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1. The leading cause of death for woman older than 65 years old is ?

Heart disease
2. A 26 year old presents to your office for preconception
counseling. What is the highest probability of pregnancy relative
to ovulation ?
5 days before ovulation
2 days before ovulation
1 day before ovulation
Day of ovulation
1 day after ovulation
3. The advantages of a prophylactic oophorectomy at the time of
hysterectomy for benign reasons include all of the following
except ?
Lowers the incidence of ovarian cancer
Lowers the risk of coronary artery disease
Lowers the risk of subsequent surgery for ovarian pathology
Accommodates patients request
4. The advantages of preserving the ovaries at time of hysterectomy
for benign disease include all of the following except ?
Reduces the risk of ovarian cancer
Reduces the risk of coronary artery disease (CAD)
Lowers the risk of osteoporotic fracture
Reduces the risk of breast cancer
Prevention of climacteric symptoms

5. At what age is there no significant difference in survival for

prophylactic oophorectomy at the time of hysterectomy for
benign disease in woman at low risk for ovarian cancer ?

50 years
55 years
60 years
65 years
70 years
6. All of the following comprise systemic symptoms of a primary
Herpes Simplex (HSV) outbreak except ?
Crusting of ulcers
7. The minimum diagnostic criteria for Pelvic Inflammatory Disease
(PID) include all of the following except ?
Cervical motion tenderness
Pelvic pain
Adnexal tenderness
8. The best predictive factor for Chlamydia is ?
>2 Sexual partners in the past six months
Multiple body piercing
Age <25 years
Single status
Current IUD user
9. The components involved in the calculation of body mass index
(BMI) include all of the following except ?
Height in inches
Weight in pounds
Weight in kilogram
10. The incriminates of measurement of Body Mass Index (BMI) are ?

11. Which racial group has the highest prevalence of obesity in

women in America ?
12. Which of the following attributes the most increase obesity in
adolescent girls ?
Decreased exercise
Increased caloric intake
Hormonal food supplementation
13. What is the least likely effective treatment for a patient with Stress
Urinary Incontinence (SUI) without a cystocele ?
Anterior colporraphy
Burch retropubic urethropexy
Tension free vaginal tape (TVT)
Transobturator tape (TOT)
Pubovaginal sling with autologous fascia
14. Of the following tests for evaluation of Stress Urinary
Incontinence (SUI), the most sensitive is
Standing stress test (SST)
Q-tip test
Valsalva leak point pressure (VLPP)
Maximal urethral closing pressure (MUCP)

15. A tension free vaginal tape (TVT) is positioned under which

anatomical landmark of the urethra ?
Urethorvesical junction (UVJ)
Distal urethra
Proximal urethra

16. The point of anchorage for a Burch retropubic colposuspension is

which anatomical landmark ?
Periosteum of the pubic bone
Ileopectineal ligament
Sacrospinous ligament
Obturator membrane
Sacrotuberous ligament
17. A patient underwent a tension free vaginal tape (TVT) pubovaginal
sling which was complicated by retropubic bleeding
intraoperatively. Hemostasis was achieved with pressure, hyper
distension of the bladder, and traction with a 30cc foley bulb. The
patient is discharged on the first postoperative day (POD) and is
voiding spontaneously. She presents for an unscheduled visit on
POD#5 with urinary retention, recurrent urinary incontinence,
suprapubic pressure, and extensive suprapubic ecchymosis. A
urge incontinence and an ultrasound reveals a 10cm retropubic
hematoma. The next best course of action is ?
Instruct the patient on self-catherization and have her return for
follow up in 3 days
Return to the OR and remove the tape in its entirety
Return to the OR and excise the tape at 4:00
Return to the OR and drain the hematoma vaginally
Return to the OR and drain the hematoma abdominally
18. A Patient undergoes surgical repair of uterine porlapse,
enterocele, rectocele, and cystocele. Surgery was coded as 58270
and 57260-51 modifier. Why was the surgery coded this way
instead of billing for each procedure separately ?
bundled coding
un bundled coding
none of the above
all of the above
19. Patient presents to labor and delivery for trial of labor. She is G2
P1 with a history of previous C-section, who is an established
patient of your private practice for current maternity care. Select
the correct CTP for vaginal delivery, antepartum care, and
postpartum care.
59409 vaginal delivery,59426 antepartum care 7 or more visits and
59430 postpartum care.
59400 vaginal delivery with antepartum and postpartum care
59610 routine obstetric care including antepartum care, vaginal
delivery, and postpartum care, after previous cesarean delivery

all of the above

None of the above