CMN 572 UNIT 1 EXAM QUESTIONS &
ANSWERS | BEST 2026 UPDATE | 100%
CORRECT - UNIVERSITY OF SOUTH
ALABAMA.
GRADED A+
QUESTIONS AND ANSWERS
At what age does cervical cancer predominate? ANSWER - 40-44
When does HPV usually regress? ANSWER - 1-2 years
At what age should Pap smears be started? ANSWER - 21
What cervical cancer screening is done from age 21-29? ANSWER - cytology every 3
years
What cervical cancer screenings are done at age 30-65? ANSWER - cytology alone very 3
years or *preferred* co-testing (HPV and pap) every 5 years
What is considered high-grade precancerous lesion? ANSWER - CIN 2 or 3
What should you get patient's to sign (especially younger patients) when providing
counseling on oral contraceptives? ANSWER - an informed consent and disclosure sheet
that covers possible side effects warning signs, drug interactions, and what to do if you
forget one or two pills
What are warning signs for oral contraceptives? ANSWER - ACHES- Abd. pain
(thrombosis), chest pain (PE or MI), Headaches (stroke), eye problems (thrombosis), or
severe leg pain (thrombosis)
,How long is a back-up method recommended when starting oral contraceptives?
ANSWER - 7 days
What are the most common side effects of oral contraceptives? ANSWER - nausea and
fatigue
When should OCs be started with a Sunday start? ANSWER - The Sunday following the
start of menses
What OC start method had the highest continuation rate? ANSWER - Quick start- start
on the day of office visit.
When should a urine preg test be done when using the quick start method? ANSWER - if
> 5 days since last menses and unprotected sex
What patient education should be done for the first 3-6 months on patients starting OC?
ANSWER - expect breakthrough bleeding, take at same time everyday, taking in the
evening can minimize side effects
How often do women have menses on an extended cycle pill? ANSWER - once every 3-12
months
Medication strength for combination pills should not be greater than what? ANSWER -
1/35 (progestin/estrogen)
Patients with a family history of what should get tested before beginning oral
contraceptives? ANSWER - clotting disorders (Factor V Leiden)
Patients with a family history of _____ before age _____ need to be evaluated by a specialist
before starting OCPs ANSWER - CVD; 50
, Patients with heavy bleeding should get what test before OCP start? ANSWER - platelet
function test to r/o bleeding disorder
What type of OCP should be prescribed for women with estrogen sensitivity? ANSWER -
progestin-only pills or combination pills with 20mcg of ethinyl estradiol
What usually causes premenstrual migraines? ANSWER - drop in estrogen
When should OCPs be d'cd or avoided in relation to headaches? ANSWER - with new or
worsening headache or hx of migraines with aura
What is the most common reason women discontinue OCPs? ANSWER - breakthrough
bleeding
breakthrough bleeding is most common in which type of OCP? ANSWER - low dose
combination pills and progestin only pills, and extended use cycles
In whom does breakthrough bleeding more commonly occur in? ANSWER - overweight
women and smokers
What test should be ordered in a patient who presents with breakthrough bleeding?
ANSWER - urine or serum hcg
If breakthrough bleeding occurs after day 14 what should be done? ANSWER - increase to
higher progestin activity pill
When can combination pills be started postpartum? ANSWER - after 3 weeks
What type of ocp increases angiotensin II and may cause fluid retention? ANSWER -
combination pills (also nexplanon)
What pills are best for obese patients? ANSWER - progestin only pills (or Mirena)
ANSWERS | BEST 2026 UPDATE | 100%
CORRECT - UNIVERSITY OF SOUTH
ALABAMA.
GRADED A+
QUESTIONS AND ANSWERS
At what age does cervical cancer predominate? ANSWER - 40-44
When does HPV usually regress? ANSWER - 1-2 years
At what age should Pap smears be started? ANSWER - 21
What cervical cancer screening is done from age 21-29? ANSWER - cytology every 3
years
What cervical cancer screenings are done at age 30-65? ANSWER - cytology alone very 3
years or *preferred* co-testing (HPV and pap) every 5 years
What is considered high-grade precancerous lesion? ANSWER - CIN 2 or 3
What should you get patient's to sign (especially younger patients) when providing
counseling on oral contraceptives? ANSWER - an informed consent and disclosure sheet
that covers possible side effects warning signs, drug interactions, and what to do if you
forget one or two pills
What are warning signs for oral contraceptives? ANSWER - ACHES- Abd. pain
(thrombosis), chest pain (PE or MI), Headaches (stroke), eye problems (thrombosis), or
severe leg pain (thrombosis)
,How long is a back-up method recommended when starting oral contraceptives?
ANSWER - 7 days
What are the most common side effects of oral contraceptives? ANSWER - nausea and
fatigue
When should OCs be started with a Sunday start? ANSWER - The Sunday following the
start of menses
What OC start method had the highest continuation rate? ANSWER - Quick start- start
on the day of office visit.
When should a urine preg test be done when using the quick start method? ANSWER - if
> 5 days since last menses and unprotected sex
What patient education should be done for the first 3-6 months on patients starting OC?
ANSWER - expect breakthrough bleeding, take at same time everyday, taking in the
evening can minimize side effects
How often do women have menses on an extended cycle pill? ANSWER - once every 3-12
months
Medication strength for combination pills should not be greater than what? ANSWER -
1/35 (progestin/estrogen)
Patients with a family history of what should get tested before beginning oral
contraceptives? ANSWER - clotting disorders (Factor V Leiden)
Patients with a family history of _____ before age _____ need to be evaluated by a specialist
before starting OCPs ANSWER - CVD; 50
, Patients with heavy bleeding should get what test before OCP start? ANSWER - platelet
function test to r/o bleeding disorder
What type of OCP should be prescribed for women with estrogen sensitivity? ANSWER -
progestin-only pills or combination pills with 20mcg of ethinyl estradiol
What usually causes premenstrual migraines? ANSWER - drop in estrogen
When should OCPs be d'cd or avoided in relation to headaches? ANSWER - with new or
worsening headache or hx of migraines with aura
What is the most common reason women discontinue OCPs? ANSWER - breakthrough
bleeding
breakthrough bleeding is most common in which type of OCP? ANSWER - low dose
combination pills and progestin only pills, and extended use cycles
In whom does breakthrough bleeding more commonly occur in? ANSWER - overweight
women and smokers
What test should be ordered in a patient who presents with breakthrough bleeding?
ANSWER - urine or serum hcg
If breakthrough bleeding occurs after day 14 what should be done? ANSWER - increase to
higher progestin activity pill
When can combination pills be started postpartum? ANSWER - after 3 weeks
What type of ocp increases angiotensin II and may cause fluid retention? ANSWER -
combination pills (also nexplanon)
What pills are best for obese patients? ANSWER - progestin only pills (or Mirena)
