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Question 1: During hysteroscopic resection of a submucosal leiomyoma, a 1-cm piece of epiploic fat was removed. What is the next BEST step in management?

 

  1. Continue resection as normal

  2. Change distention fluid immediately

  3. Discontinue procedure immediately and move patient to recovery area

  4. Evaluate intraperitoneal cavity by laparoscopy

  5. Transabdominal ultrasound

 

Reference: American College of Obstetricians and Gynecologists. PRECIS: An Update in Obstetrics and Gynecology: Primary and Preventive Care (ACOG, Precis) 4th Edition. Amer College of Obstetricians 2013. Lobo RA, Gershenson DM, Lentz GM, Valea FA. Comprehensive Gynecology, 7th Edition. Elsevier 2016.

 

Question 2: A 40 year old female has been experiencing abnormal vaginal bleeding for the past 6 months after a molar pregnancy and is diagnosed with gestational trophoblastic neoplasia (GTN). Her hCG level is 3000. Uterine ultrasound reveals a 6 cm tumor. Abdominal CT reveals 1 renal and 2 splenic metastases. What should the physician’s NEXT step be?

  1. Administration of methotrexate

  2. Administration of actinomycin D

  3. Administration of EMACO without radiation therapy

  4. Administration of EMACO with radiation therapy

  5. Radiation therapy only

 

Reference: Beckmann CR, Herbert W, Laube D, Ling F, Smith R. Obstetrics and Gynecology, 7th Edition. LWW 2013.

OBGYN MOC Question Bank

 

1100 MOC OBGYN questions, answers, and detailed explanations. The BoardVitals question bank is specifically targeted to Part III of the Maintenance of Certification Exam – the cognitive expertise test.

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