Archives: FCOG Part 1

FCOG-1166

A 27-year-old female G1P1 presents with her husband because she has not been breastfeeding her baby 24 hours though she had previously stated she intended exclusive breastfeeding for the first 3 months. She feels sad most of the time and her mood has been very low for the past 2 weeks, she has trouble sleeping at night and feels tired all day. She complains that her husband doesn’t seem to know how to help. For the past 24 hours she feels like she is not fit to be a mother and doesn’t want to feed the baby anymore. She has been frightened by thoughts to harm herself and the baby. Her baby is 7 weeks old.
In addition to antidepressant medication, which of the following treatment is most appropriate for this patient?

FCOG-1175

Warfarin is contraindicated during pregnancy.

Which of the following complications are possible to develop if warfarin is used in second trimester of pregnancy?

FCOG-1169

A 24-year-old gravida 3 para 1 is admitted to the hospital at 29 weeks gestation with a high fever, flank pain, and an abnormal urinalysis. You order blood and urine cultures, a CBC, electrolyte levels, and a serum creatinine level. You also start her on intravenous fluids and intravenous cefazolin. After 24 hours of antibiotic treatment she is clinically improved but continues to have fever spikes. What would be the most appropriate management at this time?

FCOG-1174

A 25-year old Asian woman comes to your clinic at 36 weeks of gestation. She was diagnosed with breech at 32 weeks. She is not in labor and a manual examination of the uterus is suggestive of breech position.

Which one of the following would be the next best step in management of this patient?

FCOG-1171

In developed countries, Group B streptococcus is the leading cause of early-onset neonatal sepsis. The risk of early onset neonatal Group B Streptococcus sepsis can be reduced by screening for Group B streptococcus status and by the use of intrapartum antibiotics.

From the below given statements, which is false regarding Group B streptococcus screening and intrapartum antibiotics prophylaxis?

FCOG-1170

An 18-year-old pregnant woman presents to the clinic for a routine check-up. She is at the 5th week of gestation. Except for morning nausea, she denies any problems with her pregnancy so far. The patient is allergic to penicillin. Physical exam is unremarkable and appropriate for gestational age. Routine screening lab tests were ordered. VDRL screening returned positive and was confirmed by the FTA-ABS test.

Which of the following is considered the best management of this patient?

FCOG-1168

Which one of the following is true regarding routine prenatal screening ultrasonography before 24 weeks gestation?

FCOG-1152

A 39-year-old woman who is 8 weeks pregnant presented to the medical clinic for consultation regarding the chance of her baby having Down syndrome. She mentioned that she has read somewhere that one of the risk factors for Down syndrome is advanced maternal age. She is concerned and asks if there are ways in which she can know whether her baby will be affected.

Which of the following is considered as both the safest and the most accurate diagnostic tool for the exclusion of Down syndrome?

FCOG-1156

A 33-year-old woman was admitted to a hospital’s maternity unit for labour. Her pregnancy has been unremarkable so far and she had regular antenatal visits. Meconium liquor passage was noted during the labour. Cardiotocography was done and revealed a fetal heart rate (FHR) of 149bpm. There were no noted decelerations or accelerations. The beat-to-beat variability is established at 15 bpm. Upon vaginal examination, there were no reported abnormalities.

Which of the following is considered to be the next most appropriate step in managing this patient?

FCOG-1155

A 28-year-old woman who is at the 18th week of gestation presented to the medical clinic due to a vaginal discharge. Upon history taking, it was revealed that she had a history of preterm labour at 24 weeks of gestation during her last pregnancy. Upon examination, the presence of a clear fluid coming out of the vagina was noted.

Which of the following is considered to be the best in predicting pre-term labour?