One concept is secondary amenorrhea can occur due to anovulation which we check with the help of progestrone challenge test which leads to withdrawl bleeding if adequate estrogen is present. In other concept anovulation can lead to intermenstrual bleeding due to unopposed action of estrogen on...

What do you do when a pregnant women on Li comes to you? Li definitely causes Ebstein anomaly, but its frequency, even if pregnant women takes Li during first trimester, isn't high. Anyway, what to do- discontinue Li or not? And what after stopping Li?

In a young, obese, chronically anovulatory woman with an elevated LH:FSH ratio which of the following is the preferred method of ovulation induction? A. metformin B. human menopausal gonadotropins (hMGs) C. pulsatile gonadotropin-releasing hormone (GnRH) D. clomiphene citrate E. Bromocriptine...

Another question :) In a young, obese, chronically anovulatory woman with an elevated LH:FSH ratio which of the following is the preferred method of ovulation induction? A. metformin B. human menopausal gonadotropins (hMGs) C. pulsatile gonadotropin-releasing hormone (GnRH) D. clomiphene...

38 year old female with two year history of heavy menstrual flow of 9 days every period. Menses occur every 32 days. There is no bleeding between menses. Next step in evaluation: a. Coagulation profile b. Pregnancy test c. Endometrial biopsy d. Pelvic ultrasound e. TSH evaluation

A previously healthy 27-year-old woman, gravida 2, para 2 is 4 days status post cesarean section and develops a temperature to 100.7 F (38.2 C). She had her cesarean section when she went into unstoppable preterm labor with a breech fetus. She had an uncomplicated postoperative course until this...

What is the best treatment of post partum depression with suicidal ideation plus harm to baby? Anti depressants or hospitalization??

These are very useful imo, Kaplan Ob is kinda vague regarding management of cervical cytology and dysplasias. USPSTF summary: The USPSTF recommends screening for cervical cancer in women ages 21 to 65 years with cytology (Pap smear) every 3 years or, for women ages 30 to 65 years who want to...

How does endometriosis cause increased risk of ovarian carcinoma?

is it possible for complex ovarian mass to be malignant , in kaplan , it mention it could be ovarian cancer in the DDX but in MX it only gives the possibility of dermoid cyst which is begnin but nothing more??

do we need to know the staging of Endometrial/cervical/vaginal cancers?

Isn't it weird that you give tocolytics in preterm labor, but you don't give tocolytics for PROM if uterine contractions are present?!

Is Rh isoimmunization prophylaxis (Rh D Ig) given to all mothers at 28 weeks and within 72 hours of delivery? Or just to Rh negative mothers, and previous vaginal bleeding/abortion/amniocentesis mothers?

I was reading MTB 3 and came upon a question on P 387 about varicella in pregnancy. The presentation was clear with pruritic vesicles over neck, breast, and chest, and fever and malaise. She also has contractions every 5 mins, What is the next step in management? The answer written is varicella...

A 26 y/o female G1P0 comes to her first prenatal visit, she is at 28 weeks. Her History and PE are completely normal except that you find a cervical tumor of about 2 cms in diameter. you perform a biopsy which in the preliminary report is reported as a leyomyoma. The patient gets worried and...

A 34 y/o female G4P3 at 39 weeks gestation is on labor. After 2 hours of pushing and oxytocin augmentation you notice the head of the baby gets stuck in the maternal vagina. You quickly suspect the shoulders are stuck. You are a first year ob/gyn resident and your chief resident asks you to...

At 39 weeks gestation a woman comes to the L&D unit on labor. She is 50 % effaced and 2 cms dilated. a 36 weeks ultrasound showed the fetus to be in transverse lie. When you perform Leopold maneuvers you notice the fetus is now on breech presentation, after confirming the diagnosis with a new...

These questions are short and concise, Ob/GYN is not that hard if you know the basics.. So I wont put long ass cases because I dont have a source to do that and because i dont think it is necessary to do so. A 34 y/o female G3 P2 presents to the L&D (Labor and delivery) unit at 38 weeks...

Which method of contraception decreases risk of ectopic pregnancy?

A 47-year-old female comes to you complain of disturbed sleep, abdominal pains, decreased libido, dry vagina and such. What is the next best step in management? A) Pregnancy test B) Check LH levels C) Give Estrogen therapy D) Give topical steroids for her vagina E) Give topical estrogen for her...