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OB/GYN Resident Qbank

OB/GYN Question Banks

Questions

Aligned with the CREOG content blueprint. Authored & peer-reviewed by faculty, clinicians, and program directors.

Each question is written to resemble the format and topics on the exam, meaning you won’t see any negatively phrased questions, no “all of the following except,” no “A and B”…you know what we mean. Most importantly, all questions include selective distractors (incorrect answer choices), which will help you think critically.

  • Must address important content
  • Must be well structured

Question

A 29-year-old woman presents to labor and delivery at term with painful contractions. She is found to have spontaneously ruptured membranes, but her cervix is closed. The patient is admitted for induction and develops a temperature of 38.1°C, and the fetal tracing is a category II with a baseline heart rate of 165 bpm. She has no known drug allergies so you treat her with first-line antibiotics and monitor her labor curve. She eventually reaches 6 cm dilation, but there is no cervical change for 2 hours. You place an intrauterine pressure catheter and calculate her contractions at 220 Montevideo units. Cervical exam 4 hours later is 6/100/0. You proceed with the next recommended intervention. Which of the following antibiotics should you add to her postpartum regimen?

A Cefazolin
B Clindamycin
C Gentamicin
D Vancomycin
Correct Answer Distractor
Intraamniotic infection can affect all intrauterine contents, such as amniotic fluid, the placenta, fetus, and decidua. The infection is polymicrobial and is typically an ascending infection caused by vaginal flora. Instrumentation (such as intrauterine catheters and fetal scalp electrodes) and frequent vaginal examinations increase the risk of infection. Appropriate diagnosis and treatment should be initiated due to the increased neonatal risk of intraamniotic infection, such as neonatal pneumonia, meningitis, sepsis, and death.

The diagnosis is primarily clinical, as a definitive diagnosis is most commonly obtained after delivery. Maternal fever is commonly present, and other major clinical criteria include maternal leukocytosis, purulent cervical drainage, and fetal tachycardia. In patients without known drug allergies, the recommended antibiotic regimen comprises ampicillin and gentamicin. Alternatives can be considered in the setting of mild or severe penicillin allergy. When the route of delivery changes to cesarean, an additional dose of ampicillin and gentamicin should be administered postpartum, and clindamycin is added to the regimen to improve anaerobic coverage.

Explanations

Written with a purpose

Understanding why an answer choice is incorrect is just as important as knowing why one is correct. That’s why every Rosh Review question includes detailed explanations for the correct and incorrect answer choices. These comprehensive summaries link the most important components of a topic—from risk factors to diagnostics and treatment—giving you the context to build relationships between them.

  • Created for optimal learning and recall
  • Help reinforce your knowledge
  • Focus on the essential information

Illustrations

Created to enhance learning

Custom illustrations and tables help further clarify the core concepts. When information is presented visually, you can focus on meaning, easily reorganize and group similar ideas, and make better use of your memory.

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One Step Further

Taking your learning to the next level

After each explanation is a straightforward question with a simple, memorizable answer that reinforces the corresponding topic.

  • Strengthens your knowledge
  • Stands alone from the main explanation so you’re not rereading content

Question

What are alternative, single-agent antibiotics for managing intraamniotic infection?

Reveal Answer

Intraamniotic Infection or Triple I

  • Infection, inflammation, or both of the amniotic fluid, placenta, fetus, fetal membranes, or decidua
    • Previously known as chorioamnionitis
  • Risk factors: nulliparity, prolonged rupture of membranes, meconium-stained amniotic fluid, internal fetal or uterine contraction monitoring
  • Most common cause is ascending genital tract infection
    • Usual pathogens: Mycoplasma hominis, Ureaplasma urealyticum, E. coli, Gardnerella vaginalis, group B Streptococcus
  • Tx: ampicillin + gentamicin

Rapid Review

Keeping things simple

These bulleted reviews focus on condensed, high-yield concepts about the main topic, from patient presentation to preferred management.

  • Cover the fundamentals in one list
  • Allow you to quickly scan the must-know information

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