602 FINAL EXAM 200 QUESTIONS AND ANSWERS 100% UPDATED AND VERIFIED
25yo female c/o vaginal irritation and discharge. On exam, cervix is easily friable and erythematous. No adnexal tenderness. Wet prep reveals mobile protozoa on NS slide. This most likely represents: a. Trichomonas b. Mucopurulent cervicitis c. Bacterial vaginosis d. Gonorrhea ---CORRECT ANSWER-- a 16yo female has h/o secondary amenorrhea. Menarche at 10yo, regular cycles x2yrs, has not menstruated x4yrs. What is most frequent etiology of this problem? a. Eating disorder b. Pregnancy c. Anovulatory cycles d. Stress ---CORRECT ANSWER-- a Woman is experiencing vaginal discharge. Wet mount with KOH would be used to confirm: a. Herpes simplex b. Gonorrhea c. Candidiasis d. Chlamydia ---CORRECT ANSWER-- c Treatment options for condyloma acuminatum include: a. Imiquimod (Aldera) b. Azithromycin c. Acyclovir d. Metronidazole ---CORRECT ANSWER-- a 25yo postmenopausal female c/o pain in upper outer quadrant of L breast x1mo. Best course of action would be: a. Reassure pt that pain is often not presenting symptom of breast cancer. b. Teach pt breast self-exam. c. Order labs as most likely this is secondary to hormonal fluctuation d. Perform breast exam and order mammo ---CORRECT ANSWER-- d PID typically presents with all of the following except: a. Dysuria b. Leukopenia c. Cervical motion tenderness d. Abd pain ---CORRECT ANSWER-- b Which of the following are of a reproductive and pelvic origin? a. Salpingo-oophoritis (fallopian tube/ovary) secondary to PID b. Gynecologic malignancy c. Adhesions d. Myomata uteri ---CORRECT ANSWER-- a 25yo female c/o tender area near her introitus and to the L of her perineum. Very painful sex was first sign. Initially bump was very small, but now is ping-pong ball size. On exam, abscess is present on L medial side of labia minora and there's edema extending into perineum. What is dx? a. Lipoma b. Dermoid cyst c. Bartholin's cyst d. Skene's duct cyst ---CORRECT ANSWER-- c
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