ObGyn Board Practice Questions - Saudi Board Obstetrics and Gynecology Final Written Exam - ObGyn Board Practice Questions - Saudi Board Obstetrics and Gynecology Final Written Exam

Question 1

A 32-year-old G1P0 at 11 weeks of gestation presents to the clinic to discuss prenatal screening for fetal aneuploidies. She has no significant medical history. Which of the following screening tests offers the highest sensitivity and specificity for Down syndrome (trisomy 21)?

First-trimester combined screening (PAPP-A, beta-hCG, and nuchal translucency) Second-trimester quadruple screening (MSAFP, hCG, estriol, and inhibin A) Cell-free DNA (cfDNA) screening Integrated screening (first- and second-trimester markers combined)

Correct Answer:

Cell-free DNA (cfDNA) screening

Question 2

A G2P1 at 38 weeks of gestation is undergoing a biophysical profile (BPP) for decreased fetal movements. The ultrasound demonstrates: 1 episode of fetal breathing lasting 45 seconds, 3 discrete body movements, 2 episodes of limb extension with return to flexion, and a deepest vertical pocket of amniotic fluid measuring 1.5 cm. The non-stress test (NST) is non-reactive. What is the total BPP score for this patient?

8/10 6/10 4/10 2/10

Correct Answer:

6/10

Question 3

A 25-year-old G1P0 at 39 weeks of gestation presents in active labor. On initial assessment, her cervix is 4 cm dilated, 80% effaced, and the fetal station is -1. Contractions are occurring every 3 minutes. Four hours later, her cervical exam is unchanged at 4 cm, but contractions have spaced out to every 5-6 minutes. She is comfortable with epidural analgesia. What is the most appropriate next step in management?

Perform an immediate cesarean section for arrest of dilation Perform an artificial rupture of membranes (amniotomy) and initiate oxytocin augmentation Administer IV bolus of fluids and reassess in another 4 hours Discharge the patient home and advise her to return when contractions are stronger

Correct Answer:

Perform an artificial rupture of membranes (amniotomy) and initiate oxytocin augmentation

Question 4

During the vaginal delivery of a 4.1 kg infant to a G3P2 patient, the fetal head is delivered but immediately retracts against the perineum (turtle sign). Gentle downward traction fails to deliver the anterior shoulder. What is the immediate first step in the management of this obstetric emergency?

Apply fundal pressure to help push the shoulder past the symphysis pubis Perform a generous episiotomy Hyperflex the maternal hips against the abdomen (McRoberts maneuver) and apply suprapubic pressure Attempt to deliver the posterior arm

Correct Answer:

Hyperflex the maternal hips against the abdomen (McRoberts maneuver) and apply suprapubic pressure

Question 5

A G2P1 patient is in the third stage of labor. To minimize the risk of postpartum hemorrhage (PPH), which component of the active management of the third stage of labor (AMTSL) is considered the most critical and effective?

Early clamping and cutting of the umbilical cord (within 30 seconds) Controlled cord traction (Brandt-Andrews maneuver) to deliver the placenta Prophylactic administration of a uterotonic agent (e.g., oxytocin) immediately after delivery of the infant Routine manual exploration of the uterine cavity

Correct Answer:

Prophylactic administration of a uterotonic agent (e.g., oxytocin) immediately after delivery of the infant

Question 1

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Prepare with the ObGyn Board Practice Questions - Saudi Board Obstetrics and Gynecology Final Written Exam practice quiz. This question bank includes 100 questions covering patient, weeks, year-old, gestation, and presents. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ObGyn Board Practice Questions - Saudi Board Obstetrics and Gynecology Final Written Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, weeks, year-old, gestation, and presents. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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ObGyn Board Practice Questions - Saudi Board Obstetrics and Gynecology Final Written Exam

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