CAQ-OBGYN case studies
CAQ-OBGYN · Put your knowledge to work in context.
The Certificate of Added Qualifications (CAQ) is a specialty credential offered by the National Commission on Certification of Physician Assistants (NCCPA), the only certifying organization for PAs in the United States. NCCPA describes the CAQ as a way for PAs to "show your advanced expertise in your specialty," so the OBGYN CAQ is aimed at Certified PAs who already practice in obstetrics and gynecology and want documented recognition of that focused body of knowledge. The CAQ-OBGYN case studies are 5 cases and about 4,579 words.
1Severe Preeclampsia at 33+5 with Fetal Growth Restriction and a Falling Platelet Count
A 33-year-old G2P1 at 33 weeks 5 days by first-trimester ultrasound presents with two days of frontal headache and new visual scintillations. Home blood pressures have been 155-165/95-105 mmHg.
937 words, about 5 min2Trial of Labor After Cesarean with Ruptured Membranes and a Protracted Latent Phase
A 34-year-old G2P1001 at 40 weeks 4 days by dating ultrasound has had one prior low transverse cesarean for arrest of dilation at 9 cm. She presents in spontaneous labor with irregular contractions, and membranes ruptured 4 hours ago with clear fluid.
875 words, about 4 min3Postmenopausal Bleeding on Tamoxifen with an Inadequate Office Biopsy
A 61-year-old G2P2, eight years postmenopausal, has taken tamoxifen 20 mg daily for three years after breast conservation and radiation for estrogen-receptor-positive ductal carcinoma in situ. She reports three episodes of light, painless vaginal spotting over six weeks and has never used hormone therapy.
912 words, about 5 min4Advanced High-Grade Serous Ovarian Cancer in a Frail Patient: Primary Debulking or Neoadjuvant Chemotherapy
A 68-year-old woman presents with six weeks of abdominal bloating and early satiety. CT shows a 12 cm complex left adnexal mass, omental caking, moderate ascites, and a 2 cm nodule on the right hemidiaphragm; there is no bowel obstruction and no hydronephrosis.
936 words, about 5 min5Clomiphene-Resistant Anovulatory Infertility in PCOS: Confirming the Diagnosis and Choosing the Next Step
A 32-year-old G0 with a BMI of 33 kg/m2 has had oligomenorrhea since menarche, with cycles every 60-90 days, and hirsutism. She has been trying to conceive for 14 months.
919 words, about 5 min