Just like the actual exam

Aligned with the CREOG format. 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


A 29-year-old woman presents to the labor floor with painful contractions at term. She has no known drug allergies. She is found to have spontaneously ruptured her membranes but is not in active labor. She is admitted for induction and develops fever intrapartum with fetal and maternal tachycardia. You treat her with antibiotics and monitor her labor curve. She eventually meets the criteria for arrest of dilation and is on call to the operating room for primary cesarean section. Which of the following antibiotics should you add to her regimen?

A Cefazolin
B Clindamycin
C Gentamicin
D Vancomycin

Intra-amniotic infection can affect all intrauterine contents, such as amniotic fluid, placenta, fetus, and decidua. It 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 intra-amniotic infection, such as neonatal pneumonia, meningitis, sepsis, and death. The diagnosis of intra-amniotic infection 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 women 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, the addition of clindamycin is recommended to improve anaerobic coverage.

Cefazolin (A) is not warranted, since the treatment for intra-amniotic infection already covers skin flora and is sufficient for prophylaxis. Gentamicin (C) is already part of the regimen for treatment of intra-amniotic infection. Vancomycin (D) is recommended in women with severe penicillin allergy and group B streptococci colonization.


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


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.

Chorioamnionitis, Intra amniotic infection, Triple I

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Discover how your answer choices align with those selected by learners across the country.

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Using data generated by previous users, your Qbank gives a prediction of how likely you are to pass your exam.

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

Q: True or false: intra-amniotic infection is an indication for cesarean delivery.

Reveal Answer

A: False.

Intra-amniotic Infection (Chorioamnionitis)

  • Infection or inflammation of the amniotic fluid, placenta, fetus, fetal membranes, or decidua
  • Risk factors: preterm labor, prelabor rupture of membranes, prolonged rupture of membranes
  • GBS infection at 18 hrs
  • Rx: 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
I have such limited time during my day and could never find the time to study. Rosh Review allowed me to study in short bursts: on the subway, waiting in line at the coffee shop, before I went to bed, and between seeing patients. I actually miss it!


Get a little more clarification

Where can I find free CREOG practice questions?
You can access free practice questions with a free trial for the CREOG Exam Qbank—no billing information required. The free trial includes practice questions that align with topics found on the CREOG and include comprehensive answer explanations and beautiful teaching images.

After practicing with these questions, if you decide you're ready for thousands of additional questions to help you confidently prep for the CREOG, you can easily upgrade to a full Qbank subscription.
What is a good CREOG score?
According to studies, a score of around 200 (depending on your PGY) appears to correspond to a higher likelihood of passing the ABOG Qualifying Exam.

Aiming to increase your score? Read How to Boost Your CREOG or ABOG Qualifying Exam Score, and pick up CREOG study tips in How to Prepare for the CREOG.
How should I review for the CREOG?
Read How to Prepare for the CREOG for details about the four dos and don'ts of studying:

  • Learn from your patients
  • Break up studying into chunks
  • Use lots of different resources
  • Review with lots of practice questions
  • Pressure yourself to read every night
  • Cram the night before
  • Rely on others to teach you
  • Forget to review tough topics
And as you study with a question bank, try finding your "unknown unknowns"—learn how to do this in How to Increase Your CREOG or ABOG Qualifying Exam Score.
How do I get started?
Whether you have a trial account or you purchased a subscription, access Rosh Review by logging in at To access the Qbank, go to the Create Exam tab to begin making and taking exams made up of questions from the Qbank. You can find any boost exams under the My ExamsBoost Exam tab. Once you've completed and submitted a few exams, you can see your statistics under the Performance Analysis tab.
Who writes the questions and explanations?
The finest people around! Question writers are board-certified clinicians who have all performed well on their certification exams. Answer explanations are derived from the specialty’s authoritative resources with some personal input to simplify the material and synthesize it for greatest comprehension and recall.

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Absolutely! You can try out a number of sample questions in the actual app by creating a free account (no billing information required—we promise). You will get a fully functional account, forever, with a limited number of questions. If you love it, you can easily purchase a full content subscription. You won't be charged at any point during your trial until you make a purchase.

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