CEN Obstetric and Gynecologic Emergencies

Question 1

A 26-year-old woman presents with acute pelvic pain, vaginal bleeding, and a positive pregnancy test. She has a BP of 80/50 mmHg and signs of peritoneal irritation. What is the most likely diagnosis?

Accepted Answer

Ruptured ectopic pregnancy

Answer

Threatened abortion

Answer

Ovarian cyst rupture

Answer

Placental abruption

Question 2

A 36-week pregnant patient presents with severe headache, visual disturbances, BP of 160/110 mmHg, and 3+ proteinuria. What is the diagnosis?

Accepted Answer

Severe preeclampsia

Answer

Gestational hypertension

Answer

Eclampsia

Answer

HELLP syndrome

Question 3

What is the drug of choice to prevent and treat seizures in eclampsia?

Accepted Answer

Magnesium sulfate 4–6 g loading dose IV

Answer

Diazepam 10 mg IV

Answer

Lorazepam 2 mg IV

Answer

Phenytoin 20 mg/kg IV

Question 4

A patient at 34 weeks gestation presents with painless, bright red vaginal bleeding. What is the most likely cause?

Accepted Answer

Placenta previa

Answer

Placental abruption

Answer

Cervical polyp

Answer

Bloody show of labor

Question 5

Which assessment is CONTRAINDICATED in a patient with suspected placenta previa?

Accepted Answer

Digital cervical examination

Answer

Abdominal ultrasound

Answer

External fetal monitoring

Answer

IV access and blood type/crossmatch

Question 6

A postpartum patient (1 hour after delivery) develops heavy vaginal bleeding with a boggy, enlarged uterus. What is the priority intervention?

Accepted Answer

Uterine massage and oxytocin administration

Answer

Immediate hysterectomy

Answer

Packing the uterine cavity

Answer

Oral ergotamine

A 26-year-old woman presents with acute pelvic pain, vaginal bleeding, and a positive pregnancy test.She has a BP of 80/50 mmHg and signs of peritoneal irritation.What is the most likely diagnosis?

A 26-year-old woman presents with acute pelvic pain, vaginal bleeding, and a positive pregnancy test.
She has a BP of 80/50 mmHg and signs of peritoneal irritation.
What is the most likely diagnosis?