TEGO (FEBRASGO AMB) Practice Questions - Exame de Suficiência para Obtenção do Título de Especialista em Ginecologia e Obstetrícia (TEGO - FEBRASGO AMB) Exam - TEGO (FEBRASGO AMB) Practice Questions - Exame de Suficiência para Obtenção do Título de Especialista em Ginecologia e Obstetrícia (TEGO

Question 1

According to the Brazilian Ministry of Health (Ministério da Saúde) and FEBRASGO guidelines for Gestational Diabetes Mellitus (GDM / Diabetes Mellitus Gestacional), what is the diagnostic threshold when evaluating fasting plasma glucose (glicemia de jejum) in the first prenatal trimester?

A fasting plasma glucose value between 92 mg/dL and 125 mg/dL establishes the diagnosis of Gestational Diabetes Mellitus (GDM). A fasting plasma glucose value of 100 mg/dL to 140 mg/dL is considered normal in the first trimester, requiring no further testing until the third trimester. A fasting plasma glucose value >= 85 mg/dL is diagnostic of overt pre-existing diabetes mellitus (Diabetes Mellitus prévio à gestação). Fasting plasma glucose is not recommended in the first trimester; only a random postprandial capillary blood glucose should be measured.

Correct Answer:

A fasting plasma glucose value between 92 mg/dL and 125 mg/dL establishes the diagnosis of Gestational Diabetes Mellitus (GDM).

Question 2

A 24-year-old primigravida at 14 weeks of gestation has a confirmed reactive VDRL titer of 1:32 and a positive treponemal test (FTA-ABS). She has no history of previous treatment or clinical lesions. According to the Brazilian Ministry of Health and FEBRASGO guidelines for gestational syphilis (Sífilis na Gestação), which treatment regimen constitutes adequate maternal and fetal therapy?

Oral Doxycycline 100 mg twice daily for 14 days, with sexual partner treatment being optional. Benzathine Penicillin G (Benzilpenicilina benzatina) 2.4 million IU IM weekly for 3 consecutive weeks (total 7.2 million IU), with concurrent partner evaluation and treatment. A single dose of oral Azithromycin 2 g, repeated after 14 days if the non-treponemal titer remains elevated. Intravenous Ceftriaxone 1 g daily for 7 days followed by oral Erythromycin base for 30 days.

Correct Answer:

Benzathine Penicillin G (Benzilpenicilina benzatina) 2.4 million IU IM weekly for 3 consecutive weeks (total 7.2 million IU), with concurrent partner evaluation and treatment.

Question 3

A 22-year-old pregnant woman presents at 9 weeks of gestation for her first prenatal visit. Serology for Toxoplasmosis reveals IgG positive (180 IU/mL) and IgM positive (Index 3.2). What is the next immediate and most appropriate step according to FEBRASGO protocols for maternal toxoplasmosis?

Reassure the patient that IgG positivity confirms long-standing immunity, requiring no further testing or follow-up. Immediately start Sulfadiazine, Pyrimethamine, and Folinic Acid and perform an emergency hysterotomy. Request an IgG Avidity Test (Teste de Avidez de IgG); if high avidity (> 60%) before 16 weeks, it indicates infection acquired prior to gestation, excluding acute congenital risk. Initiate termination of pregnancy, as maternal IgM positivity during the first trimester invariably leads to fetal hydrops.

Correct Answer:

Request an IgG Avidity Test (Teste de Avidez de IgG); if high avidity (> 60%) before 16 weeks, it indicates infection acquired prior to gestation, excluding acute congenital risk.

Question 4

Which of the following vaccines is officially recommended for ALL pregnant women in Brazil during EACH pregnancy, regardless of previous vaccination history, according to the National Immunization Program (PNI / Ministério da Saúde) and FEBRASGO?

Live attenuated Measles, Mumps, and Rubella (Tríplice Viral / MMR) vaccine. Oral Poliovirus Vaccine (VOP / Sabin). Yellow Fever (Febre Amarela) live attenuated vaccine at 12 weeks of gestation. Adsorbed Diphtheria, Tetanus, and Acellular Pertussis vaccine (dTpa / Tríplice Bacteriana Acelular do Adulto) starting at 20 weeks of gestation.

Correct Answer:

Adsorbed Diphtheria, Tetanus, and Acellular Pertussis vaccine (dTpa / Tríplice Bacteriana Acelular do Adulto) starting at 20 weeks of gestation.

Question 5

Regarding universal screening and intrapartum chemoprophylaxis for Group B Streptococcus (GBS / Estreptococo do Grupo B - Streptococcus agalactiae) in obstetric care (FEBRASGO / CDC guidelines), which statement is correct?

Screening is performed via combined lower vaginal and rectal swab collected between 35+0 and 37+6 weeks of gestation. Elective cesarean delivery performed before labor onset with intact membranes requires routine intrapartum GBS chemoprophylaxis. A woman with a documented history of GBS bacteriuria in the current pregnancy still requires a 36-week rectovaginal swab before prophylaxis is decided. Intrapartum chemoprophylaxis should be administered using oral Amoxicillin 500 mg every 8 hours throughout labor.

Correct Answer:

Screening is performed via combined lower vaginal and rectal swab collected between 35+0 and 37+6 weeks of gestation.

Question 1

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Prepare with the TEGO (FEBRASGO AMB) Practice Questions - Exame de Suficiência para Obtenção do Título de Especialista em Ginecologia e Obstetrícia (TEGO - FEBRASGO AMB) Exam practice quiz. This question bank includes 100 questions covering febrasgo, year-old, weeks, gestation, and fetal. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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TEGO (FEBRASGO AMB) Practice Questions - Exame de Suficiência para Obtenção do Título de Especialista em Ginecologia e Obstetrícia (TEGO - FEBRASGO AMB) Exam

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

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TEGO (FEBRASGO AMB) Practice Questions - Exame de Suficiência para Obtenção do Título de Especialista em Ginecologia e Obstetrícia (TEGO - FEBRASGO AMB) Exam

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