WEEK 8 final exams
1. Turner’s syndrome can be suspected when the patient has primary amenorrhea and
Short stature and webbed neck
... [Show More]
2. A 21-year-old woman comes into your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control choices would be least likely to meet her needs for contraceptive management?
Nuvaring
3. The most common type of invasive breast carcinoma is
Infiltrating ductal
4. Measuring waist circumference is most appropriate when the client’s BMI places her in which of the following categories?
Overweight
5. The American Cancer Society recommends yearly mammogram screening
beginning at age:45
6. A dancer from an adult club down the street comes in for a renewal of her birth control pill prescription. She says that everything is fine. On examination, you find
grayish-white vaginal discharge, greenish cervical discharge and cervical motion
tenderness. All of the following differential diagnoses except?
Gonorrhea,
Interstitial cystitis, Bacterial vaginosis, chlamydia
7. Which of the following contraception would be best for a woman with sickle cell
anemia?
Progestin-only oral contraceptives
8. During a vaginal examination, you observe bulging of the anterior wall when you ask the patient to bear down. This is most likely a
Cystocele
9. When examining the cervix of a 20-year-old-female, you note that most of the
cervix is pink but there is a small ring of dark-red tissue surrounding the os. This is most likely?
The squamocolumnar junction
10. A sexually active 18-year-old presents with postcoital spotting, dysuria, and a
yellow discharge. On exam you find her cervix is erythematous and bleeds with contact. The most likely diagnosis is
Chlamydia
11. A 68-year-old female had her last cervical cancer screening done at age 65 and results were normal. She has no history of abnormal screenings. She has recently started having sexual intercourse with a new male partner and asks if she should start having cervical cancer screening again. An appropriate answer would be that she:
Does not need to resume either Pap tests or HPV testing
12. A 22-year-old experiences six months of amenorrhea. Laboratory test results include normal prolactin and thyroid-stimulating hormone and negative pregnancy
test. The next action will to: (Answer)Administer a progestin challenge test
13. A nurse practitioner is screening a female for prescribing contraception for the first time. Which of the following conditions is an absolute contraindication to estrogen-
containing contraception?
Thromboembolism
14. Characteristics of polycystic ovary syndrome include: Premenarchial onset, obesity, hyperinsulinemia
15. According to USPSTF recommendations, an 80-year-old female should have:
Neither a clinical breast examination nor a screening mammogram
16. A 36-year-old- is seen in your office on day 18 of her cycle for her routine annual examination. She has no complaints. Pelvic exam reveals a 9-cm- firm pelvic mass anterior to the uterus. The most likely diagnosis is:
Benign cystic teratoma
17. Typical characteristics of vulvodynia include:
Constant vulvar burning and discomfort
18. If you diagnose a cervical gonoccocal infection, which other infection is probably present? Chlamydia
19. HPV testing is indicated for a (n)
30-year-old-female with no history of genital warts as adjunct to routine Pap test.
20. A vaginal pH less than 4.5 is an expecting finding in a:
Healthy reproductive-age woman
21. USPSTF recommendations for routine breast cancer screening include:
Biennial mammograms starting at age 50
22. The new ACOG pap smear guidelines reflect a change in all of the following except:
The age at which Pap smears are initiated,
The frequency of Pap smear screening,
The follow-up to abnormal Pap smear results,
The endpoint for pap smear testing
23. A 16-year-old- woman has not yet begun menstruating but does have pubic hair.
She is best described as having:
Primary amenorrhea
24. Dysfunctional uterine bleeding is usually associated with
Anovulation
25. A 17-year-old client presents at the clinic with the following reason for seeking care. “I have been sick for three days. I feel sick to my stomach and I have diarrhea”. Which of the following would be most appropriate to document as her reason for her visit/chief complaint?
“I feel sick to my stomach and I have diarrhea”
26. First line treatment for polycystic ovary syndrome is:
A combination of diet modification, weight loss, and stress management
27. A 24-year-old woman presents with complaints of nontender mass in her left breast that does not change with the menstrual cycle. On examination, you note a freely movable, 0.5 cm x 1 cm, firm, rubbery nontender mass. The most likely diagnosis is:
Fibroadenoma
28. According to ACOG guidelines, which of the following physical examination and screening tests should be part of the routine well-woman visit every year for females ages 30 to 39 years?
Clinical breast examination
29. In a premenopausal woman, the biggest heart attack risk factor is:
Cigarette smoking
30. A 16-year-old patient comes the office because she has never had a menstrual period. She has normal breast development, scant pubic hair, and a blind vaginal pouch with no palpable uterus or ovaries. The most likely diagnosis:
Androgen insensitivity/resistance syndrome
31. What is the position of the uterus when the cervix is on the anterior vaginal wall?
Anteverted
32. A 26-year-old woman presents with multiple, painless, umbilicated papules on her mons pubis. The most likely diagnosis is:
Molluscum contagiosum [Show Less]