Women’s Health Nurse Practitioner (WHNP)
Certification Exam Questions And Correct
Answers (Verified Answers) Plus Rationales
2026 Q&A
1. Which hormone is primarily responsible for the LH surge
| | | | | | | |
preceding ovulation?
| |
A. Progesterone
B. Estradiol
C. Inhibin
D. FSH
Estradiol peaks mid-cycle and triggers the LH surge that induces
| | | | | | | | |
ovulation.
|
2. The most common cause of secondary amenorrhea in
| | | | | | |
reproductive-age women is:
| | |
A. Hyperprolactinemia
B. Thyroid disease
|
C. Premature ovarian insufficiency
| |
D. Pregnancy
Pregnancy is always the first diagnosis to rule out in secondary
| | | | | | | | | |
amenorrhea.
|
3. A 24-year-old presents with dysuria, sterile pyuria, and
| | | | | | |
mucopurulent cervical discharge. Most likely cause?
| | | | | |
,A. Candida
B. Trichomonas
C. Chlamydia trachomatis |
D. BV
Chlamydia can produce dysuria and sterile pyuria with minimal
| | | | | | | |
findings.
|
4. Which contraceptive method is contraindicated in a woman with
| | | | | | | |
migraine with aura?
| | |
A. Copper IUD |
B. Combined oral contraceptives | |
C. LNG-IUD
D. Barrier methods |
Estrogen increases risk of stroke in migraine with aura.
| | | | | | | |
5. A Pap smear shows ASC-US. HPV test is positive. Appropriate
| | | | | | | | |
next step?
| |
A. Repeat Pap in 3 years | | | |
B. Colposcopy
C. HPV vaccine
|
D. Treat for CIN | |
ASC-US + HPV+ requires colposcopy.
| | | |
6. First-line treatment for uncomplicated cystitis in nonpregnant
| | | | | |
women?
|
A. Ciprofloxacin
B. Nitrofurantoin
C. Amoxicillin
, D. Metronidazole
Nitrofurantoin is recommended unless contraindicated.
| | | |
7. Most common site for endometriosis implantation:
| | | | |
A. Rectum
B. Cervix
C. Ovaries
D. Bladder
Ovaries are the most frequent site of lesions.
| | | | | | |
8. A 48-year-old has irregular menses, hot flashes, and night
| | | | | | | |
sweats. FSH is elevated. Diagnosis?
| | | | |
A. Hypothyroidism
B. Hyperprolactinemia
C. PCOS
D. Perimenopause
High FSH and vasomotor symptoms indicate the menopausal
| | | | | | |
transition.
|
9. Which STI causes a painless genital ulcer?
| | | | | |
A. HSV
B. Syphilis
C. Chancroid
D. LGV
A syphilis chancre is firm, round, painless.
| | | | | |
10. Contraindication to hormonal IUD placement: | | | |
Certification Exam Questions And Correct
Answers (Verified Answers) Plus Rationales
2026 Q&A
1. Which hormone is primarily responsible for the LH surge
| | | | | | | |
preceding ovulation?
| |
A. Progesterone
B. Estradiol
C. Inhibin
D. FSH
Estradiol peaks mid-cycle and triggers the LH surge that induces
| | | | | | | | |
ovulation.
|
2. The most common cause of secondary amenorrhea in
| | | | | | |
reproductive-age women is:
| | |
A. Hyperprolactinemia
B. Thyroid disease
|
C. Premature ovarian insufficiency
| |
D. Pregnancy
Pregnancy is always the first diagnosis to rule out in secondary
| | | | | | | | | |
amenorrhea.
|
3. A 24-year-old presents with dysuria, sterile pyuria, and
| | | | | | |
mucopurulent cervical discharge. Most likely cause?
| | | | | |
,A. Candida
B. Trichomonas
C. Chlamydia trachomatis |
D. BV
Chlamydia can produce dysuria and sterile pyuria with minimal
| | | | | | | |
findings.
|
4. Which contraceptive method is contraindicated in a woman with
| | | | | | | |
migraine with aura?
| | |
A. Copper IUD |
B. Combined oral contraceptives | |
C. LNG-IUD
D. Barrier methods |
Estrogen increases risk of stroke in migraine with aura.
| | | | | | | |
5. A Pap smear shows ASC-US. HPV test is positive. Appropriate
| | | | | | | | |
next step?
| |
A. Repeat Pap in 3 years | | | |
B. Colposcopy
C. HPV vaccine
|
D. Treat for CIN | |
ASC-US + HPV+ requires colposcopy.
| | | |
6. First-line treatment for uncomplicated cystitis in nonpregnant
| | | | | |
women?
|
A. Ciprofloxacin
B. Nitrofurantoin
C. Amoxicillin
, D. Metronidazole
Nitrofurantoin is recommended unless contraindicated.
| | | |
7. Most common site for endometriosis implantation:
| | | | |
A. Rectum
B. Cervix
C. Ovaries
D. Bladder
Ovaries are the most frequent site of lesions.
| | | | | | |
8. A 48-year-old has irregular menses, hot flashes, and night
| | | | | | | |
sweats. FSH is elevated. Diagnosis?
| | | | |
A. Hypothyroidism
B. Hyperprolactinemia
C. PCOS
D. Perimenopause
High FSH and vasomotor symptoms indicate the menopausal
| | | | | | |
transition.
|
9. Which STI causes a painless genital ulcer?
| | | | | |
A. HSV
B. Syphilis
C. Chancroid
D. LGV
A syphilis chancre is firm, round, painless.
| | | | | |
10. Contraindication to hormonal IUD placement: | | | |
