CMN 572 FINAL PAPER 2026 FULL
QUESTIONS AND CORRECT ANSWERS
◉ TPAL.
Answer: term, preterm, abortion, living
◉ What to include/ask for in an complete OB/GYN history?.
Answer: Age, LMP, GP, CC, present illness, past medical history,
contraception, medications, surgical history, allergies, OB/GYN
history, sexual, social, family history
◉ information to know for a patients OB history?.
Answer: pregnancies, sex & weight of children, DOB, pregnancy
duration, length/type of labor, anesthesia, complications
◉ information to know for a patients GYN history?.
Answer: menstrual history: age at menarche, duration, period
intervalss, amount/character of flow, discomfort & age of
menopause, STD history
◉ preferred time for self breast exam?.
Answer: 1 week after menses
,postmenopausal: same day each month
◉ firm cervix may indicate:.
Answer: cancer or tumor
◉ axdenal structures.
Answer: fallopian tubes & ovaries
◉ acidic vs alkaline ph of vaginal discharge indicates:.
Answer: acidic (4-5)= fungal infection
alkaline(5.5-7)= BV or trichomonas
◉ schiller test for neoplasia:.
Answer: use of suspected pre/cancerous growths of cervix or
vaginal mucosa
suspect area painted with Lugols solution (strong iodine), areas NOT
accepting dye= abnormal
◉ premenstrual syndrome (PMS).
Answer: cyclic occurrence of symptoms that interfere with aspects
of life consistent around menses
,◉ premenstrual syndrome (PMS) symptoms.
Answer: occur 2nd half of menstrual cycle (luteal phase) for at least
2 consecutive cycles
mood symptoms [irritability, mood swings, depression, anxiety]
physical symptoms [breast tenderness, bloating, pelvic pain,
appetite changes]
cognitive changes [confusion & poor concentration]
MUST be symptom free period of 7 days in 1st half of cycle
◉ causes & diagnosis of PMS.
Answer: potential cause r/t hormonal imbalance
diagnosis: pt reports at least 1 mood & somatic symptom during 5
days prior to menses in 3 prior cycles
symptoms dissipate 4 days post menses & stay dormant until day 13
◉ Treatment of PMS.
Answer: minimal symptoms: limit alcohol, salt, caffeine, tobacco
Ca Carbonate, Magnesium, b6, Vitamin E, NSAIDs to reduce bloating
ad pai
, SSRI's, contraceptives
◉ Pap smear screening guidelines.
Answer: 21 to 29yo: q3 years
30 to 65yo: q3 or pap+hpv screen q5
>65yo: not rec with previous normal paps
hysterectomy (with removal of cervix): not rec in addition to no
history of cancer
◉ high risk groups for cervical cancer.
Answer: prior cervical cancer history, DES intrauterine exposure,
immunocompromised conditions
◉ ACHES - signs of OC complications.
Answer: A = abdominal pain (liver/gallbladder)
C - chest pain, sob (PE/MI)
H - headaches (STROKE)
E - eye problems - (CVA, HTN)
S - severe leg pain (thromboembolus)
◉ Patient education on initial RX OC.
QUESTIONS AND CORRECT ANSWERS
◉ TPAL.
Answer: term, preterm, abortion, living
◉ What to include/ask for in an complete OB/GYN history?.
Answer: Age, LMP, GP, CC, present illness, past medical history,
contraception, medications, surgical history, allergies, OB/GYN
history, sexual, social, family history
◉ information to know for a patients OB history?.
Answer: pregnancies, sex & weight of children, DOB, pregnancy
duration, length/type of labor, anesthesia, complications
◉ information to know for a patients GYN history?.
Answer: menstrual history: age at menarche, duration, period
intervalss, amount/character of flow, discomfort & age of
menopause, STD history
◉ preferred time for self breast exam?.
Answer: 1 week after menses
,postmenopausal: same day each month
◉ firm cervix may indicate:.
Answer: cancer or tumor
◉ axdenal structures.
Answer: fallopian tubes & ovaries
◉ acidic vs alkaline ph of vaginal discharge indicates:.
Answer: acidic (4-5)= fungal infection
alkaline(5.5-7)= BV or trichomonas
◉ schiller test for neoplasia:.
Answer: use of suspected pre/cancerous growths of cervix or
vaginal mucosa
suspect area painted with Lugols solution (strong iodine), areas NOT
accepting dye= abnormal
◉ premenstrual syndrome (PMS).
Answer: cyclic occurrence of symptoms that interfere with aspects
of life consistent around menses
,◉ premenstrual syndrome (PMS) symptoms.
Answer: occur 2nd half of menstrual cycle (luteal phase) for at least
2 consecutive cycles
mood symptoms [irritability, mood swings, depression, anxiety]
physical symptoms [breast tenderness, bloating, pelvic pain,
appetite changes]
cognitive changes [confusion & poor concentration]
MUST be symptom free period of 7 days in 1st half of cycle
◉ causes & diagnosis of PMS.
Answer: potential cause r/t hormonal imbalance
diagnosis: pt reports at least 1 mood & somatic symptom during 5
days prior to menses in 3 prior cycles
symptoms dissipate 4 days post menses & stay dormant until day 13
◉ Treatment of PMS.
Answer: minimal symptoms: limit alcohol, salt, caffeine, tobacco
Ca Carbonate, Magnesium, b6, Vitamin E, NSAIDs to reduce bloating
ad pai
, SSRI's, contraceptives
◉ Pap smear screening guidelines.
Answer: 21 to 29yo: q3 years
30 to 65yo: q3 or pap+hpv screen q5
>65yo: not rec with previous normal paps
hysterectomy (with removal of cervix): not rec in addition to no
history of cancer
◉ high risk groups for cervical cancer.
Answer: prior cervical cancer history, DES intrauterine exposure,
immunocompromised conditions
◉ ACHES - signs of OC complications.
Answer: A = abdominal pain (liver/gallbladder)
C - chest pain, sob (PE/MI)
H - headaches (STROKE)
E - eye problems - (CVA, HTN)
S - severe leg pain (thromboembolus)
◉ Patient education on initial RX OC.
