01 Oct In assessing a woman with disabilities, which of the following terms should be avoided?
Question 1 In assessing a woman with disabilities, which of the following terms should be avoided?
1) Crippled
2) Handicapped
3) Mentally retarded
4) All of the above
Question 2 Which of the following terms describes the mechanism of action of imiquimod (Aldara)?
keratolytic
immune modulator
3) cryogenic
4) cytolytic
Question 3 The NP is seeing a 30-year-old woman before her routine gynecologic examination, the NP questions that patient about her recent menstrual cycles. Which statement made by the patient should prompt further investigation?
1) “My flow is very heavy all the time.”
2) “I have occasionally spot in between cycles”
3) “My menstrual cycles varies from 25 to 30 days.”
4) “I have cramping prior to my cycle starting”
Question 4 Complementary and alternative medicine (CAM) is defined as a group of therapies that are not considered part of Western culture and include all of the following except:
Congugated estrogen
2) Aromatherapy
3) Tai Chi
4) Yoga
Question 5 Which HPV types are most often associated with cervical and anogenital cancer?
1) 1, 2, and 3
2) 6 and 11
3) 16 and 18
4) 22 and 24
Question 6 (When counseling a woman about COC use, you advise that: Question 6 options:
1) long-term use of COC is discouraged because the body needs a “rest” from birth control pills from time to time.
2) fertility is often delayed for many months after discontinuation of COC.
3) there is an increase in the rate of breast cancer after protracted use of COC.
4) premenstrual syndrome symptoms are often improved with use of COC.
Question 7 Puberty consists of a series of predictable events, and the sequence of changes in secondary sexual characteristics has been categorized by several groups. The staging system utilized most frequently used to describe these events is Tanner staging.
True
False
Question 8 A preferred treatment option for trichomoniasis is: Question 8 options:
oral metronidazole.
2) clindamycin vaginal cream
3) topical acyclovir.
4) oral azithromycin.
Question 9 Presumptive treatment for PID should be initiated in sexually active young women and other women at risk for STDs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than PID can be identified, and if one or more of the following minimum clinical criteria are present on pelvic examination:
1) cervical motion tenderness
2) uterine tenderness
3) adnexal tenderness.
4) All of the above
Question 10 Which of the following is found in tertiary syphilis?
1) arthralgia
2) lymphadenopathy
3) macular or papular lesions involving the palms and soles
4) gumma
Question 11 Which of the medications can be prescribed to a patient to treat and or prevent osteoporosis in the postmenopausal patient and should be taken weekly.
1) Actonel 150 mg
2) Fosamax 70 mg
3) NSAIDs
4) Calcium
Question 12 Which of the following may be a useful tool in screening for Female Sexual Disorder (FSD)?
1) The Female Sexual Function Index
2) The Female Sexual Distress Scale
3) The Orgasmic Disorder Scale
4) A and B
Question 13 Noncontraceptive benefits of COC use include a decrease in all of the following except:
1) iron-deficiency anemia.
2) pelvic inflammatory disease (PID).
3) cervicitis.
4) ovarian cancer.
Question 14 Cervical cancer can be prevented with regular screening tests, like the Pap test and the HPV DNA test (HPV test). All women should start getting regular Pap tests at age 21 years.
1) True
2) False
Question 15 During a breast exam you note all of the findings below as normal except:
Question 15 options:
1) asymetrical size
2) a supernumerary nipple
3) hyperpigmentation
4) breasts that move up symmetrically with raising the arms
Question 16 Which test is performed around the time of ovulation to diagnose the basis of infertility?
Question 16 options:
1) Hysterosalpingogram
2) Ultrasonography
3) Laparoscopy
4) Follicle-stimulating hormone (FSH) level
Question 17 Treatment of vulvovaginitis caused by Candida albicans includes:
Question 17 options:
1) metronidazole gel.
2) clotrimazole cream.
3) hydrocortisone ointment.
4) clindamycin cream.
Question 18 A female patient who has not reached menarche by age 15 should be considered for a diagnosis of
Question 18 options:
1) oligomenorrhea
2) amenorrhea
3) primary amenorrhea
4) secondary amenorrhea
Question 19 The vaccine Gardasil that is used to prevent some strains of HPV infection is recommended in both males and females.
Question 19 options:
True
2) False
Question 20 About ____ of patients with genital warts have spontaneous regression of the lesions?
Question 20 options:
1) 10%
2) 25%
3) 50%
4) 75%
Question 21 Treatment options for bacterial vaginosis include all of the following except:
Question 21 options:
1) oral metronidazole.
2) clindamycin cream.
3) oral clindamycin.
4) oral azithromycin.
Question 22 The Pap test should not be considered a screening test for STDs.
Question 22 options:
1) True
2) False
Question 23 What is the approximate incubation period for Neisseria gonorrhoea?
Question 23 options:
1 to 5 days
2) 7 to 10 days
3) 18 days
4) 28 days
Question 24
Screening for osteoporosis with DEXA scan should begin Question 24 options:
1) age 50
2) one year after menopause
3) age 65
4) age 60
Question 25 A 30-year-old woman presents without symptoms but states that her male partner has dysuria without penile discharge. Examination reveals a friable cervix covered with thick yellow discharge. This description is most consistent with an infection caused by:
Question 25 options:
Chlamydia trachomatis.
2) Neisseria gonorrhoeae.
3) human papillomavirus (HPV).
4) Trichomonas vaginalis.
Question 26 How long after contact do clinical manifestations of syphilis typically occur?
Question 26 options:
1) less than 1 week
2) 1 to 3 weeks
3) 2 to 4 weeks
4) 4 to 6 weeks
Question 27 Which HPV types are most likely to cause genital condyloma acuminatum?
Question 27 options:
1) 1, 2, and 3
2) 6 and 11
3) 16 and 18
4) 22 and 24
Question 28 In assessing a 13 year old female, you know that the presence of breast bud with elevation of breast and papilla; enlargement of areola indicate which Tanner Stage?
Question 28 options:
1) Stage1
2) Stage 2
3) Stage 3
4) Stage 4
Question 29 The definition of menopause is Question 29 options:
1) Frequently skipping period for one year
One year without a period
3) Onset of hot flashes and night sweats with irregular menstruation
4) None of the above
Question 30
Treatment options for patients with condyloma acuminatum include all of the following except:
Question 30 options:
topical acyclovir.
2) cryotherapy.
3) podofilox.
4) trichloroacetic acid.
Question 31 A 22-year-old woman taking a 35-mcg ethinyl estradiol COC calls after forgetting to take her pills for 2 consecutive days. She is 2 weeks into the pack. You advise her to:
Question 31 options:
take the last pill missed immediately, even if this means taking 2 pills today.
2) discard two pills and take two pills today.
3) discard the rest of the pack and start a new pack with the first day of her next menses.
4) continue taking one pill daily for the rest of the cycle.
Question 32 When performing a bimanual exam all of the following are noted as normal findings except:
Question 32 options:
1) retoverted uterus
2) anteflexed uterus
3) fixed immobile uterus
4) smooth, firm ovary
Question 33 In women who have experienced a spinal cord injury, temporary cessation of menses is normal for up to one year following the injury.
Question 33 options:
1) True
2) False
Question 34
When performing a pelvic examination the first part of the external genitalia exam is
Question 34 options:
1) speculum examination
2) palpation
3) inspection
4) cervical sampling
Question 35
A patient presents to you with a chief complaint of primary dysmenorrhea, which nonpharmacologic intervention might you recommend she try first?
Question 35 options:
1) participating in physical activity
2) increase iron rich foods to replace blood that is lost
3) use of a heating pad on the pelvis for cramping
4) use of an NSAID
Question 36 A 22-year-old woman taking a 35-mcg ethinyl estradiol COC comes into the office complaining of sudden onset of calf pain. She states she recently traveled abroad and the pain started when she returned home. You suspect
1) muscle fatigue
2) DVT
3) fibromyalgia
4) depression
Question 37 Which of the following is not representative of the presentation of secondary syphilis?
Question 37 options:
1) generalized rash
chancre
3) arthralgia
4) lymphadenopathy
Question 38 Which of the following best describes lesions associated with condyloma acuminatum?
verruciform
2) plaque-like
3) vesicular-form
4) bullous
Question 39 When charting on a patient whom you have noted a breast lump it is important to document
1) tenderness
2) size
3) location
4) mobility
5) all of the above
Question 40 HCV infection is the most common chronic blood borne infection in the United States.
True
2) False
Question 41 Recommendations for adolescents with disabilities include a comprehensive sex education program that should be tailored to fit their specific needs.
True
2) False
Question 42 In patients who are allergic to azithromycin, an alternative treatment to chlamydia is
Doxycycline 100mg twice daily for 7 days
2) Macrobid 100mg twice daily for 5 days
3) BactimDS 1 PO BID for 3 day
4) All of the above
Question 43 Which of the following agents is most active against C. trachomatis?
1) amoxicillin
metronidazole
3) azithromycin
4) ceftriaxone
Question 44 A 24-year-old woman presents with a 1-week history of thin, green-yellow vaginal discharge with perivaginal irritation.
Physical examination findings include vaginal erythema with petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms on microscopic examination.
These findings most likely represent: Question 44 options:
1) motile sperm with irritative vaginitis.
2) trichomoniasis
3) bacterial vaginosis.
4) condyloma acuminatum.
Question 45 Lesbians may experience which of the following barriers to health care?
Question 45 options:
1) Homophobia from the healthcare provider
2) Incorrect knowledge about health care needs of lesbians by healthcare providers
3) Lack of insurance and/or access under partner’s coverage
4) All of the above
Question 46 Adolescent girls are not candidates for IUD use for contraception
Question 46 options:
True
2) False
Question 47 Which of the following is a contraindication to estrogen/progestin-containing methods (combined oral contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
Question 47 options:
1) mother with a history of breast cancer
2) personal history of hepatitis A at age 10 years
3) presence of factor V Leiden mutation
4) cigarette smoking one pack per day in a 22-year-old
Question 48
Women with bacterial vaginosis typically present with: Question 48 options:
1) vulvitis.
2) pruritus.
3) dysuria.
4) malodorous discharge.
Question 49 Which of the following is not representative of the presentation of primary syphilis?
Question 49 options:
1) painless ulcer
2) localized lymphadenopathy
3) flu-like symptoms
4) spontaneously healing lesion
Question 50 What percentage of anogenital and cervical cancers can be attributed to HPV infection?
Question 50 options:
1) less than 30%
2) at least 50%
3) at least 70%
4) 95% or greater
