APEA 3P EXAM PREP1 WOMEN HEALTH (2024) WITH UPDATED QUESTIONS, ANSWERS AND EXPLANATIONS
Apatient whoisscheduledfor pelvic examwithPAP smear
... [Show More] shouldbeadvisedtoavoiddouching, sexual intercourse, and tamponusebeforeher exam. For how longshouldshebeadvisedtoavoidtheseactivitiesfor optimal evaluation?
24 hours
48hours 36 hours
1
wee k
B.
Thegeneral recommendationistoavoid theseactivities and any vaginal medicationfor 48hoursprior tothe PAP smear. Douching andtamponusecanremovesuperficial cells, which arethe onescollected and used as representativesamplesonPAPsmear. Sexual intercourseshould be avoided becausethere canbe specimencontaminationby themalepartner. Withvaginal medicationsor creams, either canserveasabarrier to epithelial cell sampling.
Whencollecting cervical cellsfor a PAPsmear, whenare the endocervical cellstypically collected?
After the ectocervical specimen witha broomAfter the ectocervical specimen witha brushBeforetheectocervical specimenwithabroomBefore theectocervical specimenwith
abrushB.
Ectocervical specimensarecollectedfirst tominimizeany bleedingthat canoccur whentheendocervical cellsare sampled. Thebrushisconsidereda superior tool forthe collectionof endocervical specimensbecauseit produces thehighest yieldof endocervical cells, andthus, isagood reflectionof thehealthof thecervix.
Alternatively, a cervical broomcanbeused tocollect endocervical cellsandectocervical cellssimultaneously. It isrotated for 5turnsbeforethesamplesareplacedon theslide. Thismay beusedinpregnant women.
A16-year-oldfemaleisdiagnosedwithprimary dysmenorrhea. Shehastakenover-the-counter ibuprofenin800-mg incrementsevery 8hoursduring mensesfor thepast 3 months, withminimal relief of symptoms. What interventionwill provide greatest relief of dysmenorrheasymptoms?
Flurbiprofenduring mensesCombined oral contraceptives
Daily multivitamin with B12
supplementation30minutesof regularexercisedaily
B.
NSAIDsand hormonal contraceptivesrepresent the mainstay of pharmacologic treatment for dysmenorrhea. NSAIDs produce an 80-86% response rate when usedfor dysmenorrhea. The general recommendation isthat when one agent (NSAIDsorhormonal contraceptives) doesnot producerelief of symptoms, theother agent
shouldbetried. Hence, thebest choiceisoral contraceptives. Bothagentsshouldbeconsideredfor womenwhoaresymptomaticwithoneagent only. [Show Less]