NR667 APEA Practice Exam Bank — Weeks 2–7
Complete (Verified Update)
Format: Question → Answer → Detailed Rationale | Complete
Verified Questions | Graded A+
WEEK 2 PRACTICE EXAM (Questions)
Women's Health
1. Which statements are consistent with polycystic ovarian
syndrome (PCOS)? Select all that apply.
A) Patients with PCOS are at low risk for endometrial cancer
B) The diagnosis of PCOS requires ultrasound studies
C) The diagnostic workup for suspected PCOS should be
individualized to the patient
D) The risks and complications associated with PCOS are
numerous and potentially serious
Correct Answer: C, D
Rationale: PCOS is associated with numerous and potentially
serious complications including metabolic syndrome, diabetes,
and endometrial cancer risk (not low). Diagnosis requires at
least 2 of 3 Rotterdam criteria and should be individualized.
,Ultrasound is one of several diagnostic tools, not required in all
cases.
2. Which statements about contraception are correct? Select
all that apply.
A) Long-acting reversible contraceptives (LARCs) may be safely
used by nulliparous women
B) For patients with PCOS, combination oral contraceptives are
generally safe and effective
C) LARCs should not be inserted by primary care providers
D) The management of heavy menses requires low-dose
estrogen- and progestin-containing combined hormonal
contraceptives
Correct Answer: A, B
Rationale: LARCs are safe for nulliparous women and are
recommended as first-line options. Combination OCs are
effective for managing PCOS symptoms. Primary care providers
can and do insert LARCs. Heavy menses management depends
on underlying cause.
3. Which statements about cervical cancer screening are
correct? Select all that apply.
A) Women between ages 21 and 29 years should be screened
every 5 years with Pap testing only
B) The cervical cancer screening intervals recommended by ACS
and ASCCP are evidence-based
,C) Immunization against HPV is most effective when
administered before age 26 years
D) Two HPV vaccine doses are recommended for patients who
are younger than 15 years and not sexually active
Correct Answer: B, C, D
Rationale: Women 21–29 should be screened every 3 years
with Pap testing alone, not 5. ACS and ASCCP guidelines are
evidence-based. HPV vaccine is most effective before age 26.
Two-dose series is recommended for those <15 years.
4. Which statements about folic acid are correct? Select all
that apply.
A) All pregnant women should take 1 mcg folic acid daily
B) When planning to become pregnant, women should take 0.4
mg folic acid daily
C) Maternal folic acid use can prevent cleft palate in the
developing fetus
D) Maternal folic acid use can prevent neural tube defects in the
developing fetus
Correct Answer: B, C, D
Rationale: Women planning pregnancy should take 0.4 mg (400
mcg) folic acid daily. Folic acid prevents neural tube defects and
may help prevent cleft palate. The dose is 0.4 mg, not 1 mcg.
5. A 16-year-old presents with dysmenorrhea unrelieved by
NSAIDs. What is the next management step?
, A) Opioid analgesics
B) Start combined oral contraceptives
C) Refer for laparoscopy
D) Increase NSAID dose
Correct Answer: B
Rationale: Combined oral contraceptives are the next step for
dysmenorrhea unrelieved by NSAIDs.
6. Which of the following is a contraindication to the use of
combined oral contraceptives?
A) Dysmenorrhea
B) History of deep vein thrombosis
C) Acne vulgaris
D) Endometriosis
Correct Answer: B
Rationale: History of DVT is a contraindication to combined oral
contraceptives.
7. A 22-year-old requesting emergency contraception.
Treatment?
A) Levonorgestrel 1.5 mg PO
B) Ulipristal acetate 30 mg PO
C) Copper IUD
D) All of the above
Correct Answer: D
Rationale: All are effective emergency contraception options.
Complete (Verified Update)
Format: Question → Answer → Detailed Rationale | Complete
Verified Questions | Graded A+
WEEK 2 PRACTICE EXAM (Questions)
Women's Health
1. Which statements are consistent with polycystic ovarian
syndrome (PCOS)? Select all that apply.
A) Patients with PCOS are at low risk for endometrial cancer
B) The diagnosis of PCOS requires ultrasound studies
C) The diagnostic workup for suspected PCOS should be
individualized to the patient
D) The risks and complications associated with PCOS are
numerous and potentially serious
Correct Answer: C, D
Rationale: PCOS is associated with numerous and potentially
serious complications including metabolic syndrome, diabetes,
and endometrial cancer risk (not low). Diagnosis requires at
least 2 of 3 Rotterdam criteria and should be individualized.
,Ultrasound is one of several diagnostic tools, not required in all
cases.
2. Which statements about contraception are correct? Select
all that apply.
A) Long-acting reversible contraceptives (LARCs) may be safely
used by nulliparous women
B) For patients with PCOS, combination oral contraceptives are
generally safe and effective
C) LARCs should not be inserted by primary care providers
D) The management of heavy menses requires low-dose
estrogen- and progestin-containing combined hormonal
contraceptives
Correct Answer: A, B
Rationale: LARCs are safe for nulliparous women and are
recommended as first-line options. Combination OCs are
effective for managing PCOS symptoms. Primary care providers
can and do insert LARCs. Heavy menses management depends
on underlying cause.
3. Which statements about cervical cancer screening are
correct? Select all that apply.
A) Women between ages 21 and 29 years should be screened
every 5 years with Pap testing only
B) The cervical cancer screening intervals recommended by ACS
and ASCCP are evidence-based
,C) Immunization against HPV is most effective when
administered before age 26 years
D) Two HPV vaccine doses are recommended for patients who
are younger than 15 years and not sexually active
Correct Answer: B, C, D
Rationale: Women 21–29 should be screened every 3 years
with Pap testing alone, not 5. ACS and ASCCP guidelines are
evidence-based. HPV vaccine is most effective before age 26.
Two-dose series is recommended for those <15 years.
4. Which statements about folic acid are correct? Select all
that apply.
A) All pregnant women should take 1 mcg folic acid daily
B) When planning to become pregnant, women should take 0.4
mg folic acid daily
C) Maternal folic acid use can prevent cleft palate in the
developing fetus
D) Maternal folic acid use can prevent neural tube defects in the
developing fetus
Correct Answer: B, C, D
Rationale: Women planning pregnancy should take 0.4 mg (400
mcg) folic acid daily. Folic acid prevents neural tube defects and
may help prevent cleft palate. The dose is 0.4 mg, not 1 mcg.
5. A 16-year-old presents with dysmenorrhea unrelieved by
NSAIDs. What is the next management step?
, A) Opioid analgesics
B) Start combined oral contraceptives
C) Refer for laparoscopy
D) Increase NSAID dose
Correct Answer: B
Rationale: Combined oral contraceptives are the next step for
dysmenorrhea unrelieved by NSAIDs.
6. Which of the following is a contraindication to the use of
combined oral contraceptives?
A) Dysmenorrhea
B) History of deep vein thrombosis
C) Acne vulgaris
D) Endometriosis
Correct Answer: B
Rationale: History of DVT is a contraindication to combined oral
contraceptives.
7. A 22-year-old requesting emergency contraception.
Treatment?
A) Levonorgestrel 1.5 mg PO
B) Ulipristal acetate 30 mg PO
C) Copper IUD
D) All of the above
Correct Answer: D
Rationale: All are effective emergency contraception options.
