PRACTITIONER WOMEN'S HEALTH - AG
AND FNP CERTIFICATION EXAM 4TH ED.
WINLAND-BROWN AND DUNPHY
EXTRACTED EXAM QUESTIONS AND
ANSWERS 2023
a sexually active woman should be aware that genital herpes simplex virus:
a. may be transmitted to a partner or newborn even in the absence of lesions
because of viral shedding
b. is suppressed during menstruation, physical or emotional stress,
immunosuppression, sexual intercourse, and pregnancy
c. recurrences usually last the same length of time as the initial outbreak
d. requires the use of condoms only during outbreaks - Answer a. may be
transmitted to a partner or newborn even in the absence of lesions because of
viral shedding
a 17 y/o female pat requests to start Depo-provera injections as her method of
birth control. She discloses that she has had four sexual partners in the past year.
Her LMP was 12 days ago and she had unprotected intercourse 3 days ago. The
appropriate management for this pt would be to:
a. administer the injection today
b. advise her to use another method for now and return with her next menses
c. give the injection after a negative pregnancy test and tell her to use condoms
for the next 7 days
d. give the injection and tell her to use a barrier method for 7 days - Answer b.
advise her to use another method for now and return with her next menses
in a premenopausal woman, the biggest heart attack risk factor is:
a. cigarette smoking
b. family hx
c. sedentary lifestyle
,d. obesity - Answer a. cigarette smoking
first line tx for polycystic ovary syndrome is:
a. a bilateral oophorectomy
b. oral testosterone therapy
c. a combination of diet modification, wt loss, and stress management
d. a laparoscopy with a bilateral wedge resection - Answer c. a combination of
diet modification, wt loss, and stress management
if a woman is using the basal body temperature (BBT) method of birth control and
does not want to become pregnant, when would you tell her to avoid
unprotected intercourse?
a. from the beginning of the menstrual cycle until the BBT has been elevated for 3
days
b. whenever the BBT is elevated
c. whenever the BBT is lowered
d. fromt he end of the menstrual cycle until the BBT has been low for 5 days -
Answer a. from the beginning of the menstrual cycle until the BBT has been
elevated for 3 days
which of the following is a sexually transmitted infection?
a. candida vaginitis
b. trichomonal vaginitis
c. atrophic vaginitis
d. lactobacilli vaginitis - Answer b. trichomonal vaginitis
in a pt dx with cervical gonococcal infection, you would also suspect a co-infection
with:
a. candidiasis
b. syphilis
c. trichomoniasis
d. chlamydia - Answer d. chlamydia
Jane, age 27, is c/o of lower abdominal pain. After doing some lab studies, you
find leukocytosis, an elevated erythrocyte sed rate and an elevated C-reactive
protein level. Which is the most appropriate dx?
a. ovarian cyst
, b. PID
c. tubal pregnancy
d. diverticulitis - Answer b. PID
human papillomavirus may lead to:
a. pelvic inflammatory disease
b. molluscum contagiosum
c. cervical dysplasia
d. genital herpes - Answer c. cervical dysplasia
Gean, a 33 y/o female pt, c/o external vaginal irritation after adding new fabric
softener to her laundry. You have dx her with reactive vaginitis. The tx of choice
for this condition includes:
a. metronidazole (flagyl) 500mg BID x 7 days
b. conjugated vaginal estrogen cream externally every day for 1 wk
c. rewashing undergarments without fabric softener and applying petroleum jelly
to the affected area
d. rewashing undergarments without fabric softener and applying corticosteroids
to the affected area - Answer d. rewashing undergarments without fabric softener
and applying corticosteroids to the affected area
a dancer from an adult club down the street comes in for a renewal of ther birth
control pill prescription. She says that everything is fine. On exam, you find
grayish-white vaginal discharge, greenish cervical discharge, and cervical motion
tenderness. Which of the following differential dx is most UNlikely?
a. gonorrhea
b. interstitial cystitis
c. bacterial vaginosis
d. chlamydia - Answer b. interstitial cystitis
leiomyomas are found:
a. within the uterine wall
b. on the vaginal wall
c. within the cervix
d. on the fallopian tube - Answer a. within the uterine wall