WHNP BOARD PART V EXAM 2025
QUESTIONS AND ANSWERS
OC's for a pt, with a hx of migraine w/ aura
a. Contraindicated- the only pill they can have is a POP
b. Give low dose estrogen -- 100% not this
c. Give monophasic → monophasic contain estrogen, so not this - ANS a. Contraindicated-
the only pill they can have is a POP
HA in the face that increases throughout the day and is worse when bending? - ANS Sinus
Treatment for AGUS? - ANS Colpo, ECC, EBX
Grandular cells on pap? - ANS Colpo, biopsy, ecc
Pt who has early menopause is at risk for
a.CVD, osteoporosis
b. Breast Cancer CA - ANS a. CVD, osteroporosis
GBS positive pregnancy treatment - ANS IV penicllin or amplicillin
LSIL in pregnancy:
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, a. Defer colpo
b. Repeat pap in 6 months
c. HPV testing - ANS a. defer colpo
(prefered is to have colpo
PT > 30 y/o has pap cytology that is negtive but HPV that is postive. What are the next steps? -
ANS HPV DNA testing (to determine if HPV 16/18 positive OR repeat cytology in 1 year
pap cytology is unsatisfactory, you would? - ANS repeat cytology in 2-4 months
women > 25 has ASCUS on cytology, what is the next step? - ANS HPV testing OR repeat
cytology in 1 year
management of women > 25y/o with LSIL with no HPV test? - ANS colpo
management of women > 25y/o with LSIL with negtive HPV test? - ANS repeat cytology in 1
year
Women btw 21-24 y/o, has LSIL or ASCUS on pap, next step? - ANS repeat cytology in 1 year
*if ASCUS, can to reflex HPV test but not prefered
treatment for cystitis - ANS 1.) TMP/SMX 1 tab PO BID x 3 days (+/- phenzaopyridine)
^ only if resistance to TMP/SMX is < 20 %
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, if patient has sulfa allergy or has resistance to TMP/SMX, the next line treatment for cystitis is?
- ANS Nitrofurantion 100mg PO x 5 days
treatment for pyelonephritis? - ANS 1. ciprofloxacin500mg PO BID
2. cipro ER 100mg PO daily
non contraceptive benfit of depo? - ANS decrease breast tenderness
B/c of progesterone in OCP effect on endometrium it reduces risk of?
a. Endometrial cancer
b. Ovarian cancer - ANS endometrial cancer
How does maternal hyperglycemia manifest in the fetus?
a. Increase fetal production of insulin
b. Neonatal hyperglycemia - ANS a. Increase fetal production of insulin
Side effect of Mirena? - ANS functional cyst
Mucopurlent cervix on exam?
a. Trich
b. BV
c. Chlamydia - ANS c. chlamydia
Why is gingivitis common in pregnancy? - ANS gingivitis is common in pregnancy d/t
3
increased vascularity of connective tissue.
Page
@COPYRIGHT FYNDLAY 2025/2026
QUESTIONS AND ANSWERS
OC's for a pt, with a hx of migraine w/ aura
a. Contraindicated- the only pill they can have is a POP
b. Give low dose estrogen -- 100% not this
c. Give monophasic → monophasic contain estrogen, so not this - ANS a. Contraindicated-
the only pill they can have is a POP
HA in the face that increases throughout the day and is worse when bending? - ANS Sinus
Treatment for AGUS? - ANS Colpo, ECC, EBX
Grandular cells on pap? - ANS Colpo, biopsy, ecc
Pt who has early menopause is at risk for
a.CVD, osteoporosis
b. Breast Cancer CA - ANS a. CVD, osteroporosis
GBS positive pregnancy treatment - ANS IV penicllin or amplicillin
LSIL in pregnancy:
1
Page
@COPYRIGHT FYNDLAY 2025/2026
, a. Defer colpo
b. Repeat pap in 6 months
c. HPV testing - ANS a. defer colpo
(prefered is to have colpo
PT > 30 y/o has pap cytology that is negtive but HPV that is postive. What are the next steps? -
ANS HPV DNA testing (to determine if HPV 16/18 positive OR repeat cytology in 1 year
pap cytology is unsatisfactory, you would? - ANS repeat cytology in 2-4 months
women > 25 has ASCUS on cytology, what is the next step? - ANS HPV testing OR repeat
cytology in 1 year
management of women > 25y/o with LSIL with no HPV test? - ANS colpo
management of women > 25y/o with LSIL with negtive HPV test? - ANS repeat cytology in 1
year
Women btw 21-24 y/o, has LSIL or ASCUS on pap, next step? - ANS repeat cytology in 1 year
*if ASCUS, can to reflex HPV test but not prefered
treatment for cystitis - ANS 1.) TMP/SMX 1 tab PO BID x 3 days (+/- phenzaopyridine)
^ only if resistance to TMP/SMX is < 20 %
2
Page
@COPYRIGHT FYNDLAY 2025/2026
, if patient has sulfa allergy or has resistance to TMP/SMX, the next line treatment for cystitis is?
- ANS Nitrofurantion 100mg PO x 5 days
treatment for pyelonephritis? - ANS 1. ciprofloxacin500mg PO BID
2. cipro ER 100mg PO daily
non contraceptive benfit of depo? - ANS decrease breast tenderness
B/c of progesterone in OCP effect on endometrium it reduces risk of?
a. Endometrial cancer
b. Ovarian cancer - ANS endometrial cancer
How does maternal hyperglycemia manifest in the fetus?
a. Increase fetal production of insulin
b. Neonatal hyperglycemia - ANS a. Increase fetal production of insulin
Side effect of Mirena? - ANS functional cyst
Mucopurlent cervix on exam?
a. Trich
b. BV
c. Chlamydia - ANS c. chlamydia
Why is gingivitis common in pregnancy? - ANS gingivitis is common in pregnancy d/t
3
increased vascularity of connective tissue.
Page
@COPYRIGHT FYNDLAY 2025/2026
