Female Reproductive and Genitourinary Systems Exam In postmenopausal women, a major benefit from the use of topical or local estrogen is: A. Decreased
... [Show More] rate of breast cancer B. reduced risk of recurrent UTIs C. Reduced risk of type 2 diabetes D. Increased levels of androgens When reviewing the use of nutritional supplements for the management of menopausal symptoms, the NP considers that: A. Few high-quality studies support the use of these products B. The use of these products is consistently reported to be helpful C. The products can be safely used as long as blood hormone levels are carefully evaluated D. The use of these products is associated with a greater reduction in menopausal symptoms than with prescription HT Which of the following statements is true? A. Many over-the-counter progesterone creams contain sterols that the human body is unable to use B. All progesterones are easily absorbed via the skin C. Alfalfa is an example of a phytoprogesterone D. Progesterones, whether synthetic or plan-based, should not be used by a woman who has undergone a hysterectomy Chlamydial infections occur most frequently among women in which age group? A. Younger than 25 years B. 25 to 35 years C. 40 to 50 years D. Over 60 years Common site of C. trachomatis infection in women include all of the following except: A. Ovaries B. Cervix C. Endometrium D. Urethra The incubation period for C. trachomatis is approximately: A. 24 hours B. 3 days C. 7 to 14 days D. 24 days Which of the following include characteristics of a friable cervix? A. Presence of a dull pain, particular prior to menses B. A constant burning sensation C. Presence of multiple polyps D. Easily irritated and prone to bleeding, especially following intercourse An annual screening for C. trachomatis infection is recommended for: A. All sexually active women B. Sexually active women 25 years of age and younger C. Sexually active women who have had 2 or more partners in the past 12 months D. Sexually active men 25 years of age and younger Which of the following is not a normal finding in a woman during the reproductive years? A. Vaginal pH of 4.5 or less B. Lactobacillus as the predominant vaginal organism C. Thick, white vaginal secretions during the luteal phase D. Vaginal epithelial cells with adherent bacteria Which of the following findings is most consistent with vaginal discharge during ovulation? A. Dry and sticky B. Milky and mucoid C. Stringy and clear D. Tenacious and odorless What is the approximate incubation period for Neisseria gonorrhoeae? A. 1 to 5 days B. 7 to 10 days C. 18 days D. 28 days A recommended treatment for rectal gonorrhea is: A. Oral amoxicillin B. Oral azithromycin C. Oral ciprofloxacin D. Ceftriaxone injection Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected microscopic examination findings include: A. A pH greater than 6.0 B. An increased number of lactobacilli C. Hyphae D. An abundance of white blood cells Women with bacterial vaginitis typically present with: A. Vulvitis B. Pruritus C. Dysuria D. Malodorous discharge Treatment of vulvovaginitis caused by Candida albicans includes: A. Metronidazole gel B. Clotrimazole cream C. Hydrocortisone ointment D. Clindamycin cream 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: A. Motile sperm with irritative vaginitis B. Trichomoniasis C. Bacterial vaginosis D. Condyloma acuminatum A preferred treatment option for trichomoniasis is: A. Oral metronidazole B. Clindamycin vaginal cream C. Topical acyclovir D. Oral azithromycin Treatment options for bacterial vaginosis include all of the following except: [Show Less]