PRIMARY CARE OF THE CHILDBEARING
AND CHILDREARING FAMILY ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
●● 39yo female has completed course of amox for strep throat. LMP
was 2wks ago, says it was normal. On exam, there's erythema of extern.
genitalia w/small amount of white discharge. Micro wet prep reveals few
clue cells, but many budding hyphae. No WBCs. Which one would be
the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days
Answer: c
●● Woman c/o vaginal itching, white discharge. She is in good health
except for recent abx for strep throat. Pelvic reveals tender vulvovaginal
area w/edema and nonmalodorous white patches. Which is the most
likely cause?
a. Bacterial vaginosis
,b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis
Answer: d
●● 18yo female c/o secondary amenorrhea. On exam, there is normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled
out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
Answer: c
●● 24yo female is dx'd w/primary dysmenorrhea. Which med would be
used as first-line to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs
Answer: d
,●● Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche
Answer: c
●● 25yo female c/o vaginal irritation and discharge. On exam, cervix is
easily friable and erythematous. No adnexal tenderness. Wet prep
reveals mobile protozoa on NS slide. This most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea
Answer: a
●● 16yo female has h/o secondary amenorrhea. Menarche at 10yo,
regular cycles x2yrs, has not menstruated x4yrs. What is most frequent
etiology of this problem?
, a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress
Answer: a
●● Woman is experiencing vaginal discharge. Wet mount with KOH
would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia
Answer: c
●● Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole
Answer: a
AND CHILDREARING FAMILY ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS COMPLETE STUDY GUIDE
●● 39yo female has completed course of amox for strep throat. LMP
was 2wks ago, says it was normal. On exam, there's erythema of extern.
genitalia w/small amount of white discharge. Micro wet prep reveals few
clue cells, but many budding hyphae. No WBCs. Which one would be
the most appropriate treatment?
a. Metronidazole 500mg BID x7 days
b. OTC hydrocortisone 1% cream TID
c. Fluconazole tabs 150mg x1 dose
d. Erythromycin 500mg TID x10 days
Answer: c
●● Woman c/o vaginal itching, white discharge. She is in good health
except for recent abx for strep throat. Pelvic reveals tender vulvovaginal
area w/edema and nonmalodorous white patches. Which is the most
likely cause?
a. Bacterial vaginosis
,b. Trichomonas
c. Lactobacillus overgrowth
d. Candidiasis
Answer: d
●● 18yo female c/o secondary amenorrhea. On exam, there is normal
secondary sex characteristics and normal genitalia. Pregnancy is ruled
out. What would necessitate further eval?
a. Elevated blood cholesterol levels
b. Androgen deficiency
c. Galactorrhea
d. Hirsutism
Answer: c
●● 24yo female is dx'd w/primary dysmenorrhea. Which med would be
used as first-line to help control symptoms?
a. Antianxiety meds
b. Progesterone-only contraception
c. Oral steroids
d. NSAIDs
Answer: d
,●● Primary amenorrhea is best described as:
a. Cessation of menstruation x6mo
b. Failure of menstruation to occur by 17ho
c. Failure of menstruation to occur by 13yo
d. Cessation of menstruation x6mo after menarche
Answer: c
●● 25yo female c/o vaginal irritation and discharge. On exam, cervix is
easily friable and erythematous. No adnexal tenderness. Wet prep
reveals mobile protozoa on NS slide. This most likely represents:
a. Trichomonas
b. Mucopurulent cervicitis
c. Bacterial vaginosis
d. Gonorrhea
Answer: a
●● 16yo female has h/o secondary amenorrhea. Menarche at 10yo,
regular cycles x2yrs, has not menstruated x4yrs. What is most frequent
etiology of this problem?
, a. Eating disorder
b. Pregnancy
c. Anovulatory cycles
d. Stress
Answer: a
●● Woman is experiencing vaginal discharge. Wet mount with KOH
would be used to confirm:
a. Herpes simplex
b. Gonorrhea
c. Candidiasis
d. Chlamydia
Answer: c
●● Treatment options for condyloma acuminatum include:
a. Imiquimod (Aldera)
b. Azithromycin
c. Acyclovir
d. Metronidazole
Answer: a
