A woman complains of infrequent menses with intervals greater than 35 days. This condition is termed:
oligomenorrhea.
polymenorrhea.
... [Show More] metrorrhagia.
menorrhagia.
Question:
Upon examination of the vagina, a swollen red ring is noted around the urethral opening. This finding is most consistent with a:
prolapse of the urethral mucosa.
urethral caruncle.
cystocele.
cystourethrocele.
Question:
When palpating the cervix during the bimanual exam, cervical motion tenderness (chandelier sign) is noted. This tenderness could be suggestive of:
retroversion of the uterus.
pelvic inflammatory disease.
vulvar lesions.
Bartholin gland infection.
Question:
When performing a rectal exam on a female, a hard nodular rectal "shelf" is palpable at the tip of the examiner's finger. This finding is suggestive of:
an ovarian cyst.
metastatic tissue in the rectouterine pouch.
rectal polyp.
carcinoma of the rectum.
Question:
When performing an examination of the external genitalia of a female patient, a small, firm, round cystic nodule in the labia is identified. This lesion is most consistent with:
a syphilitic chancre.
an epidermoid cyst.
Condylomataacuminata.
genital herpes.
Question:
In a female diagnosed with a first-degree uterine prolapse, the cervix:
is located in its normal position.
has slipped but is well within the vagina.
is located in the introitus.
and vagina are outside the introitus.
Question:
When performing a bimanual exam of the vagina, the examiner should lubricate the index and middle fingers of a gloved hand. From a standing position, the fingers should be inserted into the vagina while exerting pressure primarily:
anteriorly.
posteriorly.
toward the "4-o"clock" position.
toward the "8-o"clock" position.
Question:
Chronic pelvic pain may be secondary to all of the above except:
sexually transmitted diseases.
sexual abuse.
fibroids.
peptic ulcer disease.
Question:
To palpate the uterus during a bimanual exam, the examiner would lubricate the index and middle fingers of one hand and insert them into the vagina. The other hand would be placed on the abdomen:
near the symphysis pubis while pressing downward and elevating the cervix and uterus with the other hand.
about midway between the umbilicus and symphysis pubis while elevating the cervix and uterus with the other hand.
just above the umbilicus while pressing downward and elevating the cervix and uterus with the other hand.
just below the umbilicus while pressing downward and elevating the cervix and uterus with the other hand.
Question:
Examination of a female patient's right breast reveals a retraction of the nipple and areola. This finding is consistent with:
breast cancer.
mastitis.
Paget's disease of the breast.
fibrocystic breast disease.
Question:
When performing the bimanual vaginal exam, uterine enlargement is noted. This enlargement could suggest:
a malignancy.
retroversion of the uterus.
retroflexion of the uterus.
pelvic inflammatory disease.
.
Question:
Upon examination of the vagina, a small, red, benign tumor is noted at the posterior part of the urethral meatus. This finding is most consistent with a:
prolapse of the urethral mucosa.
urethral caruncle.
cystocele.
cystourethrocele.
Question:
Upon examination of the cervix, a yellow drainage is visible around the cervical os. This finding is most likely suggestive of:
candidal vaginitis.
cervical polyp.
carcinoma of the cervix.
mucopurulent cervicitis.
Question:
A woman complains of abnormally heavy and prolonged menstrual periods that occur at regular intervals. This condition is most likely:
oligomenorrhea.
polymenorrhea.
metrorrhagia.
menorrhagia.
Question:
If urethritis or inflammation of the paraurethral glands is suspected in a female patient, the index finger should be inserted into the vagina and:
milk the urethra gently from the outside inward.
milk the urethra gently from the inside outward.
massage the urethral meatus with the other hand.
massage the pelvic floor muscles in a clockwise fashion.
Question:
Pelvic floor muscle weakness may be due to all of the following except:
aging.
dyspareunia.
stress incontinence.
Parkinson's disease
Question:
The most common type of hernia in women is the:
femoral hernia.
indirect inguinal hernia.
incisional hernia.
umbilical hernia.
Question:
In a female diagnosed with a second-degree uterine prolapse, the cervix:
is located in its normal position.
has slipped but is well within the vagina.
is located in the introitus.
and vagina are outside the introitus.
Question:
Upon examination of the vagina, the entire anterior vaginal wall, together with the bladder and urethra create a bulge. This condition is most consistent with a:
prolapse of the urethral mucosa.
urethral caruncle.
cystocele.
cystourethrocele.
Question:
To palpate the right ovary when performing the bimanual vaginal exam, the abdominal hand should be on the right lower quadrant and the pelvic hand needs to be:
in the left lateral fornix.
in the right lateral fornix.
exerting pressure primarily posteriorly.
elevating the cervix and uterus simultaneously.
Question:
The most common causes of sexual problems in females are related to:
lack of sexual desire.
inadequate vaginal lubrication.
psychosocial factors.
pelvic disorders.
Question:
Upon examination of the cervix, an irregular cauliflower-like growth was noted around the cervical os. This finding is most suggestive of:
venereal warts.
a cervical polyp.
carcinoma of the cervix.
genital herpes.
Question:
A woman complains of experiencing frequent menses with intervals of fewer than 21 days. This condition is termed:
oligomenorrhea.
polymenorrhea.
metrorrhagia.
menorrhagia.
Question:
When performing a vaginal exam with a speculum, the use of the lower blade as a retractor during bearing down could expose an anterior wall defect such as a:
rectocele.
cystocele.
Bartholin gland infection.
prolapse of the urethral mucosa.
Question:
When performing the bimanual vaginal exam, a nodule on the anterior uterine surface could suggest a (an):
ovarian cyst.
myoma.
pregnancy.
pelvic inflammatory disease.
Question:
When examining the cervix, a translucent nodule is noted on the cervical surface. This finding is consistent with:
a retention cyst.
an epidermoid cyst
a syphilitic chancre.
a cervical polyp.
Question:
If performed correctly and in a timely fashion, which one of the following is most definitive for the diagnosis of breast cancer?
Breast tissue sample
Digital mammogram
Self-breast examination
Clinical breast exam
Question:
To assess pelvic floor muscle strength during the bimanual vaginal exam, have the patient squeeze around the inserted fingers for as long as possible. To consider full strength, snug compression should last for:
1 seconds.
2 seconds.
3 seconds.
at lease 5 seconds.
Question:
The most common cause of acute pelvic pain in women is:
ruptured ovarian cysts.
appendicitis.
pelvic inflammatory disease.
mittelschmerz.
Question:
The shiny, pink area located around the cervical os is known as:
a retention cyst.
the columnar epithelium.
squamous epithelium.
the endocervix.
Question:
To palpate the left ovary when performing the bimanual vaginal exam, the abdominal hand should be on the left lower quadrant and the pelvic hand needs to be:
in the left lateral fornix.
in the right lateral fornix.
exerting pressure primarily posteriorly.
elevating the cervix and uterus simultaneously.
Question:
Indications for performing a rectovaginal exam include all of the following except to:
palpate a retroverted uterus.
assess pelvic pathology.
assess an inguinal hernia.
screen for colorectal cancer in women over 50.
Question:
When examining the cervix, a bright, red, soft and fragile lesion is noted on the cervical surface. This finding is consistent with:
a retention cyst.
an epidermoid cyst.
a syphilitic chancre.
a cervical polyp.
Question:
When discussing the female anatomy, the introitus is also known as the:
uterus.
vaginal canal.
vaginal opening.
cervical os.
Question:
An ulcerated vulvar lesion in an elderly woman may indicate:
Condylomataacuminata.
a syphilitic chancre.
vulvar cancer.
ovarian cancer.
Question:
Fixed flattening of the nipple suggests:
dimpling.
nipple retraction.
cystic breasts.
galactorrhea.
Question:
When do the ovaries become non-palpable after menopause?
One year
Two years
Three to five years
Six to ten years
Question:
When performing a bimanual vaginal exam, a smooth and rather compressible non-tender lesion is palpated over the right ovary. This finding is most consistent with:
ovarian cancer.
an ovarian cyst.
a right tubal pregnancy.
a tubo-ovarian abscess.
Question:
When preparing to perform a pelvic exam in an older female, vaginal atrophy is noted. Due to this finding, the speculum:
should not be used.
should be a larger size.
should be a smaller size
should be completely dry.
Question:
To palpate an indirect inguinal hernia in a woman, have her stand and palpate in the labia majora and:
palpate the external floor muscles in a clockwise position.
apply pressure against the anterior and lateral walls of the vagina.
in the rectum.
palpate upward to just lateral to the pubic tubercles.
Question:
Menopause is diagnosed in a woman who has experienced amenorrhea for:
6 months.
12 months.
18 months.
24 months.
Question:
When performing a breast exam, a mobile mass becomes fixed when the arm relaxes. This suggests that the mass is:
cystic.
attached to the rib or intercostal muscle.
nonmalignant.
attached to the pectoral fascia.
Question:
Upon examination of the vagina, a tense, hot, very tender abscess with labial swelling is noted. This finding is most consistent with a:
cystocele.
urethral caruncle.
rectocele.
bartholin gland infection.
Question:
A female patient has a history of a retroverted uterus. This condition refers to:
the normal position of the uterus and cervix.
a tilting backward of the uterus and cervix.
a backward angulation of the uterus in relation to its cervix.
the cervix being located at the introitus and the uterus in the vaginal canal.
Question:
When performing a bimanual vaginal exam, a solid, nodular-like lesion is palpated over the right ovary. This finding is most consistent with:
ovarian cancer.
an ovarian tumor.
a right tubal pregnancy.
a tubo-ovarian abscess.
Question:
During a speculum exam of the cervix the speculum is maintained in an open position by:
sliding the speculum along the posterior wall of the vagina.
rotating and adjusting the speculum until it cups the cervix.
gently tightening the thumb screw on the speculum.
rotating the speculum into a horizontal position while maintaining pressure posteriorly.
Question:
When performing a vaginal exam with a speculum, the use of the upper blade as a retractor could expose a:
rectocele.
cystocele.
Bartholin gland infection.
prolapse of the urethral mucosa.
Question:
Causes of post menopausal bleeding typically include all of the following except:
endometrial cancer.
hormone replacement therapy.
atrophic vaginitis.
uterine polyps.
Question:
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at a high risk for developing all of the following abnormalities except:
columnar epithelium covering most or all of the cervix.
a slit- like cervical os.
vaginal adenosis.
a circular collar or ridge of tissue between the cervix and the vagina.
Question:
Chronic pelvic pain refers to pain that does not respond to therapy and:
lasts more than 3 months.
lasts more than 6 months.
lasts more than 9 months.
lasts more than 12 months.
Question:
A twenty-year-old female complains of a milky discharge bilaterally from her breasts. This suggests:
a normal finding in women in their early twenties.
pregnancy or elevated prolactin level.
breast disease.
breast cancer.
Question:
Upon examination of the vagina, a bulge is noted in the lower posterior wall of the vagina. This finding is most consistent with a:
cystocele.
cystourethrocele.
rectocele.
bartholin's gland infection.
Question:
Primary dysmenorrhea results from:
endometriosis.
increased prostaglandin production during the luteal phase of the menstrual cycle.
pelvic inflammatory disease.
endometriosis in the muscular layers of the uterus.
Question:
The cessation of menses sometime after menarche is termed:
primary amenorrhea.
secondary amenorrhea.
menorrhagia.
hypomenorrhea.
Question:
A female patient presents with a profuse, yellowish, green vaginal discharge that is malodorous. This vaginal discharge is most consistent with:
candidal vaginitis.
bacterial vaginosis.
Trichomonal vaginitis.
gonorrhea.
Question:
A woman complains of experiencing uterine bleeding between expected menstrual cycles. This condition is termed:
oligomenorrhea.
polymenorrhea.
metrorrhagia.
menorrhagia.
Question:
The deep red area located around the cervical os is known as:
a retention cyst.
the columnar epithelium.
squamous epithelium.
the endocervix.
Question:
A female patient presents with a gray, thin, malodorous (fishy) vaginal discharge. These symptoms are most consistent with:
candidal vaginitis.
bacterial vaginosis
Trichomonal vaginitis.
gonorrhea.
Question:
In which of the following situations would it be difficult for the examiner to palpate an ovary during the bimanual vaginal exam?
A slender woman
A woman who is anxious
A relaxed woman
A one year postmenopausal woman
Question:
In female patients with dyspareunia, superficial pain is most likely related to all of the following except:
local inflammation.
atrophic vaginitis.
pressure on a normal ovary.
inadequate lubrication.
Question:
A 35-year-old female presents with complaints of swelling of her right breast. Findings reveal edema of the lower portion of her right breast. The skin appears thickened with enlarged pores. This condition is consistent with:
Paget's disease.
the peaud'orange sign.
nipple deviation.
skin dimpling.
Question:
Urethritis in a female patient may arise from all of the following organisms except:
Neisseria gonorrhoeae.
Herpes simplex.
Chlamydia trachomatis.
Campylobacter.
Question:
Cessation of the menses for 12 months is termed:
oligomenorrhea.
menopause.
menorrhagia.
metrorrhagia.
Question:
The vaginal mucosa lies in transverse folds called the:
fornices.
rugae.
corpus.
fornix.
Question:
A 45-year old female presents to the nurse practitioner with complaints of postcoital bleeding (greater than spotting) unrelated to the menstrual cycle. What is the most likely cause?
Endometriosis
Cervical cancer
Early pregnancy
Menopause
Question:
In a female diagnosed with a third-degree uterine prolapse, the cervix:
is located in its normal position.
has slipped but is well within the vagina.
is located in the introitus.
and vagina are outside the introitus.
Question:
The most important risk factor for cervical cancer is:
failure to undergo screening.
multiple sexual partners.
long term use of oral contraception.
persistent infection with high-risk human papillomavirus (HPV) subtypes.
Question:
During examination of the vagina, a bulge in the upper two-thirds of the anterior vaginal wall is noted. This symptom is most consistent with a:
prolapse of the urethral mucosa.
urethral caruncle.
cystocele.
cystourethrocele.
Question:
Retraction of the nipple and areola suggest:
a cystic breast.
an underlying breast mass.
a fibroadenoma.
a normal finding in most women.
Question:
A female patient presents with a white and curd-like thin vaginal discharge. This discharge is most consistent with:
candidal vaginitis.
bacterial vaginosis
Trichomonal vaginitis.
gonorrhea. [Show Less]