Free Obstetrics, Gynecology and Genitourinary Examination (OGG) Practice Questions

Sample Practice Questions

Try these 10 sample questions from the Obstetrics, Gynecology and Genitourinary Examination (OGG) practice bank. Each includes the answer and explanation. Continue with the interactive practice above to review the full question set.

1. 1How has the OBCE classified breast thermography for purposes of patient disclosure?

   1. A. Standard primary screening
   2. B. Investigational
   3. C. Mandatory diagnostic imaging
   4. D. Definitive pathology testing

   Answer: B

   Explanation: The required consent states, "The Oregon Board of Chiropractic Examiners (OBCE) has determined that breast thermography is investigational." That is the Board's classification.

   Reference: Policy Practice (2025) — OAR 811-010-0093 incorporated Guide, Informed Consent for Breast Thermography, investigational-status paragraph, p. 12

2. 2May an actively licensed Oregon chiropractic physician perform gynecological or genitourinary examinations and diagnosis within chiropractic practice?

   1. A. Yes, they are within the physician's Oregon scope
   2. B. Only after obtaining a proctology certificate
   3. C. Only while supervised by a medical doctor
   4. D. No, they are categorically outside chiropractic scope

   Answer: A

   Explanation: The Board policy says, "Gynecological/genitourinary examinations and diagnosis are within the scope of practice for Oregon licensed chiropractic physicians." No proctology certificate is imposed for the ordinary examinations described.

   Reference: Policy Practice (2025) — OAR 811-010-0093 incorporated Guide, Gynecological/Genitourinary Examination and Diagnosis Policy, policy and CA paragraphs, p. 38

3. 3An Oregon chiropractic physician identifies a gynecological abnormality during an examination. Does the Board's scope policy include gynecological diagnosis as well as examination?

   1. A. Yes, both examination and diagnosis are within scope
   2. B. No, only specimen collection is within scope
   3. C. No, diagnosis is reserved to hospital staff
   4. D. Yes, but only with an obstetrics certificate

   Answer: A

   Explanation: The policy expressly provides that "Gynecological/genitourinary examinations and diagnosis are within the scope of practice for Oregon licensed chiropractic physicians." Diagnosis is not excluded from the stated scope.

   Reference: Policy Practice (2025) — OAR 811-010-0093 incorporated Guide, Gynecological/Genitourinary Examination and Diagnosis Policy, policy and CA paragraphs, p. 38

4. 4A patient planning pregnancy asks which prenatal nutrient to begin before conception, when possible, to reduce fetal neural-tube defects. Which nutrient is indicated?

   1. A. Iron
   2. B. Folic acid
   3. C. Calcium
   4. D. Vitamin D

   Answer: B

   Explanation: "Folic acid may help prevent major birth defects of the fetus’s brain and spine called neural tube defects (NTDs)." The source also advises starting a prenatal vitamin with folic acid before conception when possible. Iron, calcium, and vitamin D have other prenatal roles, but do not replace folic acid for this prevention goal.

   Reference: Healthy Eating During Pregnancy — FAQ, folic acid and neural tube defects

5. 5Near term, a patient's contractions stop after rest and hydration. A repeat examination shows no cervical change. How should these contractions be classified?

   1. A. False labor contractions
   2. B. Latent-phase labor contractions
   3. C. Active-phase labor contractions
   4. D. Second-stage labor contractions

   Answer: A

   Explanation: "If rest and hydration make the contractions go away, they are not true labor contractions." Stopping with rest and no cervical change supports false labor. Latent, active, and second-stage labor are phases of true labor and require labor-associated cervical progression.

   Reference: How to Tell When Labor Begins — FAQ, true versus false labor

6. 6Three days after delivery, a patient is soaking two pads each hour for three hours and passing large clots. Which postpartum complication best explains this bleeding?

   1. A. Physiologic postpartum lochia
   2. B. Postpartum hemorrhage
   3. C. Postpartum endometritis
   4. D. Postpartum preeclampsia

   Answer: B

   Explanation: "soaking through two pads an hour for more than 1 to 2 hours" That degree of bleeding is the source's warning pattern for postpartum hemorrhage and warrants prompt obstetric contact. Lochia should lighten; endometritis and preeclampsia have different principal warning patterns.

   Reference: 3 Conditions to Watch for After Childbirth — Postpartum Hemorrhage / Postpartum Preeclampsia / Postpartum Endometritis

7. 7An obstetrics case may require an emergency substance that chiropractors are not authorized to use. What preparation does Oregon require?

   1. A. Develop timely access to the substance and enter that plan in the patient's chart
   2. B. Document the possible need but make no arrangement for timely access
   3. C. Arrange access verbally but omit the plan from the patient's chart
   4. D. Personally stock and administer the substance despite lacking authority

   Answer: A

   Explanation: OAR 811-015-0030 requires that "a plan to access these must be developed in a timely fashion and entered in the patient’s chart." The chiropractor must plan access and document it, not personally use an unauthorized substance.

   Reference: Permanent Filings March 2026 — OAR 971-458-2621

8. 8An Oregon chiropractor offers breast thermography as a stand-alone substitute for mammography. What correction is required?

   1. A. Present it only as an adjunct to mammography and standard examination
   2. B. Present it as a replacement for mammography after informed consent
   3. C. Present it as a stand-alone screening test but not as a diagnostic test
   4. D. Present it as definitive when the thermal pattern appears normal

   Answer: A

   Explanation: The policy requires providers to explain that thermography "should only be considered as adjunctive to mammography and other standard breast diagnostic imaging or examination rather than being considered an alternative." A stand-alone substitute is inconsistent with that requirement.

   Reference: Policy Practice (2025) — OAR 811-010-0093 incorporated Guide, Breast Thermography Policy, policy paragraphs 1-3, p. 11

9. 9A certified chiropractic assistant proposes to independently perform a gynecological examination. Does Oregon permit this?

   1. A. Yes, with patient consent
   2. B. Yes, after one year of practice
   3. C. No, it is outside the assistant's scope
   4. D. No, unless the exam is routine

   Answer: C

   Explanation: The policy states, "Gynecological/genitourinary examination and diagnosis are outside the scope of practice for Oregon certified chiropractic assistants." The assistant may not independently perform it.

   Reference: Policy Practice (2025) — OAR 811-010-0093 incorporated Guide, Gynecological/Genitourinary Examination and Diagnosis Policy, policy and CA paragraphs, p. 38

10. 10A patient reports vaginal discharge and odor, with bacterial vaginosis, candidiasis, and trichomoniasis under consideration. Which office assessment best helps identify the cause?

    1. A. Cervical cytology with HPV testing
    2. B. Urine culture with susceptibility testing
    3. C. Chlamydia and gonorrhea NAAT only
    4. D. Vaginal pH, saline wet mount, and KOH testing

    Answer: D

    Explanation: "the cause of vaginal symptoms can often be determined by pH, a potassium hydroxide (KOH) test, and microscopic examination of a wet mount of fresh samples of vaginal discharge." These examinations distinguish common causes of vaginal symptoms. Cervical cytology screens for cervical cellular changes, urine culture evaluates urinary infection, and CT/NG NAAT targets cervicitis pathogens rather than differentiating all three vaginal causes.

    Reference: Diseases Characterized by Vulvovaginal Itching, Burning, Irritation, Odor or Discharge — STI Treatment Guidelines, diagnostic considerations for vaginal symptoms