopic pregnancy Show Answer & Explanation Correct Answer: E 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 22 of 29 Next → »