CMN 572 FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔When should women be screened for syphillis? - ✔✔at first prenatal visit. In high
prevalence areas screen twice at during the third trimester, at 28 weeks and at delivery
✔✔Any woman who delivers a stillborn after 20 weeks should be screened for what? -
✔✔syphillis
✔✔What test can be used to detect changes of the cervix when cancer or precancerous
changes of the cervix or vaginal mucosa are suspected? - ✔✔Schiller test
✔✔HSV is usually diagnosed by what test? - ✔✔PCR
✔✔Chlamydia and gonorrhea is usually diagnosed by what test? - ✔✔NAAT
✔✔What criteria must be present to diagnose PMS? - ✔✔Must occur in the second half
of the menstrual cycle (luteal phase), must be a symptom-free period of at least 7 days
in the first half of the cycle, must occur in 2 consecutive cycles
✔✔What treatments may be recommended that could help some women with pms? -
✔✔limit caffeine, alcohol, tobacco, and chocolate. Eat small frequent meals high in
complex carbs. Decrease sodium intake
✔✔What medications may help with severe pms? - ✔✔SSRIs such as sertraline and
fluoxetine or oral contraceptives
✔✔Describe the pain associated with endometriosis? - ✔✔usually begins 1-2 weeks
before menses, peaks 1-2 days before start, and is relieved at onset
✔✔What is the diagnostic gold standard used in evaluating the pathology in the uterine
cavity? - ✔✔hysteroscopy
✔✔What is the most common nonneoplastic epithelial vulvar disorder? - ✔✔Lichen
sclerosus
✔✔What are the s/s of lechen sclerosus and whom does it usually affect? - ✔✔intense
pruritis resulting in erosions, fissures, subepithelial hemorhages from scratching; the
vulvar skin is thin, wrinkled, white, with areas of thickened skin. Usually occurs in
women over 60
✔✔What is required in the diagnosing of lechen sclerosus? - ✔✔biopsy
, ✔✔What general measures of hygiene should patients with lechen sclerosus be
instructed to perform? - ✔✔avoid tight undergarments, cleanse daily with mild soap, and
dry the vulvar skin with a hair dryer
✔✔What cream can be given to aid in symptom management of lechen sclerosus? -
✔✔clobetasole
✔✔A primary HSV outbreak is usually preceded by what? - ✔✔a prodrome of burning,
itching, and flu-like symptoms lasting 2-4 weeks
✔✔What is the gold standard for diagnosing HSV? - ✔✔viral culture
✔✔When does the most frequent shedding occur with HSV? - ✔✔during the year after
the first episode
✔✔What is the most frequent cause of a vulvar ulcer? - ✔✔HSV
✔✔What oral tx regimen is given for primary outbreak of HSV? - ✔✔Acyclovir or
Famciclovir
✔✔What oral tx regimen is given for recurrent HSV outbreaks? - ✔✔Acyclovir
✔✔What oral tx regimen is given for prophylaxis of genital herpes? - ✔✔acyclovir,
famciclovir, or valacyclovir
✔✔What creams are applied by the patient to tx HPV condyloma? - ✔✔podofilox and
imiquimod cream
✔✔Who does vulvodynia or vestibulodynia usually affect? - ✔✔young women 20-30
years old
✔✔What are s/s of candidiasis? - ✔✔intense vulvar pruritis, white vaginal discharge,
vulvar erythema
✔✔What is the gold standard for diagnosis of candidiasis? - ✔✔vaginal cx
✔✔What are s/s of BV? - ✔✔homogenous vag discharge, fishy odor, presence of clue
cells, ph >4.5
✔✔What is BV treated with? - ✔✔Metronidazole (orally or intravaginally) or clindamycin
(orally or intravaginally)
✔✔What are s/s of trich? - ✔✔profuse, frothy, greenish, foul-smelling discharge,
ph>5.0, strawberry spots with vaginal erythema.
ANSWERS GRADED A+
✔✔When should women be screened for syphillis? - ✔✔at first prenatal visit. In high
prevalence areas screen twice at during the third trimester, at 28 weeks and at delivery
✔✔Any woman who delivers a stillborn after 20 weeks should be screened for what? -
✔✔syphillis
✔✔What test can be used to detect changes of the cervix when cancer or precancerous
changes of the cervix or vaginal mucosa are suspected? - ✔✔Schiller test
✔✔HSV is usually diagnosed by what test? - ✔✔PCR
✔✔Chlamydia and gonorrhea is usually diagnosed by what test? - ✔✔NAAT
✔✔What criteria must be present to diagnose PMS? - ✔✔Must occur in the second half
of the menstrual cycle (luteal phase), must be a symptom-free period of at least 7 days
in the first half of the cycle, must occur in 2 consecutive cycles
✔✔What treatments may be recommended that could help some women with pms? -
✔✔limit caffeine, alcohol, tobacco, and chocolate. Eat small frequent meals high in
complex carbs. Decrease sodium intake
✔✔What medications may help with severe pms? - ✔✔SSRIs such as sertraline and
fluoxetine or oral contraceptives
✔✔Describe the pain associated with endometriosis? - ✔✔usually begins 1-2 weeks
before menses, peaks 1-2 days before start, and is relieved at onset
✔✔What is the diagnostic gold standard used in evaluating the pathology in the uterine
cavity? - ✔✔hysteroscopy
✔✔What is the most common nonneoplastic epithelial vulvar disorder? - ✔✔Lichen
sclerosus
✔✔What are the s/s of lechen sclerosus and whom does it usually affect? - ✔✔intense
pruritis resulting in erosions, fissures, subepithelial hemorhages from scratching; the
vulvar skin is thin, wrinkled, white, with areas of thickened skin. Usually occurs in
women over 60
✔✔What is required in the diagnosing of lechen sclerosus? - ✔✔biopsy
, ✔✔What general measures of hygiene should patients with lechen sclerosus be
instructed to perform? - ✔✔avoid tight undergarments, cleanse daily with mild soap, and
dry the vulvar skin with a hair dryer
✔✔What cream can be given to aid in symptom management of lechen sclerosus? -
✔✔clobetasole
✔✔A primary HSV outbreak is usually preceded by what? - ✔✔a prodrome of burning,
itching, and flu-like symptoms lasting 2-4 weeks
✔✔What is the gold standard for diagnosing HSV? - ✔✔viral culture
✔✔When does the most frequent shedding occur with HSV? - ✔✔during the year after
the first episode
✔✔What is the most frequent cause of a vulvar ulcer? - ✔✔HSV
✔✔What oral tx regimen is given for primary outbreak of HSV? - ✔✔Acyclovir or
Famciclovir
✔✔What oral tx regimen is given for recurrent HSV outbreaks? - ✔✔Acyclovir
✔✔What oral tx regimen is given for prophylaxis of genital herpes? - ✔✔acyclovir,
famciclovir, or valacyclovir
✔✔What creams are applied by the patient to tx HPV condyloma? - ✔✔podofilox and
imiquimod cream
✔✔Who does vulvodynia or vestibulodynia usually affect? - ✔✔young women 20-30
years old
✔✔What are s/s of candidiasis? - ✔✔intense vulvar pruritis, white vaginal discharge,
vulvar erythema
✔✔What is the gold standard for diagnosis of candidiasis? - ✔✔vaginal cx
✔✔What are s/s of BV? - ✔✔homogenous vag discharge, fishy odor, presence of clue
cells, ph >4.5
✔✔What is BV treated with? - ✔✔Metronidazole (orally or intravaginally) or clindamycin
(orally or intravaginally)
✔✔What are s/s of trich? - ✔✔profuse, frothy, greenish, foul-smelling discharge,
ph>5.0, strawberry spots with vaginal erythema.
