Gynecology Board Exam Started: Jul 12, 2026 21:08 Page 29 of 29 Attempt #1030 Overall: 0 / 143 questions answered Question 141 / 143 Not answered A 60-year-old with abdominal bloating and pelvic mass is found to have a CA-125 of 450 U/mL. Most appropriate initial management: A. Observe and repeat imaging B. Surgical staging and cytoreduction C. Immediate chemotherapy D. Radiotherapy E. Hormone therapy Show Answer & Explanation Correct Answer: B Explanation: Surgical staging and cytoreduction followed by chemotherapy is standard management for suspected epithelial ovarian cancer. Reference: National Comprehensive Cancer Network 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 142 / 143 Not answered A 35-year-old asymptomatic woman requests cervical cancer screening. Most appropriate approach: A. Pap smear annually B. HPV testing or co-testing C. Colposcopy D. HPV vaccination E. No screening at this age Show Answer & Explanation Correct Answer: B Explanation: HPV testing or co-testing every 5 years is recommended for cervical cancer screening and is more sensitive than Pap smear alone. Reference: American College of Obstetricians 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 143 / 143 Not answered A 52-year-old woman with hot flashes and vaginal dryness due to menopause. Most appropriate therapy: A. Observation only B. Hormone replacement therapy C. Selective serotonin reuptake inhibitors D. Estrogen only E. Observation until symptoms resolve Show Answer & Explanation Correct Answer: B Explanation: HRT provides effective relief of vasomotor symptoms in menopausal women; risks and benefits should be discussed. Reference: American College of Obstetricians 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 29 of 29 Submit Exam