APEA 3P EXAM PREP- WOMEN'S HEALTH UPDATED AND VERIFIED QUESTIONS AND ANSWERS WITH GUARANTEED A+ (2024)
When collecting cervical cells for a PAP
... [Show More] smear, when are the endocervical cells typically collected?
After the ectocervical specimen with a broom After the ectocervical specimen with a brush Before the ectocervical specimen with a broom Before the ectocervical specimen with a brush B.
Ectocervical specimens are collected first to minimize any bleeding that can occur when the endocervical cells are sampled. The brush is considered a superior tool for the collection of endocervical specimens because it produces the highest yield of endocervical cells, and thus, is a good reflection of the health of the cervix.
Alternatively, a cervical broom can be used to collect endocervical cells and ectocervical cells simultaneously. It is rotated for 5 turns before the samples are placed on the slide. This may be used in pregnant women.
A 16-year-old female is diagnosed with primary dysmenorrhea. She has taken over- the- counter ibuprofen in 800-mg increments every 8 hours during menses for the past 3 months, with minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea symptoms?
Flurbiprofen during menses Combined oral contraceptives
Daily multivitamin with B12 supplementation 30 minutes of regular exercise daily
B.
NSAIDs and hormonal contraceptives represent the mainstay of pharmacologic treatment for dysmenorrhea. NSAIDs produce an 80-86% response rate when used for dysmenorrhea. The general recommendation is that when one agent (NSAIDs or hormonal contraceptives) does not produce relief of symptoms, the other agent
should be tried. Hence, the best choice is oral contraceptives. Both agents should be considered for women who are symptomatic with one agent only.
Three of the following interventions are appropriately used to prevent osteoporosis after menopause. Which one is NOT?
Avoidance of corticosteroids
Performance of weight-bearing activities for 40 mins at least 5 days/week Estrogen replacement therapy
Adequate calcium & vitamin D intake C.
Prevention of osteoporosis may be optimized by elimination of risk factors and engaging in interventions that maximize bone density. Good nutrition from infancy throughout adulthood is a major component of good bone health. Others include engaging in weight-bearing exercises, adequate intake of calcium and vitamin D, smoking cessation, limiting alcohol consumption to moderate amounts, and avoidance when possible of medications that may decrease bone density (corticosteroids, anticonvulsants). Osteoporosis occurs at accelerated rates in women who are post-menopausal. The lack of estrogen can produce rapid bone loss due to bone resorption. Estrogen replacement is not used to prevent or treat osteoporosis. [Show Less]