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Obstetrics & Gynecology Clerkship Quiz

Free Practice Quiz & Exam Preparation

Editorial: Review CompletedCreated By: Hisham Al-AdwaniUpdated Aug 25, 2025
Difficulty: Moderate
Questions: 15
Study OutcomesAdditional Reading
3D voxel artwork for Obstetrics and Gynecology Clerkship course

Use this Obstetrics & Gynecology quiz to practice core clerkship topics and spot gaps before the exam. You'll work through 15 quick questions on prenatal care, labor, postpartum care, contraception, and common gynecology problems, with a focus on symptoms, exams, and next best steps, so you can sharpen clinical thinking for your five-week rotation.

Which test most reliably confirms early intrauterine pregnancy and provides the most accurate gestational dating in the first trimester?
Serum progesterone level
Abdominal ultrasound bi-parietal diameter
Transvaginal ultrasound measuring crown-rump length
Urine qualitative hCG
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The diagnostic blood pressure threshold for preeclampsia is best defined as sustained readings at or above which level, measured at least 4 hours apart after 20 weeks gestation?
160/100 mm Hg
140/90 mm Hg
130/80 mm Hg
150/95 mm Hg
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At what gestational age is anti-D immune globulin routinely administered to unsensitized Rh-negative pregnant patients?
Immediately upon confirmation of pregnancy only
12 weeks and 24 weeks
At delivery only, regardless of infant Rh status
28 weeks and within 72 hours postpartum if the newborn is Rh-positive
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Group B Streptococcus screening is recommended at which gestational age window?
After 39 weeks only
20 to 22 weeks
36 0/7 to 37 6/7 weeks
28 to 30 weeks
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Painless third-trimester vaginal bleeding is most classically associated with which diagnosis?
Placenta previa
Uterine rupture
Vasa previa rupture
Placental abruption
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Painful vaginal bleeding with uterine tenderness in the third trimester suggests which diagnosis?
Placental abruption
Placenta previa
Cervicitis
Ovarian torsion
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Which is a major risk factor for ectopic pregnancy?
Nulliparity
Combined oral contraceptive use
History of preeclampsia
Prior tubal surgery
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A 34-week gravid patient has severe preeclampsia. What is the most appropriate next step after stabilization?
Administer magnesium sulfate and proceed to delivery
Begin weekly nonstress tests only
Start outpatient bed rest until 37 weeks
Delay any intervention until 39 weeks
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A hemodynamically stable patient with a small, unruptured ectopic pregnancy is best managed with which medication if no contraindications exist?
Misoprostol
Leuprolide
Oxytocin
Methotrexate
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What is the first-line maneuver for shoulder dystocia during vaginal delivery?
Fundal pressure
Immediate episiotomy alone
McRoberts maneuver with suprapubic pressure
Zavanelli maneuver
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Which factor most strongly increases the risk of postpartum endometritis?
Vaginal delivery with episiotomy
Nulliparity
Cesarean delivery
Use of epidural anesthesia
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For a breastfeeding postpartum patient desiring contraception immediately after delivery, which method is most appropriate?
Estrogen patch
Combined estrogen-progestin pill starting day 1
Progestin-only pill
No contraception is recommended while breastfeeding
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According to the Rotterdam criteria, a diagnosis of PCOS requires how many of the following: oligo/anovulation, clinical or biochemical hyperandrogenism, and polycystic ovaries on ultrasound?
All three
None; PCOS is a clinical diagnosis only
Any two of the three
Exactly one
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Which prior uterine incision type is a contraindication to trial of labor after cesarean (TOLAC)?
Prior laparoscopic myomectomy without cavity entry
Prior classical (vertical) cesarean incision
Prior low-vertical cesarean incision without extension
Prior low-transverse cesarean incision
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Which antibiotic is an appropriate first-line option to treat asymptomatic bacteriuria in pregnancy, assuming typical organisms and no allergies?
Ciprofloxacin
Trimethoprim-sulfamethoxazole in the first trimester
Cephalexin
Doxycycline
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Which fetal presentation is an absolute contraindication to vaginal delivery at term?
Frank breech with experienced provider
Vertex
Occiput posterior
Persistent transverse lie
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A 24-year-old with primary amenorrhea and normal secondary sexual characteristics should first be evaluated with which test?
FSH level only
Karyotype only
Prolactin only
Pregnancy test and pelvic ultrasound to assess for Mullerian structures
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A hemodynamically stable patient with suspected incomplete abortion at 9 weeks who prefers medical management should receive which regimen?
Mifepristone followed by misoprostol
Methotrexate
Oxytocin infusion
Expectant management for all patients
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Which maternal condition is an absolute contraindication to expectant management of preeclampsia with severe features, regardless of gestational age?
Asymptomatic bacteriuria
Mild thrombocytosis
Eclampsia
Diet-controlled gestational diabetes
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A nonimmune pregnant patient is exposed to varicella. Which postexposure measure is appropriate if she is susceptible?
Varicella-zoster immune globulin
Live-attenuated varicella vaccine during pregnancy
No action is needed
Acyclovir prophylaxis is first-line for all exposures
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Study Outcomes

  1. Understand the signs and symptoms of normal and abnormal reproductive function.
  2. Analyze history taking and examination techniques in obstetrics and gynecology.
  3. Apply differential diagnosis strategies to reproductive health scenarios.
  4. Perform basic physical and pelvic examinations effectively.

Obstetrics & Gynecology Clerkship Additional Reading

Embarking on your Obstetrics & Gynecology clerkship? Here are some top-notch resources to guide you through:

  1. This comprehensive outline details the key topics and systems covered in the OB/GYN subject exam, helping you focus your studies effectively.
  2. The Association of Professors of Gynecology and Obstetrics offers a structured two-week remote learning plan, complete with additional resources to enhance your understanding of OB/GYN concepts.
  3. This curated list includes recommended textbooks and online resources, such as Beckmann and Ling's Obstetrics and Gynecology, to support your clerkship learning.
  4. This guide provides access to key textbooks, practice bulletins, and review materials tailored for OB/GYN clerkship students.
  5. This blog post offers practical advice, book recommendations, and study strategies to excel in your OB/GYN rotation.
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