NU 665D: PRIMARY CARE ADULT WOMAN II EXAM BANK
(EXAM 1, 2 AND FINAL) 2026/2027 PRACTICE EXAM
PACKAGE QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES EACH | CURRENTLY TESTING AND
FREQUENTLY TESTED QUESTIONS | GUARANTEED PASS
STUDY GUIDE |EXPERT VERIFIED
1. A 24-year-old woman requests contraception. She has a
history of migraine with aura. Which method is
contraindicated?
A) Progestin-only pill
B) Combined oral contraceptive
C) Copper IUD
D) Levonorgestrel IUD
Answer: B
Rationale: Estrogen-containing contraceptives increase stroke
risk in migraine with aura.
,2. A 52-year-old woman reports hot flashes and night
sweats. Which is the most effective treatment for
vasomotor symptoms?
A) SSRIs
B) Systemic estrogen therapy
C) Gabapentin
D) Clonidine
Answer: B
Rationale: Estrogen is most effective for moderate-severe
vasomotor symptoms in appropriate candidates.
3. A 30-year-old woman has a BMI of 32, oligomenorrhea,
and hirsutism. Which diagnosis is most likely?
A) Hypothyroidism
B) Polycystic ovary syndrome (PCOS)
C) Cushing syndrome
D) Premature ovarian insufficiency
Answer: B
2
,Rationale: PCOS includes oligo-ovulation, hyperandrogenism,
and polycystic ovaries.
4. A 45-year-old woman has heavy menstrual bleeding.
Which initial test is most appropriate?
A) Endometrial biopsy
B) CBC and TSH
C) Pelvic MRI
D) Hysteroscopy
Answer: B
Rationale: Initial evaluation of heavy bleeding includes CBC
(anemia) and TSH (thyroid dysfunction).
5. A 28-year-old woman presents with dysuria and
frequency. Urinalysis shows nitrites. Which organism is
most common?
A) Staphylococcus saprophyticus
3
, B) Escherichia coli
C) Klebsiella pneumoniae
D) Proteus mirabilis
Answer: B
Rationale: E. coli causes 80-85% of uncomplicated UTIs.
6. A 35-year-old woman has a new breast mass. Which
imaging is best for a woman under 30?
A) Mammogram
B) Ultrasound
C) MRI
D) PET scan
Answer: B
Rationale: Ultrasound distinguishes cystic from solid masses in
younger women with dense breasts.
4
(EXAM 1, 2 AND FINAL) 2026/2027 PRACTICE EXAM
PACKAGE QUESTIONS AND CORRECT ANSWERS WITH
DETAILED RATIONALES EACH | CURRENTLY TESTING AND
FREQUENTLY TESTED QUESTIONS | GUARANTEED PASS
STUDY GUIDE |EXPERT VERIFIED
1. A 24-year-old woman requests contraception. She has a
history of migraine with aura. Which method is
contraindicated?
A) Progestin-only pill
B) Combined oral contraceptive
C) Copper IUD
D) Levonorgestrel IUD
Answer: B
Rationale: Estrogen-containing contraceptives increase stroke
risk in migraine with aura.
,2. A 52-year-old woman reports hot flashes and night
sweats. Which is the most effective treatment for
vasomotor symptoms?
A) SSRIs
B) Systemic estrogen therapy
C) Gabapentin
D) Clonidine
Answer: B
Rationale: Estrogen is most effective for moderate-severe
vasomotor symptoms in appropriate candidates.
3. A 30-year-old woman has a BMI of 32, oligomenorrhea,
and hirsutism. Which diagnosis is most likely?
A) Hypothyroidism
B) Polycystic ovary syndrome (PCOS)
C) Cushing syndrome
D) Premature ovarian insufficiency
Answer: B
2
,Rationale: PCOS includes oligo-ovulation, hyperandrogenism,
and polycystic ovaries.
4. A 45-year-old woman has heavy menstrual bleeding.
Which initial test is most appropriate?
A) Endometrial biopsy
B) CBC and TSH
C) Pelvic MRI
D) Hysteroscopy
Answer: B
Rationale: Initial evaluation of heavy bleeding includes CBC
(anemia) and TSH (thyroid dysfunction).
5. A 28-year-old woman presents with dysuria and
frequency. Urinalysis shows nitrites. Which organism is
most common?
A) Staphylococcus saprophyticus
3
, B) Escherichia coli
C) Klebsiella pneumoniae
D) Proteus mirabilis
Answer: B
Rationale: E. coli causes 80-85% of uncomplicated UTIs.
6. A 35-year-old woman has a new breast mass. Which
imaging is best for a woman under 30?
A) Mammogram
B) Ultrasound
C) MRI
D) PET scan
Answer: B
Rationale: Ultrasound distinguishes cystic from solid masses in
younger women with dense breasts.
4
