Ob gyn nbme form 4 - Study guides, Class notes & Summaries

OB/GYN NBME Form 4 Correct Questions & Answers

Ob-Gyn NBME Form 4 - Questions and Answers 52 yo PMHx: mild hypoT (levothyroxine); stage I breast cancer (5 yrs ago; completed tamoxifen therapy 1 yr ago; still in remission) menopause: 4 yrs ago FHx: mom - femoral fx in bike collision at 55 yo SHx: smokes 2 cigs/week for 25 yrs BMI: 19 PE: no thyromegaly; small, well-healed surgical scar over upper outer quadrant of L.breast greatest risk factor for osteoporotic fx? BMI 22 yo - G2P1 - 38 wks gest intermittent, mild, low back pain BP: 130/90 m...

Ob-Gyn NBME Form 4 Exam with Questions and Answers 42 yo - 1 yr of vag bleeding 2-5 days q2 wks flow: light to heavy w/ clots menses previously: reg 25-29 days; lasting 7 days w/ heavy flow no PMHx; no meds sex active w/ 1 partner; condoms inconsistently FHx: mom died of colon ca; mat grandma died of breast ca BMI: 29 uterus normal sized ovaries can't be palp occult blood in stool: neg endometrial biopsy: grade I adenoCA w/ atypical endometrial hyperplasia next step in mgnt...

Ob-Gyn NBME Form 3 Exam with Questions and Answers 22 yo primigravid - 24 wks gest - fullness in lower pelvic area for 12 hrs no contractions fundal height: 20 cm fetal heart tones good PE: breech; no cervix palpated most likely dx? ANSWER incompetent cervix considering no cervix was palpated 32 yo - G3P2 LMP: 17 wks ago PE: uterine funds palpated midway bet pubic symphysis and umbilicus serum AFP: 2.6 multiples of median next step in mgnt? ANSWER US umbilicus - 20 cm if...

Ob-Gyn NBME Form 2 Exam with Questions and Answers 15 yo - ED bc of N/V and lower abd pain for 4 days LMP: 9 days ago sex active; no contraception 103.5F P: 105/min BP: 110/75 mmHg PE: BL lower abd tenderness and peritoneal signs pelvic exam: copious yellow cervical discharge and exquisite uterine tenderness next step in mgnt? ANSWER admission to the hospital for IV antibiotic therapy homegirl def has some sort of infection 24 yo primigravid - labor not been screened for GBS ...

NBME -OB/Gyn F1 (2023/ 2024 Update) Questions and Verified Answers|100% Correct| Grade A Q: 57 yo - routine exam PMHx: HTN, T2DM, gen anxiety disorder great aunt: hx of breast cancer tx: hormone therapy w/ estrogen and medroxyprogesterone daily since menopause 5 yrs ago meds: HCTZ, metformin, herbal meds breasts: no masses/nipple discharge what historical finding is greatest risk factor for breast cancer in this pt? Answer: hormone therapy pt has been taking estrogen and medrox...

Ob-Gyn NBME Form 1 - Questions and Answers 42 yo - G3P3 menses irregular at 2-3 month intervals, last 7-21 days LMP: 6 wks ago PMHx: T2DM (metformin) BMI: 32 PE: no other abnormalities pelvic exam: irregular enlarged uterus (12x8x6 cm) endometrial biopsy: atypical complex hyperplasia strongest predisposing factor for this pt's condition? anovulation endometrial proliferation is normal part of menstrual cycle BMI: 32 aka this woman is obese > excess adipose tissue = inc peripheral conversio...

Ob-Gyn NBME Form 2 - Questions and Answers 37 yo - G8P8 - inc vag bleeding over last 5 hrs abd exam: gucci bimanual/rectal exams: 8 cm mass of upper cervix and R.parametrium no ovary palpated separately CT: R.hydroureter above level of mass most likely dx? squamous cell carcinoma of the cervix mass is clearly big and has spread due to ability to palpate mass and hydroureter present involvement of bowel/bladder (a) or distant mets (b) > stage 4 tx: surgery or chemo parametrium = fibrous/fatt...

Ob-Gyn NBME Form 3 - Questions and Answers 47 yo PSHx: TAH + BOS for leiomyomata uteri (6 wks ago) no hx of abnormal Paps PE: well-healing incision next step regarding future Paps? no longer indicated can stop screening at 65-70 yo, 3+ normal Pap tests in a row w/o CIN2/3 or higher in past 20 yrs, or if woman had TAH for benign indications and no hx of CIN2/3 or higher hx of CIN2/3 w/ TAH + 3 consecutive neg screening tests can stop 32 yo - 2 days of vag bleeding and lower abd cramps LMP: 7 wk...