NRNP 6552 Final Exam – 2026/2027- Edition 100 Questions And
100% Verified Answers
Overview:
It covers contraception, STIs, GYN disorders, breast health, antepartum/intrapartum/postpartum
care, pregnancy complications, menopause, and infertility. Tests USPSTF/CDC/ACOG
guidelines, pharmacology, diagnostic reasoning, and evidence-based management across the
female lifespan from menarche through postmenopause. Answers bolded Green + Rationales
1. CDC MEC: 42yo, smokes 20 cig/day. CHC = Category?
A. 1
B. 2
C. 3
D. 4
Rationale: Age ≥35 + ≥15 cig/day = Cat 4 for CHCs.
2. Most effective LARC?
A. DMPA
B. Nexplanon
C. IUDs
D. POP
Rationale: LNG + Copper IUD >99%, Nexplanon 99.95%. Both LARCs.
3. Ulipristal EC mechanism?
A. Disrupts implantation
B. Delays ovulation via progesterone receptor modulator
C. Causes abortion
D. Thickens mucus
Rationale: UPA delays ovulation up to 5 days. Not abortifacient.
4. USPSTF cervical cancer screen 30-65yo options?
A. Pap q3yr only
B. Pap q3yr OR co-test q5yr OR HPV q5yr
C. Annual Pap
D. Pap q5yr
Rationale: 3 options per USPSTF 2018.
5. ASC-US age 21-24 next step?
A. Colposcopy
B. Repeat Pap 12mo
C. HPV test
D. Leep
Rationale: 21-24yo: repeat cytology 12mo. No HPV reflex.
6. GC/CT screen annually who?
A. All women
B. Sexually active women <25yo + ≥25yo at risk
C. Only if symptomatic
, D. Pregnant only
Rationale: USPSTF: <25yo all sexually active, ≥25yo if risk.
7. Syphilis stage: painless chancre + regional nodes?
A. Secondary
B. Primary
C. Tertiary
D. Latent
Rationale: Primary = chancre 3-90d post exposure.
8. Syphilis treatment pregnancy?
A. Doxycycline
B. Penicillin G after desensitization if allergic
C. Azithromycin
D. Ceftriaxone
Rationale: Only PCN prevents congenital syphilis.
9. BV Amsel criteria need how many of 4?
A. 2
B. 3
C. 4
D. 1
Rationale: ≥3: pH >4.5, clue cells >20%, whiff +, thin discharge.
10. Recurrent VVC ≥4/yr mgmt?
A. Fluconazole 150mg x1
B. Fluconazole 150mg q72h x3, then weekly x6mo
C. Terconazole 7d
D. Boric acid only
Rationale: Induction + maintenance suppression.
11. Trichomoniasis partner treatment?
A. Only if symptomatic
B. Treat all partners always
C. Test first
D. No treatment needed
Rationale: CDC: treat all partners regardless of symptoms.
12. PID outpatient regimen?
A. Doxy only
B. Ceftriaxone 500mg IM + doxy 100mg BID 14d + metronidazole 500mg BID 14d
C. Azithro x1
D. Levaquin
Rationale: CDC 2021: CTX + doxy + metro for anaerobes.
13. Fitz-Hugh-Curtis syndrome associated with?
A. BV
B. GC/CT PID
C. HSV
D. Trich
Rationale: Perihepatitis from GC/CT ascending.
14. Endometriosis classic triad?
A. AUB, pain, infertility
100% Verified Answers
Overview:
It covers contraception, STIs, GYN disorders, breast health, antepartum/intrapartum/postpartum
care, pregnancy complications, menopause, and infertility. Tests USPSTF/CDC/ACOG
guidelines, pharmacology, diagnostic reasoning, and evidence-based management across the
female lifespan from menarche through postmenopause. Answers bolded Green + Rationales
1. CDC MEC: 42yo, smokes 20 cig/day. CHC = Category?
A. 1
B. 2
C. 3
D. 4
Rationale: Age ≥35 + ≥15 cig/day = Cat 4 for CHCs.
2. Most effective LARC?
A. DMPA
B. Nexplanon
C. IUDs
D. POP
Rationale: LNG + Copper IUD >99%, Nexplanon 99.95%. Both LARCs.
3. Ulipristal EC mechanism?
A. Disrupts implantation
B. Delays ovulation via progesterone receptor modulator
C. Causes abortion
D. Thickens mucus
Rationale: UPA delays ovulation up to 5 days. Not abortifacient.
4. USPSTF cervical cancer screen 30-65yo options?
A. Pap q3yr only
B. Pap q3yr OR co-test q5yr OR HPV q5yr
C. Annual Pap
D. Pap q5yr
Rationale: 3 options per USPSTF 2018.
5. ASC-US age 21-24 next step?
A. Colposcopy
B. Repeat Pap 12mo
C. HPV test
D. Leep
Rationale: 21-24yo: repeat cytology 12mo. No HPV reflex.
6. GC/CT screen annually who?
A. All women
B. Sexually active women <25yo + ≥25yo at risk
C. Only if symptomatic
, D. Pregnant only
Rationale: USPSTF: <25yo all sexually active, ≥25yo if risk.
7. Syphilis stage: painless chancre + regional nodes?
A. Secondary
B. Primary
C. Tertiary
D. Latent
Rationale: Primary = chancre 3-90d post exposure.
8. Syphilis treatment pregnancy?
A. Doxycycline
B. Penicillin G after desensitization if allergic
C. Azithromycin
D. Ceftriaxone
Rationale: Only PCN prevents congenital syphilis.
9. BV Amsel criteria need how many of 4?
A. 2
B. 3
C. 4
D. 1
Rationale: ≥3: pH >4.5, clue cells >20%, whiff +, thin discharge.
10. Recurrent VVC ≥4/yr mgmt?
A. Fluconazole 150mg x1
B. Fluconazole 150mg q72h x3, then weekly x6mo
C. Terconazole 7d
D. Boric acid only
Rationale: Induction + maintenance suppression.
11. Trichomoniasis partner treatment?
A. Only if symptomatic
B. Treat all partners always
C. Test first
D. No treatment needed
Rationale: CDC: treat all partners regardless of symptoms.
12. PID outpatient regimen?
A. Doxy only
B. Ceftriaxone 500mg IM + doxy 100mg BID 14d + metronidazole 500mg BID 14d
C. Azithro x1
D. Levaquin
Rationale: CDC 2021: CTX + doxy + metro for anaerobes.
13. Fitz-Hugh-Curtis syndrome associated with?
A. BV
B. GC/CT PID
C. HSV
D. Trich
Rationale: Perihepatitis from GC/CT ascending.
14. Endometriosis classic triad?
A. AUB, pain, infertility
