620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. WinlandBrown and Dunphy Exam 2023

620 Adult - Women's Health - AG and FNP Certification Exam 4th ed. WinlandBrown and Dunphy Exam 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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-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 - ANS-b. PID human papillomavirus may lead to: a. pelvic inflammatory disease b. molluscum contagiosum c. cervical dysplasia d. genital herpes - ANS-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 - ANS-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 - ANS-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 - ANS-a. within the uterine wall when a woman complains of dyspareunia in the lower back during orgasm, you should consider: a. endometriosis b. cystitis c. vaginitis d. causes r/t pelvic inflammatory disease - ANS-a. endometriosis a 27 y/o female presents to your office for a Mirena (levonorgestrel intrauterine system) insertion. She reports that her menses started 3 days ago and is normal. How soon after insertion will she be able to safely rely on it for contraception? a. immediately b. after 48 hrs c. in one wk d. in one month - ANS-a. immediately Melody, age 50, desires hormone replacement therapy (HRT) for her hot flashes, which she can't stand. You have discussed the pros and cons and given her some alternative suggestions. Her mother had a hx of osteoporosis. You have decided to initiate therapy for one year. She asks you if she also needs to take calcium or vitamin D for prevention of osteoporosis. How do you respond? a. research has shown that HRT alone is sufficient to protect against osteoporosis b. yes, calcium intake should be increased to 1200mg/day along with 600mg of vitamin D to decrease bone turnover and increase intestinal absorption c. if you decide to take calcium and vitamin D, you can stop the HRT d. if you are getting sufficient exercise, you don't need to take calcium and vitamin D - ANS-b. yes, calcium intake should be increased to 1200mg/day along with 600mg of vitamin D to decrease bone turnover and increase intestinal absorption Jane, age 60 asks, you about taking alendronate (Fosamax). What do you tell her about using the medication? Continues...