TESTBANK Beckmann and Ling’s Obstetrics and Gynecology 8th Edition Casanova
Table of Contents Chapter 1: Women’s Health Examination and Women’s
... [Show More] Health CareManagement ...................................2 Chapter 2: The Obstetrician–Gynecologist’s Role in Screening andPreventive Care ............................... 10 Chapter 3: Ethics, Liability, and Patient Safety inObstetrics and Gynecology .............................................. 15 Chapter 4: Embryology and Anatomy ............................................................................................................ 20 Chapter 5: Maternal–Fetal Physiology ........................................................................................................... 27 Chapter 6: Preconception andAntepartum Care ............................................................................................ 35 Chapter 7: Genetics and Genetic Disorders in Obstetrics andGynecology ................................................. 45 Chapter 8: Intrapartum Care ........................................................................................................................... 53 Chapter 9: Abnormal Labor and Intrapartum FetalSurveillance ................................................................. 62 Chapter 10: Immediate Care of the Newborn ................................................................................................ 71 Chapter 11: Postpartum Care .......................................................................................................................... 79 Chapter 12: PostpartumHemorrhage ............................................................................................................. 87 Chapter 13: MultifetalGestation ....................................................................................................................... 91 Chapter 14: Fetal Growth Abnormalities: IntrauterineGrowth Restriction and Macrosomia ..................... 98 Chapter 15: Preterm Labor ............................................................................................................................ 106 Chapter 16: Third-Trimester Bleeding........................................................................................................... 114 Chapter 17: Premature Rupture of Membranes ......................................................................................... 120 Chapter 18: Post-termPregnancy ................................................................................................................... 126 Chapter 19: Ectopic Pregnancy andAbortion .............................................................................................. 133 Chapter 20: EndocrineDisorders ................................................................................................................... 143 Chapter 21: Gastrointestinal, Renal, and Surgical Complications .............................................................. 145 Chapter 22: Cardiovascular and Respiratory Disorders ............................................................................. 150 Chapter 23: Hematologic and ImmunologicComplications ....................................................................... 159 Chapter 24: InfectiousDiseases ...................................................................................................................... 165 Chapter 25: Neurologic and Psychiatric Disorders .................................................................................... 175 Chapter 26: Contraception ............................................................................................................................. 177 Chapter 27: Sterilization ................................................................................................................................. 183 Chapter 28: ...................................................................................................................................................... 191 Chapter 29: Sexually TransmittedInfections ................................................................................................ 199 Chapter 30: Pelvic Support Defects, UrinaryIncontinence, and Urinary Tract Infection .......................... 210 Chapter 31: Endometriosis ........................................................................................................................... 218 Chapter 32: Dysmenorrhea and Chronic Pelvic Pain ................................................................................. 225 Chapter 33: Disorders ofthe Breast ............................................................................................................. 235
1 | P a g eChapter 34: Gynecologic Procedures ........................................................................................................... 242
Chapter 35: Human Sexuality ........................................................................................................................ 248
Chapter 36: Sexual Assault and Domestic Violence .................................................................................... 253
Chapter 37: Reproductive Cycles .................................................................................................................. 257
Chapter 38: Puberty ....................................................................................................................................... 263
Chapter 39: Amenorrhea and Abnormal Uterine Bleeding ....................................................................... 271
Chapter 40: Hirsutism and Virilization ......................................................................................................... 277
Chapter 41: Menopause ................................................................................................................................. 285
Chapter 42: ...................................................................................................................................................... 293
Chapter 43: Premenstrual Syndrome andPremenstrual Dysphoric Disorder ........................................ 299
Chapter 44: Cell Biology and Principles of Cancer Therapy ...................................................................... 304
Chapter 45: Gestational TrophoblasticNeoplasia ......................................................................................... 310
Chapter 46: Vulvar and Vaginal Disease and Neoplasia ............................................................................. 315
Chapter 47: Cervical Neoplasia and Carcinoma ......................................................................................... 323
Chapter 48: Uterine Leiomyoma andNeoplasia .......................................................................................... 333
Chapter 49: Cancer of theUterine Corpus ..................................................................................................... 338
Chapter 50: Ovarian and Adnexal Disease .................................................................................................. 344
Chapter 1: Women’s Health Examination and Women’s Health CareManagement
1:
Elevating the head of the examining table approximately 30 degrees facilitates
a:
the observation of the patient's responses
b:
the ability of the patient to comfortably look around to distract her from the examinationc:
the contraction of the abdominal wall muscle groups, making the examination easierd:
comfortable blood pressure measuremente:
the physician not being distracted by eye contact with the patient
2:
Which of the following uterine positions is most associated with dyspareunia?a:
Midposition, retroflexed
b:
Retroverted, anteflexed
c:
2 | P a g eAnteverted, anteflexed
d:
Retroverted, retroflexed
e:
Midpostion, anteflexed
3:
Inquiry concerning adult and child history of sexual abuse should be included in the sexual history
a:
if time permits
b:
in visits where there are suspicious physical findings but not otherwisec:
in visits where sufficient time is allotted
d:
in all new patient visits
e:
in visits where a specific indication is noted
4:
Peau d'orange change in the breast is associated with
a:
edema of the lymphatics
b:
jaundice
c:
too vigorous breastfeeding
d:
overly tight undergarments
e:
galactorrhea
5:
Which kind of speculum is often most suitable for examination of the nulliparous patient?
a:
3 | P a g eMorgan's speculum
b:
Endoscopic speculum
c:
Ling speculum
d:
Graves speculum
e:
Pederson speculum
6:
Which uterine configuration is most difficult to assess for size, shape, configuration, and mobility?
a:
Midposition
b:
Anteverted
c:
There is no difference in difficulty
d:
Retroverted
7:
Which type of speculum is most appropriate for the examination of a parous menstrual woman?
a:
Ling speculum
b:
Graves speculum
c:
Pederson speculum
d:
Endoscopic speculum
e:
Morgan's speculum
8:
4 | P a g eMenopause is defined as the cessation of menses for greater than
e:
24 months
9:
In a woman describing sufficiently frequent sexual encounters, infertility typically is described as afailure
to conceive after
a:
3 months
b:
9 months
c:
12 months
d:
18 months
e:
6 months
10:
During bimanual examination of the adnexa in normal premenopausal women, the ovaries are palpable
e:
about one-quarter of the time
11:
If a patient becomes uncomfortable with a topic during a history-taking session, the best response of the
physician is to
a:
address the patient's discomfort in a positive and supportive mannerb:
discontinue discussion of the topic to avoid further patient discomfortc:
discontinue discussion to avoid damage to the patient-physician relationshipd:
continue after making a joke to relieve tension
e:
ignore the discomfort and proceed with questioning
12:
Which of the following statements about the steps in the breast examination is correct?
e:
5 | P a g eInspection is done first
13:
Questions that promote the physician's fullest understanding of the patient's situation are best
characterized as
a:
compassionate
b:
chronological
c:
sympathetic
d:
emphatic
e:
evidence based
14:
The last menstrual period is dated from the
15:
The passage of clots during menstruation
a:
is always abnormal
b:
may be either normal or abnormal
c:
is always normal
d:
is extremely rare
16:
In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"1" stands for the number of
a:
living children
b: pregnancies
c:
6 | P a g eterm pregnancies
d:
preterm pregnancies
e:
abortions
17:
a:
living children
b:
pregnancies
c:
term pregnancies
d:
preterm pregnancies
e:
abortions
18:
In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"3" stands for the number of
a:
living children
b: pregnancies
c:
term pregnancies
d:
preterm pregnancies
e:
abortions
19:
a:
living children
b:
pregnancies
7 | P a g ec:
term pregnancies
d:
preterm pregnancies
e:
abortions
20:
In the abbreviation of the obstetric history-G[1] P[2] [3] [4] [5]-"5" stands for the number of
a:
living children
b:
pregnancies
c:
term pregnancies
d:
preterm pregnancies
e:
abortions
21:
Tanner's classification with respect to the breast relates to changes in the breast
before and after lactation
b:
associated with malignancy
c:
associated with maturation
d:
associated with galactorrhea
e:
associated with fibrocystic changes
22:
The rectovaginal examination should be performed
a:
8 | P a g eafter 52 years of age
b:
at the initial patient visit
c:
only for the evaluation of chronic pelvic paind:
only when there are symptoms of pelvic relaxation
e:
at intervals of 5 years
23:
In the gynecologic history, it is often possible to distinguish between vaginitis and pelvic inflammatory
disease by inquiring about
the duration of the pain
b:
the symptoms present (fever/chills, itching)
c:
the timing of pain in relation to menses
d:
the association of pain with body positione:
the use of topical medications
24:
The most common reason for failure to visualize the cervix during the speculum examination is
a:
failure to use lubricant
b:
a full bladder
c:
failure to fully insert the speculum
d:
use of a speculum that has not been warmede:
use of the wrong speculum
25:
Prehypertension is defined as a blood pressure range of
a:
9 | P a g e80-90/120-139
b:
90-100/120-139
c:
80-90/110-129
d:
70-80/110-129
e:
70-80/120-139
ANS: 1-25. [A, D, D, A, E, D, B, C,C,C,A,E,D,A,B,B,C,D,E,A,C,B,E,C,A]
Chapter 2: The Obstetrician–Gynecologist’s Role in Screening andPreventive Care
1:
The sensitivity of a screening test is defined as the proportion of
a:
unaffected individuals that test positive
b:
affected individuals that test positive
c:
unaffected individuals that test negative
d:
affected individuals that test negative
2:
The specificity of a screening test is defined as the proportion of
a:
affected individuals that test negative
b:
unaffected individuals that test positive
c:
affected individuals that test positive
d:
unaffected individuals that test negative
10 | P a g e3:
Counseling an obese patient to lose weight is an example of
a:
secondary prevention
b:
primary prevention
c:
empathy
d:
engagement
4:
In women, the thyroid-stimulating hormone screening test should be performed at what interval?
a:
Every 1-2 years from age 40 years, then yearly after age 50 yearsb:
Every 5 years after age 50 years
c:
Annually from puberty or from the onset of sexual activityd:
Every 5 years from age 19 years, then every 3-5 years after age 65 years
5:
The Pap smear for cervical dysplasia should be performed at what interval?
a:
Every 2-3 years after age 30 years if three consecutive annual tests are negativeb:
Every 5 years from age 19 years, then every 3-5 years after age 65 yearsc:
Every 1-2 years beginning at age 65 years
d:
Every 1-2 years from age 40 years, then yearly after age 50 years
6:
A cholesterol/lipid profile should be performed for women without risk factors at what interval?
a:
Every other year from age 40 years, then yearly after age 50 years
b:
11 | P a g eEvery 5 years after age 45 years
c:
Every 3-5 years after age 65 years
d:
Every 5 years from age 19 years, then every 3-4 years after age 65 years
7:
A mammography to detect breast cancer should be performed at what interval in women at averagerisk?
a:
Every 1-2 years after age 65 years
b:
Every 5 years after age 19 years, then every 3-4 years after age 65 years
c:
Every other year from age 40 years, then yearly after age 50 years
d:
Every 3-5 years after age 45 years
8:
A colonoscopy to detect colorectal cancer should be performed at what interval for women at averagerisk?
a:
Every 10 years starting at age 50 years
b:
Every 1-2 years starting at age 40 years
c:
Every 10 years starting at age 65 years
d:
Every 10 years from age 19 years, then every 3-4 years after age 65 years
9:
Which of the following is the most appropriate screening mechanism for cervical dysplasia?
a:
Pap smear
b:
Serum HPV titer
12 | P a g ec:
HPV-DNA testing
d:
Colposcopy of suspicious lesions
10:
Which of the following is the most appropriate screening mechanism for colorectal cancer?
a:
Hemogram
b:
Colonoscopy
c:
Physical examination of suspicious lesions
d:
CT scan
11:
Which of the following is the most appropriate screening mechanism for thyroid disease?
a:
Thyroid-stimulating hormone
b:
Free thyroxine
c:
Yearly physician examination
d:
Thyroid-binding globulin
12:
What is the appropriate interval for Pap testing in women who have had a total hysterectomy forreasons
other than cervical dysplasia?
a:
Every 2 years following the hysterectomy
b:
Every 5 years following the hysterectomy
13 | P a g ec:
No additional Pap testing is needed
d:
Every year following the hysterectomy
13:
In sexually active women age 25 or younger, regular screening for Chlamydia should occur
a:
only if the woman is at high risk for infection
b:
every 3-5 years
c:
annually
d:
every 2 years
14:
Bone mineral density testing is recommended for women without risk factors for osteoporosis beginningat
what age?
a:
40 years
b:
65 years
c:
50 years
Testing is not recommended for women with no risk factors
15:
A 40-year-old woman comes for an initial visit. Her BMI is 30 and she had previously given birth to an
infant weighing 9.5lb. Which of the following initial screening tests is indicated for this patient?
a:
Fasting blood glucose
b:
Colonoscopy
c:
14 | P a g eTSH level
d:
Bone mineral density testing ANS:
[b,d,b,b,a,b,c,a,a,b,a,c,c,b,a]
Chapter 3: Ethics, Liability, and Patient Safety inObstetrics and Gynecology
1:
The principle that the patient should be given what is "due" most closely matches the principle of
a:
justice
b:
nonmaleficence
c:
beneficence
d:
autonomy
2:
The principle that there should be respect for the patient's right to make choices based on her beliefsand
values best matches the principle of
a:
beneficence
b:
nonmaleficence
c:
justice
autonomy
3:
The principle that there is a duty not to inflict harm or injury best matches the principle of
a:
nonmaleficence
15 | P a g eb:
autonomy
c:
justice
d:
beneficence
4:
The principle that there is a duty to promote the well-being of the patient best matches the principle of
a:
justice
b:
autonomy
c:
beneficence
d:
nonmaleficence
5:
A 32-year-old patient has delivered at 23 weeks of gestation, 3 days after premature rupture of the
membranes. She has discussed the circumstances with her obstetrician and requests that no attempts at
resuscitation should be made. At delivery there are rare gasping, breathing movements. The pediatrician
recommends that intubation be done. In this case, the individual with the clearest primary responsibility for
this decision is the
a:
obstetrician
b:
pediatrician
c:
hospital risk manager
d:
mother
e:
hospital attorney
6:
Respect for patient wishes (autonomy) primarily requires that there be assessment of which of the
16 | P a g efollowing?
a:
Cost of the proposed treatment
b:
The legal risk to the physician and hospital
c:
Patient's ability to consider information
d:
Physician's concurrence with the patient's wishes
e:
Standards of care
7:
A 62-year-old woman with newly diagnosed stage III ovarian cancer refuses chemotherapy. She wants to"go
home to die." The next step in evaluating this patient is to
a:
determine insurance coverage for this action
b:
call the family for a conference
c:
accept the patient's wishes and discharge her from the hospitald:
call the state medical licensing board and hospital attorneye:
assess the patient's comprehension and look for evidence of impaired decision making
8:
If a pregnant woman rejects medical recommendations, relying on care given in similar cases would bean
example of
a:
principle-based ethics
b:
virtue-based ethics
c:
feminist ethics
d:
communication-based ethics
17 | P a g ee:
case-based ethics
9:
The concept of informed consent best relates to the principle of
a:
autonomy
b:
justice
c:
beneficence
d:
nonmaleficence
10:
Paternalism violates the ethical principle of
a:
nonmaleficence
b:
beneficence
c:
standard of care
d:
justice
e:
autonomy
11:
The person with primary responsibility to providing informed consent is
a:
the person or physician's staff assigned the task
b:
the patient
c:
the social worker assigned to the patient
18 | P a g ed:
the hospital administrator
e:
the physician
12:
In medical liability cases the complaint comes from the
a:
defendant
b:
judge
c:
jury
d:
attorney
e:
plaintiff
13:
Most medical errors are associated with
a:
the use of care guidelines
b:
the use of medications
c:
the use of standards of care
d:
the use of hospital regulations
e:
the use of improper surgical technique
ANS:[a,d,a,c,d,c,e,e,a,e,e,e,b]
19 | P a g eChapter 4: Embryology and Anatomy
1:
The genital system develops from the embryonic
a:
yolk sac
b:
endoderm
c:
mesoderm
d:
ectoderm
e:
cytotrophoblast
2:
The urogenital ridges give rise to elements of the
a:
cardiovascular system
b:
reproductive system
c:
muscular system
d:
skeletal system
e:
gastrointestinal system
3:
Congenital adrenal hyperplasia ultimately affects the development of the genitalia of female fetusesthrough
the
a:
stimulation of cortisol production
b:
stimulation of cortisone production
20 | P a g ec:
stimulation of androgen production
d:
inhibition of the SRY gene
e:
inhibition of the WNT4 gene
4:
Primary oocytes first appear at what stage of development
a:
In the primordial follicles
b:
At puberty
c:
In the primary sex cords
d:
At birth
e:
In the embryonic yolk sac
5:
Primordial germ cells can be identified during the third week of development in the
a:
vaginal plate
b:
urogenital sinus
c:
cortical cords
d:
gonadal ridge
e:
yolk sac
6:
In the female, which of the following persists to form the major parts of the reproductive tract?
21 | P a g ea:
Mesonephric (wolffian) ducts b:
Prmary sex cords c:
Paramesonephric (Mullerian) ducts d: Gubernaculum
7: Gartner cysts result from remnants of the [Show Less]