Gynecology Board Exam Started: Jul 12, 2026 22:51 Page 27 of 29 Attempt #1279 Overall: 0 / 143 questions answered Question 131 / 143 Not answered In a ward handover scenario: A pregnant patient at 32 weeks has BP 162/110 and proteinuria with headache. What is the diagnosis and priority? A. Severe pre-eclampsia needing urgent maternal assessment and treatment B. Normal pregnancy swelling C. Gestational diabetes only D. Hyperemesis gravidarum E. Uncomplicated UTI Show Answer & Explanation Correct Answer: A 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 132 / 143 Not answered In a ward handover scenario: 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. Ectopic pregnancy C. Endometriosis only D. Appendicitis excluded E. Ovarian cancer proven Show Answer & Explanation Correct Answer: B 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 133 / 143 Not answered In a ward handover scenario: 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. Gestational diabetes mellitus D. Hypoglycemia E. Pheochromocytoma Show Answer & Explanation Correct Answer: C 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 134 / 143 Not answered In a ward handover scenario: A patient with severe asthma exacerbation has silent chest and exhaustion. What is the implication? (Variant 1529) A. Mild asthma suitable for discharge B. Normal finding after salbutamol C. Pneumonia excluded D. Life-threatening asthma requiring urgent escalation E. No oxygen required Show Answer & Explanation Correct Answer: D Explanation: [Obstetrics & Gynecology] Silent chest and exhaustion are life-threatening asthma signs needing urgent escalation. Reference: GINA Strategy Report. 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 135 / 143 Not answered In a ward handover scenario: 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 1528) A. Ignore allergy and give full dose unsupervised B. Avoid all antiplatelets forever C. Aspirin desensitization if benefits outweigh risks D. Use antihistamine as antiplatelet E. Give only paracetamol Show Answer & Explanation Correct Answer: C 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 Cancel « ← Previous Page 27 of 29 Next → »