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00% Correct Answers | Latest Version (20
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25/2026) Expert Verified vb vb
1. 1 . ASCCP recommended management for an ASCUS pap result with high risk h
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pv 16 cotest in 26 year old no abnormal paps - ANSWER colposcopy
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2. 2 . What is included in the well women of an adolescent? -
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v ANSWER health history menses
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3. gynecologic and pregnancy issues psyc vb vb vb vb
hosocial
4. abuse drugs alcoh vb vb
ol use physical ex
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am screening tes v b vb
ts immunizations
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5. When does ACOG pap smear start -
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vANSWER 21 years old done every three years
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6. ACOG pap for over 30 yrs old - vb vb vb vb vb vb vb
ANSWER every five years with HPV test v b vb vb vb vb vb v
completed
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7. ACOG when can you stop pap smear -
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v ANSWER can stop at 65 if negative history for 10 years or if they had a hyst
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erectomy with no history of cervical cancer vb vb vb vb vb vb
8. Bethesda pap smear report reads LSIL is what classification? -
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ANSWER CIN 1
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9. A single Pap smear reading of ASCUS in a patient negative for HPV infection s
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hould have what as follow-up? - ANSWER routine screening
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10. a female patient is 35 years old. she has never had an abnormal PAP sme
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, ar has regular screening since age 18. If she has a normal PAP smear with
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HPV testing today, when should she have the next cervical cancer screeni
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ng? - ANSWER 5 years
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11. A young sexually active is having her first pap smear what would you explain?
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b- ANSWER pap smear detects cervical cancer
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12. 26 year old pap smear shows negative and positive HPV what do you do? -
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ANSWER repeat HPV and pap
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13. what is not part of criteria for older women to cease pap smears? -
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v ANSWER over 55 year old
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,14. no menarche in a 15 year old with no medical problems and Tanner stage 1 w
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ith a uterus - ANSWER primary amenorrhea
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15. No menses for at least 6 months -
vb vb vb vb vb vb vb v b v b ANSWER secondary amenorrhea v b vb
16. female athlete triad - ANSWER disordered eating, amenorrhea, osteoporosis
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17. labs for female athlete triad -
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ANSWER HCG v b
vbserum prolactin vb
18. serum TSH,FSH, LH vb vb
19. if amenorhea lasts longer than 6 months do what? -
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ANSWER bone density test
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20. treatment plan for female athlete triad - vb vb vb vb vb vb
v ANSWER increase caloric intake, decrease exercise
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21. prescribe ca and vit d 1200/1500 daily and vitamin e 400 iu daily
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22. complications of female athlete triad - vb vb vb vb vb
v ANSWER osteopenia/osteoporosis (stress fracture)
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23. myocardial atrophy, arrhythmia, hypotension, br vb vb vb vb
ady hypoglycemia, dehydration, electrolytes
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24. lanugo, telogen effluvium hair loss zerosis dry skin, infertility, low body mass,
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cachexia, respiratory failure vb vb
25. purpose of progesterone challenge - ANSWER endogenous estrogen
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26. primary and secondary amenorrhea originates in hypothalamus -
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v ANSWER sheehans syndrome
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27. symptoms of breast cancer ( early) - vb vb vb vb vb vb
ANSWER None v b
vbNon-painful mass (occasionally pain) vb vb vb
28. Eczematous nipple (Paget's) Serosa vb vb vb
nguinous (bloody) nipple discharge vb vb vb
29. late symptoms of breast cancer -
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ANSWER skin or nipple retraction v b vb vb vb v
b axilary lymhadenpathy vb
30. breast enlargement vb
31. redness, edema, brawny ind vb vb vb
uration peau d' orange vb vb vb
32. pain
33. fixation of the mass to the skin or chest wall
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34. very late findings of breast cancer -
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v ANSWER ulceration supraclavicular lymphadenopathy
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35. edema of the arm, bone, lung, liver, brain or other distant metstases
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36. Follow up for breast cancer patients -
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ANSWER 1. Bilateral mammogram 6 months v b vb vb vb vb vb
after complete radiation post-lumpectomy; Mammogram yearly after
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, 37. 2. Contralateral mammogram annually post-
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mastectomy (entire breast + pectoralis major fascia) vb vb vb vb vb vb
38. PE every 3-6 months for 3 years then annually
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39. fibrocystic breast disease - vb vb vb
ANSWER the presence of single or multiple benign v b vb vb vb vb vb vb vb
cysts in the breasts vb vb vb
40. signs and symptoms of fibrocystic breast disease -
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v ANSWER occurs 2 weeks before the onset of mensus and worst right befor
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e the menstrual cycle. resolves after menses starts often in women in their 30's
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. breast lumps are rubbery and mobile to touch
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41. Tx for fibrocystic breast disease -
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v ANSWER Once a benign diagnosis or normal findings have been establi
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shed by biopsy or on clinical or imaging findings, simple reassurance will pr
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ovide many patients with adequate relief.
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42. For those patients who still seek treatment, symptomatic relief by avoiding tra
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uma and by wearing a bra with adequate support can be very helpful. The role
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b of caffeine consumption in the development and treatment of fibrocystic chang
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e has never been proven; however, many patients report relief of symptoms af
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ter abstinence from coffee, tea, and chocolate. Similarly, observational studies
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vbhave suggested that low- vb vb vb
vbfat diets can provide some relief. The data regarding the utility of vitamin E su
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pplementation and evening primrose oil are controversial. Mild analgesics suc vb vb vb vb vb vb vb vb vb
h as acetaminophen and nonsteroidal anti-
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inflammatory drugs (NSAIDs) can be used to relieve breast pain. For more sy vb vb vb vb vb vb vb vb vb vb vb vb
mptomatic women, danazol and tamoxifen have been found to be effective, alt
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hough their significant side effects have limited their acceptability and utility.
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43. Fibroadenoma - ANSWER benign breast lesion 15-40 yrs old vb v b v b v b vb vb vb vb vb
44. risk factors for fibroadenoma -
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v ANSWER multiple fibroadenomas associated with rate cancer syndromes
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blike mafficci syndrome, Cowden syndrome, carney complex early ETOH con
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sumption
45. findings with fibroadenoma - vb vb vb
ANSWER painless, firm or rubbery mass with well d v b vb vb vb vb vb vb vb
efined borders, freely mobile, changes with size may occur with pregnany or
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menstrual cycle, lesions under 5 cm, considered to be giant fibrodenomas no
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nipple discharge vb
46. Dx of fibroadenoma -
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v ANSWER mammo, us to differentiate fluid filled to solid mass, fine needle
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aspiration biopsy, open biopsy vb vb vb
47. Intraductal papilloma - vb vb
v ANSWER benign tumor within the ductal system of the breast, one of the he
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terogeneous group of lesions encompassed by the term benign breast disease vb vb vb vb vb vb vb vb vb vb vb
seen in females 30-50 vb vb vb