Question 1 A 21-year-old sexually active female comes to clinic and…

Question 1

A 21-year-old sexually active female comes to clinic and asks how often she should obtain a pap smear. Your best response is:

		You should wait until you are between the ages of 21 and 29 years old.
		You should have a Pap test every 3 years beginning at 21 years of age
		You do not need a Pap test you are too young right now give yourself more time
		You can have an annual pap test beginning at age 18 or within six months of first sexual intercourse

Question 2 

Signs of endometrial or cervical cancer may present abnormal uterine bleeding, often as heavy, prolonged bleeding or: 

		Menometrorrhagia
		Amenorrhea
		Oligomenorrhea
		Polymenorrhea

Question 3 

If a woman is complaining of bilateral, milky nipple discharge, the clinician is to first:

		Perform a pregnancy test
		Perform a mammogram and an ultrasound of the breasts
		Assess the sella turcica with magnetic resonance imaging (MRI)
		Obtain a serum prolactin level and a thyroid-stimulating hormone (TSH) measurement

Question 4 

The infertility evaluation is an opportune time to suggest health promotion behaviors that may specifically improve fertility, including: 

		Achieving a BMI in the range of 30 to 35, if the woman is under- or overweight
		Reducing alcohol consumption to about 4 drinks per week
		Reducing caffeine consumption to no more than 350 per day
		None of the above

Question 5 

A 50-year-old Hispanic female reports to clinic with nipple discharge for one month. She describes the discharge as occurring in both breasts and is clear in color. 

		The NP should suspect nipple discharge is associated with breast feeding
		Nipple discharge is associated with breast cancer
		Nipple discharge is associated with taking hormonal therapy
		Nipple discharge is associated with taking calcium channel blocker

Question 6 

What is one factor that can reduce the risk for the development of ovarian cancer? 

		Multiple pregnancies
		Transvaginal ultrasounds
		Identification of recurrence
		Weight loss

Question 7 

The possibility of cancer is associated with mastalgia when the pain: 

		Occurs in perimenopausal women who are receiving HT
		Is accompanied by skin changes or palpable abnormality
		Is felt in both breasts equally and is related to a cyclic pattern
		Is reproducible with palpation of the chest wall

Question 8 

What step can a clinician take to learn more about any chemicals used in a woman’s workplace? 

		Contact OSHA (Occupational Health and Safety Administration).
		Contact the woman’s workplace.
		Ask the woman to obtain her workplace MSDs (material safety data sheets).
		Conduct research on the OSHA website.

Question 9 

Endometrial cancer occurs most frequently in a woman who 

		Menopausal and between the ages of 40 – 50
		Postmenopausal women between the ages of 60-65
		Perimenopausal women between the ages of 50-55
		none of the above

Question 10 

The most common benign breast masses are: 

		Galactoceles
		Hamartomas
		Fibroadenomas and cysts
		Lipomas and phyllodes tumors

Question 11 

Mammary duct ectasia: 

		Is one of the most common causes of milky nipple discharge
		Like intraductal papilloma, is typically unilateral and uniductal
		Usually occurs in women 20 to 35 years of age
		Discharge may be green, brown, or black in color

Question 12 

Which of the following is an ethical issue that is specifically associated with pre-implantation testing with ART? 

		Ownership of frozen embryos after the couple has divorced
		A surrogate deciding she does not want to relinquish the infant
		Genetic engineering and the ability to reject embryos affected by inherited disorders
		The implantation of multiple embryos, which can create high risk for the embryos and the woman

Question 13 

A 35-year-old black female comes to gynecology clinic with complaints of abdominal bloating/discomfort, indigestion, diarrhea and sometimes constipation, back pain, and unexplained weight loss. Her symptoms are more likely associated with 

		Ovarian Cancer
		Cervical Cancer
		Breast cancer
		Stomach cancer

Question 14 

Cyclic mastalgia:

		More likely causes unilateral, localized pain that is sharp or burning in nature
		Has an increased risk of occurrence in women whose diets are low in fat
		Occurs most frequently in women who are 18 to 30 years old
		Is caused by hormonal changes associated with menstruation

Question 15 

1. What NSAIDs are approved by FDA for the treatment of dysmenorrhea? 

		Diclofenac
		Celebrex
		Baralgan
		Acetaminophen

Question 16 

All of the following diagnostic testing and procedures are now infrequently performed in clinical practice except: 

		Hysterosalpingogram
		Sperm penetration assay
		The postcoital test (PCT)
		Endometrial biopsy (EMB)

Question 17 

The primary cause of secondary amenorrhea is 

		Lower genital tract causes
		Labial agglutination
		Pituitary tumor
		Imperforate hymen

Question 18 

What are risk factors for acquiring HPV? 

		Smoking
		Immunosuppression
		Multiple births
		All of the above
		None of the above

Question 19 

What is now thought to be the most important causative agent in cervical cancer? 

		PCOS
		Vulvar cancer
		Herpes simplex
		HPV

Question 20 

Why are most cases of ovarian cancer diagnosed when the disease has already reached an advanced stage? 

		Women are not routinely screened for it.
		The symptoms are the same as those for cervical cancer.
		The symptoms are vague.
		The disease usually affects women over the age of 50.

 

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