1. A 37-year-old woman is hospitalized with biopsy-confirmed epidermoid carcinoma of the cervix. On clinical examination both parametria are nodular and apparently infiltrated. Both vaginal fornices are infiltrated, but the bladder and rectum are not. The IVP shows hydronephrosis without evidence of calculus; findings on a roentgenogram of the chest are unremarkable. The CT scan shows enlarged para-aortic lymph nodes. The FIGO stage is

2. A pregnant woman is concerned about the possibility of giving birth to a second child with Tay-Sachs disease. Which of the following studies will show whether the fetus is affected?

3. The congenital anomaly most likely to be associated with use of valproic acid (Depakene) in pregnancy is

4. The volume of amniotic fluid is maximum at a gestational age of

5. The risk of uterine perforation at the time of first trimester elective abortion is decreased by

6. Which of the following is a risk factor for the development of uterine sarcoma?

7. At the time of cesarean delivery, numerous slightly raised, red-pink excrescences are noted on the surface of normal-sized ovaries. These findings most likely indicate

8. Appropriate therapy for stage II carcinoma of the vulva is

9. Which of the following is the most common disorder in infants with congenital rubella?

10. Which of the following is the earliest sign of sexual arousal in the female?

11. Which of the following forceps can be used safely to apply traction to a transverse vertex in the midpelvis with a flat sacrum?

12. Endodermal sinus tumors of the ovary are characteristically associated with elevated levels of

13. A 28-year-old woman, gravida 3, para 2, is 16 weeks pregnant. Her prenatal Papanicolaou smear is reported as compatible with intraepithelial neoplasia. Colposcopically directed biopsies show questionable microinvasion. The most appropriate management is

14. A hepatitis B screening test is positive for antibody to core protein but negative for surface antigen and antibody. This indicates that

15. The first maturation division of the ovum occurs

16. Signet ring cells are characteristic findings in which of the following tumors of the ovary?

17. What type of inheritance is most likely to be associated with the pedigree shown above?

18. The maximal pubertal growth spurt in girls

19. The most common cytogenetic pattern in hydatidiform mole is

20. A 55-year-old woman has been treated for stage III ovarian carcinoma by hysterectomy, bilateral salpingooophorectomy, and 80% reduction of the tumor mass, followed by multiple-agent chemotherapy. She now has large intra-abdominal masses. Further therapy is not possible. Her terminal state is most likely to be associated with

21. An 18-year-old primigravid woman at 39 weeks\' gestation had a normal first stage of labor under epidural anesthesia. The second stage of labor has lasted 150 minutes. The fetal vertex is markedly molded at +3 station in the occiput anterior position. The estimated fetal weight is 3250 g. THe patient is very tired and has difficulty bearing down effectively. Which of the following forceps would be most appropriate for effecting delivery in this patient?

22. During preconceptual counseling, a 21-year-old, healthy, nulligravid woman states that her younger brother has cystic fibrosis. Her empiric risk of being a carrier of the gene for cystic fibrosis is

23. Each of the following features of the sexual response decreases in menopausal women EXCEPT

24. Each of the following is an ovarian germ cell neoplasm EXCEPT

25. Each of the following statements concerning chronic hypertension in pregnancy is true EXCEPT

26. Each of the following erythrocyte antigens causes hemolytic disease of the newborn EXCEPT

27. Each of the following statements concerning monozygotic twins is true EXCEPT

28. Each of the following is a recognized risk factor for preterm birth EXCEPT

29. Each of following statements concerning the levator ani muscle is true EXCEPT

30. Each of the following statements concerning amniotic fluid in normal pregnancy is true EXCEPT

31. Each of the following statements concerning transvestism is true EXCEPT

32. Select the tumor most likely associated with the finding of Psammoma bodies

33. Select the tumor most likely associated with the finding of Call-Exner bodies

34. Which tumor is most likely associated with Rokitansky's protuberance?

35. Adenoma of Pick is most likely associated with

36. Select the most reactive absorbable suture

37. Select the least reactive absorbable suture

38. Toxic shock syndrome includes

39. The majority of patients with hydatidiform mole have

40. Important factors associated with the presence of drugs in breast milk include

41. Conditions that increase the likelihood of vasa previa include all EXCEPT

42. Predictors of prognosis for a patient with adenocarcinoma of the endometrium include all EXCEPT

43. The Müllerian duct gives rise to the

44. Gonadectomy is indicated in