1. Which of the following lung parameters is unchanged during pregnancy?

2. Ovulation occurs:

3. How many times a year will a healthy 25 year old woman ovulate?

4. Ovulation is best proven by:

5. This condition results from a strong desire for pregnancy and resultant physical changes:

6. During the first trimester, the source of elevated estrogen and progesterone is:

7. Which of the following immunoglobulins cross the placenta and provide immunity for the newborn?

8. Levels of hCG are highest at:

9. Causes of melasma include:

10. Which of the following is decreased during pregnancy?

11. What is the most common cerebral neoplasm during pregnancy?

12. A 25-year-old G0, presents for preconception counseling. She is a marathon runner and wants to continue to train during her pregnancy. This patient wants to know if there are any potential adverse affects of exercise during pregnancy. What do you advise her?

13. A 26 G1P0 is seronegative for rubella. You advise her to avoid exposure to rubella early in pregnancy because it can result in an infant with which of the following?

14. Abuse of which of the following substances is associated with multiple fetal congenital anomalies including microcephaly, cardiac anomalies, and growth retardation?

15. A 42 year old female presents with abnormal bleeding. On exam, there is a large, ulcerative mass on the cervix that measures 5 cm. Biopsy reveals squamous cell carcinoma. The patient has ended her child-bearing. There is no other evidence of metastatic disease. Which of the following is the most appropriate treatment?

16. Which of the following is the major dose-limiting toxicity of Cisplatin?

17. Methotrexate is an example of what class of chemotherapeutic drugs?

18. First line treatment for gestational trophoblastic disease includes methotrexate or which of the following:

19. Which of the following tumor markers is specific for yolk sac tumors of the ovary?

20. The quadrivalent human papilloma virus (HPV) (Gardasil) offers protection against which viral subtypes?

21. The drug Mesna is given along with cyclophosphamide to prevent which

22. Which of the following is true regarding cervical dysgenesis?

23. Which degenerative changes in leiomymata are the least common?

24. Which of the following are true regarding verbal orders?

25. A group of women who work in a battery factory are recruited and compared to a matched control group over a ten year period. Outcomes such as miscarriage rate and rate of birth defects are compared. This type of study is an example of a:

26. Which of the following factors has not been identified by JCAHO that contribute to increased risk of wrong-site injury?

27. Which of the following abbreviations is on the JCAHO official "Do Not Use" list?

28. Skin lesions consistent with secondary syphilis closely resemble:

29. Systemic therapy of psoriasis includes one of the following:

30. A mother brings her daughter to see you for concerns of no menses by the age of 16. On examination, pubic and axillary hair are absent. Ultrasonography reveals absence of the uterus. The most likely diagnosis is:

31. Which of the following is the most discriminating value for infertility based on semen analysis?

32. Which of the following should be used as antepartum prophylaxis for preeclampsia?

33. Which of the following are absolutely contraindicated in the management of hypertension in pregnancy?

34. All of the following are risk factors for osteoporosis except:

35. Which T-score below indicates osteoporosis?

36. Which of the following is an absolute contraindication to exercise in pregnancy?

37. A 24 year old woman underwent cesarean delivery 96 hours ago. For the past 10 hours, she has had increasing abdominal distention, nausea, and malaise. No erythema or induration is seen along the margin of the incision, but a copious amount of serosanguineous fluid is draining from the wound. The most likely diagnosis is:

38. Pseudomembranous enterocolitis seen in a patient after 14 days of antibiotics is caused by

39. A 57 year old woman complains of postmenopausal bleeding for the last 3 months. Findings on exam are normal. The uterus sounds to 7 cm. Endometrial biopsy produces tissue that is reported to be moderately well-differentiated adenocarcinoma. Results of the endocervical curettage (ECC) are negative. Surgery is performed and the lesion is found to be confined to the uterine corpus with superficial invasion. What is the FIGO state of her disease?

40. In a patient with precocious puberty and no discernible pathologic findings, appropriate treatment is administration of

41. One week after a total abdominal hysterectomy, a 47 year old woman has temperature up to 39.4 C (103 F). An intravenous pyelogram (IVP) shows a ureteral obstruction low in the pelvis. The initial procedure of choice is

42. Which of the following is the appropriate vacuum for evacuating an incomplete abortion?

43. A 23 year old primigravid woman is having her first prenatal examination at 14 weeks of gestation. She underwent subtotal thyroidectomy for Graves disease 3 years ago. She is not on any medications. Total thyroxine (T4) concentration is 14 mg/dl (Normal 5-12), triidothyronine resin uptake (T3RU) is 20% (Normal 25-35%), and thyroid-stimulating hormone (TSH) is 4 mU/ml (Normal 0-6 mU/ml). The next step in management should be

44. An 18 year old primigravid patient is admitted for preterm, premature rupture of membranes at 31 weeks of gestation. She is afebrile and tests positive for group B streptococci. Which of the following is the most appropriate management of this patient?

45. You perform an ultrasound examination on a 21 year old nulliparous woman whose uterus measures larger than expected for her dates. The vertical depth of the largest amniotic fluid pocket is 10 cm. Which of the following conditions is most likely to be associated with this ultrasound finding?

46. Which of the following is the most common histiologic type of breast cancer?

47. Five days ago a 34 year old woman had a total abdominal hysterectomy and bilateral salpingo-oopherectomy for extensive endometriosis. For the past 3 days, she has had chills, fever, and tenderness of the costovertebral angle. These symptoms have not responded to parenterally administered antibiotics. The most appropriate next step in the evaluation of this patient is

48. The primary rationale for performing a pelvic exenteration is to

49. A patient experiences premature rupture of membranes at 29 weeks of gestation. Which of the following is most compatible with a diagnosis of chorioamnionitis?

50. Which of the following is increased when twin pregnancies are compared to singletons?