AANP - Walden (Women's Health &
Pregnancy) Questions and Answers
For post menopausal bleeding: - correct answers✅✅DO ULTRASOUND
FIRST OR REFER FOR ENDOMETREAL BIOPSY
Dominant breast/breast cancer: characteristics and diagnostics - correct
answers✅✅mass one side feels hard, irregular, immobile, located tail of
spence, skin color peu d orange (resembles orange peel), dimpling
retraction, painless, bloody nipple discharge
DX: order mammogram, refer to breast surgeon
Paget's disease of the breast characteristics: - correct answers✅✅chronic
red scaly rash resembling eczema starts on nipple and spreads to areola,
itching, pain, burning sensation, skin lesion enlarges includes crusting,
ulceration and bleeding at the nipple
Inflammatory breast cancer characteristics: - correct answers✅✅recent or
acute onset red swollen warm area in breast of younger woman, mimics
mastitis, no lump, may pit, turn orange, appear bruised, rare but aggressive
breast cancer
Fibrocystic breast: characteristics, diagnostics & treatment - correct
answers✅✅engorged and painful breasts symptoms 2 weeks before
menses and at worst before cycle, resolves after menses
DX: multiple, mobile rubbery cystic masses on both breasts
TX: stop caffeine, take vitamin E, IS IT "NORMAL IN AGING/ELDERLY
BRCA1/2 associated hereditary breast/ovarian Cancer: define & treatment -
correct answers✅✅family history is high risk, Men are higher risk
,AANP - Walden (Women's Health &
Pregnancy) Questions and Answers
TX: patient positive with BRCA mutation should be referred to breast
specialist, MRI and mammogram, high risk in Jews, refer to counseling and
mutation testing
Ovarian cancer: define, risk factors, diagnostics & treatment - correct
answers✅✅palpate ovary in 1-year post-menopausal woman,
risk factors: include family history, Jewish descent, BRCA1/2 mutation, lynch
syndrome, breast cancer, >55 age, endometriosis, first child at age 30,
nulliparity(never completed pregnancy past 20 weeks)
DX: pelvic exam, transvaginal US, biopsy, intravaginal US, CA124
TX: chemotherapy, referral surgical oncology eval and treatmen
Pap testing - correct answers✅✅begins at 21 and every three years til 30
then every 5 years if co-testing for HPV.
UPSTF recommends: - correct answers✅✅recommends at age 30 with
HPV testing to every 5 years, HIV positive women can screen before 21 years
of age, stop PAP screening at 65
Loop electrosurgical excision procedure (LEEP): - correct
answers✅✅gynecologic procedure that uses a thin, low-voltage electrified
wire loop to cut out abnormal tissue in the cervix
is a device used like a scalpel cut thru cervix to treat cervical cancer
, AANP - Walden (Women's Health &
Pregnancy) Questions and Answers
Potassium hydroxide slide: - correct answers✅✅KOH aids in diagnosing
fungal infections hair, nails and skin
KOH works by causing lysis of the squamous cell which makes it easier to see
the hyphae and spores, vaginal specimens do not require KOH
The whiff test can be used to detect _____. - correct answers✅✅BV
test for BV, fish odor is released after dropping KOH on slide
Polycystic ovarian syndrome - correct answers✅✅endocrine disorder
associated with chronic anovulation
hormone abnormality marked by anovulation, infertility excessive androgen
production and insulin resistance, high risk for type 2 diabetes, dyslipidemia,
metabolic syndrome, endometrial hyperplasia, obesity and cancer, infertility,
sleep apnea, hirsutism, acne, amenorrhea, Post menopause with
bleed/PCOS- high risk for endometrial cance
Polycystic ovarian syndrome diagnostics & treatment: - correct
answers✅✅DX: transvaginal US, testosterone, FSH, fasting glucose
TX: low dose contraceptives, spiraladactone for hirsutism, metformin
Osteoporosis - correct answers✅✅A condition in which the body's bones
become weak and break easily.
>-2.5
Pregnancy) Questions and Answers
For post menopausal bleeding: - correct answers✅✅DO ULTRASOUND
FIRST OR REFER FOR ENDOMETREAL BIOPSY
Dominant breast/breast cancer: characteristics and diagnostics - correct
answers✅✅mass one side feels hard, irregular, immobile, located tail of
spence, skin color peu d orange (resembles orange peel), dimpling
retraction, painless, bloody nipple discharge
DX: order mammogram, refer to breast surgeon
Paget's disease of the breast characteristics: - correct answers✅✅chronic
red scaly rash resembling eczema starts on nipple and spreads to areola,
itching, pain, burning sensation, skin lesion enlarges includes crusting,
ulceration and bleeding at the nipple
Inflammatory breast cancer characteristics: - correct answers✅✅recent or
acute onset red swollen warm area in breast of younger woman, mimics
mastitis, no lump, may pit, turn orange, appear bruised, rare but aggressive
breast cancer
Fibrocystic breast: characteristics, diagnostics & treatment - correct
answers✅✅engorged and painful breasts symptoms 2 weeks before
menses and at worst before cycle, resolves after menses
DX: multiple, mobile rubbery cystic masses on both breasts
TX: stop caffeine, take vitamin E, IS IT "NORMAL IN AGING/ELDERLY
BRCA1/2 associated hereditary breast/ovarian Cancer: define & treatment -
correct answers✅✅family history is high risk, Men are higher risk
,AANP - Walden (Women's Health &
Pregnancy) Questions and Answers
TX: patient positive with BRCA mutation should be referred to breast
specialist, MRI and mammogram, high risk in Jews, refer to counseling and
mutation testing
Ovarian cancer: define, risk factors, diagnostics & treatment - correct
answers✅✅palpate ovary in 1-year post-menopausal woman,
risk factors: include family history, Jewish descent, BRCA1/2 mutation, lynch
syndrome, breast cancer, >55 age, endometriosis, first child at age 30,
nulliparity(never completed pregnancy past 20 weeks)
DX: pelvic exam, transvaginal US, biopsy, intravaginal US, CA124
TX: chemotherapy, referral surgical oncology eval and treatmen
Pap testing - correct answers✅✅begins at 21 and every three years til 30
then every 5 years if co-testing for HPV.
UPSTF recommends: - correct answers✅✅recommends at age 30 with
HPV testing to every 5 years, HIV positive women can screen before 21 years
of age, stop PAP screening at 65
Loop electrosurgical excision procedure (LEEP): - correct
answers✅✅gynecologic procedure that uses a thin, low-voltage electrified
wire loop to cut out abnormal tissue in the cervix
is a device used like a scalpel cut thru cervix to treat cervical cancer
, AANP - Walden (Women's Health &
Pregnancy) Questions and Answers
Potassium hydroxide slide: - correct answers✅✅KOH aids in diagnosing
fungal infections hair, nails and skin
KOH works by causing lysis of the squamous cell which makes it easier to see
the hyphae and spores, vaginal specimens do not require KOH
The whiff test can be used to detect _____. - correct answers✅✅BV
test for BV, fish odor is released after dropping KOH on slide
Polycystic ovarian syndrome - correct answers✅✅endocrine disorder
associated with chronic anovulation
hormone abnormality marked by anovulation, infertility excessive androgen
production and insulin resistance, high risk for type 2 diabetes, dyslipidemia,
metabolic syndrome, endometrial hyperplasia, obesity and cancer, infertility,
sleep apnea, hirsutism, acne, amenorrhea, Post menopause with
bleed/PCOS- high risk for endometrial cance
Polycystic ovarian syndrome diagnostics & treatment: - correct
answers✅✅DX: transvaginal US, testosterone, FSH, fasting glucose
TX: low dose contraceptives, spiraladactone for hirsutism, metformin
Osteoporosis - correct answers✅✅A condition in which the body's bones
become weak and break easily.
>-2.5
