Rotation Exam: Women’s Health, Obstetrics and Gynecology

Home Reproductive System Rotation Exam: Women’s Health, Obstetrics and Gynecology

Rotation Exam: Women’s Health, Obstetrics and Gynecology

Stephen Pasquini PA-C

|

Reproductive System, Rotation Exams

|

Women's Health and Reproductive System / OB GYN Clinical Rotation Exam

Introducing two new Interactive Women's Health and Reproductive System/Obstetrics Rotation Exams now available to PA students and all members of Smarty PANCE. Not yet a member? You can Join Now and Save.

These exams follow the format of the PAEA Women's Health End of Rotation Exam™ Blueprint and are perfect as preparation for your after rotation exams and the boards. Smarty PANCE is not sponsored or endorsed by, or affiliated with, the Physician Assistant Education Association. All trademarks are the property of their respective owners.

The Smarty PANCE Rotation Exam for Women's Health follows the PAEA published EOR content blueprint:

Gynecology

  • Menstruation (15%)
  • INfections (12%)
  • Neoplasms (10%)
  • Disorders of the breast (8%)
  • Structural abnormalities (5%)
  • Other (5%))

Obstetrics

  • Prenatal care/normal pregnancy (16%)
  • Pregnancy complications (15%)
  • Labor and delivery complications (8%)
  • Postpartum care (6%)

Here is a five-question sample from the Smarty PANCE women's health rotation exam (members only).

Women's Health and OB GYN Rotation Sample Exam

Question 1
A 32-year-old G2P1001 presents at 27 weeks gestation. Glucose challenge returns at 165 mg/dl. Results of a 3-hour glucose tolerance test are:
  • fasting: 90 mg/dl
  • 1-hour: 195 mg/dl
  • 2-hour: 145 mg/dl
  • 3-hour: 130 mg/dl
According to the White Classification, which of the following is the best diagnosis?
A
No gestational diabetes
B
Class A1 gestational diabetes
C
Class A2 gestational diabetes
D
Class B gestational diabetes
Question 1 Explanation: 
Gestational diabetes screening is recommended between 24-28 weeks gestation. Initially a 50-gram non fasting glucose load is performed. If the results are over 140 mg/dL, a fasting 3-hour glucose tolerance test is done. Normal values are: fasting: <95 mg/dL; 1-hour: < 180 mg/dL; 2-hour: < 155 mg/dL; 3 hour: < 140 mg/dL. To make the diagnosis of gestational diabetes, at least two values must be elevated. Only the 1-hour glucose level is high in this patient. Review topic.
Question 2
A 28-year-old female is diagnosed with high-grade squamous intraepithelial lesion (HSIL) after a routine Pap smear. What is the treatment of choice at this time?
A
Carbon dioxide laser
Hint:
Carbon dioxide laser is expensive and requires good training and the use of local or general anesthesia.
B
Cryotherapy
Hint:
Cryotherapy can be done in the office without the use of anesthesia; however, it can disrupt future colposcopic exams because of the inability to see the squamocolumnar junction.
C
Colposcopy
Hint:
See E for explanation
D
Electrosurgical excision procedure (LEEP)
Hint:
See E for explanation
E
C or D
Question 2 Explanation: 
HSIL is associated with a high risk of CIN 2,3 or cervical cancer. In women 25 and older management with immediate colposcopy or LEEP is based upon these risks. Immediate cervical ablation should not be performed because ablative procedures do not provide a specimen for diagnostic evaluation. The recommendations for follow-up for abnormal cervical screening results differ for women ages 21 to 24 years from those for women 25 and older. They advise a diagnostic excisional procedure only if abnormal results are severe or recurrent. This is because the risk of cervical cancer is low and the rate of transient HPV infection is high in this patient population. Therefore in this age group it would be recommended to proceed with colposcopy. Review Topic
Question 3
A 53-year-old woman presents to her primary care physician for a routine examination. She notes that she began having hot flashes several months prior to presentation along with occasional painful urination. She notes that her periods have become more frequent and irregular, but have become lighter overall. Which of the following is most likely to be true regarding this patient's levels of follicle stimulating hormone (FSH), luteinizing hormone (LH), and androstenedione?
A
Increased FSH, increased LH, increased androstenedione
Hint:
Menopause is characterized by increased FSH and LH, with roughly stable androstenedione levels.
B
Increased FSH, increased LH, no change in androstenedione
C
Decreased FSH, decreased LH, increased androstenedione
Hint:
Menopause is characterized by increased FSH and LH, with roughly stable androstenedione levels.
D
Decreased FSH, no change in LH, no change in androstenedione
Hint:
Menopause is characterized by increased FSH and LH, with roughly stable androstenedione levels.
E
No change in FSH, decreased LH, increased androstenedione
Hint:
Menopause is characterized by increased FSH and LH, with roughly stable androstenedione levels.
Question 3 Explanation: 
This patient's clinical presentation is consistent with menopause, which is characterized by increased FSH and LH, with no change in androstenedione levels. Menopause is diagnosed when there are 12 months of amenorrhea in the absence of other biological or physiological causes. A high serum FSH (>30) is not required to make the diagnosis. Review Topic
Question 4
Metronidazole 2 g orally as a single dose or 500 mg twice daily for 7 days is the treatment regimen for which of the following vaginal infections?
A
Chlamydia
Hint:
The treatment for chlamydia is azithromycin or doxycycline.
B
Candidiasis
Hint:
Candidiasis would be treated with an imidazole.
C
Trichomoniasis
D
Staphylococcus
Hint:
Staphylococcus infection could be treated by many different antibiotics other than metronidazole.
Question 4 Explanation: 
The high-dose regimen of metronidazole [single 2 g oral dose of either tinidazole or metronidazole (ie, four 500 mg tablets)] is used for the treatment of Trichomoniasis. An alternative multi dose regimen is metronidazole 500 mg orally twice a day for seven days. Trichomonas vaginalis causes this common sexually transmitted disease. The clinical characteristics include a profuse yellow, frothy, malodorous, pruritic discharge. Sometimes a strawberry cervix (subepithelial redness) is seen. The pH is between 4.5 and 6. The treatment for chlamydia is azithromycin or doxycycline. Candidiasis would be treated with an imidazole. Staphylococcus infection could be treated by many different antibiotics other than metronidazole. Review Topic
Question 5
When is the best time to draw maternal serum alpha fetoprotein?
A
10-12 weeks
Hint:
See B for explanation
B
15-18 weeks
C
20-22 weeks
Hint:
See B for explanation
D
24-28 weeks
Hint:
See B for explanation
Question 5 Explanation: 
Maternal serum alpha-fetoprotein should be drawn at 15-18 weeks' gestation; it screens for open neural tube defects. Review topic
There are 5 questions to complete.
List
Return
Shaded items are complete.
12345
Return

More Smarty PANCE Rotation Exams

We're excited to add these two women's health and OB GYN/Reproductive system rotation exams to a growing list of clinical rotation exams available exclusively to Smarty PANCE members.

Other exams include 13 Topic Specific Practice Exams, two full-length PANCE/PANRE Mock Practice Exams, five 250 Question Comprehensive Exams, and many, many more!

The best way to prep for your boards and rotation exams is with practice questions and highly focused review. Smarty PANCE combines both by linking blueprint topics to exam questions giving you the best of both worlds.

Don't waste time studying topics outside your required scope. It is our hope to provide you with the most streamlined and focused rotation exam and PANCE/PANRE board review available at the best price.

Warmly,

Stephen Pasquini PA-C
Physician Assistant and SmartyPANCE founder